Last year, according to the number of questions asked to me, the topic was “ medical commission for drivers" is confidently included in the Top-10. The reason for this is both regional “peculiarities” and “intelligible” explanations of the authorized bodies. In Moscow, drivers are required to have an EEG. In Rostov - urine. Beyond the Ural ridge, they don’t require tests at all and take your word for it.
...Alpha rhythm of correct organization, predominates in the occipital leads...
Therefore, when the next deadline came for me to renew my medical certificate of permission to drive a vehicle, I decided to understand a little about modern medical electromochagraphic realities.
(volume 22,000 characters), so I designed short version in the form of a FAQ (total 6000 characters).
1. Is there an EEG somewhere else during medical examination drivers?
Yes. For example, in the European Union, Group 2 drivers (category C, CE, C1, C1E, D, DE, D1 and D1E) are required to undergo an EEG.
Drivers of other categories (group 1) undergo an EEG only when it becomes obvious that they have contraindications or state legislation establishes such an obligation.
2. How important is EEG?
Opinion regarding EEG is currently not clear. EEG is not suitable as a screening method due to the duration of the examination and its laboriousness. Detection of epilepsy - the main criteria for establishing this diagnosis are seizures themselves. Diagnosis of the location of the lesion (topical diagnosis) has lost relevance after the advent of magnetic resonance imaging and computed tomography.
However, the court in some cases considers that the EEG is more important examination than others modern methods. Therefore, it is pointless to argue about the importance of EEG.
3. Is it legal to require an EEG during a medical examination?
Yes, the requirement is legal. During a medical examination, it is revealed, in particular, additional medical contraindications. Resolution of the Council of Ministers of the Government Russian Federation regulating psychiatric examination to identify additional medical contraindications establishes EEG as a mandatory method of research. Therefore, psychiatrists not only have the right, but the obligation to require an EEG.
4. What other examinations can a psychiatrist or narcologist prescribe in accordance with the law?
The Decree of the Council of Ministers of the Government of the Russian Federation stipulates that a psychiatrist can prescribe two additional examinations: an ECG, an experimental psychological study.
No other examinations can be scheduled.
5. How regulatory legal act Is there a list of specialists that must be completed?
The list of specialists is determined by the form of a medical certificate (the form is approved by Order of the Ministry of Health and Social Development of Russia dated September 28, 2010 No. 831).
6. How long is a medical certificate of permission to drive vehicles valid?
The medical certificate has no expiration date. Therefore, the certificate must be made immediately before submitting it to the traffic police.
It is impossible to predict how “old” the certificate will be accepted by the traffic police and it still depends on the will of the employees of this department, but for now, apparently from old memory, they accept the certificate within 2 years from the date of issue.
7. Do EEG results have an expiration date?
No, expiration date EEG examination does not have. If an EEG study was done in advance, then the psychiatrist, based only on his opinion, can either accept the results of a month ago or reject the examination conducted a week ago.
8. Why do doctors at the clinic leave in the certificate only those categories that are open to me in accordance with my driver’s license?
It is illegal. In the certificate, categories of vehicles should be crossed out or left only based on the results of a medical examination.
Now this especially applies to category A! If you are not admitted by medical indications to drive vehicles of category A, then when issuing a driver’s license, the traffic police officers have reasons not to open category “M” (driving mopeds) for you for medical reasons, and even make a note about the lack of access to driving this category on the driver’s license!
9. The employer refuses to pay medical examination necessary to replace a driver's license. Legal?
Yes, it's legal. The employer is obliged to pay only for inspections, and inspections even for professional drivers are paid for by the driver (employee) himself.
10. What documents should remain after the examination?
- EEG results.
- Copies of examinations by all specialists, including a psychiatrist and narcologist. This is done for free! If the conclusions of each specialist are not issued in person, then a second copy of the final medical report must be issued.
- Certificate of authorization to drive vehicles.
