TY - JOUR
T1 - FMCSA's medical review board
T2 - Five years of progress in commercial driver medical examinations
AU - Hegmann, Kurt T.
AU - Andersson, Gunnar B.J.
AU - Greenberg, Michael I.
AU - Phillips, Barbara
AU - Rizzo, Matthew
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2012/4
Y1 - 2012/4
N2 - OBJECTIVE: To revise and update guidance recommendations to the Federal Motor Carrier Safety Administration for evaluating commercial drivers. METHODS: The Federal Motor Carrier Safety Administration's medical review board has addressed guidance for commercial drivers for the past 5 years. The processes for most topics involve comprehensive literature searches, evidence reports, medical expert panel reports, critique of the literature, testimony, and decision making. RESULTS: No quality literature evaluating risk of crash among commercial motor vehicle drivers was found for most medical conditions. Little literature was available for crash risk among all drivers. For select conditions, such as seizure disorders, obstructive sleep apnea, and narcolepsy, there is evidence of increased crash risk among the general driving population and evidence-based guidance is now available. CONCLUSIONS: Detailed guidance from the Medical Review Board is available for assessing commercial drivers with various disorders. Many challenges remain.
AB - OBJECTIVE: To revise and update guidance recommendations to the Federal Motor Carrier Safety Administration for evaluating commercial drivers. METHODS: The Federal Motor Carrier Safety Administration's medical review board has addressed guidance for commercial drivers for the past 5 years. The processes for most topics involve comprehensive literature searches, evidence reports, medical expert panel reports, critique of the literature, testimony, and decision making. RESULTS: No quality literature evaluating risk of crash among commercial motor vehicle drivers was found for most medical conditions. Little literature was available for crash risk among all drivers. For select conditions, such as seizure disorders, obstructive sleep apnea, and narcolepsy, there is evidence of increased crash risk among the general driving population and evidence-based guidance is now available. CONCLUSIONS: Detailed guidance from the Medical Review Board is available for assessing commercial drivers with various disorders. Many challenges remain.
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U2 - 10.1097/JOM.0b013e3182480535
DO - 10.1097/JOM.0b013e3182480535
M3 - Article
C2 - 22418277
AN - SCOPUS:84859640219
SN - 1076-2752
VL - 54
SP - 424
EP - 430
JO - Journal of occupational and environmental medicine
JF - Journal of occupational and environmental medicine
IS - 4
ER -