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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)

FMCSA NPR Qualification of Drivers; Diabetes Standard- My Comments

“Also, the FMCSA has no jurisdiction on the TC, but can audit, sanction, and remove MEs who certify drivers improperly on a repeated basis. The purpose of the NRCME was to create a group of examiners trained and knowledgeable with the demands of commercial driving, FMCSA regulations and how CMV drivers physical examination and medical conditions affect safe driving and public safety. The FMCSA needs to give MEs the tools they need to properly evaluate the CMV driver on insulin so that the ME will not have to rely on the “hearsay” of the TC. “

What does the FMCSA NPR to amend insulin treated diabetes mean to you – medical examiners and truck drivers?

“The burden will only now be shifted to the medical examiner, and probably will not necessarily be alleviated for the driver either, that is, if the treating clinician properly evaluates and medical examiner certifies accordingly , then we need to ask, once certified how do we enforce this entire new process in lieu of the current Diabetes Exemption Program?”

Phoebe, MD: Medicine & Poetry

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