11. When replacing a driver’s license, do you always need to present medical certificate?
No. When replacing a driver's license due to a change in personal data (full name, date of birth, place of birth, etc.), the driver's license is changed without providing a certificate.
12. How much time and money does it take to obtain a medical certificate?
In September 2015 in Moscow it took: 7 hours 30 minutes.
Cost of pleasure: 8430 rubles(a reduction to 6,730 rubles or slightly lower is possible, but not less than 5,000 rubles).
Passage of all doctors - from 8:00 to 10:30 (in one hospital).
EEG - from 10:30 to 12:00 (in the same hospital).
Psychiatrist and narcologist: 12:00-14:00 (walking distance from the clinic and one metro trip 4 stations with one change).
Return to the clinic for signatures: 1 hour 30 minutes (the next day - drive to the clinic and wait 20 minutes).
The cost of the commission is 3600 rubles
The cost of an EEG is 3540 (in some clinics I suggest doing it for 2600 rubles along with an examination by a psychiatrist).
The cost of examination by a psychiatrist is 760 rubles
The cost of an examination by a narcologist: 530 rubles (+ my commission was 200 rubles, for which there was no queue).
By the way, due to such prices, it is possible that residents of the capital will very soon be sent to the nearest regions to undergo a medical examination.
1000 rub.
Sign up for an EEG
A transcript of the EEG results is issued immediately after the examinationDo an EEG for driver's license without an appointment in 15 minutes at any of the clinics of the Health network!
Using an EEG, the doctor will obtain data about electrical activity brain To do this, he will put electrodes on your head, which will collect information. The procedure is safe, painless and will take no more than 15 minutes.
- An EEG is required when obtaining a certificate from the State Traffic Safety Inspectorate * for categories C and D. The EEG results must be provided to a psychiatrist at the dispensary at the place of registration, along with a psychologist’s report
- EEG is also performed as part of various types of medical examinations; to assess the state of the brain after injury or surgery
The reception is being conducted
Current promotions in the network of clinics “Zdorovye”
*Based on Article 65 Federal Law dated November 21, 2011 No. 323-FZ, Article 23 of the Federal Law dated December 28, 2013 No. 437-FZ, Decree of the Government of the Russian Federation dated April 28, 1993 No. 377.
Electroencephalography (EEG) is one of the methods diagnostic examination brain, which is one of the most widely used today. In particular, EEG is the only method that allows high accuracy distinguish epilepsy from other paroxysmal conditions. That is why EEG has now been included in the mandatory medical examination that is taken before obtaining a driver’s license (according to a letter from the Ministry of Health and social development RF dated April 5, 2012 N 14-5/10/2-3374).
What does EEG reveal?
Doctors prescribe an electroencephalogram for:
- epilepsy (both before prescribing medications and while taking them and before reducing the dose anticonvulsants or cancel them altogether)
- cerebrovascular disorders
- neoplasms localized in the brain
- neuroses (sleep disorders, stuttering, tics, obsessive movements, nocturnal enuresis, etc.)
- children's cerebral palsy(cerebral palsy)
- delays in mental, psycho-speech or psychomotor development in children
How is the examination carried out?
- The doctor attaches electrodes to your head that will record bioelectrical activity brain. Provided by them the readings will be displayed in the form of a graph - an electroencephalogram. It is by looking at this graph that the doctor will be able to draw conclusions about the presence of any deviations from the norm. Sometimes an EEG is performed during sleep - in a sleeping person, brain activity characteristic of epilepsy increases sharply, which facilitates the examination. Well, if we are talking about children under three years old, then the procedure can only be carried out during sleep.
- There is no need to prepare for the study in any special way.: Simply do not drink coffee, tea, energy drinks, or caffeine-containing drinks/medicines for 12 hours before the EEG. Also keep in mind that you need to come for the examination with dry and clean hair, without oils, aerosols, lotions and other cosmetics.
