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Certified CDL Medical Exam

Medical Certification FAQ: Part Two of Three Parts

 
Medical Certification FAQ: Part Two of Three Parts:
 
If my current job only requires me tooperate intrastate, but I want the option to operate interstate, can I certifyin Category A instead of C as long as I have a current medical card?
 
Driversoperating only in intrastate commerce are advised to consider self-certifyingin the non-excepted interstate category (Category A) if eligible. Drivers noteligible to certify in Category A include drivers under 21 years of age anddrivers with certain medical conditions who do not have a federally issuedmedical variance. Drivers self-certifying in Category C who are not eligible toself-certify in Category A will have restrictions to intrastate commerce placedon their CDL
 
I recently renewed my license and wasrequired to provide medical certification at that time. My CDL is valid until2015, but my medical card expires in 2012. Will I be required to submit a newmedical card before my next renewal?
 
Yes. You arerequired to maintain current medical documentation on file. Failure to do somay result in CDL disqualification.
 

Medical Certification FAQ: Part One ofThree Parts

 
Medical Certification FAQ: Part One ofThree Parts:
 
My CDL expires soon. What will I needto renew my license?
 
Federal MotorCarrier Safety Regulations now require all drivers obtaining an original CDL,or renewing their CDL, to certify with the driver license office in one of fourcategories. Drivers certifying in non-excepted interstate or non-exceptedintrastate commerce must also provide valid medical documentation.Certification categories are listed above.
 
My CDL is valid until 2015 and I havea current medical card. With the new requirements, is there anything else Ihave to do?
 
All CDLholders will be required to self-certify prior to January 31, 2014. You will benotified of the new requirements and provided with instructions. Thenotification process will be phased in over several months, starting in July2012, to allow drivers time to comply by the January 2014, deadlineam not currently using my CDL and donot have a current medical card.
 
I want to keep my commercial licensein case I hire on with a company that may require me to have one. What do Ineed to do?
 
CDL holderscan no longer claim exemption from medical certification requirements becausethey are not currently operating in non-excepted interstate or intrastatecommerce. If not specifically included in category B or D, you must maintain yourmedical certification or downgrade to a non-commercial license. If youdowngrade to a non-commercial license and later need to upgrade back to acommercial license, you may do so without additional testing.
 

Certify with the driver license

Federal Motor Carrier Safety Regulations require all Commercial Driver License holders to certify with the State’s Driver License Agency in one of the four categories below prior to the issuance or renewal of a CDL. Those certifying in non-excepted interstate or intrastate commerce (Category A or C) must also ensure their medical documentation is on file with the state issuing agency and that it remains current. Failure to present valid medical documentation, when required, will result in the denial of the issuance or renewal of the CDL. Failure to maintain current medical documentation on file may result in CDL disqualification.
  1. Non-excepted Interstate - I operate or expect to operate in interstate commerce and am required to maintain federal medical certification. (Medical Card Required)
  2. Excepted Interstate - I operate or expect to operate in interstate commerce, but engage exclusively in operations that qualify me for exception from the requirement to maintain federal medical certification.
  3. Non-excepted Intrastate - I operate or expect to operate only in intrastate commerce and am required to meet state of Florida medical certification requirements. (Medical Card Required)
  4. Excepted Intrastate - I operate or expect to operate only in intrastate commerce, but engage exclusively in operations that qualify me for exception from state of Florida medical certification requirements.
-
CDL holders can no longer claim exemption from medical certification requirements because they are not currently operating in non-excepted interstate or intrastate commerce. If not specifically included in category B or D above, they must maintain their medical certification or downgrade to a non-commercial license.
Note: If you self-certify in a category exempt from medical certification requirements (Category B or D) and later change to a non-exempt type of operation (Category A or C), you must recertify in the appropriate category and provide proof of valid medical certification to avoid potential enforcement actions.
Start of FAQ section
Medical Certification FAQ
  • My CDL expires soon. What will I need to renew my license?
  •  
    Federal Motor Carrier Safety Regulations now require all drivers obtaining an original CDL, or renewing their CDL, to certify with the driver license office in one of four categories. Drivers certifying in non-excepted interstate or non-excepted intrastate commerce must also provide valid medical documentation. Certification categories are listed above.

    Alcoholism

                                                                  Alcoholism
     
    When an interstate driver tests positive for alcohol or controlled substances under Part 382, the driver is not required to be medically re-examined or to obtain a new medical examiner’s certificate provided the driver is seen by a SAP who evaluates the driver and does not make a clinical diagnosis of alcoholism. The SAP provides the driver with documentation allowing the driver to return to work.
     
    If the SAP determines that alcoholism exists, the driver is not qualified to drive a commercial motor vehicle in interstate commerce. The ultimate responsibility rests with the motor carrier to ensure the driver is medically qualified and to determine whether a new medical examination should be completed.

    Transient Ischemic Attack :

    Transient Ischemic Attack :
     
    A transient ischemic attack (TIA) is an episode of focal neurological dysfunction reflecting inadequate blood supply to one portion of the brain. The attack usually lasts more than a few seconds but less than 20 minutes. In exceptional cases, the symptoms can persist up to 24 hours. Resolution of symptoms is complete.
     
    At the time of physical examination, the driver is usually normal; however, a TIA episode is an important warning for a potentially severe stroke or other vascular event. The risk of recurrent events is highest during the first few weeks and months following the TIA, declining by year 1 to less than 5% per year. The risk of recurrent strokes may be lowered by medical or surgical interventions.
     
    The medical examiner determines certification on a case-by-case basis considering the interval history, general health, neurological examination, and compliance with the treatment program.

    Blood

     Driver,
     
    What are the guidelines for Blood disease and Sickle trait?
     
     There are no specificregulations relating to Blood disease. As with any chronic disease, your medical examiner needs to make thedetermination based on knowledge of the work of commercial driving and whetherthe condition interferes with those tasks and responsibilities or safeoperation of a commercial motor vehicle.
     
    This may require interpretation of blood work, e.g. anemia,letters from PMDs and specialists treating the driver, and consideration of any additional diagnostic testing needed.
     
