Pommerenke F, Hegmann K, Hartenbaum N P
Rapides Industrial Medicine, Alexandria, Louisiana, USA.
Am Fam Physician. 1998 Aug;58(2):415-26.
Most certification examinations of commercial drivers are simple, and relatively few drivers are disqualified. If these examinations are not done properly, however, the public can be exposed to potentially unqualified drivers. Should an accident occur, the physician who examined the driver may be found liable. In performing driver certification examinations, the physician's primary responsibility is to the public. The Federal Motor Carriers Safety Regulations and supporting documents provide guidelines for the conditions that may be disqualifying and the conditions that may allow only temporary certification until better medical control is achieved. Some medical diagnoses, such as insulin-requiring diabetes mellitus, are automatically disqualifying, no matter how well the disease is controlled. Other conditions may require documented clearance from a specialist before certification is granted.
大多数商业司机的认证考试都很简单，被取消资格的司机相对较少。然而，如果这些考试进行得不当，公众可能会接触到潜在的不合格司机。一旦发生事故，对司机进行检查的医生可能会被认定有责任。在进行司机认证考试时，医生对公众负有主要责任。联邦机动车承运人安全法规及相关文件为可能导致取消资格的情况以及在实现更好的医疗控制之前可能仅允许临时认证的情况提供了指导方针。一些医学诊断，如需要胰岛素治疗的糖尿病，无论病情控制得多么好，都会自动导致取消资格。其他情况可能需要有专科医生的书面许可才能给予认证。
