Much of the recent press about marijuana has been regarding recreational use now legal in several states.

The FMCSA is urging medical examiners to give clear explanations to drivers regarding certification determinations, and to distinguish between what is “required” by regulation and what is recommended as guidelines or best practices.

Obesity is an epidemic among commercial drivers.  As a group, they are also getting older, are sedentary, smoke, have poor eating habits, have multiple medical problems including cardiovascular disease and obstructive sleep apnea, and are unhealthier than the general population.

I had a question about the alcohol and drug screens for the DOT: is it mandatory for them to have the alcohol and drug screen test? it was a bit confusing.

I was asked to do an evaluation for an employee returning to work following a CVA. He operates a tow motor and the employer wants to ensure he will be safe. ADA concerns?

FMCSA Bulletin on Sleep Apnea is not Rule

Finally some guidance to medical examiners from FMCSA in this bulletin on obstructive sleep apnea. Although not a “rule” and therefore no specific details of exactly how to screen, evaluate, certify/disqualify, or manage these cases, the guidance here is consistent with previous recommendations and medical expert panel reports.

FMCSA AND URGENT CARE

Over 90% of urgent care centers provide some type of occupational medicine services.  These services typically include drug screens, employee physicals, worker’s compensation injury care and other testing and specialized exams.

DOT exams are for Public Health and Safety

Commercial drivers can be very difficult to deal with when they have medical conditions requiring further follow up. There are a lot of reasons for this, most importantly to them, their livelihood.

Instructions for Reporting Driver Exam Results The Federal Motor Carrier Safety Administration (FMCSA) has heard from many of you asking how to submit driver exam results to the National Registry.