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Approximately
10% of the exam items are within this competency area Competency Statement
The MRO must be
familiar with clinical issues related to drug and
alcohol use and testing, including medical
explanations for positive or indeterminate tests
and medical qualifications for performance safety
sensitive tasks. Knowledge in these clinical
areas will enable the MRO to:
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recognize clinical evidence of
drug use and impairment.
-
evaluate alternative medical
explanations for laboratory drug test results
(including positive, substituted, adulterated
and invalid specimens).
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evaluate the inability to produce
urine specimens.
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recognize and appropriately
respond to conditions which may render an
individual unfit and/or unqualified for duty,
including: (1) unauthorized drug use, (2)
authorized prescription or over-the-counter drug
use, (3) drug/alcohol addiction, and (4)
illness.
Topics on Examination
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Alternative medical explanations
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Clinical assessment of drug use,
abuse and impairment
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Determination of fitness for duty
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Inadequate urine volume
References
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Swotinsky RB, Smith DR, The
Medical Review Officer's Manual. Beverly
Farms, MA, OEM Press, 4th ed. 2010,
pages 217-266.
-
Peterson KW, American College of
Occupational and Environmental Medicine, Drug
and Alcohol Testing Medical Review Officer
Course Syllabus and Resource Manual, updated
annually. Sections on clinical aspects.
-
American Society of Addiction
Medicine, Medical Review Officer Course
Manual, updated annually. Sections on
clinical aspects.
-
Ropero-Miller JD, Goldberger BA,
et al, Handbook of Workplace Drug Testing,
AACC Press, 2nd ed. 2008.
-
U.S. DOT Office
of Drug and Alcohol Policy and Compliance,
“Substance Abuse Professional Guidelines”,
Washington, DC.
www.dot.gov/ost/dapc
GENERAL SUGGESTED REFERENCES & ON LINE RESOURCES |