DOT Certification Training for Physician Assistants

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

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

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

Yes. Physician assistants are eligible to become FMCSA-certified medical examiners and perform DOT physicals nationwide. FMCSA recognizes PAs, along with MDs, DOs, NPs, and DCs, as qualified providers once they complete NRCME training and pass the certification exam.

DOT physicals are federally required for commercial drivers, so certification allows PAs to expand their scope of services and increase revenue by offering a high-demand, repeat service.

Yes. TeamCME’s NRCME training is accredited for 7 AAPA Category 1 CME credits. These credits apply toward license renewal and professional development requirements, making the training valuable both for certification and continuing education.

The steps are simple:

1. Complete NRCME training from an FMCSA-approved provider like TeamCME. 
2. Download your certificate of completion. 
3. Apply for your FMCSA National Registry Number. 
4. Schedule and pass the NRCME exam with Prometric or PSI. 
5. Stay compliant with FMCSA updates every 5 years and recertify at 10 years. 

TeamCME training was created by Dr. Michael Megehee, DC who helped develop the original NRCME curriculum and contributed questions for the certification exam. With TeamCME, you’re learning from one of the original experts behind the certification training.

Regardless of profession, 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.

You’ll get 1 year of access to 11 training modules with in-course knowledge checks, 270+ practice questions, sample exams, downloadable study materials, and an instant certificate of completion – everything you need to pass the NRCME exam and perform DOT physicals.

 Training Includes:

• 7 AMA PRA Category 1 Credits™ (AAPA equivalent)
• 270+ practice test questions + 2 full-length sample NRCME exams
• Downloadable quick-reference study materials for FMCSA rules and guidance
• Instant certificate of completion to sit for the NRCME Exam
• Insider Guide: How to Pass the NRCME Exam
• Step-by-Step Certification Guide: how to register, schedule your test, and know what to expect after you pass 

The training itself takes about 5 hours to complete, plus a couple of extra hours if you go through the included practice tests. Once you finish, you’ll immediately receive your completion certificate and can apply for your FMCSA National Registry Number.

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 270+ 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.

Yes. We back our training with a Pass Guarantee: if you complete the course and don’t pass the NRCME exam on your first attempt, we’ll refund your $79 exam sitting fee.

To qualify, you must:

• Complete all course modules and quizzes

• Finish both practice tests and bonus questions

• Take the NRCME exam within 1 year of registration

• Submit proof of your test attempt and score report

This is a one-time refund offer.

With a 98% success rate, most providers never need it- but you can train knowing you’re covered.

If you don’t pass the NRCME exam on your first attempt, you can retake it. The FMCSA allows candidates to schedule a retest through an approved testing center such as Prometric or PSI.

In fact, you could retake it as soon as the next day if an appointment is available, and there is no limit on the number of times you can retake the exam.

The following equipment is needed:

• The ability to measure height and weight
• A finger pulse oximeter
• A stethoscope
• 2-3 different sizes of blood pressure cuffs
• A Snellen eye chart
• An eye occluder
• An ophthalmoscope and otoscope
• A reflex hammer
• Urinalysis supplies