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How to become a certified DOT Medical Examiner

How to become a DOT certified Medical Examiner

1.  Enroll in our self-paced 10-hour accredited NRCME training course to obtain your personalized and dated Certificate of Completion, which is the document required to apply for an account with the DOT/FMCSA and is the same document required to sit for the national NRCME examination in person.

2. After completing our program, eligible providers must apply for a certified Medical Examiner account with the DOT/FMCSA using their Certificate of Completion. The DOT/FMCSA will issue providers a 10-digit National Registry number and then they will verify the provider's credentials (which can take 1 to 3 weeks). Providers will only know they have been verified when they can schedule the national exam, no verification notice is sent out.

3. Schedule the $79 NRCME examination using your National Registry certification number, with either a PSI or Prometric testing company. To locate testing centers near you, visit Google Maps and search for “PSI Testing Center” or “Prometric Testing Center”. Read about the national NRCME exam here.

The day you sit for the exam you will need the following:

1. Certificate of Completion from this course.
2. A valid state issued photo ID, where your name matches your Certificate of Completion.
A copy of your current medical license.

Once the DOT has received your passing test result from the testing company, you will receive an email from the DOT with an official certificate indicating your status as a certified Medical Examiner now listed on the National Registry (which can take 1 to 3 weeks). Once certified, submit your examination results to the DOT each month for all activity, including non-activity, via your online account with the DOT. Failure to report may result in your removal from the federal program.

More than 3 weeks: If it has been more than 3 weeks since you applied for your National Registry number and still cannot schedule the exam, or more than 3 weeks since you passed the national exam and you have not heard anything back from the DOT, then contact the DOT directly at (recommended) or by telephone at (617) 494-3003. Please note, training and testing companies do not assign a provider their National Registry number, and the DOT will not discuss a provider's account with any party other than the provider in question.

Refresher Training: To remain eligible for listing on the Federal Motor Carrier Safety Administration's (FMCSA) National Registry (NR) and as required under 49 CFR 390.111(a)(5)(i) Certified Medical Examiners must maintain Medical Examiner certification by completing training and testing requirements. The FMCSA will provide the required (5) year refresher training online to Medical Examiners at no cost. Medical Examiners eligible to take the (5) five-year periodic online training will be notified by email from the FMCSA.

As of April 2021, the refresher training has not been made available by the DOT. For more information regarding the refresher training, contact the DOT directly at (recommended) or by telephone at (617) 494-3003.

DOT Examiner Certification

Who is eligible to become a certified Medical Examiner?
Medical providers eligible to sit for the national exam to become a certified Medical Examiner are Doctor of Medicine, Doctor of Osteopathic Medicine, Doctor of Chiropractic, Advanced Practice Nurse, Advanced Practice Registered Nurse, Naturopathic Doctor, Doctor of Nursing Practice, Clinical Nurse Specialist, Doctor of Physical Therapy, Nurse Practitioner and Physician Assistant. Acupuncturist in Florida; Doctor of Physical Therapy in Arkansas, Louisiana and North Dakota; Doctor of Oriental Medicine in New Mexico; Physical Therapist in Arkansas, Louisiana, North Dakota and Texas; and Registered Nurse in Colorado are all eligible to become certified Medical Examiners. Verify eligibility by medical title and State

Where can I find live DOT classroom training?
There was a nationwide surge of providers rushing to become certified before the 2014 compliance date, and this allowed many training companies to offer live classroom training across the country, but today there are not enough providers in one location to make it profitable for training companies to continue offering live training.

To date, we have trained over 12,000 providers nationwide to prepare them to sit for the national exam to become certified Medical Examiners. Enroll in our accredited program today to begin your certification process.

What does it take to complete the NRCME Training Institute program?
Participants will read the 11 courses and complete the 11 quizzes in our self-paced online classroom, complete a 50 question Final Test at the end of the program to demonstrate mastery of the materials, and then print their personalized and dated Certificate of Completion, which documents eligibility to take the national certification examination. This program will take between 8-10 self-paced hours to complete, depending on prior knowledge and experience. Read about our fast-track to certification recommendations.

What is included in the NRCME Training Institute program?
Our updated training program includes 730-day (2-years) unlimited access to our online classroom, which includes over 500 practice questions, a Pre-test Review, a Study and Reference Guide, the 2014 and 2017 Medical Examiner Handbooks from the DOT, and the Medical Examiner Report forms, all in PDF file format, available to download for offline review, searching, and printing. There are no printed books that accompany our course, allowing us to provide users with a low-cost, high-quality training program. There are no videos in our program because there are too many examination scenarios to represent.

