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 can take as often as necessary to obtain their certificate. Participants are only required to take and pass our Final Test to obtain their training certificate, however, we recommend reading the entire program to fully prepare for the national exam.

Steps to Complete 10-Year Recertification Training and Testing

  1. Enroll in our accredited 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 $79 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 $79 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 begin your recertification process today.

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:
Primary care physicians, occupational medicine physicians, nurse practitioners, physician assistants, advanced practice registered nurses, naturopathic doctors, doctors of nursing practice, clinical nurse specialists, doctors of physical therapy, physical therapists and chiropractors that perform DOT medical examinations on CMV drivers and are seeking DOT certification. Click here to verify eligibility.

Activity Fee:
$349 per provider. Please call (866) 672-6384 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
  • 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

NRCME Exam Reference Materials:
Included with our program are proprietary study materials, which include a pretest review for the national certification examination, an NRCME study and reference guide, the 4 FMCSA 5-Year Periodic Refresher Training modules, and an NRCME question bank - all in PDF file format, ready to download for offline reading, searching and printing once the program has been completed. In total, there are over 500 sample questions contained in our NRCME Exam Reference Materials. Optional audio and video files are included and available for download as MP3 and MP4 files.

Learning Objectives:
At the end of this program, participants should be better able to:

  • Utilize appropriate federal regulations and guidelines for driver examinations
  • Identify driver medical conditions that are disqualifying or limiting
  • Complete required forms and documentation
  • Evaluate driver medical conditions and potential impact on driver safety

This program is reviewed periodically and updated to reflect any changes in FMCSA regulations. This program was last updated in October 2022.

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 (866) 672-6384

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Participant Testimonials

"I have reviewed every other training program available, and the NRCME Training Institute program stood out for simplicity, clarity, and price."

"Elegant, thorough, easy-to-use!"

"This has to be the best dotmedical examiner course for the money and customer service. I'm very pleased."

"All of my providers were happy with the program and telephone support. The go at your own pace learning system was good for both inexperienced and experienced providers. Even the most experienced commented that they learned new information that will be invaluable."

"Presented the fundamentals clearly and offered as much additional detail as my providers wanted."

"The NRCME Training Institute program was fantastic! I was able to quickly gain the knowledge I needed and pass the certification examination."

"Best DOT training program for the money."


© 2023. 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).