By contacting the “Zdorovye” network of medical centers, you get confidence in the high quality of care for all medical services. Our specialists will quickly and accurately conduct an examination, interpret its results in detail and, if necessary, prescribe treatment.
Considering the fact that in 2014 Article 23 of the “Security Law” was amended traffic RF”, now in order to sign a driver’s license from a psychiatrist and narcologist, you need to have an electroencephalogram of the brain. Many drivers have a question: “Why go through such a procedure?” - the answer is simple! An electroencephalogram analyzes the state of the brain and the processes that occur in it. After passing the medical examination, you will be given EEG certificate, which describes how the brain functions. An encephalogram for a driver's license is carried out as the most reliable examination of the cerebral cortex. Using this procedure, it is possible to analyze the effect of traumatic brain injuries (if any) on general state health, confirm or exclude the presence of seizures, abnormalities, neurological diseases, epileptic syndrome, assess the general state of work important body human body.
Cost of electroencephalogram
The Garantmed medical center is equipped with the latest equipment and also has required licenses to carry out examinations.
Our medical center has a special price offer for drivers: the cost of an electroencephalogram of the brain with the issuance of a conclusion (for passing the commission) is 400 rubles, a driver’s medical certificate for categories “A”, “B” – 800 rubles, “C”, “D” — 1000 rub.
Therefore, do not try to buy an EGG certificate or other medical documents out of hand! This is not only illegal, because you are not sure of the authenticity of the documents, but it can also harm your health, since undergoing an examination means insuring yourself against health problems in the future.
How is the procedure done?
Encephalogram for a driver's license - in full safe procedure, which does not require special preparation and takes only 15-20 minutes of time. During the examination, the doctor will fix a special medical cap on your head and attach sensors to it, which, in turn, will read information about how the brain works and transmit it to an electroencelograph. The device records the data that the sensors read and prints it on paper in the form of a curved line. This is the encephalogram that drivers and everyone who is prescribed to undergo it receive along with a description of the results of the procedure. The main thing is that the EEG is performed by an experienced neurologist - this is the key to the correctness and accuracy of the diagnosis.
EEG at the Garantmed medical center in St. Petersburg
The Garantmed Medical Center employs experienced, qualified neurologists who not only perform an encephalogram for a certificate from the State Traffic Safety Inspectorate (SAI), but also clearly and correctly draw up all the necessary certificates and make diagnoses. By undergoing an EEG for PND at the Garantmed medical center, the driver will save a lot of time, because registration for an EEG at regular dispensaries is carried out a month in advance. When choosing medical center"Garantmed" the whole procedure will take you just one day!
How to find us?
Today, when both the form of the driver’s certificate and the categories of vehicles have changed, many drivers are interested in some of the details of passing the medical examination. They are often concerned about whether they need to undergo an MRI when renewing their driver's license or obtaining a license to drive a vehicle for the first time. There is an opinion that magnetic resonance imaging of the head will only be needed by professional drivers, while amateurs can do without an expensive examination.
Many people confuse the two examinations that the patient’s brain undergoes. One of them is the tomography mentioned above - a fairly detailed and detailed study of brain structures. In terms of early detection of neoplasms and other pathologies, this moment this survey is second to none. The second is an electroencephalogram, which is a more accessible type of research. It allows us to describe brain rhythms. And now this kind of research is available in both central and provincial clinics. The devices have become slightly less widespread than electrocardiographs. And the EEG equipment itself is not as expensive and cumbersome as tomographs.
In order to be issued driver license After passing all the exams, you must have a driver's license certified by the final signature of a therapist or doctor general practice. In order for him to approve such a document, he needs to collect the opinions of different doctors and examination data. Among them there is precisely the result of an EEG, not a tomography.
Does a professional need to undergo a tomography when replacing a license?
According to the new rules, a medical certificate is required when replacing a driver's license with a new one. This document will also be needed if the driver wants to open a new category in his license. Often, the head of the enterprise organizes a medical examination for professional drivers. It is often carried out in an attached state clinic, and it’s unlikely that anyone will force you to specifically undergo an MRI examination.
