Max Lebow, MD, MPH, FACOEM, FACEP Case Report: A 51-year-old commercial driver presents to the clinic for his biannual commercial driver physical exam. His expiration date fell on Sunday, but he presented two days early, on Friday for his exam. Results of Exam – The driver met all standards, except
“I have a patient that just asked me if he could NOT have the Seizure waiver/exemption checked on his card as he had his neurologist sign off on everything. He states he has applied for the waiver and submitted everything for the waiver but would like to have a clean
Navigating MCSA paperwork for commercial driving can be complex, particularly when answering the “CLP/CDL applicant/holder – Yes or No?” question. If your drivers are preparing for their Commercial Learner’s Permit (CLP) and hold a DOT/FMCSA medical card, it’s crucial to know when to indicate “yes.” Our guide clarifies that employees who have applied for a CLP or scheduled their tests should answer “yes,” showing they are actively pursuing commercial driving certification. This ensures compliance with federal regulations and aligns medical examination requirements with their status. By offering expert guidance on these forms, we help your drivers meet all necessary criteria, enhancing safety and streamlining operations.
Have you ever had an employer protocol or procedure refused by a patient? Understanding the reasons behind a refusal and how to handle such situations properly is essential to protecting client relationships and maintaining successful business practices.
In customer service, it’s not unusual for customers, patients or clients to show their thankfulness through small tokens of their appreciation—usually a thank you note or a small basket of yummy treats, maybe even an edible arrangement if you did a super fantastic job. But is someone’s appreciation crossing the line from being thankful to being inappropriate when a gift is expensive? What if the gift is lots of cash? And what if there is something in it for the person being thankful? A colleague recently shared the following story.
The evolving social acceptance of the transgender community has brought forth novel challenges in various sectors, including occupational medicine. One such challenge pertains to the proper procedure for observed urine drug tests for transgender donors. This article delves into this sensitive topic, providing best practices and relevant regulations that ensure the donor’s dignity and the collector’s professionalism. The Conundrum of Transgender Drug Screen Collections.
Had a driver come in that has been put on metformin for “pre-diabetes”, but told she doesn’t have DM (yet).
So on treatment for a “pre” condition. At what point would this be considered for a 1 year card? Starting to see drivers with “pre-“conditions and on medications, e.g., HTN and DM. If the driver is on treatment but does not “have” the disease how are others dealing with this?
Communication from the NRCME:
The Federal Motor Carrier Safety Administration (FMCSA) has learned that some Medical Examiners (MEs) listed on the National Registry of Certified Medical Examiners (National Registry) are completing the driver’s Medical Examiner’s Certificate (MEC) incorrectly. To correct any misunderstandings, FMCSA is providing the examples of completed MECs below.
The Federal Motor Carrier Safety Administration (FMCSA) has learned that some Medical Examiners (MEs) listed on the National Registry of Certified Medical Examiners (National Registry) are completing the driver’s Medical Examiner’s Certificate (MEC) incorrectly. To correct any misunderstandings, FMCSA is providing the examples of completed MECs below.
A great occupational medicine program works in partnership with employers to “co-design” services that ensure the employees of the company are safe and healthy.
At it’s core, occupational medicine specialists work to diagnose, treat, and prevent occupational illnesses. They also educate employers about safety issues in the workplace. A good occupational health specialist will always be looking for ways to improve the safety practices of their clients’ workplaces while educating them on what they can do themselves at home or in the office to avoid injury.