The NRCME Training Institute
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Course Information

The NRCME Training Institute used a collaborative approach involving federal regulators and using medical content experts to develop a proprietary training program that exceeds FMCSA/NRCME requirements.

The program content, including the optional additional references, may be downloaded for offline review, searching, copying, and printing in PDF file format, and will require the free Adobe Reader to view, click here for the Adobe Reader. We also include optional audio lectures of this program, which can be downloaded and played on computers, tablets, smartphones, and copied to CD-ROM and USB thumb drives.

Inside the classroom, the user can progress through the courses at their own pace. The Certificate of Completion will be available after passing our Final Test, which is required the day participants sit for the national exam in person.

The NRCME Training Institute Program

Program release date: 10/1/2016
Program accreditation expiration date: 9/30/2019
Estimated time to complete: 10 hours
Enrolled providers receive 2 years of access to the classroom.

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.

Topics covered in this program include:

1) Background, rationale, mission, and goals of the FMCSA medical examiner's role in reducing crashes, injuries and fatalities involving commercial motor vehicles.

2) Familiarization with the responsibilities and work environment of commercial motor vehicle operations.

3) Identification of the driver and obtaining, reviewing, and documenting driver medical history, including prescription and over-the-counter medications.

4) Performing, reviewing and documenting the driver's medical examination.

5) Performing, obtaining and documenting diagnostic tests and obtaining additional testing or medical opinion from a medical specialist or treating physician.

6) Informing and educating the driver about medications and non-disqualifying medical conditions that require remedial care.

7) Determining driver certification outcome and period for which certification should be valid.

8) FMCSA reporting and documentation requirements.

The following topics are covered in this program:

  • Welcome to the NRCME
  • Fundamentals of the Driver Medical Examination
  • Vision and Hearing
  • Cardiovascular
  • Hypertension
  • Respiratory
  • Neurological
  • Musculoskeletal
  • Diabetes and Other Diseases
  • Psychological
  • Drug Abuse and Alcoholism

Target Audience

Primary care physicians, occupational medicine physicians, nurse practitioners, physician assistants, and chiropractors that perform Department of Transportation (DOT) medical examinations on commercial motor vehicle (CMV) drivers.

Learning Objectives

At the end of this activity, 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

Physician Continuing Education

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and the NRCME Training Institute, LLC. Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Postgraduate Institute for Medicine designates this enduring material for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Education

Accreditation Statement

Postgraduate Institute for Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Credit Designation

This educational activity for 10 contact hours is provided by Postgraduate Institute for Medicine.

Activity Fee

$349 - includes 2 years of access to the classroom.
Group rates are available for two or more providers per organization, please email or call (941) 600-8411 for current group rate pricing.

Refunds / Transfers

Providers are eligible for a full refund upon request provided they are within 30 days of purchase and have not had their Certificate of Completion issued in the program. No refunds after 30 days of enrollment. Account transfers are permissible beyond 30 days of enrollment pending the existing account has not completed the program.

Disclosure Statement

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy.  PIM is committed to providing its learners with high-quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Activity Faculty

Steven St. Clair, MD, MPH, FACOEM, Board Certified, Occupational Medicine, Scottsdale, AZ.
Dr. St. Clair has no relevant financial relationships with any commercial interests.

Oregon K Hunter, MD, FAAPMR, Board Certified, American Academy of Physical Medicine and Rehabilitation, Ocala, FL.
Dr. Hunter has no relevant financial relationships with any commercial interests.

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, RN, BSN, and Jan Schultz, MSN, RN, CHCP, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

The NRCME Training Institute, LLC planners and managers have no relevant financial relationships with any commercial interests.

There will be no discussion of off-label or investigational information in this activity.

This activity is designed for use by health care professionals for educational purposes only. It assumes participants have had extensive medical training which included training in taking medical histories, conducting physical examinations, and determining differential diagnosis, treatment, and medical management. The opinions expressed in this educational activity are those of the faculty and do not represent those of the Academy or of the NRCME Training Institute. This activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.

Method of Participation

During the period October 1, 2016, through September 30, 2019, participants must read the learning objectives and faculty disclosures and study the educational activity. 

PIM supports Green CME by offering your Request for Credit online. If you wish to receive continuing education credit for completing this activity, please complete the evaluation on On the navigation menu, click on “Find Post-test/Evaluation by Course” and search by course ID 11940. Upon registering and completing the activity evaluation, your certificate will be made available immediately.  Processing credit requests online will reduce the amount of paper used by nearly 100,000 sheets per year.

Minimum Requirements:

  • Review the CME information for this program and complete the program registration.
  • Review the 11 training courses and take the Quiz associated with each course.
  • Take and pass the 50 question comprehensive program Final Test. A passing score of at least 71% is required; you may retake the Final Test up to three times if needed.
  • Complete the program evaluation. After completing the evaluation you will be able to print your statement of CME certificate.

Additional Suggested Training & Education:

  1. Use the additional questions to familiarize yourself with additional questions that may appear on the NRCME Certification Examination
  2. Read the Medical Examination Report for COMMERCIAL DRIVER FITNESS DETERMINATION. You should be thoroughly familiar with pages 1-3 of the Medical Examination Report and with 49 CFR Part 391.41 Physical Qualifications for Drivers, including the INSTRUCTIONS TO THE MEDICAL EXAMINER section.
  3. Review the FMCSA Medical Examiner’s Handbook. You will find the Handbook to provide important summary information regarding specific medical diagnoses. This includes conditions for certification, such as test and evaluation requirements, waiting periods, and maximum certification intervals.

When You Are Ready to Take the NRCME Certification Examination

  • Print your NRCME Training Certificate of Completion verifying completion of this training program.
  • Request your unique NRCME identification number by going to the NRCME website at, go to the Medical Examiners section, and click on “Register to Become Certified”.
  • Identify a testing location for you to take the certification examination by going to the NRCME website at, go to the Medical Examiners section, and click on “Find a Testing Organization”. Then use the search function to locate a testing service provider and location near you.
  • When you present for the examination, you will need the following:
    1. NRCME Training Institute Certificate of Completion
    2. Valid license for your professional practice (state issued license for MD, DO, DC, NP, PA)
    3. Valid photo identification
    4. Your National Registry Medical Examiner Identification number

Pass the national examination – a score of at least 71% is required to pass. The examination will consist of 120 questions and you will have 2 hours to complete the exam. Only 100 of the 120 questions count for the examination; the other 20 questions are pilot questions the NRCME is using to determine if they may be used in future examinations, but you will not know which questions count toward the examination score and which are the pilot questions.

If you do not pass, you may register again to take the examination no sooner than 30 days from the date you last took the examination. There is currently no limit to the number of times you can take the certification examination.

Important: Complete your DOT registration information post exam by logging into your FMCSA account and listing our website,, as the company that trained you, and your expiration date, which is 5 years from the day your Certificate of Completion was issued from this course. The group that accredited this training course is the Postgraduate Institute for Medicine.

Hardware/Software Requirements

  • An Internet connection
  • Web browser:
    • Internet Explorer 8+
    • Firefox 2+
    • Safari on Mac 1.2+
    • Google Chrome
  • Javascript and Cookies enabled
  • Flash Player 9+
  • While not a requirement,our classroom is best viewed using a minimum screen resolution of 1024×768


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For replacement certificates, payment processing issues, or questions about the certification process, course, or the website, contact

If you have any questions regarding the CME certification for this activity, please contact Postgraduate Institute for Medicine at or (303) 799-1930.


© 2017. 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).

The program is reviewed periodically and updated to reflect any changes in FMCSA regulations and guidelines.

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