     You may recieve a two medical certicate
     

    Documents to Carry:

    Documents to Carry:
    To operate commercial vehicles in California, the following documents must be carried and shown to enforcement personnel when requested:
    • Drivers license documents and any related certificates.
    • Registration documents (cab cards, permits, etc.).
    • Proof of insurance.
    • Special permits for oversize and overweight loads, if required.
    • Hazardous materials shipping papers, if required.
    • Fuel tax permits.
    • Hours of service records (log book).
    • Bills/Invoices etc. showing content and origin of agricultural products, if required.
    • Proof of sales tax payment if applicable.
    Evidence of Financial Responsibility -- U.S. Domiciled Carriers: Proof of the required financial responsibility, such as the MCS 90 or the MCS 82, shall be maintained at the motor carrier's principal place of business.
    The display of any one of the following identifiers on a commercial motor vehicle shall be considered acceptable evidence of financial responsibility:
    • A valid TCP or PSC number issued by the California Public Utilities Commission (CPUC) for passenger carriers.
    • A CA number issued by the CHP and displayed by the holder of a Valid Motor Carrier Permit (MCP) whose name or logo is displayed on the vehicle or combination of vehicles.
    • A valid MC or MX number issued by the Federal Motor Carrier Safety Administration (FMCSA).
    Evidence of Financial Responsibility -- Foreign domiciled carriers (Mexican & Canadian): Proof of the required financial responsibility, such as the MCS 90 or the MCS 82, shall be maintained in each vehicle operated in the United States

    DOT Medical exam stringent requirements

    Safety Manger,
     
    Motor carriers can have more stringent requirements of drivers than what are outlined in the FMCSA regulations--what do you think of this:

    One of our trucking company will not accept any drivers that do not qualify for for a 2 year card.  The patient was a recertification and presented with Stage 2 HTN.  I gave him a 3 month card and advise he see his medical provider and bring documentation.  He came back a week later with a note and on anti hypertensive meds.   He said if he did not get a 2 year card he would lose his job.  I called the company and they confirmed that they will not have a driver if he cannot qualify for a 2 year card regardless. Is this legal?

    As to the legality of requiring drivers to have a two year certification, well first of all, you should certainly not certify a driver for 2 yrs with stage 2 HTN. Motor carriers may impose more stringent requirements on drivers above and beyond that required for FMCSA certification. To supersede ADA laws, they would have to show that this is necessary for safety reasons, and not be arbitrary just to avoid having unhealthy workers. This would violate the spirit of the ADA. Legal advice can only weigh in all the factors, and we are not attorneys.

    The EEOC (Equal Employment Opportunity Commission) has lawyers on call to answer these types of questions, available in every metropolitan area, just goggle for your area for your local EEOC office.
     

    Sleep Apnea and Your Driver License

    Sleep Apnea and Your Driver License:
     
    Each state treats sleep disorder differently, often on a case-by-case basis. Some states require physicians, by law, to report client disorders (such as epilepsy, sleep apnea, and strokes) to the DMV. Other states only take action following an episode which, in this situation, would entail sleeping behind the wheel.
     
    Driver License Suspended:
     
    Based on the recommendation of your state's Medical Advisory Board, you may have your drivers license suspended. This may be immediate, or only after you agreed to further medical evaluation. If your license is suspended, most states will allow for an appeal or a hearing to plead your case. Your suspension may be lifted if you and your physician can prove to the DMV that your sleep symptoms have been cured by medication and/or pose no danger when you're driving.

    Or, instead of a suspended license, you may be issued a restricted drivers license, limiting you to maybe driving only during daylight hours, or within a certain area around your home.

    For more information, contact your local DMV office.

    truck Accident

    Most states require you to file an accident report form at your DMV or other state driver license or motor vehicle agency (for purposes of this grid, “DMV” covers all those) or law enforcement agency following a car accident. Many states provide the forms online or in your local office, but you might need to obtain one from the police or your insurance agency.

    Each state sets its own accident criteria (i.e. how much property damage, whether an injury or death occurred) and the amount of time you have to file the accident report form. Be sure to file within that time period; otherwise, you could face penalties such as fines or license suspension.

    Note that even if the grid doesn’t mark the police for your state, you might still be required to contact them immediately following a car crash.

    Check for your state in the grid below.

    ExcludeStart:
     
    Alabama    Submit SR-13 to DPS with 30 days if there was death, personal injury, or more than $250 in damages. Alaska    Mail or submit online the Motor Vehicle Accident Form to the DMV within 10 days; submit a Certificate of Insurance to the DMV if there's $501 or more in damages. Arizona    Only if there's injury/death. Arkansas    Submit SR-1 if injury/death/$1,000 or more in damages. California    Submit SR-1 to the DMV if there's $750 or more in damages. The police and your insurance agent might require a copy. Colorado    Mail or submit online all accidents. The police might notify the DMV for you. Connecticut    The CT DMV no longer handles accident reporting; obtain a copy already prepared by involved police officer. Delaware    If more than $500 damages, injuries, deaths, or DUIs. Obtain a report from your insurance company. Florida    File with police if $500 in damages, injury, or death; file with DMV if there's no police report. Georgia    Contact police if there's $500 or more in damages, injuries, or death. Create a Personal Accident Report for your records. Hawaii    If there's more than $3,000 damages, injury, or death. Idaho    If $1,500 or more in damages, injury, or death. Illinois    Report all accidents to the DOT; those with $1,500 or more in damages, injury, or death to police. Indiana    If $1,000 or more in damages. Iowa    Report $1,000 or more in damages, injury, or death to DOT within 72 hours; obtain form from police, who may also file. Kansas    If $1,000 in damages, injury, or death. Kentucky    If $500 or more in damages, injury, or death; must be state police. Louisiana    Report all accidents. Maine    If $1,000 or more in damages, injury, or death. Maryland    Report injuries and death to police; report injuries to the MVA within 15 days; don't report if only property damage. Massachusetts    If $1,000 or more in damages, injury, or death; always file with DMV, police presence or not. Michigan    If $1,000 or more in damages, injury, or death. Minnesota    Report property damage to police; injury and death to police. Mississippi    Missouri    Within 30 days if $500 in damages, injury, or death. Montana
      In municipality, report to police $500 or more damage, injury, death; outside municipality, report to Highway Patrol $1,000 or more damage, injury, or death. Nebraska 
      If $1,000 or more in damages, injury, or death. Nevada    Within 10 days if $750 or more in damages, injury, or death. New Hampshire    Within 15 days if $1,000 or more in damages, injury, or death. New Jersey    MVC if less than $500 in damages and no injury or death; police if more than $500 in damages, injury, or death. NewMexico    Within 5 days if $500 or more in damages, injury, or death. New York    Within 10 days if more than $1,000 in damages; police if injury or death. NorthCarolina    If $1,000 or more in damages, injury, or death. North Dakota    If $1,000 or more in damages, injury, or death. Ohio    Within 6 months if $400 or more in damages, injury, death, or if an uninsured driver is involved. Oklahoma    If $300 or more in damages, injury , or death. Oregon    If $1,500 or more in damages, injury, or death. Pennsylvania    If there's injury, death, or vehicles that can't be driven from the scene. Rhode Island    If $1,000 or more in damages, injury, or death. South Carolina     If $1,000 or more in damages, injury, or death. South Dakota    If $1,000 or more in damages, injury, or death. Tennessee    Within 20 days if $400 or more in damages, injury, or death. Texas    Within 10 days if $1,000 or more in damages, injury, or death and the police didn't file. Utah    If $1,000 or more in damages, injury, or death and the police didn't file. Vermont    If $1,000 or more in damages, injury, or death. Virginia    If $1,000 or more in damages, injury, or death. Washington    Within 4 days if police don't file; $700 or more in damages, injury, or death. West Virginia    Within 10 days if police don't file; $500 or more in damages, injury, or death. Wisconsin    Within 10 days if police don't file; $1,000 or more in damages, injury, or death. Wyoming    If $1,000 or more in damages, injury, or death. Washington DC
     

    Is there a special form for the DOT physical?

