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JAMA. 1926;87(18):1492-1493. doi:10.1001/jama.1926.02680180064023.
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ABSTRACT

The Medical Examination of Chauffeurs and Railway Engineers  A few months ago, the Academy of Medicine decided to propose a regulation looking toward diminution of the number of accidents caused by mistakes of railway engineers and chauffeurs, and requiring them to undergo examinations as to their aptitude for their calling, not only when they enter on it but also every three years.Public opinion has become aroused at the frequency of accidents. Recently, a locomotive engineer ran by stop signals at Amiens, thereby killing several passengers and derailing his train on a closed switch. It was discovered later that he was suffering from beginning general paralysis. He was not held accountable for the accident, but that did not restore the lives of the passengers. In another instance, a chauffeur died suddenly from a heart attack, and his car went crashing down an incline in Paris resulting in injuries to the

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