CME Certified Federal Medical Examiner

Category - Documentation of Ancillary Information

A34-year-old male driverwith a missingleft-hand index finger presents for examination. The driver is lefthanded. He has no other health issues disqualifying him.What ancillary documents are required to complete the examination of this person?
  1. No additional documentation is needed. This person is not qualified as he has an impairment of a finger that interferes with prehension and grasping.
  2. A Skill Performance Evaluation (SPE) Certificate by FMCSA.
  3. A clearance by the treating orthopedist confirming that the impairment has no effect on the person’s prehension and grasping ability.
  4. No additional information needed. This person is qualified.
Explanation
Answer: B - A Skill Performance Evaluation (SPE) Certificate by FMCSA.

According to CFR 391.49(a) requirements, a person with a missing body part that interferes with his ability to drive safely, and who has no other disqualifying conditions, requires a Skill Performance Evaluation (SPE) Certificate from FMCSA confirming that he can perform his tasks despite the impairment.
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