    Yes, your examination results need to be recorded on a DOT Medical form by a certified licensed medical examiner. This includes a doctor of medicine (MD), physician assistant (PA), advanced practice nurse (APN), doctor of osteopathy (DO) or doctor of chiropractic (DC).

    Most doctor offices have these forms. However, just to be sure, you can download your DOT medical exam form from various sources on line (including the federal government) and take it with you to the doctor's office.

    You must pass the DOT physical in order to qualify for a CDL as your health plays a pivotal factor in driving safety, especially considering the vehicles you'll be driving.

    Medical Exam Requirements

    Medical Exam Requirements:
     
    Before you can become a California CDL driver, you have to be certified medically fit by a medical exam. Your doctor, physician's assistant, or nurse practitioner must sign the medical form. Take the form to the CA DMV when you apply for a CDL.
    The medical conditions that may prohibit you from driving a commercial vehicle include anything that could impair your ability to drive safely, such as:
    • Mental disorders that might prevent you from driving safely.
    • Vision of less than 20/40 with corrective lenses.
    • Diabetes.
    • Seizure history.
    • Unconsciousness disorders.
    • Impaired hearing.
    • Impairments of the hands that prevent you from grasping.
    • Alcoholism (as diagnosed by the doctor).
    Be aware this isn't an all-encompassing list; there may be additional disorders which will prevent you from getting a commercial license.

    Atherosclerosis

    Major risk factors for developing include:
    • Hyperlipidemia (high cholesterol level, particularly the "bad" component known as Low-Density Lipoprotein
    • High blood pressure
    • Diabetes
    • Cigarette smoking
    • Strong family history of
    • Male gender, obesity, age above 50 years, lack of exercise, stress and tension can also predispose to the development of atherosclerosis
    The deposit of atheroma within the inner lining of arteries is called atherosclerosis (pronounced ath-row-sklee-rosis). It is estimated that 1/3 of adult Americans develop some form of .
    Significant atherosclerosis may be confined to the coronary arteries or may be associated with blockages within the arteries of the neck and those supplying blood to the lower limbs (legs)

    High Blood Pressure-FMCSA

     
    Question:
     
    Drivers -- When you go back for a re-certification check during a 1-time, 3-month certificate for HBP what paperwork is required to be completed?  Do you complete the medical examination Report Form or what do you do since a full physical is not being completed? You need to know this information. It will save you money so you will not get charges for two CDL medical EXAMS.
     
    FMCSA guidelines:
     
     In a driver whose BP is greater than 140/90 but less than 160/100, a one-time certificate for 3months can be issued. An individual diagnosed with Stage 2 (BP is160/100-179/109) should be treated and a one-time certificate for 3-month certification can be issued. Once the driver has reduced his or her BP to equal to or less than 140/90, he or she may be re certified annually thereafter. An individual diagnosed with Stage 3 hypertension (BP equal to or greater than180/110) should not be certified until his or her BP is reduced to 140/90 or less, and may be re certified every 6 months."
     
    Answer:
     
     When they come in for the 6 month re- certifications for stage 3 HBP, you do a complete recertification exam on a new exam form.
     
    For a one-time 3 month certificate, you don't need to complete an entire new physical.  In the comments section of the original exam put in the date of the recheck visit,updated BP readings, document any interim diagnostics, notes from MD,specialists, etc., and note (if BP now below 140/90) that you are issuing a tone-year certificate from the date of the original exam. Driver that whole a CDL licenses from the state of California a new exam form musts be done on a three month certificate.
     
     
     
     
     
     
     
     
     
     
     
     
     

    Personality Disorders:

                                                                FMCSA
    Personality Disorders:
     
    Any Truck Driver that has a personality disorder characterized by excessive, aggressive, or impulsive behaviors warrants further inquiry for risk assessment to establish whether such traits are serious enough to adversely affect behavior in a manner that interferes with safe driving.
     
     
     A person is medially unqualified if the disorder is severe enough to have repeatedly been manifested by overt acts that interfere with safe operation of a commercial vehicle.
     
    NOTE: Alcohol and drug dependency and abuse are profound risk factors in the presence of personality disorder
     
     The doctor must not certify the driver until the etiology is confirmed and treatment has been shown to be adequate/effective, safe, and stable. Than you the driver may be certify for one year.
     
     The driver:
     
    Complies with treatment program.
     
    Tolerates treatment without disqualifying side effects(e.g., sedation or impaired coordination).
     
    Has a comprehensive evaluation from an appropriate mental health professional who understands the functions and demands of commercial driving.
     
     
     
     
     

    Resolution of conflicts of medical evaluation

     
    Safety Department,
     
     (Q) Is it real smart to have your company doctor to do a CDL Medical Exam or should you set up a panel of certify CDL doctors and establish a national doctor list?
     
    CDL Medical exam must be a non-bias exam in which the doctor musts follow the medical guidelines  that the FMCSA put forward.
     
    (A)  Let me answer this question for you. The trend in the transportation industry is to establish medical panels of certify DOT doctors in each state, in which the driver pays for his own medical CDL medical exam (company may repay the driver for CDL medical exam). It appears that when the company doctor does the CDL Medical exam that this could be a conflict of interests of the medical evaluation. That is if you only send all your drivers to one medical group. If the Driver disagree with the results on his/her CDL Medical Exam.The driver can requests’ a conflict of medical evaluation.
     
    To resolve this problem have the driver go to a DOT certify doctor that they pick from your panel lists of doctors.
     
    Trucker Exam Inc. wants to be on your panel.
     
    Goggle - § 391.47 Resolution of conflicts of medical evaluation
     

    The purpose of this CDl Medical examination

     
    The purpose of this examination:
     
    The purpose of this examination is to determine a driver's physical
     
    qualification to operate a commercial motor vehicle (CMV) in interstate
     
    commerce according to the requirements in 49 CFR 391.41-49.Therefore,
     
    the medical examiner must be knowledgeable of these requirements and
     
    guidelines developed by the FMCSA to assist the medical examiner in
     
    making the qualification determination. The medical examiner should be
     
    familiar with the driver's responsibilities and work environment and is
     
    referred to the section on the form,
     
    The Driver's Role:
     
    In addition to reviewing the Health History section with the driver and
     
    conducting the physical examination, the medical examiner should discuss
     
    common prescriptions and over-the-counter medications relative to the side
     
    effects and hazards of these medications while driving.Educate the driver
     
    to read warning labels on all medications.

