Did FMCSA fail to notify Medical Examiners of NPRM- Diabetic Standard?

From Ask the Trucker Truth about Trucking: Allen Smith.

Certified Medical Examiners were not notified by the FMCSA of the NPRM, this same rule which would put most of the burden on them when deciding if the driver…

via Did FMCSA fail to notify Medical Examiners of NPRM- Diabetic Standard?.

About Randolph Rosarion M.D.

Board Certified physician in Physical Medicine & Rehabilitation (PM&R) Certified National Registry of Certified Medical Examiners (NRCME) Certified Medical Review Officer (MRO) USCIS designated Civil Surgeon Certified Examiner of Divers (Undersea & Hyperbaric Medicine Society) FAA designated Aviation Medical Examiner (AME)

3 Responses to “Did FMCSA fail to notify Medical Examiners of NPRM- Diabetic Standard?”

  1. Yes. FMCSA is under no kind of requirements to notify medical examiners or any other specific stakeholders of an NPRM. Publishing in the Federal Register is public notice.

    The Nprm may affect any cmv operator with a dot medical card. If Fmcsa should have notified medical examiners that will be affected by the nprm, they also should notify any drivers that might be affected also. This would be both impractical and unworkable.

    The Nprm received wide coverage in trucking industry press. The fact that many medical examiners are not aware of the nprm is more a reflection on medical associations examiners may be members of like the ACOEM not doing artcles or notices to their membership than a lack or oversight by fmcsa.

    Dr Randolph Rosarion is to be commended as one of the few dot medical examiners on the Nrcme to be actively involved in getting details of the nprm and his thoughts on this issue out for discussion.

    While we disagree on some points it will be discussing and providing writen comments on the nprm that will give fmcsa information on this topic.

    It’s kind of like voting. If you don’t vote you have no right to complain about elected officials decisions.

    Keep up the good work Dr Randolph Rosarion !!!!


    • Well Bob another point of disagreement between us. What is the point of creating a National Registry, charging a specially trained group of examiners with the proper evaluation of drivers, then going ahead and loosen up your own regulations that took many years to put in place and not giving examiners the right tools as an alternative to work with. Not only that but examiners are even more responsible now for the outcomes of the driver certification, whether good or bad, and whether the FMCSA has their back or not. ACOEM is a great organization and has nothing to do with this. They represent the field of occupational medicine, which is a small field to which few physicians belong. They are not responsible for disseminating this kind of information to all physicians. This NPR is likely the most significant change attempted in a long time. It is a game changer. It will not probably just end with insulin treated diabetes but likely expand to other things like the monocular vision exemption. If you really believe that the FMCSA didn’t have to let examiners know, all I can say is thanks for the kind words and as much as I appreciate your insights, you are missing the point on this matter.


  2. Also are you aware that the article is Allen’s that I reblogged cause I think he raised a good point, and not my article? None of us are naive to think that the FMCSA would actually do such a sensible thing nor do we expect it. I Just don’t want drivers to be too surprised when one examiner says and does one thing completely different than the next because there is no guidance. I am not hung up on the lack of notification part like you seem to be, just on the lack of guidance on the NPR.


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