National registry of certified medical examiners impacts : driver and carrier experiences.

ATRI and Mayo Clinic jointly surveyed over 900 commercial drivers, 300 motor carriers and 1,200 certified medical examiners (CMEs) to better understand the impacts that the NRCME has had on the trucking industry since its implementation in 2014. The NRCME was designed to improve the DOT physical exam process and ensure that medical examiners understand FMCSA regulations and guidance for issuing medical certificates. ATRI’s research focused on commercial driver and motor carrier impacts and identified the following: * A majority of drivers (63.3%) reported increased exam costs following implementation of the NRCME, yet were not experiencing commensurate improvements in exam quality; only 6.2 percent of drivers reported improved exam quality post-NRCME implementation. * 6 percent of drivers reported spending 20 minutes or less with their CME, with 6.5 percent of those drivers spending 10 minutes or less, an insufficient time to complete all required processes of a DOT physical. Drivers certified by chiropractors were more likely to have important medical checks omitted. * Among the 5.9 percent of drivers who were not issued a medical certificate on the day of their physical exam, 22.6 percent cited having a medical condition that required treatment before certificate issuance as the reason. * Motor carriers still have significant concerns related to the medical certification process, including requests by CMEs for additional medical documentation causing certification delays, driver confusion of how regulatory changes impact the ability to hold a valid medical certificate, and concerns with the competency of CMEs. Nearly 50 percent of motor carriers reported that they specify which CME their drivers see to ensure medical exam quality. * Less than one percent of carriers reported no major concerns with the medical certification process. * The ability of drivers to find a CME close to where they live may be more challenging in the future as 15.3 percent of CMEs reported that they have quit performing DOT physicals or plan to quit performing DOT physicals. (Author/publisher)