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Common complications facing medical review officers.

This is the second of a two-part series in which a transit agency medical review officer explains the function of the MRO in the drug testing process. Part two examines "medical negatives"; physical examinations; how an MRO deals with diluted, substituted and adulterated samples; positive verification without an interview; and common errors affecting the drug test.

Making determinations on the likelihood an employee is trying to beat a drug test is a major part of what a medical review officer does, Dr. Michelle Alexander, Occupational Health Services for the New York City Transit Authority, told the Federal Transit Administration's Drug and Alcohol Program's National ...

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