Commercial Driver Medical Examiner Handbook Commercial Driver Medical Examiner Handbook

First published more than 23 years ago, this now classic guide to the Commercial Driver Medical Examination (CDME) has been revised and updated. The Seventh edition collates the most recent “official” guidance from FMCSA, recommendations from FMCSA advisory groups (that have not been formally adopted), and the medical literature, and clarifies many of the confusing issues that have arisen from the NRCME.

NEW IN THIS EDITION:

Important updates on –

Diabetes standards
Impact of medical and recreational marijuana driver certification
Updated regulations, references, and forms
Links to source documents
And an expansive Frequently Asked Questions (FAQs) section

Available as a package in both print and electronic formats, the electronic version will be updated at least twice per year to keep you abreast of future changes in regulations and recommendations.

“During my tenure as the Medical Officer for the NTSB, this book was a “go-to” resource for practical guidance on real-world issues. Natalie Hartenbaum builds on that legacy in this edition…”

Mitchell A. Garber. MD, MPH, MSME

CONTENTS iii 3
ABOUT THE AUTHOR v 5
FOREWORD vii 7
PREFACE—SEVENTH EDITION ix 9
PART I The Examination Process 1 13
CHAPTER 1 Commercial Driver Medical Qualification: Past, Present, and Future 3 15
CHAPTER 2 The Examination and the National Registry of Certified Medical Examiners 35 47
CHAPTER 3 Regulations, Advisory Criteria, Interpretations, and Frequently Asked Questions 95 107
PART II Specific Medical Conditions 189 201
CHAPTER 4 Cardiovascular Disorders 205 217
CHAPTER 5 Pulmonary Disorders 265 277
CHAPTER 6 Musculoskeletal Disorders 297 309
CHAPTER 7 Neurologic Disorders 313 325
CHAPTER 8 Endocrine Disorders—Diabetes Mellitus 343 355
CHAPTER 9 Psychiatric Disorders 369 381
CHAPTER 10 Renal Disease 387 399
CHAPTER 11 Substance Abuse and Medication Use 397 409
PART III Commercial Drivers’ Health 441 453
CHAPTER 12 Commercial Drivers’ Health 443 455
INDEX 467 479
POST PUBLICATION UPDATE October 2020 U-1 497
POST PUBLICATION UPDATE JUNE 2021 U-21 517
POST PUBLICATION UPDATE DECEMBER 2021 U-34 530
POST PUBLICATION UPDATE JUNE 2022 U-53 549
POST PUBLICATION UPDATE JANUARY 2023 U-70 566

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