When do patients require a Skilled Performance Exam? - ANSWER => IF they have a FIXED motor
deficit of an extremity who cannot physically qualify to drive that needs a full evaluation by a specialist
(Not for patients with a progressive motor deficit)
**These patients must provide proof of the exam by the specialist in order to obtain certification or be
given a referral letter if you think they need an exam***
What two special populations of drivers are given exemptions by the DOT? - ANSWER => 1. Patients
with vision disorders
2. Diabetics
***The exemption allows the grandfathering in of certain drivers who participated in vision and
diabetes waiver study programs***
***Drivers can be certified as long as they meet the provisions and have the certificate with them at the
time of the DOT exam***
What are your duties as a DOT examiner? - ANSWER => To detect the presence of any physical,
mental, or organic conditions of such character and extent as to affect the ability of the driver to
operate a CMV safely
What is the definition of Incapacitation? - ANSWER => The onset of incapacitating symptoms so
rapidly that they interfere with safe driving or that the driver may be unable to safely stop the vehicle
before beocming incapacitated
If the patient has any side effects of medications, can they be certified? - ANSWER => NO!! Any side
effects such as drowsiness, dizziness, orthostasis, blurred vision or changes in mental status prohibit the
driver from being certified
, What conditions lead to AUTOMATIC DISQUALIFICATION for DOT certificates? - ANSWER =>
DEFIBRILLATOR
DIALYSIS
What are the VISION requirements for DOT certification? - ANSWER => 1. Distant visual acuity of at
least 20/40 in EACH EYE with or w/o lenses
2. Distant BINOCULAR vision of at least 20/40 in both eyes, with or w/o lenses
3. Field of vision of AT LEAST 70 DEGREES in the horizontal meridian in each eye
4. Ability to recognize/distinguish among colors of traffic signals (RED, AMBER, GREEN)
Can a driver with monocular vision obtain a DOT certificate? - ANSWER => YES, but the driver must be
otherwise medically fit for duty and granted a FEDERAL VISION EXEMPTION CERTIFICATE
**Pt must return with the certificate of exemption before the DOT certificate can be given***
If a driver comes for a physical and is otherwise fit, you can disqualify them and the driver can apply for
a federal vision exemption
What is MONOCULAR VISION? - ANSWER => Monocular vision occurs when the vision requirements
are only met in one eye, with or without corrective lenses
***MONOCULAR VISION IS AUTOMATICALLY DISQUALIFYING***
How do you certify a driver who is in the process of applying for a Federal vision exemption? - ANSWER
=> YOu can certify the driver for up to 1 year, mark the accompanied by EXEMPTION checkbox and
write vision so that the type of federal exemption is specified
deficit of an extremity who cannot physically qualify to drive that needs a full evaluation by a specialist
(Not for patients with a progressive motor deficit)
**These patients must provide proof of the exam by the specialist in order to obtain certification or be
given a referral letter if you think they need an exam***
What two special populations of drivers are given exemptions by the DOT? - ANSWER => 1. Patients
with vision disorders
2. Diabetics
***The exemption allows the grandfathering in of certain drivers who participated in vision and
diabetes waiver study programs***
***Drivers can be certified as long as they meet the provisions and have the certificate with them at the
time of the DOT exam***
What are your duties as a DOT examiner? - ANSWER => To detect the presence of any physical,
mental, or organic conditions of such character and extent as to affect the ability of the driver to
operate a CMV safely
What is the definition of Incapacitation? - ANSWER => The onset of incapacitating symptoms so
rapidly that they interfere with safe driving or that the driver may be unable to safely stop the vehicle
before beocming incapacitated
If the patient has any side effects of medications, can they be certified? - ANSWER => NO!! Any side
effects such as drowsiness, dizziness, orthostasis, blurred vision or changes in mental status prohibit the
driver from being certified
, What conditions lead to AUTOMATIC DISQUALIFICATION for DOT certificates? - ANSWER =>
DEFIBRILLATOR
DIALYSIS
What are the VISION requirements for DOT certification? - ANSWER => 1. Distant visual acuity of at
least 20/40 in EACH EYE with or w/o lenses
2. Distant BINOCULAR vision of at least 20/40 in both eyes, with or w/o lenses
3. Field of vision of AT LEAST 70 DEGREES in the horizontal meridian in each eye
4. Ability to recognize/distinguish among colors of traffic signals (RED, AMBER, GREEN)
Can a driver with monocular vision obtain a DOT certificate? - ANSWER => YES, but the driver must be
otherwise medically fit for duty and granted a FEDERAL VISION EXEMPTION CERTIFICATE
**Pt must return with the certificate of exemption before the DOT certificate can be given***
If a driver comes for a physical and is otherwise fit, you can disqualify them and the driver can apply for
a federal vision exemption
What is MONOCULAR VISION? - ANSWER => Monocular vision occurs when the vision requirements
are only met in one eye, with or without corrective lenses
***MONOCULAR VISION IS AUTOMATICALLY DISQUALIFYING***
How do you certify a driver who is in the process of applying for a Federal vision exemption? - ANSWER
=> YOu can certify the driver for up to 1 year, mark the accompanied by EXEMPTION checkbox and
write vision so that the type of federal exemption is specified
