DOT Medical Examiner & Collector Training Courses

NRCME training and DOT drug & alcohol collector training

Trusted by 28,000+ medical professionals

NRCME Certification Training

NRCME Certification Training is required for medical professionals such as MDs, DOs, NPs, PAs, and DCs who want to perform DOT physical exams for drivers of commercial motor vehicles. To become certified, you’ll need to complete an FMCSA-compliant NRCME training course, receive a certificate of completion, obtain a National Registry number, and then pass the NRCME exam at an approved testing center. Certification is valid for 10 years.

NRCME Recertification Training must be completed prior to your 10-year expiration date.  Once again, you must complete a DOT medical examiner certification course and pass the certification exam. Upon completion, your credentials will extend another 10 years from your original expiration date.

TeamCME’s self-paced courses are trusted by 28,000+ medical professionals. They are designed to help you pass the exam on your first try. These courses are CE-eligible. For chiropractors, CE credit is available in states that accept PACE.

NRCME Certification Training

Complete DOT medical examiner certification course for new examiners

NRCME Recertification

Maintain your DOT medical examiner certification with required updates

NRCME Certification Training by Profession

medical examiner recertification trainings

Nurse Practitioners

NRCME training course designed for NPs – Perform DOT exams, expand your practice.

7 AANP-Equivalent CE Hours

TeamCME 10-Year Recertification Training

Chiropractors

DOT Certification for DCs. Add DOT exams as an additional revenue stream.

7 CE Hours (PACE states)

TeamCME MEAA Training Course

Physicians (MD/DO)

NRCME training for MDs/DOs — complete, compliant, and built for busy physicians.

7 AMA PRA Category 1 Credit(s)™

NRCME Practice test

Physician Assistants

Get certified to perform DOT exams and grow your scope of practice.

7 NCCPA-equivalent CE Hours

Are you ready for the NRCME exam? 

Get 290 practice test questions and two 120-question NRCME sample exams.

DOT Collector Training Courses

DOT Collector Training is required for anyone who conducts or oversees federally regulated drug and alcohol testing. You don’t have to be a nurse or hold a medical license, but you must meet some basic requirements. Collectors and Breath Alcohol Technicians (BATs) must be at least 21 years of age, hold a high school diploma, have a clean criminal record, and be able to communicate and understand instructions in English.

Training is available for all major collection methods and complies with DOT Part 40 regulations. They include both online modules and a live mock collection conducted over video conference.

After successful completion, you’ll receive a certificate confirming your ability to correctly perform DOT collections. Certification is valid for 5 years at which time you will need to retake the training to remain compliant.

DOT Urine Specimen Collector Training

Get certifed to collect urine specimens for DOT drug testing. Includes:

  • NDOT Certification
  • NSelf-Paced Online Training
  • NMock Collections (No hidden fees)

    DOT Breath Alcohol Technician Training

    Get certifed to conduct DOT breath alcohol tests. Includes:

    • NDOT Certification
    • NSelf-Paced Online Training
    • NMock Collections (No hidden fees)

      Need Error Correction Training?

      When a “fatal flaw” occurs during the collection process, causing the test to be cancelled, the MRO requires error correction training. 

      Why 28,000+ Professionals Choose TeamCME

      Leaders in DOT Training

      Founded by Dr. Michael Megehee, who helped design the original FMCSA NRCME curriculum, TeamCME was among the first accredited providers. With courses co-developed by leaders like Dr. Jeff Carlson, we’ve shaped DOT examiner and collector training for decades.

      Trust the Numbers

      With over 28,000 professionals trained nationwide and a 98% NRCME exam pass rate, TeamCME brings more than 25 years of expertise. Our courses are CE-eligible for nurse practitioners, chiropractors, physicians, and physician assistants, ensuring trusted credentials across medical professions.

      Learning Experience

      Our 100% online, self-paced training is designed for flexibility and convenience. Every course includes a free Medical Examiner Reference Guide, plus our exam fee guarantee—if you don’t pass, we cover your test fee, giving you complete confidence.

      Compliance & Confidence

      All TeamCME courses are fully FMCSA-compliant, updated continuously to match the latest DOT regulations, and designed to help professionals earn CE hours while preparing for certification. You’ll gain both compliance and confidence with training trusted nationwide for decades.

      What Our Students Say

      L. Cruz Marshall, PA - Florida (Trained in 2025)

      “Everything was covered thoroughly, but it was presented in a way that made it easy to digest and understand.”

      – L. Cruz Marshall, PA – Florida

      Trained in 2025 

      Elena S., FNP - Louisiana

      “Great program! This course will help me pass the NRCME certification exam.”

      Elena S., FNP Louisiana

      Trained in 2025

      John K., MD - California (Trained in 2025)

      “Engaging, efficient, and thorough. The NRCME training was well-organized and clearly presented, with interactive opportunities to test knowledge along the way. All of the information was highly relevant and valuable.”

      – John K., MD – California

      Trained in 2025 

      Craig K., DC - Illinois (Trained in 2025)

      “This NRCME training program provides excellent education for certification. I’ve already recommended it to other professionals.”

      –  Craig K., DC – Illinois

      Trained in 2025

      Frequently Asked Questions

      Get answers to the most common questions about our training programs

      How long does NRCME training take?

      Most providers complete the NRCME training in 89 hours, including video modules, two sample exams, and supplemental lessons.

      Do your training courses offer CE credit?

      Yes Our NRCME certification and recertification courses are CE-eligible for NPs, DCs, MD/DOs, and PAs. Collector courses (urine, oral fluid, BAT) are DOT-compliant but not CE-credit eligible. 

      Are the courses FMCSA-approved?

      FMCSA no longer “approves” courses. All TeamCME training is fully FMCSA-compliant and continuously updated with the latest DOT regulations. 

      What’s the difference between urine, oral fluid, and BAT training?

      DOT urine collector training covers urine specimen collection. Oral fluid collector training covers the new oral fluid testing method. BAT training certifies you to perform DOT alcohol breath tests on a DOT-approved breathalyzer

      Provider Resources

      TeamCME Doctors

      How To Become A DOT Certified Medical Examiner

      Navigate the essential steps and requirements for becoming a DOT certified medical examiner and perform DOT physicals.

      Read More ➡

      Medical Examiner Recertification Exam

      How to Recertify as a DOT Medical Examiner

      Learn what is needed to maintain your certification as a DOT medical examiner and perform exams for another 10 years.

      Read More ➡

      Error Correction Training For Urine Specimen Collectors

      How to become a DOT Urine Specimen Collector

      Learn everything you need to know about becoming a certified DOT urine specimen collector and the steps to take.

      Read More ➡

      Requirements For Breath Alcohol Technician Certification

      How to Become a DOT Breath Alcohol Technician

      Learn everything you need to know about becoming a certified DOT breath alcohol technician. Get the step-by-step approach.

      Read More ➡

      Ready to Start Your DOT Training Journey?

      Join thousands of healthcare professionals who trust TeamCME for their DOT training and certification.

      • DOT-Compliant Training
      • 24/7 Chat Assistance
      • Trusted by Thousands Nationwide