    Free screenings for Truck Driver

    TRUCK EXAM Inc at E-Z trip truck Stop Fresno ca  DOT medical.exam
     
    **Free screenings will be available to participant’s truck drives at Trucker Exam Inc. at the E-Z Trip Truck Stop in Fresno California, checking blood glucose levels for diabetes,blood pressure checking for CVD, a pulse ox for lung disorder , eye check’s and a Sleep Apnea screening.  These are five are most reason that truck driver fail their CDL medical Exam.
     
    Dr. Edwards can send you out for a low-cost for comprehensive metabolic profile and lipid panel and include: cholesterol,triglycerides, HDL, LDL, coronary risk ratio, calcium, alkaline, phosphatase,glucose, ALT, AST, bilirubin, BUN, creatinine, albumin, sodium, potassium, and chloride. Thyroid (TSH) .
     
    Prostatic Specific Antigen (PSA) is also available for an additional charge. It is recommended for men over the age of 50 or a man who is 40 with a family history of prostate cancer.
     
      As a service to the transportation industry Trucker Exam Inc. will be glad to screen any trucker driver at no costs to them.  Dr. Edwards’s goal is to promote good health with in the trucking industry. Dr Edwards feels that we have healthy drivers this will help the safety on our highways across the nation. It will also help prolong the life of our truck driver who provide a great services to our nation.
     
                                          Call 1.800.542.2225
     
                          **Free services are provide if time aloud .Walk in will been seen as soon as possible
     

    Diabetes

     
                                                  Diabetes
     
    Drivers,
     
    An incretin mimetic, such as exenatide (Byetta), is used toimprove glycemic control in people with Type 2 diabetes by reducing fasting andpostprandial glucose concentrations. An incretin mimetic is indicated asadjunctive therapy todrivers  who are takingmetformin or a combination of other oral agents. Use of an incretin mimetic inconjunction with a sulfonylurea has an increased risk of hypoglycemia.
     
    Incretin mimetics are not insulin and can be used without anexemption.
     

    Alcoholism:

     
    Alcoholism:
     
    If the driver has current clinical diagnosis of alcoholism amedical examiner, make the final determination as to whether the driver meetsthe Federal Motor Carrier Safety Administration (FMCSA) medical standards fordriver certification.
     
    If the driver shows signs of alcoholism, have the driverconsult a specialist for further evaluation.
     
    You may be tested for alcohol is warranted, contact FMCSA orcontact the employer of the driver directly for information on controlledsubstances and alcohol testing under Part 382 of the Federal Motor CarrierSafety Regulations.
     
     As a driver MUSTsubmit to alcohol testing if there is reasonable suspicion that the U.S.Department of Transportation (DOT) prohibitions concerning alcohol areviolated. Suspicion MUST be based on specific observations concerning driverbehavior, speech, or body odor.
     
     
     

    National Drug Facts Week

                                      National Drug Facts Week
     
    On our web site www.dot.gov/odapc, we posted a link to an important program sponsored by the National Institute on Drug Abuse (NIDA):
     
    “The National Drug Facts Week” January 28-February 3, 2013.
     
    National Drug Facts Week (NDFW) is a health observance week for teens that aims to shatter the myths about drugs and drug abuse. Through community-based events and activities on the Web, on TV, and through contests, NIDA is working to encourage teens to get factual answers from scientific experts about drugs and drug abuse.

    Commercial Motor Vehicle Facts

                                            Commercial Motor Vehicle Facts
     
    Crashes, Injuries, and Fatalities
    FMCSA is dedicated to lowering the rate of crashes, injuries, and fatalities involving large trucks and buses. When a fatal crash involves at least one large truck, regardless of the cause, the occupants of passenger vehicles are more likely to sustain serious injury or die than the occupants of the large truck.
     
     
     
    Trucker Exam Inc. (TEI) was founded in 1994 in Fresno California with the goal to provide Certified CDL physical exams to deliver best service in the industry.Drug testing

    FMCSA musculoskeletal assessment

    m.dotmedicalexam.com QR (1)
    Part 3 0f 3 of musculoskeletal assessment :
    The general purpose of the history and physical examinations to detect the presence of physical, mental, or organic conditions of such character and extent as to affect the ability of the driver to operate commercial motor vehicle (CMV) safely. This examination is for public safety determination and is considered by FMCSA to be a “medical fitness for duty" examination.
    You as a driver during the musculoskeletal assessment is to establish musculoskeletal strength, flexibility, dexterity, and balance to maintain control of the vehicle and safely perform non driving tasks.
    The examination is based on information provided by the driver (history), objective data (physical examination), and additional testing requested by the medical examiner. Your assessment should reflect physical,psychological, and environmental factors.
    Do you have:
     
    A muscular disease?
     
    A missing hand, arm, foot, leg, finger, or toe?
     
    A non functioning or dysfunctional hand, arm, foot, leg,finger, or toe?
     
    An injury or disease of the spine?
     
    Chronic low back pain?
     
    If you are missing a hand,arm,foot,leg,finger,or toe you may be qualify for a SPE. Call 1.800.542.2225

    Part two FMCSA Musculoskeletal

    Part Two of three Parts musculoskeletal disorders:
    CDL medical exam
     
    Disorders of the musculoskeletal system affect driving ability and functionality necessary to perform heavy labor tasks associated with the job of commercial driving. Medical certification means the driver is physically able to safely drive and perform nondriving tasks as described in the driver role section of the Federal Motor Carrier Safety Administration (FMCSA) Medical Examination Report form.
    Drivers have a multitude of job demands. The least physically demanding part may be the actual driving. For example, the duties of a commercial driver may include loading and unloading, making multiple stops, driving cross-country and in heavy city traffic, working with load securement devices, and changing tires.
    Other common driving tasks include:
    • Manipulating the wheel.
    • Shifting gears.
    • Maintaining pressure on the pedals.
    • Braking.
    • Monitoring traffic.
    Other job tasks include:
    • Performing pre- and post-trip safety checks.
    • Ensuring the vehicle is loaded properly.
    • Securing the load.
    • Evaluating and managing vehicle breakdowns.
     
    • Responding to emergency situations.

