Medical exemption program study : preliminary report of findings
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2006-10-13
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Edition:Final report
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Abstract:This Preliminary Report of Findings is the third deliverable in the Medical Exemption Program Study, being performed by Cambridge Systematics on behalf of the Federal Motor Carrier Safety Administration (FMCSA). The primary mission of the FMCSA is to reduce collisions, injuries, and fatalities involving large trucks and buses. To this end, the FMCSA has established regulations and processes for licensing drivers operating commercial vehicles. Individual states perform the actual licensing. A portion of the licensing process involves a medical examination by a licensed physician. The results of the medical examination must be consistent with standard Federal regulations. The regulations, however, allow for exemptions to be granted on a case-by-case basis. Two of the areas where exemptions may be granted relate to vision impairment (the FMCSA Vision Exemption Program) and insulin-treated diabetes (the Federal Diabetes Exemption Program). The goal of this project has been to provide process and outcome information regarding these exemption programs that will inform FMCSA policy and guide program improvements. To achieve this goal, Cambridge Systematics used multiple research techniques to review both exemption programs. These techniques included review of relevant literature, interviews of drivers in the Vision Exemption Program, and statistical analysis of reported collision data. This document presents the project findings. This report presents six recommendations to allow FMCSA to undertake a continuous improvement process for both the Vision and Diabetes Exemption Programs. Implementation of some or all of these recommendations will enable the agency to continue to make informed decisions about the management of these programs.
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