martin duke, md, mro february 20, 2014. introduction who can be a medical examiner? medical examiner...
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Martin Duke, MD, MROFebruary 20, 2014
IntroductionWho can be a Medical Examiner?Medical Examiner Training and CertificationMedical Examiner RequirementsEmployer Responsibility
Federal Register – April 10, 2012Final Rule for National Registry of Certified ME
Compliance Date – May 21, 2014Where employer information available
National Registry of Certified ME 49 CFR 390.101- 390.115 Subpart DDriver and employer instructions 49 CFR 391.23, 49 CFR 391.42-43, 49 CFR 391.51
Doctor of Medicine – MDDoctor of Osteopathy – DODoctor of Chiropractic – DCAdvanced Practical Nurse - APNPhysician Assistant – PAAny Health Care Professional permitted by their state to perform physical examinations
Complete Training for CDLCourse must meet core curriculum specifications established by FMCSA
ME Training & Certification
Core Curriculum Specifications
Background, rationale, mission and goals of the FMCSA medical examiner’s role in reducing crashes, injuries and fatalities involving CMVFamiliarization with the responsibilities and work environment of CMV operationsIdentification of the driver and obtaining, reviewing, and documenting driver medical history, including prescription and OTC medicationsPerforming, reviewing and documenting the driver’s medical examination
Core Curriculum Specifications
Performing, obtaining, and documenting diagnostic tests and obtaining additional testing or medical opinion from a medical specialist or treating physicianInforming and educating the driver about medications and non-disqualifying medical conditions that require remedial careDetermining driver certification outcome and period for which certification should be validFMCSA reporting and documentation requirements
Satisfactorily pass certification exam approved by FMCSA
Certification exam based on FMCSA regulations and guidelines
Be issued a FMCSA certification credential and unique number
ME Training & Certification
Initial CertificationRetraining
Every 5 years to continue certificationRetesting
Every 10 years to maintain certificationRecord Retention
Minimum of 3 years required by Federal GovernmentState laws may require longer than 3 years
ME Certification & Requirements
After Driver ExaminationIf fully qualified, driver must be told results and given copy of “Medical Examiners Certificate.” If conditionally qualified, must be told how to achieve full qualification and time frame.If permanently disqualified, must be told why.
Monthly Electronic TransmissionsAll driver examinations performed during the preceding month MUST be electronically transmitted to the Registry
May refer the employee to a Certified ME in the local area or employee may see his/her own private physician as long as the examiner is certified. A list of certified examiners can be found at FMCSA registry – http://nrcme.fmcsa.dot.gov
Must verify that the ME who issued the medical certificate is certified on the National Registry http://nrcme.fmcsa.dot.govMust obtain a copy of the medical certificate
from the Driver (49 CFR 391.23) ORfrom the Medical Examiner. The ME must provide copy to employer if requested (49 CFR 391.43)
Must put a note in driver’s qualification file indicating that review was performed(49 CFR 391.51)
Recent Changes by FMCSA
January 14, 2014 – Drivers must continue to carry the Medical ExaminersCertificate on their person until January 30, 2015
February 12, 2014 – National Drug and Alcohol Testing Clearinghouse Notice of Proposed Rulemaking information release(publication date TBA)
Would require employers to check clearinghouse beforehiring and annually thereafter.
Questions?