    Part One of FMCSA Musculoskeletal disorders

    m.dotmedicalexam.com QR (1)
     
     
     
     
     
     
     
     
                                        Part One of musculoskeletal pain or disorder:
     
    "A person is physically qualified to drive a commercial motor vehicle if that person —
    Has no loss of a foot, a leg, a hand, or an arm, or has been granted a skill performance evaluation certificate pursuant to §391.49."
    "Has no impairment of:
    (i) A hand or finger which interferes with prehension or power grasping; or
    (ii) An arm, foot, or leg which interferes with the ability to perform normal tasks associated with operating a commercial motor vehicle; or any other significant limb defect or limitation which interferes with the ability to perform normal tasks associated with operating a commercial motor vehicle; or has been granted a skill performance evaluation certificate pursuant to §391.49."
    "Has no established medical history or clinical diagnosis of rheumatic, arthritic, orthopedic, muscular, neuromuscular, or vascular disease which interferes with his/her ability to control and operate a commercial motor vehicle safely."
     
     
     
     
     
     

    Bypass & Myocardial Infarction FMCSA Guidelines

                                                           www.dotmedicalexam.com
     
    certified medical exam
    Trucker drivers if you had Myocardial Infarction (MI),followed by coronary artery bypass graft (CABG) several months ago, you need an ETT (exercise tolerance test)
     
    Trucker driver who had an MI, drivers should obtain an ejection fraction and ETT before returning to work and because of the CABG keeping the driver off work 3 months (not 2 as for MI) to allow time for sternal wound healing.
     
    Myocardial Infarction:
     
     The first few months following an acute myocardial infarction (MI) pose the greatest risk of mortality, with the majority of deaths classified as sudden death. Current opinion among clinicians’ states that post-MI drivers may safely return to any occupational task provided there is no exercise-induced myocardial ischemia or left ventricular dysfunction.
     
    Coronary Artery Bypass Graft
     
    Coronary artery bypass grafting (CABG) surgery is frequently the preferred choice of therapy for individuals with multi-vessel coronary heart disease, narrowing of the proximal left main coronary artery, and extensive atherosclerosis in the presence of left ventricular dysfunction or debilitating angina.
     
    Following CABG surgery, individuals are at less risk of sudden death than those who are treated medically. Most drivers who undergo
    CABG surgery are able to return to work. A longer waiting period is recommended to allow sternal incision healing. The sternum should be completely healed before certifying a driver.
    m.dotmedicalexam.com QR
     
     

    Safety & DOT Compliance

     
    certified medical exam
     
     
    Safety & DOT Compliance                                
     
     
              The Safety& DOT Compliance the safety manger needs to understand:
     
    1)     DOT Compliance & Safety:  Driver qualifications, safety fitness and safety ratings, roadside inspection, CDL requirements, and DOT  Driver physicals.Master the safety compliance skills necessary to survive a DOT safety audit. 
     
    2)     Hours of Service & Driver Logs: On the federal hours of service regulations and the proper use of driver logs.  Driver log review and learn to identify inaccurate entries.
     
    3)     Controlled Substances and Alcohol mandatory training: completes the DOT’s mandatory supervisor training requirements for Alcohol and Controlled substances.   You’ll need to review the critical parts of the DOT regulations on Alcohol and Drug testing (Part 382 and part 40).
     
     At Trucker Exam Inc we will be able help you in your Drug program and your drivers DOT Medical Exam
                                              1.800.542.2225
                                  http://www.dotmedicalexam.com
    Trucker Exam Web site

    Post-CABG Surgery CDL Medical exam

     
    Coronary artery bypass grafting (CABG) surgery is frequently the preferred choice of therapy for individuals with multi-vessel coronary heart disease, narrowing of the proximal left main coronary artery, and extensive atherosclerosis in the presence of left ventricular dysfunction or debilitating angina.
     
    Following CABG surgery, individuals are at less risk of sudden death than those who retreated medically. Most drivers who undergo CABG surgery are able to return to work. A longer waiting period is recommended to allow sternal incision healing.The sternum should be completely healed before certifying a driver.
     
    A significant risk associated with CABG surgery is the high long-term reclusion rate of the bypass graft.
     
    Certification/Recertification— Post-CABG Surgery
     
    Waiting period
     
    Minimum — 3 months regardless of type of CABG surgery performed
     
    NOTE: If more than one waiting period applies (because of multiple cardiac conditions brother co morbid diseases); examine the driver for certification after the completion of the longest waiting period.
     
    Decision
     
    Maximum certification period — 1 year
     
    Recommend to certify if:
     
    The driver:
     
    Is asymptomatic.
     
    Tolerates cardiovascular medications with no orthostatic symptoms.
     
    Has a left ventricular ejection fraction (LVEF) greater than or equal to 40%.
     
    Is examined and approved by a cardiologist for medical fitness to drive.
     
    Has a healed sternum.
     
    Recommend notto certify if:
     
    The driver:
     
    Is symptomatic.
     
    Haveorthostatic symptom side effects from cardiovascular medication.
     
    Has an LVEFless than 40%.
     
    Is examined and is not approved by a cardiologist for medical fitness to drive.
     
    Has a sternum that has not healed.
     
    Monitoring/Testing
     
    Because of the risk of reclusion over time, 5 years post-CABG surgery, the driver should obtain:
     
    Annual exercise tolerance test.
     
    Imaging stress test, if indicated.
     
    Follow-up-  The driver should have an annual medical examination
     
     
     

    FMCSA What is a waiver? An exemption?

    What is a waiver? An exemption?
    A waiver is temporary regulatory relief from one or more of the FMCSRs given to a person subject to the regulations, or a person who intends to engage in an activity that would be subject to the regulations. A waiver provides the person with relief from the regulation for up to three months. 49 CFR 391.64 provides waivers to CMV drivers who were in the initial vision and insulin programs in the early 1990's.
    An exemption is a temporary regulatory relief from one of more of the FMCSRs given to a person or class of persons subject to the regulations, or who intend to engage in an activity that would make them subject to the regulation. An exemption provides the person or class of persons with relief from the regulations for up to two years, but may be renewed.

    No Current Waiver ProgramsVision:Prior to the implementation of the Federal Vision Exemption Program, FMCSA conducted an initial vision study program that ran from 1992 to 1996. At the conclusion of that study, 2,656 drivers received a one-time letter confirming participation in the study and granting a continued exemption from the monocular vision requirement, as long as the driver is otherwise medically fit for duty and can meet the vision qualification requirements with the one eye. The driver who was grandfathered must have an annual medical examination and an eye examination by an ophthalmologist or optometrist. There are very few remaining drivers from that program.At the annual medical examination, the driver should present to the medical examiner the letter identifying the driver as a participant in the vision study program and a copy of the specialist eye examination report. Certify the qualified driver for 1 year and issue a medical examiner's certificate with the "Qualified by operation of 49 CFR 391.64" checkbox marked.Diabetes:

    Prior to the implementation of the Federal Diabetes Exemption Program, the Federal Motor Carrier Safety Administration (FMCSA) conducted a waiver study program concerning commercial motor vehicle (CMV) operation by drivers with insulin-controlled diabetes. A small number of the drivers who participated in the study and were participants in good standing on March 31, 1996, were provided a letter from FMCSA that grandfathered them an exemption from standard 49 CFR 391.41(b)(3), by operation of 49 CFR 391.64(a), as long as they were in compliance with the requirements.
     
