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National Academy of DOT Medical Examiners

WELCOME to NADME. Our goal is to promote and help ensure the safety and health of truck and motorcoach drivers through the training we provide to the medical examiners who are authorized by the Federal Department of Transportation to perform the physical examinations of truck and motorcoach drivers.

How NADME provides value and benefit to Examiners:

• Immediate listing on NADME's national on-line registry. Truck and motorcoach companies will be searching this registry for qualified medical examiners.
  
  
• Helps to ensure a complete and thorough driver physical examination. The National Transportation Safety Board has found "serious flaws" currently exist in the medical certification process for commercial vehicle drivers.
  
  
• 6 hours CME Units from Mt. Sinai Medical School awarded.
  
  

Comprehending the Medical Requirements of the DOT- Commercial Driver Medical Examination

This Interactive, Internet- Based course consists of approximately 6 hours of online instruction, a post-test and evaluation that must be completed and submitted to receive CME credit.

Authors
Jeffrey S. Liva, MD, MPH, MS
Philip J. Landrigan, MD
Lecturer Professor & Chair
Community & Preventive Medicine Community and Preventive Medicine & Occupational Medicine Mount Sinai School of Medicine.
Peter J. Van Beek, M.S., Van Beek Systems, Inc.

Primary Target Audience
The primary target audience for this program consists of physicians who perform DOT required qualification examinations for commercial drivers. Physician participants are expected to hold an MD or DO degree. Secondary audiences include health care professionals who may also perform driver qualifications exams such as Chiropractors, Nurse Practitioners and Physician Assistants. These health care professionals are expected to hold the primary degree or certification for their practice (e.g. DC, NP, PA).

Learner Objectives
This course was designed using a state-of-the-art Interactive format so participants won't have to just read pages of text. Rather, the program includes full-motion video, audio, photos and animation for a more effective, enjoyable interactive learning experience.

The purpose of this program is to provide to DOT Medical Examiners, critical information regarding the DOT physical examination, qualification process and key record keeping components as found in the code of federal regulations 49 CFR part 41. After completing the CME activity, participants will be able to:

1. Perform a thorough, accurate driver qualification examination in compliance with the federal regulations in 49 CFR Part 41.
2. Explain the driver fitness requirements mandated by the federal Department of Transportation
3. Evaluate specific medical conditions that affect the ability to drive
4. Discuss how the DOT driver requirements are incorporated into the qualification Examination.
5. Recognize disqualifying criteria
6. Ensure that only qualified drivers receive medical certificates
7. Complete all examination paperwork in compliance with the federal regulations in CFR Part 41.
8. Maintain required records in compliance with federal regulations in 49 CFR Part 41

Course Modules Include:

1. Understanding the Federal Requirements
2. Occupational Hazards
3. Completing the Medical Examiners Report
4. Specific Medical Conditions and the Commercial Driver
5. Final Examination
6. On-line Evaluation

Original Release Date: June 2005

Termination Date: March 15, 2011

Medium and Method of Participation
This Internet- Based course consists of online instruction, a post-test, attestation, and evaluation that must be completed and submitted to receive credit.

Instructions for Obtaining CME Credit
This activity should take approximately 6 hours to complete. The participant must study the educational activity, answer the online post-test, and complete the online evaluation. Upon submission of the post-test with a score of 70% or better, as well as the completed program evaluation, a printable Certificate of Completion or Statement of Credit will be issued. A fee of $295.00 is associated with this activity.

MSSM Accreditation
Mount Sinai School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
Mount Sinai School of Medicine designates this educational activity for a maximum of 6.0 Category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those credits that he/she actually spent in the educational activity.

Faculty Disclosure Statement
It is the policy of Mount Sinai School of Medicine to ensure fair balance, independence, objectivity and scientific rigor in all its sponsored programs. All faculty participating in sponsored programs are expected to disclose to the audience any real or apparent conflict-of-interest related to the content of their presentation, and any discussion of unlabeled or investigational use of any commercial product or device not yet approved in the United States.
Jeffery S. Liva, MD, MPH, MS has nothing to disclose.
Philip J. Landrigan, MD

Statement of Need
The opportunity for a truck or motorcoach driver to drive on the highway when he or she has a serious medical condition exposes the public to an unacceptable risk and significantly increases the likelihood of a death or injury to occur. To prevent this from happening, federal Department of Transportation (DOT) regulations require truck and motorcoach drivers to pass a rigid physical exam designed to ensure that they are physically qualified to drive. However, the National Transportation Safety Board (NTSB) has found that "serious flaws exist in the medical certification process for commercial vehicle drivers. In fact, according to the NTSB: "The lack of thorough and accurate DOT physical examinations has reached epidemic proportions."

Accordingly, medical professionals who perform driver physical examinations have a critical need to know, understand, and comply with the DOT requirements that govern driver physical qualifications before they perform driver physical examinations. NADME's training program and certification examination are intended to address the serious flaws identified by the NTSB.

Hardware/ Software Needed

It is your responsibility to ensure that the computer you are using meets these minimum requirements. If it doesn't you may still be able to take the course but we don't offer any support if you have problems.

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NADME may collect and use the following kinds of personal information:

• Information about your use of this website
• Information that you provide using for the purpose of registering with the website
• Information about transactions carried out over this website
• Information that you provide for the purpose of subscribing to the website services and
• Any other information that you provide to NADME

NADME may use your personal information to:

• Administer this website
• Enable your access to and use of the website services and course
• Send to you products that you purchase i.e. certificates
• Supply to you services that you purchase
• Send you statements and invoices
• Collect payments from you

In addition to the disclosures reasonably necessary for the purposes identified elsewhere above, NADME may disclose your personal information to the extent that it is required to do so by the Federal Motor Carrier Safety Administration/ National Registry of Certified Medical Examiners, as well as in connection with any legal proceedings or prospective legal proceedings, and in order to establish, exercise or defend its legal rights.

NADME will take reasonable technical and organizational precautions to prevent the loss, misuse or alteration of your personal information. NADME will store all the personal information you provide on its secure servers. Information relating to electronic transactions entered into via this website will be protected by encryption technology.

Disclaimer
The opinions expressed herein are those of the authors and do not necessarily represent the views of the sponsor, the educational partner, or the supporter. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.

Copyright Statement
NOTICE: The use, publication, transmission, copying, reproduction, distribution, dissemination, sale, participation in the transfer or sale, and/or any other unauthorized use or appropriation of all or any portion or part of the training course and/or certification exam, by any means whatsoever (including but not limited to, through photographic or electronic means and/or technology) without NADME's prior written authorization is prohibited and will result in appropriate legal measures being taken by NADME. The modification, creation of a new work(s) from, display, or exploitation in any other way of all or any portion of NADME's training and/or certification examination is also prohibited without NADME's prior written authorization.

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"This course is not affiliated with or endorsed by the Department Of Transportation. Although DOT compliance training for all DOT physical exam providers has been mandated by recently passed law, requirements for this training have not yet been defined by the DOT."