DOT Medical Examiner Training Curriculum

FMCSA Regulations Review & Update for Non-physicians

Module 1 – Regulations vs Guidelines, Important Regulatory Definitions, Interstate vs Intrastate, Medical Examiner Responsibilities, Record Retention, Federal Exemptions, Skilled Performance Evaluation,
This module identifies the job-related stresses of operating a commercial motor vehicle (CMV). The duties specific to the certified medical examiner and commercial motor vehicle operator will also be discussed.

Module 2 –  Vision, Hearing
The student will review critical components of the vision exam, the vision standard, and the alternative vision standard for drivers with monocular vision. We review diseases affecting the eye, and findings that may indicate a need for additional testing. This module discusses common ear disorders and symptoms which may affect the ability to operate a CMV safely. The learner will review how to correctly administer acceptable hearing tests and identify passing parameters. The learner will also identify potentially disqualifying otic diseases.

Module 3 –  Hypertension & Cardiovascular Diseases
This module reviews FMCSA required components of the cardiovascular exam and cardiovascular diseases that may affect a driver’s medical fitness for duty. The medical examiner will identify modifiable and non-modifiable factors that may increase the driver’s risk for cardiovascular disease. The examiner will also identify symptoms and/or findings requiring further testing or medical opinion from a specialist. This module discusses the FMCSA regulations and guidelines concerning coronary heart disease, cardiac surgical interventions, cardiomyopathy, anuerysms and venous thrombosis. The examiner will review the required components of the respiratory history and physical exam.This module also discusses how to properly assess a CMV driver for hypertension, inform and educate the driver about the effects of hypertension, and the potential impact of hypertension on a driver’s medical fitness for duty. The learner will identify how to determine driver qualification or disqualification status according to the FMCSA’s stages of hypertension.

Module 4 –  Genitourinary & Gastrointestinal, Kidney Disease, Urinalysis, Diabetes & Insulin Use
Proper use and documentation of the urinalysis test is presented. This module reviews the challenges and safety issues associated with driving a CMV with a diagnosis of diabetes mellitus. How and when to use the Insulin-Treated Diabetes Mellitus Assessment Form will be discussed. The student will identify common side effects of medications used to treat diabetes and potential safety issues for the CMV operator. Implications of end organ disease as a result of diabetes are also discussed.

Module 5 – Respiratory Diseases
The examiner will review the required components of the respiratory history and physical exam. This module identifies common respiratory conditions found in the CMV driver including sleep apnea, obstructive/restrictive disorders, and infectious diseases. Also discussed are risks associated with medication classes used in pulmonary/respiratory therapy and their relation to safe driving.

Module 6 – Musculoskeletal Diseases
This module also reviews the relationship between musculoskeletal health and the physical demands of operating a CMV. The medical examiner will learn FMCSA required components of a musculoskeletal health history and physical exam.

Module 7 – Neurological Conditions
This module reviews assessment of neurologic function and disease in the CMV driver. The medical examiner will learn the various cognitive aspects of operating a CMV and apply these concepts when evaluating a driver’s medical fitness for duty. The learner will also study risk assessment factors in the driver with neurologic disease.

Module 8 – Psychiatric Evaluation, Mental Health Disorders,
This module reviews the relevance of psychiatric health and conducting a focused psychiatric exam on the CMV driver. The medical examiner will review specific mental health disorders and their potential impact on the driver operating a CMV. Pharmacokinetic interactions of medicines commonly prescribed are also reviewed.

Module 9 – General Medication Use, Drug & Alcohol Abuse
The learner will review how to identify possible medication side effects which may interfere with safe driving. The acceptable uses of controlled substances in the CMV driver are presented. Learn how to Bullet-Proof your medication use determinations.This module also reviews the effects of drug and/or alcohol on ability to operate a CMV. FMCSA guidelines for medical examiners examining individuals suspected of substance abuse are discussed. Medical examiners will review how to qualify or disqualify a driver based on history of substance abuse.