DOT Physical Certification Training for Nurse Practitioners

Neurological Exam

• Key Assessment Areas (e.g., Reflexes, Sensory, Motor Function)
• Nerve Roots and Myotomes

Seizure Disorders

• Non-Discretionary Seizure Guidelines
• Single Provoked vs. Unprovoked Seizures
• Epilepsy
• Federal Seizure Exemption

Headaches, Vertigo, and Dizziness

• Types of Headaches
• Incapacitating Symptoms and Driving
• Meniere’s Disease

Infections and Tumors of the CNS

• CNS Infections
• Central Nervous System Tumors

Static Neurological Conditions

• Embolic and Thrombotic Stroke
• Transient Ischemic Attack (TIA)
• Intracerebral and Subarachnoid Hemorrhage

Traumatic Brain Injury

• Types and Severity
• Cognitive and Physical Impairments

Practice Quiz – 4 Questions

Psychological (Mental) Disorders

• Medical Advisory Criteria
• Key Risks for Driving Safety
• Evaluation Criteria for Certification

Psychiatric Medications

• Antidepressants and Antipsychotics
• Anxiolytics, Stimulants, and ECT
• Considerations for Medication Side Effects

Mental Health Conditions

• ADHD
• Bipolar Disorder
• Major Depression
• PTSD
• Personality Disorders
• Schizophrenia and Related Psychotic Disorders

Cognitive Disorders

• Dementia and Alzheimer’s Disease

Practice Quiz – 4 questions

Medication Standard

• Controlled Substances and Schedule I Drugs
• Prescription Exception Criteria
• Prescription and OTC Medication Assessment

Drug Testing Requirements

• Types of Testing (Pre-Employment, Post-Accident, etc.)
• Substance Abuse Resources (MRO, SAP)

Marijuana, THC, and CBD

• THC Limitations and Federal Regulations
• CBD Products and Non-DOT Drug Testing

Alcohol Abuse

• Evaluation and Screening (e.g., CAGE Questionnaire)
• Certification Considerations and SAP Involvement

Practice Quiz – 4 questions

Your training certificate will be generated immediately upon completion of the course evaluation.

Our training exceeds the FMCSA core curriculum and covers everything you should know as a medical examiner. This is not necessarily the same as what should be known for the test. These insights were created to help to span the gap.

For each subject, we provide additional points and things to review that you are likely to see on the certification exam.

There are 270 practice test questions and two sample NRCME exams of 120 questions that mirror the questions on the certification test. Each question is accompanied with an explanation.

The questions are specifically constructed to challenge your preparedness and augment your ability to pass the actual certification test.

Now that you’ve completed the course, what’s next? This lesson is an outline that guides you through each step.

•  Downloading Your TeamCME Certificate of Completion
• Creating a National Registry Account (if not already created)
• Uploading Your Certificate onto the National Registry
• Registering for the Certification Exam
• Obtaining Your National Registry Certificate

The National Registry of Certified Medical Examiners (NRCME) is a Federal program that establishes requirements for healthcare professionals that perform physical qualification examinations and issue medical certificates for truck and bus drivers. To become a certified medical examiner (ME) and be listed in the National Registry, healthcare professionals must complete training and testing on the Federal Motor Carrier Safety Administration’s (FMCSA) physical qualifications standards and guidelines.

Becoming a certified medical examiner is easy. Just follow these steps:

1. Register and complete our training program to obtain your Certificate of Completion, which is required for your application to sit for the NRCME Certification Exam.

2. Using this certificate of completion, apply for your account and 10-digit National Registry number on the National Registry of Certified Medical Examiners website located at https://nationalregistry.fmcsa.dot.gov/home

3. FMCSA will issue the 10-digit registry number and then verify your credentials.

4. Use your National Registry number to schedule and sit for the $79 certification exam. Locate a local testing location to take your NRCME Examination. (Click on a testing organization below to access their site and schedule your exam.) appointment.

Testing Organization Websites:
Prometric https://www.prometric.com/
PSI Exams https://psiexams.com/

Be sure to bring the following items to the testing location:

After Passing the FMCSA Medical Examiner Certification Test:

You will receive a Medical Certification credential valid for 10 years and be listed on the National Registry
As an NRCME examiner, you will now:

Review the complete guide to NRCME Certificate by clicking on this link: Complete Guide to NRCME Certification.

Medical providers eligible to sit for the National Registry exam include Doctors of Medicine, Doctors of Osteopathic Medicine, Doctors of Chiropractic, Advanced Practice Nurses, Advanced Practice Registered Nurses, Naturopathic Doctors, Doctors of Nursing Practice, Clinical Nurse Specialists, Nurse Practitioners and Physician Assistants. Acupuncturist in Florida; Doctor of Physical Therapy in Arkansas, Louisiana, North Dakota and Texas; Doctor of Oriental Medicine in New Mexico; and Registered Nurse in Colorado are all eligible to become certified Medical Examiners.

The above listed providers must meet the following criteria:

Certified Medical Examiners (MEs) are certified for 10 years from the original certification date. During their ninth year of certification, they must take a recertification training and pass the National Registry certification test.

There is also a required 5-year periodic training which the FMCSA provides online at no cost. This is made available for free online through the medical examiners National Registry account. This must be completed during the fourth year of certification.

The TeamCME training program was developed by an FMCSA-appointed Original Subject Matter Expert.

It consists of 9 learning modules. Our video lecture format is easy to follow and guides the clinician through performing a thorough driver history, physical exam, and determining driver fitness to operate a commercial motor vehicle. Additional lessons include “How to Pass the NRCME Exam” and “Guide to NRCME Certification”.

Upon completion, the trainee can download and print a certificate of completion, qualifying them to sit for the National Registry Exam.

Training Includes:

There are 9 video modules equaling approximately 4.5 hours. The course also contains two lessons that take about a half an hour to review. Finally, there are two sample NRCME exams of 120 questions to mimick the actual certification test for which you are given 2 hours to complete. 

Yes. The course and all its content is available at any time. When you pause your training, the course will keep track of where you left off. Even after completion, you can go back and review the material.

Yes. Your training is valid for one year. All of the material including video modules, lectures, documents, and sample NRCME exams can be reviewed as much as needed.

The 250+ practice test questions and sample NRCME exams can be taken as many times as you like.

Your training certificate will be available to download immediately upon completion of the online training evaluation that is within the course content. It can be found in your training portal.

The following equipment is needed: