Conference on Pulmonary/Respiratory Disorders and Commercial Drivers
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Conference on Pulmonary/Respiratory Disorders and Commercial Drivers

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  • English

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    • Abstract:
      On September 13 and 14, 1990, the Office of Motor Carriers (OMC), Federal Highway Administration (FHWA), U.S. Department of Transportation (DOT), sponsored a conference to develop medical standards for commercial motor vehicle driven with disorders of the lung and respiratory system. The conference convened an expert panel of 25 participants representing the following fields: physicians experienced in the diagnosis, treatment, and long-term care of individuals with pulmonary diseases: representatives of the motor carrier industry; medical representatives affiliated with the trucking industry; and a medical representative from Canada. The current regulations for the medical certification of commercial vehicle drivers were written in 1971 and the guidelines for evaluating pulmonary/respiratory disorders have not been revised. While many suspect that the regulations are incomplete and inadequate to ensure safety on the highways, others believe that the rules for medical evaluation are too stringent and are outdated in light of current diagnostic techniques and new treatment methods. Therefore, OMC's goal in assembling the expert panel was to provide FHWA with reasonable, clear guidelines based upon their expertise in the field of pulmonary/respiratory disorders to aid examining physicians in the medical certification of commercial vehicle drivers. The participants were divided into four task forces: Infectious Conditions, Noninfectious Conditions, Allergies, and Secondary Pulmonary Conditions. The recommendations reflect the task force members' agreement on manifestations of diseases that would render the commercial driver to be "not medically qualified" to drive and on medical conditions that require a detailed medical evaluation including consultation by a pulmonologist or other specialist, before a decision on the driver's medical qualification can be reached.
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