A different picture can be observed in commercial clinics, with which motor transport enterprises a service agreement in terms of medical examinations of drivers can also be concluded. This is where you can encounter intrusive service, when medical staff forces you to undergo magnetic resonance imaging.
Is it necessary to do an MRI for a certificate from the traffic police?
In fact, no one has the right to impose this examination on either a professional driver or an amateur, because it is not included in the list mandatory procedures upon receipt of a driver's license. But professional drivers may encounter a situation where the clinic simply scammed their company’s management into paying for an MRI. Then there is nothing left to do but go through the procedure. In this case, you can find an undoubted advantage of the examination: the result obtained will make it clear whether there are any pathologies in the brain. Early detection and treatment of an incipient disease can stop its process and save a person’s life.
If you are offered to undergo a tomography and pay for it yourself, then the person has the right to refuse the imposed examination.
When is an MRI necessary when replacing a driver's license?
The answer to the question of whether an MRI is needed for a driver’s license is already clear: no. However, if during a medical examination a neurologist, psychiatrist or EEG interpreter found a pathology that requires more detailed research, you can walk along at will magnetic resonance imaging of the head. It is preferable to do this where modern equipment is available.
Why do clinics force MRIs of the head to obtain a driver's license?
The answer to this question is simple: it benefits them. When purchasing expensive equipment, each head of a private medical institution strives to return the money spent on this device as quickly as possible by conducting examinations. People do not often want to undergo an MRI procedure, which can significantly lighten the wallet. Only if you really need to confirm malignant or benign tumors, to understand whether surgery is necessary and whether it is possible, then tomography has direct indications. But the percentage of such patients is not large enough to organize a massive flow to the clinic. But in order to replace a driver’s license, many can come to a medical institution for a driver’s certificate.
Is it necessary to undergo an MRI of the head for a driving license of categories “C”, “D”, “E”
It is these categories, as well as the newly introduced “CE”, “DE”, “Tm”, “Tb”, together with the subcategories “C1”, “D1”, “C1E”, “D1E”, that are professional, and for them mandatory procedures EEG is performed. For those who are new to this procedure, it is easier to present it in a “different form” and force them to undergo an MRI. If an amateur driver gets or changes his license, then he doesn’t even have to do an EEG. Unless the neurologist wants to obtain more in-depth information about the patient’s health status.
Do public transport drivers need an MRI for a certificate from the traffic police?
On the one hand, transportation large number passengers - this is an even greater responsibility than when transporting cargo. Therefore, you need to understand how adequate the driver is, whether he has the correct reaction, whether he is capable of being responsible for passengers and averting harm from them in the event of an emergency. After all, a detailed examination of the brain could show something indicating the driver’s readiness for maximum concentration.
On the other hand, is it worth doing an MRI for this purpose? This no longer requires a study of what is happening inside a person’s head, but a competent assessment by a psychiatrist. It is this specialist who is able to identify the nature of a person’s reaction, as well as identify his personal characteristics. By the way, examination of drivers by a psychiatrist is now possible only in state dispensaries.
You will also have to go to a state dispensary to get a certificate from a narcologist, but the rest can be done at a commercial clinic.
What doctors and examinations does a driver need to undergo?
To obtain a medical certificate of fitness to drive a car, in addition to a psychiatrist and a narcologist, drivers must undergo:
- therapist;
- surgeon;
- ophthalmologist;
- otolaryngologist;
- neurologist.
You will have to take urine and blood tests only if a narcologist requests them for his conclusion. Even not all amateur drivers can undergo an otolaryngologist, but professionals are required to do so.
An amateur driver can be referred for an ECG by a therapist, and an EEG by a neurologist. Professionals must undergo such examinations. But MRI is not on any of the lists, so this examination is not relevant to the mandatory requirements for obtaining or replacing a driver’s license.
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