     These drivers are governed by 49 CFR 391.64(a) and must provide the letter from FMCSA as proof of their grandfathered status before you issue a Medical Examiner's Certificate to the driver.On September 3, 2003, FMCSA published a Notice of Final Disposition announcing the decision to issue exemptions to the diabetes mellitus prohibition under 49 CFR 391.41(b)(3). This program allows some drivers who meet all medical standards and guidelines, other than the use of insulin, to be medically certified and operate a CMV if the driver also meets the parameters for issuance of a Federal diabetes exemption.
    Medical Examiners do not issue waivers or exemptions!

    If you disagee with your CDL Medical exam

    Here is the steps: See web here
     
    Applications will be accepted for consideration only if the following conditions are met. (1) The application must contain the name and address of the driver, motor carrier, and all physicians involved in the proceeding.(2) The applicant must submit proof that there is a disagreement between the physician for the driver and the physician for the motor carrier concerning the driver's qualifications.(3) The applicant must submit a copy of an opinion and report including results of all tests of an impartial medical specialist in the field in which the medical conflict arose. The specialist should be one agreed to by the motor carrier and the driver.(i) In cases where the driver refuses to agree on a specialist and the applicant is the motor carrier, the applicant must submit a statement of his/her agreement to submit the matter to an impartial medical specialist in the field, proof that he/she has requested the driver to submit to the medical specialist, and the response, if any, of the driver to his/her request.(ii) In cases where the motor carrier refuses to agree on a medical specialist, the driver must submit an opinion and test results of an impartial medical specialist, proof that he/she has requested the motor carrier to agree to submit the matter to the medical specialist and the response, if any, of the motor carrier to his/her request.(4) The applicant must include a statement explaining in detail why the decision of the medical specialist identified in paragraph (b)(3) of this section, is unacceptable.(5) The applicant must submit proof that the medical specialist mentioned in paragraph (b)(3) of this section was provided, prior to his/her determination, the medical history of the driver and an agreed-upon statement of the work the driver performs.(6) The applicant must submit the medical history and statement of work provided to the medical specialist under paragraph (b)(5) of this section.(7) The applicant must submit all medical records and statements of the physicians who have given opinions on the driver's qualifications.(8) The applicant must submit a description and a copy of all written and documentary evidence upon which the party making application relies in the form set out in 49 CFR 386.37.(9) The application must be accompanied by a statement of the driver that he/she intends to drive in interstate commerce not subject to the commercial zone exemption or a statement of the carrier that he/she has used or intends to use the driver for such work.(10) The applicant must submit three copies of the application and all records.
     

    CDL medical Exam

    CDL medical Exam
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    FMCSA Medical Guidelines

    FMCSA provides medical guidelines or advisory criteria to assist in the evaluation of medical fitness to operate a commercial bus or truck. These guidelines are based on expert review and considered best practice. The examiner may or may not choose to use these recommended guidelines. When the certification decision does not conform with the recommendations, the reason(s) for not following the medical guidelines should be included in the documentation
     
    Dr. Edwards is a certify medical exam that understand the new guidelines.
     
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    CDL Medical Exam
    Trucker Exam Inc. (TEI) was founded in 1994 in Fresno California with the goal to provide Certified CDL physical exams to deliver best service in the industry.

    PSA :Congratulations! Dr. Lon Edwards

    DR..LONNEY D EDWARDS
     
    TRUCKER EXAM INC
     
    E-Z  TRIP TRUCK STOP
     
    FRESNO, CA 93722
     
    Dear Dr. LONNEY D EDWARDS,
     
    Congratulations! You have been certified as a medicalexaminer on the National Registry of Certified Medical Examiners.
     
    Dr. Edwards now authorized to provide medical examinations to commercial motor vehicle (CMV) driversin accordance with the regulations of theFederal Motor Carrier Safety Administration. After May 21, 2014, all CMVdrivers who are required to be medically certified must be examined andcertified by a medical examiner listed on the National Registry.
     
    CMV drivers, motor carriers, and the general public will beable to find your listing on the National Registry using geographic searchcriteria, or by a search of name or medical profession.
     
     
    Thank you for helping to make our highways safe for all.
     
     
    Sincerely,
     
     
     
    Charles A. Horan, III
     
    Director, Office of Carrier, Driver and Vehicle SafetyStandards
     
     
     
     
     

    Sleep disorders Testing

    Objective Tests for Sleep Disorders
    When indicated, objective sleep tests may be required to determine the presence of a sleep disorder.
    Objective tests for sleep disorders include:
    • Polysomnography in a controlled sleep laboratory.
    • Napping tests:
      • Maintenance of wakefulness test.
      • Multiple sleep latency test.
    Definitions:
    • Apnea – airflow ceases for more than 10 seconds.
    • Hypopnea – airflow decreases for more than 10 seconds.
    Severity (apnea-hypopnea index):
    • Mild – 5+ episodes/hour.
    • Moderate – 15+ episodes/hour.
    • Severe – 30+ episodes/hour.
    More than 30 episodes per hour of sleep is considered a diagnosis of obstructive sleep apnea.
    Self-Reported Sleepiness Surveys
    Simple sleepiness surveys may be useful for obtaining driver self-assessment of sleepiness status. Examples of sleepiness surveys include:
    • Epworth sleepiness scale.
    • Stanford sleepiness scale.
    • Functional outcomes of sleep questionnaire.
    NOTE: Self-reported sleepiness does NOT always correlate with objective testing (polysomnography). The driver may not perceive sleepiness as excessive or may be hesitant to disclose sleepiness.
    The complete text of the medical conference reports can be accessed from FMCSA Medical Reports

    Commercial Drivers at Greater Risk for Developing Hypertension

    Commercial Drivers at Greater Risk for Developing Hypertension
     
    Once in the profession, commercial motor vehicle (CMV) drivers have a greater propensity to develop hypertension than their peers in other professions. The Cardiovascular Advisory Panel Guidelines for the Medical Examination of Commercial Motor Vehicle Drivers includes data from Ragland, et al., demonstrating that the percentage of drivers with hypertension increased from 29% in drivers with fewer than 10 years of driving experience, to 32% in drivers with 10-20 years of experience, and to 39% in drivers with more than 20 years of driving experience. As the years of experience rise, part of the increase in hypertension may relate to accompanying aging, increase in body mass, or decline in physical activity.
     
