This is one of areas that really concerns me, Maybe even more than anything else. Because of the unpredictability of psychiatric disorders manifesting itself as it did in the FedEx situation. I can't say he slipped though the system. But simply the system and the speciality of psychiatry is not highly sophisticated to the point where you can accurately predict situations where a person will or will not have a problem compared that to cardiovascular situations where the mechanisms and tools we use are more sophisticated and specific. It is hard to say it will become part of the routine exam.
Cognitive testing is highly controversial at the present time.
I think it will remain so in the foreseeable future. We are using neuropsychiatric testing in several areas of medical certification, especial in individuals who have had substance abuse, head injuries., brain tumors which have been remove, and other settings. In those situations, it has worked pretty well assessing a person's ability to perform. We are using it currently to assess people who are HIV positive. We are going to watch this and see how it works out.