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DOT Examiner Training Program

The NRCME Training Institute used a collaborative approach involving federal regulators and medical content experts to develop a top rated proprietary DOT examiner training program that exceeds the FMCSA requirements for DOT certification.

Our 2021 updated online training program includes:

  • 11 Self-paced courses
  • 50 Question final test
  • Personalized and dated Certificate of Completion
  • Optional audio program lectures
  • Additional References

Additional References available after program completion include:

  • Printable and searchable PDF of the required reading content of the program
  • NRCME Question Bank.pdf (500+ sample questions)
  • Pretest Review for the National Certification Examination.pdf
  • FMCSA Medical Examiner Handbook 2014MAR18.pdf
  • 2017 Draft Medical Examiner Handbook Changes.pdf
  • 2019 July 1 Draft Medical Examiner Handbook.pdf
  • Medical Examiner Report Form MCSA-5875 Expires Nov 30 2021.pdf
  • Medical Examiner Certificate MCSA-5876 Expires Nov 30 2021.pdf
  • 39141 CMV Driver Medication Form MCSA-5895.pdf
  • MCSA-5870 ITDM Assessment Form Final.pdf
  • Primary Care or Specialist Opinion Letter.pdf
  • The Job of a Commercial Motor Vehicle Driver.pdf
  • 4 PDF editions of The NRCME Report newsletter - a $99 value.
CME/CEU Information:
This DOT examiner training program provides up to 10 AMA PRA Category 1 Credits™ or 10 ANCC contact hours. Read more
The NRCME Training Institute Program:
Program release date: 10/1/2016
Program accreditation expiration date: 11/1/2022
Estimated time to complete: 10 hours (self-paced)
Enrolled providers receive 2 years of access to the classroom.
Activity Fee:
$349 per provider. Please call (941) 600-8411 for our current promotional discount. 
Group Rates:
Administrators can use the discount code  250grouprate  to enroll 2 or more providers at the same time at $250 per provider.

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

Reference Materials:
Included with our program is a Study and Reference Guide, Summary Guidelines, Pretest Review, over 500 test questions in our question bank, and the FMCSA NRCME Medical Examiner Handbook - all in PDF format, ready to download for offline review, copying and printing once the program has been completed. Optional audio lectures of the course are available for download as MP3 files that can be played on portable devices.

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.

Best NRCME Training Course


Best NRCME Training Course

Activity Faculty:
Steven St. Clair, MD, MPH, FACOEM, Board Certified, Occupational Medicine, NRCME Training Institute Chief Medical Consultant, 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, Physical Medicine and Rehabilitation Specialist, Ocala FL
Dr. Hunter has no relevant financial relationships with any commercial interests.

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

Joint Accreditation Statement:

Jointly Accredited Provider

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The NRCME Training Institute.  Postgraduate Institute for Medicine is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education:
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 10 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education:
The maximum number of hours awarded for this Continuing Nursing Education activity is 10 contact hours.

Click here to enroll in our program

Join the more than 12,000 providers nationwide who have taken our DOT certification training program in preparation to sit for the national exam to become a certified Medical Examiner.

DOT NRCME Certificate of Completion Training Program

We offer a full refund within 30 days of your enrollment date if you decide not to become certified and have not had your Certificate of Completion issued at the end of the course.

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, NRCME Training Institute Chief Medical Consultant, 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, Physical Medicine and Rehabilitation Specialist, Ocala FL
Dr. Hunter has no relevant financial relationships with any commercial interests.

PIM planners and managers have nothing to disclose.
The NRCME Training Institute, LLC have nothing to disclose.

Disclosure of Unlabeled Use:
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Method of Participation and Instructions for Credit:

During the period 10/21/2016, through 11/1/2022, participants must 1) read the learning objectives and disclosures; 2) study the educational activity; and 3) complete the post-test with a score of 71% or better and the activity evaluation. Once you complete the online evaluation, your certificate will be made available immediately. Click on View Certificate and print the certificate for your records.

Refunds / Transfers:
We offer a full refund within 30 days of enrollment for participants who do not want to complete the program. No refunds will be issued to any participant who has completed the program and had access to their Certificate of Completion. No refunds after 30 days of enrollment. After 30 days of enrollment the program may be transferred to a new participant, provided the original participant did not complete the program and have access to their Certificate of Completion. All refunds and transfers must be requested by email to

Hardware/Software Requirements:

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

PIM Privacy:
For more information about Postgraduate Institute for Medicine’s privacy policy, please access

For replacement certificates, payment processing, or questions about the DOT 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.


© 2021. 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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