OPAM Workshop: DOT FMCSA NRCME Course-263074

263074 - Article 18

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The letter addressed to a doctor is a request related to a patient who is applying for an initial or renewal of their Commercial Driver’s License (CDL). The letter notes that changes in regulations by the Department of Transportation's Federal Motor Carrier Safety Administration (FMCSA) necessitate specific medical assessments for applicants with certain health conditions.<br /><br />The patient has a diagnosis of diabetes, which may be controlled by diet, oral medication, or insulin. The letter requests details on the patient's medication stability and recent changes, along with a fasting blood sugar log over the past month, showing an average between 90 and 120, and a Hemoglobin A1c (HgA1c) test result of 10 or less. Information about any recent hypoglycemic episodes that required medical assistance is also needed.<br /><br />Additionally, the patient has a diagnosis of ADHD, and the letter asks for documentation regarding the diagnosis and assurance that there is no drug-induced impairment, no tendency for increased medication dosage, and no disqualifying conditions such as narcolepsy. Assessment is also required to ensure that treatment side effects do not interfere with safe driving, and that the patient maintains adequate vigilance and attention for the CDL responsibilities. The letter requests evaluation of the patient’s capacity to perform both simple and complex intellectual tasks and functions necessary for the job, and any required accommodations for the patient to safely perform their job.<br /><br />The letter invites the doctor to contact the office for further questions, and it is signed by a Certified Medical Examiner, providing a contact number for further communication.

Keywords

CDL

FMCSA

medical assessment

diabetes

blood sugar

Hemoglobin A1c

ADHD

driving safety

medical examiner

patient evaluation