     
    Effective Treatment Reduces Risk
    High BP can be a modifiable CVD risk factor. Lifestyle modification and pharmacotherapy are the mainstays of antihypertensive treatment regimens. Effective hypertension management reduces cardiovascular morbidity and mortality. The Chicago Heart Association Detection Project in Industry found that antihypertensive therapy reduces the incidence of stroke, myocardial infarction, and heart failure.
    Contemporary medical therapies are effective in lowering BP, reducing complications, and are generally regarded as safe.

    Trucker Exam Inc CDL Medical Program

     
    The NationalRegistry of Certified Medical Examiners lists medical examiners (MEs) who havebeen trained, tested and certified to perform medical examinations forcommercial motor vehicle (CMV) drivers in interstate commerce. These MEs fullyunderstand the medical standards in the FMCSA Regulations, related guidance andhow they relate to the medical demands of operating a commercial motor vehicle.
     
     Dr.Lonney Edwards of Trucker Exam Inc.  has passed his FMCSA exam and is located at the E-Z TRIP TRUCK STOP in Fresno CA.1-800-542-2225
     
    The objectives of the NationalRegistry are to:
     
    • Ensurethat medical examiners understand fully the medical standards in the FederalMotor Carrier Safety Regulations (FMCSRs) and related guidance and how theyapply to CMV drivers
     
     • Maintain ongoing competency of medicalexaminers through training, testing, certification and recertification
     
     • Promote public confidence in the quality ofthe medical examinations of CMV drivers
     
     • Ensure that the list of certified medical examinersis easily accessible
     
    Compliance Date May 21, 2014 orsooner – All CMVdrivers seeking a medical certificate must use a certify Doctor
     
    Safetyoffers or designed employee representative must confirm on all drivers that thedoctor is listed with the national registry.
     
    Storage of health care providers perform CDL Medical Exam
     
    There are a number of reasons that there will be storage of health care providers to perform CDL Medical Exam. 1) Obama Healthcare there will be a shortage of healthcare doctor providers. The country needs 125,000 primary care doctors before 2014. 2) A doctor who has a busy medical practice does not have time to do CDL exam it is not profitable. There for you will have trouble finding a qualified doctor who can perform CDL Medical Exam.
     
    Trucker Exam Inc. has to two programs to sign up for to be Guarantee to be seen by a CertifyFMSCA doctor.
     
    Program 1- No costs to the transportation company.all you have to do is fill out an application and let Trucker Exam Inc. know the driver name telephone number and when has medical certificate expired.
     
    Program 2- Your transportation company sign up for your Random drug program (TPA) with Trucker Exam Inc. No annual fee, no costs to your company. The benefits for your company are you will be Guaranteeto get your drives in for a CDL Medical exam. Your company will receive a 25% discount on CDL Medical Exam. All drug testing will be at $55.00 for each driver. No charges for administrative your random drug pulls. No charge for your alcohol testing
     
    Call 1-800-542-2225 to sign up it will take only 5 minutes
     
    This will be a saving to your Company about 58% off drug testing program.
     
     
     
    Disclaim: Onlyon new business. Only for California transportation companies.
     
     
     

    About The National Registry of Certified Medical Examiners

    .
    The National Registry of Certified Medical Examiners lists medical examiners (MEs) who have been trained, tested and certified to perform medical examinations for commercial motor vehicle (CMV) drivers in interstate commerce. These MEs fully understand the medical standards in the FMCSA Regulations, related guidance and how they relate to the medical demands of operating a commercial motor vehicle.
    The goal of the National Registry is to promote and preserve the highest level of professional standards, training and care among medical examiners. Therefore, the National Registry requires that medical examiners performing CMV driver examinations be trained and certified.
    All healthcare professionals are eligible to apply to become a certified medical examiner if their scope of practice authorizes them to perform physical examinations, as defined by the State in which they practice.
    The objectives of the National Registry are to:
    • Ensure that medical examiners understand fully the medical standards in the Federal Motor Carrier Safety Regulations (FMCSRs) and related guidance and how they apply to CMV drivers
    • Maintain ongoing competency of medical examiners through training, testing, certification and recertification
    • Promote public confidence in the quality of the medical examinations of CMV drivers
    • Ensure that the list of certified medical examiners is easily accessible
    FMCSA is and will continue to be involved in all facets of the National Registry program development and implementation and maintain an oversight role. Implementation of the National Registry program demonstrates the commitment of the Department of Transportation and Federal Motor Carrier Safety Administration to making our Nation’s highways safer

    Physical qualifications and examinations

    The Driver Is Certified
     
    49 CFR 391 Qualifications of drivers and longer combination vehicle (LCV) driver instructors establishes the minimum qualifications for persons who drive commercial motor vehicles (CMV). There are seven subparts. As a medical examiner, you should be knowledgeable regarding the physical qualification requirements of the driver specified in Subpart E — Physical qualifications and examinations.
     
                        The doctor is responsible for ensuring that only the driver who meets the Federal physical qualification requirements is issued a Medical Examiner’s Certificate. When you issue a Medical Examiner’s Certificate, you are certifying that the driver is medically fit for duty and can perform the driver role that is described in the Medical Examination Form (PDF). You may certify the driver for a maximum of 2 years. You may also, at any time, certify the driver for less than 2 years when examination indicates more frequent monitoring is required to ensure medical fitness for duty.
     
    The driver is responsible for maintaining medical certification and carrying the Medical Examiner’s Certificate while operating a CMV.
     
    The Average Driver
    The driver population exhibits characteristics similar to the general population, including an aging work force. Aging means a higher risk exists for chronic diseases, fixed deficits, gradual or sudden incapacitation, and the likelihood of comorbidity. All of these can interfere with the ability to drive safely, thus endangering the safety and health of the driver and the public.

    Diabetes Mellitus

    Diabetes Mellitus
     
    The driver with diabetes mellitus who does not use insulin is eligible for certification, unless the driver also has a disqualifying complication, comorbidity, or fails to meet one or more of the other standards for qualification.
    You may choose to consult with the primary care provider and/or specialist to adequately assess driver medical fitness for duty. When requesting additional evaluation, including a copy of the Medical Examination Report form description of the driver role and medical standards is helpful.
    Remember that the provider treating the driver is primarily concerned with minimizing target organ damage associated with elevated levels of blood glucose. As a medical examiner, your assessing any driver with diabetes mellitus for the risk of a severe hypoglycemic episode is the most critical and challenging safety issue.
    NOTE: If the driver with diabetes mellitus uses insulin, use the Federal Diabetes Exemption Program and insulin therapy guidelines to determine certification status
    .
    Certification/Recertification — Diabetes Mellitus
    Waiting period
    No recommended time frame
    You should not certify the driver until the treatment has been shown to be adequate/effective, safe, and stable.
    Decision
    Maximum certification — 1 years
    NOTE:Because of the progressive nature of diabetes mellitus, the Federal Motor Carrier Safety Administration (FMCSA) believes that 1 year maximum certification time is reasonable when the driver has a diagnosis of diabetes mellitus.

