DOT Recertification

10-Year Recertification

NRCME Certified Medical Examiners who are seeking to be recertified on the National Registry are required to be recertified no sooner than 9 years and no later than 10 years from the date of their initial Medical Examiner certification.

Our accredited NRCME training program will prepare participants to sit for the national exam to recertify and afford them a new training Certificate of Completion with 14 AMA PRA Category 1 Credits™ or 14 ANCC contact hours.

Our program consists of 14 self-paced courses and 9 quizzes, followed by a 50-question Final Test that participants must pass and can take as often as necessary to obtain their new training certificate.

Steps to Complete 10-Year Recertification Training and Testing

  1. Enroll in our accredited recertification training program
  2. Take and pass our 50-question Final Test
  3. Download and print your new training Certificate of Completion
  4. Upload your training certificate into your DOT account
  5. Schedule the $80 NRCME exam at a PSI or Prometric testing facility near you
  6. Bring your certificate to the exam, along with your ID and a valid license to practice in your healthcare profession, if applicable.

To schedule your NRCME 10-year recertification exam, you will need to upload your new training Certificate of Completion to your DOT account. To report completion of the recertification training, log into your DOT National Registry account, access your user profile from the left side navigation menu by selecting “My Profile,” then select “Manage User Information.” Under “Training Details,” scroll down to the subsection titled “10-year Periodic Training Organization Details” and select Edit. Complete the data entry and document upload requirement (you must upload your new training Certificate of Completion) and select Save.

24 hours after you have uploaded your new training certificate, you will be eligible to schedule the $80 certification exam with either a PSI or Prometric testing company using the 10-digit National Registry certification number issued to you by the DOT. To locate testing centers near you, visit Google Maps and search for “PSI Testing” or “Prometric Testing”. Most testing centers are open six days a week.

Enroll to Recertify

NRCME 10-Year Recertification Program:
Estimated time to complete: 10-14 self-paced hours
Enrolled providers receive 2 years of unlimited access to the classroom.

Target Audience:
Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), Advanced Practice Registered Nurse (APRN), Doctor of Nursing Practice (DNP), Nurse Practitioner (NP) and Physician Assistant (PA).

Additional medical provider eligibility:

  • Doctor of Chiropractic (DC) is eligible in all states except for Michigan, New York, and Washington.
  • Doctor of Physical Therapy (DPT) is eligible in Arkansas, Louisiana, and North Dakota.
  • Naturopathic Doctor (ND) is eligible in Arizona, California, Colorado, Hawaii, Montana, Oregon, Vermont, and Washington.
  • Doctor of Oriental Medicine (OMD/DOM) is eligible in New Mexico.
  • Clinical Nurse Specialist (CNS) is eligible in Minnesota, Missouri, and Texas.
  • Registered Nurse (RN) is eligible in Colorado.
  • Physical Therapist (PT) is eligible in Arkansas, Louisiana, North Dakota, and Texas.
  • Acupuncturist (LAc) is eligible in Florida.

Activity Fee:
$349 per provider. Please call (941) 600-8411 for any current single-provider promotional discounts.

CME / CEU / Contact Hours:
This DOT examiner training program provides up to 14 AMA PRA Category 1 Credits™ or 14 ANCC contact hours. Click here for more information about our CME / CEU / Contact Hours.

Program Contents:

  • 14 Self-paced courses, 9 quizzes
  • 50 Question Final Test
  • Personalized and dated training Certificate of Completion
  • Optional audio and video files included
  • Proprietary exam reference materials included*

*NRCME Exam Reference Materials include:

  • NRCME Question Bank
  • Preparing for and Passing the National Certification Examination
  • NRCME Study and Reference Guide
  • Primary Care or Specialist Opinion Letter
  • The Job of a Commercial Motor Vehicle Driver
  • The FMCSA 5-Year Periodic Refresher Training Modules 1-4 
  • 4 PDF editions of The NRCME Report newsletter - a $99 value.
Activity Description:
This program conforms to the Federal Motor Carrier Safety Administration (FMCSA) core curriculum specifications to fulfill requirements for the National Registry of Certified Medical Examiners (National Registry). This training prepares medical examiners to better:
  • Apply knowledge of FMCSA's driver physical qualifications standards and advisory criteria to findings gathered during the driver's medical examination; and
  • Make determinations of the driver's medical and physical qualifications for safely operating a commercial motor vehicle (CMV) in interstate commerce.

Program Topics:

  • Background, rationale, mission, and goals of the FMCSA medical examiner's role in reducing crashes, injuries and fatalities involving commercial motor vehicles.
  • Familiarization with the responsibilities and work environment of commercial motor vehicle operations.
  • Identification of the driver and obtaining, reviewing, and documenting driver medical history, including prescription and over-the-counter medications.
  • Performing, reviewing and documenting the driver's medical examination.
  • Performing, obtaining and documenting diagnostic tests and obtaining additional testing or medical opinion from a medical specialist or treating physician.
  • Informing and educating the driver about medications and non-disqualifying medical conditions that require remedial care.
  • Determining driver certification outcome and period for which certification should be valid.
  • FMCSA reporting and documentation requirements.


01) Introduction - Purpose, Changes, Regulations, Guidance, and Resources
02) Fundamentals of the Driver Medical Examination
03) Forms
04) The CMV Driver Examination
05) Vision and Hearing
06) Hypertension
07) Cardiovascular
08) Respiratory
09) Neurological
10) Diabetes and Other Diseases
11) Musculoskeletal
12) Psychological
13) Drug Abuse and Alcoholism
14) Preparing for and Passing the National Certification Examination

Enroll to Recertify

    This program is reviewed periodically and updated to reflect any changes in FMCSA regulations. This program was last updated in February 2024.

    Program Hardware/Software Requirements:

    • A PC, MAC, iPad, Android tablet, or smartphone
    • An internet connection
    • An internet browser: Edge, Chrome or Firefox - Internet Explorer is no longer supported by us or the FMCSA

    Single-Provider Discounts

    Call (941) 600-8411

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    Participant Testimonials

    "Enrolling in the NRCME Training Institute was a great decision! I quickly passed both the program and the certification examination."

    "This DOT program is well designed, thorough, and user-friendly."

    "I found the NRCME Training Institute program to be user-friendly, comprehensive, and competitively priced."

    "Probably the best DOT training program on the market and at a great price."

    "This NRCME medical examiner course is great value for the money and they have outstanding customer service. I am highly satisfied!"

    "The program presented the essentials in a clear manner while accommodating additional details for providers who sought more in-depth knowledge."


    © 2024. This CME-certified activity is held as copyrighted © by The NRCME Training Institute. Through this notice, The NRCME Training Institute grants permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).