To promote the safety of America's roadways through the promulgation and implementation
of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers
engaged in interstate commerce are physically qualified to do so. Whose mission is this? -
ANSWER The mission of the Office of Medical Programs
To improve highway safety by producing trained, certified medical examiners who can effec-
tively determine if a commercial motor vehicle driver's health meets Federal Motor Carrier
Safety Administration Standards. Whose mission is this? - ANSWER National Registry of
Certified Medical Examiners
Who can be a medical examiner? - ANSWER PAs, NPs, physicians and chiropractors.
T/F...When a driver returns from an illness or injury that interferes with driving ability, the
driver must undergo a medical examination if the medical examiner's certificate has not ex-
pired - ANSWER True
What is title 49? - ANSWER Transportation
What is part 391? - ANSWER Qualifications of Drivers and Longer Combination Vehicle
What is subpart E of Part 391? - ANSWER Physical Qualifications and Examninations
What are the four non-discretionary (disqualifying) standards? - ANSWER 1. Vision
2. Hearing
3. Epilepsy
4. Diabetes Mellitus
1
, What is 49 CFR 391.41? - ANSWER Describes the physical qualification requirements for
drivers. The 13 standards are used to determine medical fitness for duty. (9 discretionary
and 4 non-discretionary)
What is 49 CFR 391.49? - ANSWER Describes the skill performance evaluation certifica-
tion program, which is an alternative physical qualification standard for the driver with a
fixed musculoskeletal deficit of an extremity who cannot physically qualify to drive under
391.41 (b)(1) or (b)(2).
What is 49 CFR 391.62? - ANSWER Describes limited exemptions for intra-city zone driv-
ers.
What is 49 CFR 391.64? - ANSWER Describes grandfathering for certain drivers who par-
ticipated in vision and diabetes waiver study programs.
What is an exemption? - ANSWER An exemption provides temporary relief from one or
more of the FMCSRs for commercial drivers. Relief from a regulation is for 2 years and may
be renewed.
Currently the FMSCA has two medical Driver Exemption Programs. What are they? - AN-
SWER 1. Federal Vision Exemption Program (1998)
2. Diabetes Exemption Program (September 2003)
T/F The medical examiner cannot issue an exemption - ANSWER True
T/F Both federal exemptions require the driver to have an annual medical examination for
maintenance and renewal of the exemption. - ANSWER True
What is 49 CFR 391.43? - ANSWER Certificate of physical examination. Describes your re-
sponsibilities as a FMCSA medical examiner.
2
of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers
engaged in interstate commerce are physically qualified to do so. Whose mission is this? -
ANSWER The mission of the Office of Medical Programs
To improve highway safety by producing trained, certified medical examiners who can effec-
tively determine if a commercial motor vehicle driver's health meets Federal Motor Carrier
Safety Administration Standards. Whose mission is this? - ANSWER National Registry of
Certified Medical Examiners
Who can be a medical examiner? - ANSWER PAs, NPs, physicians and chiropractors.
T/F...When a driver returns from an illness or injury that interferes with driving ability, the
driver must undergo a medical examination if the medical examiner's certificate has not ex-
pired - ANSWER True
What is title 49? - ANSWER Transportation
What is part 391? - ANSWER Qualifications of Drivers and Longer Combination Vehicle
What is subpart E of Part 391? - ANSWER Physical Qualifications and Examninations
What are the four non-discretionary (disqualifying) standards? - ANSWER 1. Vision
2. Hearing
3. Epilepsy
4. Diabetes Mellitus
1
, What is 49 CFR 391.41? - ANSWER Describes the physical qualification requirements for
drivers. The 13 standards are used to determine medical fitness for duty. (9 discretionary
and 4 non-discretionary)
What is 49 CFR 391.49? - ANSWER Describes the skill performance evaluation certifica-
tion program, which is an alternative physical qualification standard for the driver with a
fixed musculoskeletal deficit of an extremity who cannot physically qualify to drive under
391.41 (b)(1) or (b)(2).
What is 49 CFR 391.62? - ANSWER Describes limited exemptions for intra-city zone driv-
ers.
What is 49 CFR 391.64? - ANSWER Describes grandfathering for certain drivers who par-
ticipated in vision and diabetes waiver study programs.
What is an exemption? - ANSWER An exemption provides temporary relief from one or
more of the FMCSRs for commercial drivers. Relief from a regulation is for 2 years and may
be renewed.
Currently the FMSCA has two medical Driver Exemption Programs. What are they? - AN-
SWER 1. Federal Vision Exemption Program (1998)
2. Diabetes Exemption Program (September 2003)
T/F The medical examiner cannot issue an exemption - ANSWER True
T/F Both federal exemptions require the driver to have an annual medical examination for
maintenance and renewal of the exemption. - ANSWER True
What is 49 CFR 391.43? - ANSWER Certificate of physical examination. Describes your re-
sponsibilities as a FMCSA medical examiner.
2