When was this program's content last updated?
The most recent regulatory update from the DOT/FMCSA was in November 2018, which were the new diabetes regulations. Our classroom content and presentation layout were last updated February 16, 2021.

Are there any discounts for providers or groups?
To enroll 2 or more providers at the same time at the group rate of $250 per provider, use the discount code  250grouprate  during checkout. For more information on group enrollments for office administrators, please see our Administrators page. Please call us at (941) 600-8411 for military or current single provider discounts.

Are there CME, CEU or contact hours awarded for completing this program?
Yes, this program is approved for up to 10 AMA PRA Category 1 credits™ or 10 ANCC contact hours. This program is accredited through the Postgraduate Institute for Medicine and you can read more about the CME credits offered for this program here: CME

Is the certification examination included in this program?
The DOT/FMCSA require that the Medical Examiner training program and the national certification examination be provided by separate organizations to avoid a conflict of interest.

What does the national exam consist of, what is required for passing, and what if I don’t pass?
The national certification examination consists of 120 questions taken over 2 hours. A score of 71% is required to pass. Participants will receive instant notification of pass or fail. If failed, the examination may be re-taken in no less than 30 days. Read more about the national exam on our blog.

How long is NRCME certification good for?
Certified Medical Examiners are certified for 10-years and the re-certification is required 10-years from the original certification date. The DOT/FMCSA will provide the required (5) five-year refresher training online to Medical Examiners at no cost. Medical Examiners eligible to take the (5) five-year periodic online training will be notified by email from the DOT/FMCSA.

What will certified Medical Examiners be required to do after they are added to the National Registry?
As of May 21, 2014, certified Medical Examiners are required to electronically report driver medical examination information to the NRCME each month. This may be reported by the Medical Examiner, or by Administrative Assistants designated by the Medical Examiner. The management of all of these issues is accomplished by going to the DOT/NRCME website and using the LOGIN button. After logging in, the Medical Examiner can then designate administrative assistants, report CMV driver exam results, and manage related information. Medical Examiners are required to submit an electronic report for each driver exam conducted in the prior calendar month; if no driver exams were conducted during the month, this information must be reported too. Failure to report may result in removal from the federal program.

How can an employer verify that a provider is certified?
Anyone may visit the National Registry website and search for a Medical Examiner in the registry of certified Medical Examiners.

How often do drivers need examinations?
Commercial motor vehicle drivers are required by law to have a CDL examination once every 2-years, more frequently depending on any medical conditions and prescribed medications.

What equipment is needed for a driver examination?
The minimum requirements for a CDL examination are Snellen vision, dipstick urinalysis, and a blood pressure cuff.

Once certified, can providers perform Class B with passenger and bus endorsement driver examinations?
DOT certified providers can perform any CDL examination, federal and state, unless there are state specific requirements for providers. You will have to confirm with the DMV in your state whether any such state specific requirements exist.

What equipment is needed for a driver examination?
The minimum requirements for a CDL examination are Snellen vision, dipstick urinalysis, and a blood pressure cuff.

Is it required to collect blood and urine during the examination? 
No blood is required. A dipstick urinalysis is used to report specific gravity, glucose, blood, and protein levels.

Is it required to screen for illegal drugs?
No drug screening is required by federal law but drivers may request a drug test to satisfy their employer or insurance company.
For more information see the DOT Overview of Drug and Alcohol Rules.

What is an "intrastate only" driver?
DOT/FMCSA regulations apply only to interstate drivers - drivers who transport goods and materials from one state to another, who pass through another state even if goods and materials are transported to and from destinations within a state, or who transport goods and materials that originated in a state different from their destination state (e.g., UPS, FedEx, and DHL drivers).

Drivers who do not meet the definition for interstate drivers may be eligible for intrastate only driving. Each state has its own standards for intrastate drivers, and drivers must apply to their state Department of Motor Vehicles (DMV) to obtain authorization to drive commercially within the state. When a driver does not meet DOT/FMCSA interstate driving standards, but meets a given state's intrastate standards, the designation "Intrastate only" should be indicated on the Medical Examiner's Certificate and on the Medical Examination Report.

If a driver requires a waiver or exemption to be an intrastate driver, this should be indicated on the Medical Examiner's Certificate and the Medical Examination Report (just as it would be for an interstate driver).

How do I create an account with the DOT FMCSA?
Effective 6/22/2018, all Medical Examiners listed on the National Registry of Certified Medical Examiners (National Registry) must create an account with to access their National Registry account. If you do not already have a account, you must create a account to access to your National Registry account. Click here for links and directions.

Where can I find DOT Medical Examiner forms and applications?
You can download MCSA-5870, MCSA-5875, MCSA-5876, and MCSA-5895 forms directly from the FMCSA - Click here

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