DOT Medical Examiner Recertification Training

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 recertification 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
• Uploading Your Certificate onto the National Registry
• Registering for the Certification Exam
• Obtaining Your National Registry Certificate

The 10-year NRCME recertification process is almost identical to initial certification.

National Registry Certified Medical Examiners are eligible to recertify once they have reached the 9-year mark of their current certification. This way, they will have a full year to complete the process. We recommend starting the process early and give yourself adequate time so that if you happen to fail the test, you’ll have plenty of time to take the test again before your certification expires.

The answer is no. When an ME recertifies, their new certification period starts from the time of their current expiration period. Here’s an example: An ME’s initial certification date is January 25, 2014. They are eligible to begin taking the 10-year training and testing as early as January 26, 2023 (9 years later), but it MUST be completed by January 25, 2024. They take the training and pass the test on March 25, 2023 (they still have 10 months remaining on their current certification). When will they be required to take their next 10-year training and testing?

Response: They can start as early as January 26, 2033 but it must be completed no later than January 25, 2034.

To check the Expiration Date of your NRCME certification, you must first login to your National Registry account, then click on “My Profile” in the left-hand column, followed by “Manage User Information”.

Near the top right of the next screen, you will find the expiration date of your NRCME certificate. If you have not completed the recertification process by that date, you will be removed from the National Registry.

Medical providers who are certified and listed in the National Registry of Certified Medical Examiners may continue to perform DOT physicals until their certification has expired. If you fail the test but your initial NRCME certification has not expired, you will not be removed from the National Registry. Also, if you don’t pass, you no longer have to wait 30 days before retaking the test. You can retake the test the next day if you choose.

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.