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The Medical Examiner’s Handbook

Update: Medical Examiner’s Handbook 2024 Edition

Original blog from December 10, 2019:

The Medical Examiner’s Handbook was, at the time, the best reference resource for then uncertified medical examiners (prior to 2014 there were no certified medical examiners, no NRCME, and no required training for medical examiners). However, with the advent of the NRCME, the FMCSA recognized that the Medical Examiner’s Handbook contained some outdated information and included guidelines for some conditions, most notably sleep apnea, that are inconsistent with the FMCSA’s current guidance.

The FMCSA removed the Medical Examiner’s Handbook from its website, and advised that it would be revised. The initial projected date for revision was 2015, then 2016, then 2017, etc. In July, 2019, the FMCSA Medical Review Board met to review the latest draft version of the Handbook, was charged with reviewing the latest draft, and the discussion made it clear that substantial further revision is still needed. It appears doubtful that the revised Handbook will be published in final form by the FMCSA anytime soon.

The draft Medical Examiner’s Handbook, reviewed by the Medical Review Board, is available at Be advised the document is considered by the FMCSA as a draft only and while the discussion and references may be helpful to certified medical examiners (and candidates for medical examiner certification) the recommendations are not considered definitive.

Medical providers can download the Medical Examiner's Handbook 2022 Edition DRAFT from the following link: NRCME Handbook

Other blogs of interest:
Medical Examiner’s Handbook 2024 Edition
FMCSA Revisits NRCME Handbook
The Medical Examiner’s Handbook Through The Years

Enroll in the NRCME Training Institute today or purchase our $99 NRCME Exam Reference Materials. Call us at (941) 600-8411 for more program information and for any current single provider enrollment discounts.

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10-Year Recertification Notice

Certified Medical Examiners on the National Registry are required to be recertified no sooner than 9 years and no later than 10 years from the date of issuance of their medical examiner certification credential. Recertification requires that providers complete an accredited training program such as ours and pass the in-person national NRCME certification examination.

Call (941) 600-8411 for a single-provider discount.