    FMCSA Vision Exemption Program

    .
     
    The FMCSA Vision Exemption Program is for monocular vision. The vision exemption is issued for a maximum of 2 years and is renewable.
    The driver must be otherwise qualified under 49 CFR 391.41(b)(1-13) or hold another valid medical exemption to legally operate a commercial motor vehicle in interstate commerce. Provisions of the vision exemption include an annual medical examination and an eye examination by an ophthalmologist or an optometrist.
    At the annual recertification examination, the driver should present the current vision exemption and a copy of the specialist eye examination report. Certify the qualified driver for 1 year and issue a medical examiner's certificate with the "accompanied by" exemption checkbox marked and write "vision" to identify the type of Federal exemption.
    The motor carrier is responsible for ensuring that the driver has the required documentation before driving a commercial vehicle. The driver is responsible for carrying both the vision exemption and the medical examiner's certificate while driving and keeping both current.
     

    Physical qualifications and examinations

     
    Physical qualifications and examinations
     
     
     
    § 391.42Schedule for use of medical examiners listed on the national Registry of Certified Medical Examiners.
     
    On and after May 21, 2014, each medical examination required under this subpart must be conducted by a medical examiner that is listed on the National Registry of Certified Medical Examiners.
     
    [77 FR 24130, Apr. 20, 2012]
     
    Safety offer are required to confirm that the doctor’s our DOT certified Medical examiner.
     
    At Trucker Exam Inc. our Doctor is certified. Call Ted to be enrolled your company into of office in which we do all of their CDL medical exam. Call do not be left out  1.800.542.2225f
     

    Controlled Substances and Alcohol Use and Testing

    Who must be tested?
    • All drivers, including part-time, holding a commercial driver's license (CDL) and operating CMVs (greater than 26,000 combined gross vehicle weight rating, or transporting more than 16 passengers, or placarded hazardous materials) on the public roadways must be U.S. Department of Transportation (DOT) drug and alcohol tested. This means any driver required to possess a CDL, including:
      • Drivers employed by Federal, State, and local government agencies.
      • Owner operators.
      • Equivalently licensed drivers from foreign countries.
      • For-hire motor carriers

    Medical Examiner’s Certificate

    Medical Examiner’s Certificate
    49 CFR 391.43(g) addresses the distribution of the medical examiner’s certificate. If the medical examiner finds that the driver is physically qualified to drive a commercial motor vehicle in accordance with §391.41(b), the medical examiner shall complete a medical examiner’s certificate and furnish one copy to the driver and one copy to the motor carrier that employs the driver. A release form is not required. The motor carrier is required to keep a copy of the certificate in the driver qualification file.

    Did you Know

    drTrucker Exam Inc. (TEI) was founded in 1994 in Fresno California with the goal to provide Certified CDL physical exams to deliver best service in the industry.drug testingThis is why there are medically unqualified commercial drivers on the road and contributes to increased crashes. Large truck and bus crashes result in over 125,000 injuries every year and more than 5000 deaths.
    So the Federal Motor Carrier Safety Administration has established the NRCME-the national registry of CERTIFIED medical examiners to promote highway safety and reduce crashes, injuries and fatalities.
    The FMCSA estimates that 40,000 medical examiners are needed to be listed on the National Registry to serve the approximately 6 million commercial drivers annually.

    Certified Medical Examiner Test

    Summary:
    FMCSA establishes a National Registry of Certified Medical Examiners (National Registry) with requirements that all medical examiners who conduct physical examinations for interstate commercial motor vehicle (CMV) drivers meet the following criteria: Complete certain training concerning FMCSA's physical qualification standards, pass a test to verify an understanding of those standards, and maintain and demonstrate competence through periodic training and testing.
     
    Safety Manger:
     
     FMCSA willrequire that motor carriers and drivers use only those medical examiners on the Agency'sNational Registry and will only accept as valid medical examiner's certificates issuedby medical examiners listed on the National Registry. FMCSA is developing the National Registry program to improve highway safety and driver health by requiring that medical examiners be trained and certified so they can determine effectively whether a CMV driver's medical fitness for duty meets FMCSA's standards

    DOT monocular vision

     
    The FMCSA Vision Exemption Program is for monocular vision. The vision exemption is issued for a maximum of 2 years and is renewable.
    The driver must be otherwise qualified under 49 CFR 391.41(b)(1-13) or hold another valid medical exemption to legally operate a commercial motor vehicle in interstate commerce. Provisions of the vision exemption include an annual medical examination and an eye examination by an ophthalmologist or an optometrist.
    At the annual recertification examination, the driver should present the current vision exemption and a copy of the specialist eye examination report. Certify the qualified driver for 1 year and issue a medical examiner's certificate with the "accompanied by" exemption checkbox marked and write "vision" to identify the type of Federal exemption.
    The motor carrier is responsible for ensuring that the driver has the required documentation before driving a commercial vehicle. The driver is responsible for carrying both the vision exemption and the medical examiner's certificate while driving and keeping both current.
     

    Safety Manger

     
    DOT driver qualification exams.
     
    I know exactly what youthe Safety Manger are looking for in an office that does DOT Medical exam.
     
    •Our TEI Doctor has athorough understanding of the DOT requirements 49 CFR 391.41.
     
    •TEI examiners have thepublic safety first when performing the certification DOT exam and not try tobuild a primary care physician relationship with driver. Not trying to turn thedrive into a treating patient.
     
    •TEI will tocommunicate with you and your staff. Call 1- 800-542-2225
     

    Marijuana Medcal card Truck Driving

    DOT Drug Testing
    These drugs have no currently accepted medical use in the United States, have a high abuse potential, and are not considered safe, evenunder medical supervision. These substances include many opiates, opiatederivatives, and hallucinogenic substances. Heroin and marijuana are examplesof Schedule I drugs. The exception criteria of 49 CFR 41(b) (12) (ii) does notapply to any Schedule I substance.
     
                         The driver taking medical marijuana cannot be certified.
     
    Any CDL driver, even those authorized to use marijuana formedical purposes, which tests positive for marijuana, will be violation will beentered on the Employers CSA Safety Measurement System
     

    Driver who need a CDL Medical Exam

    Persons who must be medically examined and certified.Except as provided in §391.67, the following persons must be medically examined and certified in accordance with §391.43 as physically qualified to operate a commercial motor :(a) Any person who has not been medically examined and certified as physically qualified to operate a commercial motor vehicle;(b)(1) Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the 24 months; or(2) Any driver authorized to operate a commercial motor vehicle only with an exempt intracity zone pursuant to §391.62, or only by operation of the exemption in §391.64, if such driver has not been medically examined and certified as qualified to drive in such zone during the preceding 12 months; and(c) Any driver whose ability to perform his/her normal duties has been impaired by a physical or mental injury or disease