Examinee non-disclosure of relevant medical information during transportation related regulatory examinations: a case-series.

Journal of occupational and environmental medicine Pub Date : 2025-02-20 DOI:10.1097/JOM.0000000000003346

Kristopher D Minsinger, Judith M Graber, Hasan Nezam, Julie Caruth, Iris Udasin

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Abstract

Objective: In the past decade, U.S. transport accidents have resulted in over 370,000 fatalities. Research on medical history non-disclosure during mandatory regulatory exams has been limited. This study used the National Transportation Safety Board's (NTSB) Case Analysis and Reporting Online (CAROL) database to: (1) Identify non-disclosure, (2) Assess non-disclosure patterns, (3) Evaluate CAROL's research potential.

Methods: The CAROL database was searched for U.S. cases (01/01/2010-01/29/2024) involving fatalities and medically-related causes. Non-disclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail.

Results: Of 3,012 accidents, 258 met our criteria; 80 (31%) indicated examinee non-disclosure in the NTSB investigation.

Conclusion: Operator non-disclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks non-disclosure poses to U.S. transportation safety.

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