229483 Federal Motor Carrier Safety Administration's Medical Standards Update and Development Program: Development and Findings of Systematic Reviews of the Best-Available Evidence

Sunday, November 7, 2010

Jessica R. Williams, PhD, MPH, RN , Manila Consulting Group, McLean, VA
Stephen J. Tregear, DPhil , Manila Consulting Group, McLean, VA
To make an effective and robust policy decision about the risks associated with allowing individuals with certain medical conditions to drive a commercial motor vehicle (CMV), relevant stakeholders must understand the mechanisms by which a hazard interacts with driving performance, the probability that such an event will occur, and what potential harms are associated with the occurrence of such an event. Systematically gathering and scientifically analyzing the kind of information is referred to as risk assessment. Phase 1 of the Risk-Based Regulatory Decision Making Framework used by the Federal Motor Carrier Safety Administration (FMCSA), as part of the Medical Standards Update and Development Program, involves conducting systematic reviews of the best available evidence pertaining to the impact of various medical conditions on driver safety. Each systematic evidence review provides both qualitative and quantitative summaries of information relevant to a series of key questions posed by FMCSA as it undertakes to review, revise, and develop new fitness-for-duty regulations and guidance to medical examiners. The purpose of this presentation is to discuss the processes involved in creating systematic reviews of the best-available evidence pertaining to the impact of various medical conditions on driver safety. We will also identify the medical conditions found through these systematic reviews to be associated with an increased risk of motor vehicle crash and discuss the magnitude of risk and strength of evidence for motor vehicle crash risk associated with these diseases/disorders.

Learning Areas:
Occupational health and safety
Public health or related laws, regulations, standards, or guidelines

Learning Objectives:
1. Describe the process involved in creating systematic reviews for the Federal Motor Carrier Safety Administrationís Medical Standards Update and Development Program. 2. Identify medical conditions associated with an increased risk of motor vehicle crash. 3. Discuss the magnitude of risk and strength of evidence for medical conditions associated with an increased risk of motor vehicle crash.

Keywords: Occupational Safety, Government

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the Senior Research Analyst for this contract and have had a direct role in developing the science that will be presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.