• Earn 8 AMA PRA Category 1 Credit(s)™ , ANCC, or PACE Chiropractic CE Credits
  • 2 Online 120-Question Practice Tests & Bonus Questions
  • Free Access to Online, On-Demand Course
  • Key Insight Into the Exam
  • Medical Examiner Handbook
  • Review all guideline changes since 2014
  • Exceeds FMCSA Requirements

Registration: $399


This course was developed by Dr. Michael Megehee and Dr. Jeffrey Carlson. In 2005, Dr. Megehee helped develop the NRCME core curriculum. He also assisted in creating test questions for the original test. In 2012, he was designated as an NRCME Champion by the chief administrator of FMCSA, Anne S. Ferro.
Dr. Megehee and Dr. Carlson have trained more than 10,000 medical professionals through live seminars and online training.



2615 Preston Rd
Frisco, Texas 75034

The room block has ended. The best room prices can be found on reservation websites such as Hotels.com or Expedia.


Friday, Saturday and Sunday,
February 16-18, 2024

What Time?

Friday 5:00 – 7:00 (optional)
Saturday 8:00am – 5:00pm
Sunday 8:00am – 11:30am


Friday, February 16 (Optional)
4:30 PM – 5:00 PM Registration
5:00 PM – 5:50 PM: Presentation by Dr. Mark Sanna & Breakthrough Coaching
5:50 PM – 6:10 PM: Break
6:10 PM – 7:00 PM: Presentation by Dr. Morgan Mullican
Saturday, February 17
7:30 Registration Desk Opens
8:00 AM – 9:00 AM: Introduction, Regs vs. Guidelines, Responsibilities
9:00 AM – 9:15 AM: Break
9:15 AM – 10:15 AM: Cardiovascular Diseases

We dive into the cardiovascular conditions with their perspective guideline changes. We cover the peripheral vasular exam and the hypertension guidelines.

10:15 AM – 10: 30 AM: Break
10:30 AM – 12:00 AM: Vision, Hearing

A detailed overview of the vision standard, alternate vision standard, hearing standard, and common disorders.

12:00 PM – 1:00 PM: Lunch provided
1:00 PM – 2:15 PM: Respiratory Diseases, GI/GU

Learn the correct sleep apnea guidelines from the 2016 Medical Review Board Recommendations. Also get a review of other repiratory diseases and when pulmonary function tests are required.

2:15 PM – 2:30 PM: Break
2:30 PM – 3:45 PM: Neurological Conditions, Muskuloskeletal Conditions

Get an in-depth review of the medical determination criteria for seizures, strokes, traumatic brain injuries, and symptoms that may affect the ability to operate a commercial motor vehicle (CMV).

3:45 PM – 4:00 PM: Break
4:00 PM – 5:00 PM: Musculoskeletal Diseases Cont’d

We will discuss what is needed and how to make a medical certification determination for drivers with musculoskeletal and neuromuscular conditions and/or deformities. Learn about how and when to use the Skilled Performance Evaluation (SPE).

5:15 PM – 6:15 PM: Evening Mixer and Cocktail Hour
Sunday, February 18
7:30 AM: Registration Desk Opens
8:00 AM – 9:00 AM: GI/GU, Diabetes, Thyroid Disease

We will discuss possible issues and concerns regarding gastrointestinal and genitourinary conditions and give an overview of the urinalysis. Review the difference in protocols between insulin-treated diabetes and non-insulin-treated diabetes.

9:00 AM – 9:15 AM: Break
9:15 AM – 10:15 AM: General Medication Use, Drug & Alcohol Abuse

We discuss the guidelines for drivers suffering from mental health conditions. We also discuss how to make a correct certification determination for drivers using various medications. You will learn the requirements surrounding drug and alcohol abuse and substance abuse programs (SAP).

10:15 AM – 10:30 AM: Break
10:30 AM – 11:30 AM: Mental Health Conditions

An overview of the guidelines surrounding mental health conditions and the medications used to treat these conditions.

DOT NRCME Medical Examiner Training

  • Vision
  • Hearing
  • Respiratory
  • The “REAL” FMCSA Sleep Apnea Requirements and Regulation Citation
  • Hypertension & Cardiovascular Diseases
  • Cerebrovascular Diseases
  • Neurological
  • Neuromuscular Diseases
  • Musculoskeletal
  • SPE program
  • Diabetes
  • Mental Health
  • Drug and Alcohol Abuse
  • Medication Use Determination
  • The Federal Exemptions
  • Overview of how to navigate the FMCSA website
  • How to complete the FMCSA forms, documentation, and reporting requirements
  • Roles of the driver, the motor carrier, and the medical examiner
  • Determination Pending
  • Medical Examination Standards

Dr. Jeffrey Carlson, Chief Medical Officer of TeamCME. Dr. Jeff works side-by-side with Dr. Michael Megehee to create and present both online and in-person training to perform DOT-related services. He is tirelessly striving to improve all aspects of TeamCME to better serve drivers and add value to medical professionals’ practices.

CE Credits
This training is approved for AMA PRA Category 1 Credit(s)™

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and Team CME. Postgraduate Institute for Medicine is jointly accredited by the Accreditation 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. They can be contacted by calling 1-800-423-3576.

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 8 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Chiropractic CE Credits for California, Illinois, Louisiana, and Texas are provided by Northeast College of Health Sciences. For all other states listed below, CE credits are provided through the Providers of Accredited Education (PACE) program of the Federation of Chiropractic Licensing Boards.
License Renewal: While applications relating to credit hours for license renewal in selected states have been executed for these programs, it remains attendees’ responsibility to contact the state board(s) from whom they seek continuing education credits for purposes of ensuring said board(s) approve both venue and content as they relate to any seminar/course/lecture/webinar /online presentation (event). Neither a speaker’s or exhibitor’s presence at said event, nor product mention or display, shall in any way constitute Northeast College endorsement. Northeast College’s role is strictly limited to processing, submitting, and archiving program documents.

Chiropractic Continuing Education Credits are provided by the Providers of Accredited Education (PACE) program of the Federation of Chiropractic Licensing Boards in up to 30 states (see link below). Prior to attending, check with your State Licensing Board regarding the acceptance of PACE CE programs.

Below is an alphabetical list of states approved for Chiropractic CE credit:

  • Alabama
  • Alaska
  • Arkansas
  • California
  • Connecticut
  • Colorado
  • Delaware
  • District of Columbia
  • Idaho
  • Illinois

  • Indiana
  • Iowa
  • Kansas
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • North Carolina
  • North Dakota
  • Ohio
  • Oregon
  • Puerto Rico
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Virgin Islands
  • Washington
  • Wyoming

Registration cancellations occuring up to 2 weeks prior to the date of the conference are eligible for a full refund. Cancellations occurring after this date will be provided a $100 refund. Those provided a partial refund will be granted access to our online course.