DOT Recertification Training
for Medical Examiners

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 290 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.

The NRCME recertification process closely mirrors initial certification—medical examiners complete online recertification training and pass the NRCME exam before their certification expires.

Every 10 years, certified examiners must complete training and testing to remain listed in the FMCSA National Registry. After finishing your course, upload the completion certificate to your NRCME account, schedule the exam with Prometric or PSI, and pass prior to expiration to maintain your ability to perform DOT physicals.

You can begin recertification once you reach the nine-year mark of your current certification.

FMCSA rules allow examiners to start training and testing after nine years, giving a full year to complete both steps. Starting early helps prevent lapses if you need to retake the test or experience scheduling delays.

No. Your new ten-year certification period starts from your original expiration date, not the date you complete recertification.

For example, if your certification expires in June 2027 and you complete your recertification in March 2027, your new certification will be valid through June 2037, not March 2037. Renewing early doesn’t shorten your certification- it simply ensures continuous coverage without a lapse.

Log in to your FMCSA National Registry account, click My Profile then Manage User Information and view the “Certification Expiration” field.

The expiration date appears in the upper-right section of your profile. You must complete the recertification process before that date to remain active on the National Registry.

You no longer have to wait 30 days to retake the NRCME exam- you can retest as soon as the next day if there’s an appointment available.

If your certification is still active, you remain listed in the National Registry and may continue performing DOT physicals while you retake the test.

TeamCME offers a $79 Pass Guarantee for recertification candidates. If you complete all course modules, quizzes, both practice tests, and bonus questions, take your NRCME exam within one year of registering, and submit your score report showing a non-passing result, we’ll refund your $79 exam sitting fee (one-time refund). This guarantee underscores our commitment to your success and confidence in our NRCME Recertification Course.

Yes. As long as your certification has not expired, you can continue performing DOT physicals even if you don’t pass the recertification exam on your first attempt.

Failing the test does not remove you from the FMCSA National Registry or suspend your certification status. You’ll stay listed as an active medical examiner until your current certification expires, giving you time to retake and pass the exam without any interruption to your practice.

One year of access to 9 concise training modules with in-course knowledge checks, 290 practice questions, two sample NRCME exams, downloadable quick-reference materials, an instant certificate of completion, and a step-by-step recertification guide.

The course provides 7 AMA PRA Category 1 Credits™, ANCC, ACCME (AANP equivalent), or PACE CE, and includes an Insider Guide with tips for passing the NRCME recertification exam quickly and confidently.

There are 9 video modules totaling about 4.5 hours, plus two short lessons that take about 30 minutes.

The course is 100% online and self-paced. Your progress is saved automatically, and you’ll have one full year of access to review videos, documents, practice questions, and sample NRCME exams as many times as needed.

The practice exams simulate the 2-hour NRCME recertification test so you’re fully prepared.

Your certificate is available for download immediately after completing the final online evaluation. Once finished, it appears inside your training portal so you can upload it to your FMCSA National Registry account the same day.