The ONLY Course Created by a Member of the Original DOT Training Development Team!

  • Earn 8 AMA PRA Category 1 Credit(s)™ , ANCC, or PACE Chiropractic CE Credits
  • Online Practice Test
  • Free Access to Online Course
  • Medical Examiner Reference Manual
  • Medical Condition & Medication Guide
  • Review all guideline changes since 2014
  • Exceeds FMCSA Requirements
  • Building Your DOT Medical Practice Informative Video

Early-Bird Registration: $349

Registration After September 4, 2023: $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 thousands of medical professionals through live seminars and online training.



6677 Sea Harbor Dr
Orlando, FL 32821

Click here to book your room. Or call hotel at (407) 351-5555 and mention “ChiroSymposium”
Discount room rate of $189 plus $30 resort fee. Includes:

– Welcome to resort beverage (2 coupons/room/stay)
– Enhanced internet in rooms
– Free wifi in meeting area
– Shuttle service to surrounding attractions


Friday, Saturday and Sunday,
October 6-8, 2023

What Time?

Friday 5:30 – 7:30
Saturday 8:00am – 5:00pm
Sunday 8:00am – 10:15am


Friday, October 6 (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, October 7
7:30 Registration Desk Opens
8:30 AM – 9:00 AM: The ChiroSymposium Circle Convenes

What’s so special about the ChiroSymposium attendees, presenters, and exhibitors?

9:15 AM – 10:15 AM: Dr. Joseph Sentef, FMCSA Chief Medical Officer
10:15 AM – 10: 30 AM: Break
10:30 AM – 11:30 AM: Respiratory Diseases

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.

11:30 AM – 12:00 PM: Hypertension

We cover the peripheral vasular exam and the hypertension guidelines.

12:00 PM – 1:00 PM: Lunch provided
1:00 PM – 1:30 PM: Cardiovascular Diseases

We dive into the cardiovascular conditions with their perspective guideline changes.

1:30 PM – 2:15 PM: The Vision Standard, Examiner Responsibilities, Determination Pending, Foreign Drivers

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

2:15 PM – 2:45 PM: Break
2:45 PM – 3:45 PM: Hearing, Neurological Conditions

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

3:45 PM – 4:00 PM: Break
4:00 PM – 5:15 PM: Musculoskeletal Diseases, Drug & Alcohol Abuse

You will learn the requirements surrounding drug and alcohol abuse and substance abuse programs (SAP). 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, October 8
7:30 AM: Registration Desk Opens
8:00 AM – 9:00 AM: GI & GU, Urinalysis, 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: Mental Health Disorders, General Medication Use

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.

Live DOT Medical Examiner Training and Recertification Training

DOT NRCME Medical Examiner Recertification 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. Mike 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.

Chiropractic CE Credits are provided by Northeast College of Health Sciences and 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 28 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:

  • Alaska
  • Connecticut
  • Colorado
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois

  • Indiana
  • Iowa
  • Kansas
  • 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
  • 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 provided a $100 refund. Those provided a partial refund will be granted access to our online course.