The NRCME Training Institute
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Frequently Asked Questions

3 Steps to Certification

1.  Eligible providers (MD, DO, DC, APN, APRN, NP and PA) can apply for a certified Medical Examiner account with the DOT/FMCSA before or after they complete this training program.

2: Enroll in our self-paced 8-10-hour program to acquire your personalized Certificate of Completion.

3: Schedule the $79 NRCME medical examiner exam 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”. 

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 have received your passing test results 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. Submit your monthly examination results to the DOT for all activity, including non-activity, via your online account with the DOT. Failure to report may result in your removal from the program.

More than 3 weeks: If it has been more than 3 weeks since you applied for your National Registry number, or more than 3 weeks since you passed the national exam, and you have heard nothing back from the DOT, check your junk mail before contacting 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 provider accounts with anyone other than the provider.

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.

Click here to enroll in our DOT certification training program to become a certified Medical Examiner.

Frequently Asked Questions

Who is eligible to sit for the national exam to become a certified Medical Examiner?
Medical titles 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, Nurse Practitioner and Physician Assistant. Read more about NRCME eligibility on our blog.

Where can you find live DOT NRCME classroom training?
There was a nationwide rush of providers racing to become certified before the 2014 compliance date, which allowed many training companies to offer live classroom training, 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 10,000 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. You can read our fast-track to certification recommendations here.

What does it take to complete the NRCME Training Institute training program?
Participants will read and/or listen to the 12 modules and complete the 12 quizzes in our self-paced online classroom, complete a Final Test at the end of the program to demonstrate mastery of the materials, and then print their 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 more about our program here.

What is included in the NRCME Training Institute training program?
Our program includes 730-day (2-years) unlimited access to our online training course, which includes over 500 practice questions, a Pretest Review, a Study and Reference Guide, the 2014 and 2017 Medical Examiner Handbooks, 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 or videos that accompany the course, allowing us to provide users with a low-cost, high-quality training program.

 Medical providers who completed another training program and already have their Certificate of Completion but are seeking additional NRCME study materials and sample questions to prepare for the national certification examination can purchase our program's additional reference materials for $99 by clicking here.

When was this course last updated?
This medical examiner training program content was last updated November 19, 2018. Read more about the DOT/FMCSA 2018 update on our blog.

Are there any discounts for providers and groups?
To enroll 2 or more providers at the group rate of $250 per provider, please 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 any current single provider discounts.

Are there CME credits or contact hours for the NRCME Training Institute training program?
Yes, the program is approved for up to 10 AMA PRA Category 1 credits™ / 10 ANCC contact hours. This program is accredited through the Postgraduate Institute for Medicine.

Is the certification examination included in the NRCME Training Institute training program?
The FMCSA require that the medical examiner training program and national certification examination are provided by separate organizations - no one organization can offer both, that would be a conflict of interest. After completion of the NRCME Training Institute training program, the participant will sign up for and take the national certification examination. That examination is taken in person (not online) and currently costs $79.

What does the national certification test consist of, what is required for passing, and what if I don’t pass?
The national certification test is 120 questions taken over 2 hours. A score of 71% is required to pass. The examiner will receive instant notification of pass or fail. If failed, the examination may be re-taken in 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 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.

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 monthly. 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 main federal 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 certified medical examiner is on the National Registry and/or find a certified Medical Examiner?
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?
CDL drivers need a CDL examination at least every 2-years, more frequently depending on any medical conditions.

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

Is it required to collect blood and urine during the examination? 
No blood is required. Dipstick urinalysis for specific gravity, glucose, blood, and protein.

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

How long is driver CDL certification good for?
Driver certification is every 2-years, with some drivers needing certification annually.

What is an "intrastate only" driver?
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 the 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, buy 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 and how best to market CDL examinations?
You can download MCSA-5870, MCSA-5875, MCSA-5876, and MCSA-5895 forms directly from the FMCSA - Click here

What are the best ways to market CDL examination services and what are clinics charging patients for CDL examinations?
For free marketing ideas for your practice offering CDL examinations click here and for CDL examination fees click here.


Medical Provider 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 dot medical 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."


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