The NRCME Training Institute
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Frequently Asked Questions

The steps to becoming a Certified Medical Examiner:

1. Enroll in The NRCME Training Institute and complete the program (8-10 hours at your own pace) before your register with the DOT/FMCSA. Click here to enroll in the program.

2:  Once you have completed our program, apply for your 10-digit National Registry certification number, also known as an Eligibility number by some testing centers, from the DOT. The DOT will take 1 to 3 weeks to verify your credentials before emailing you your National Registry number. Check your spam and junk mail folders for that email before contacting them at 617-494-3003 or at FMCTECHSUP@dot.govClick here to register with the DOT*.

Screenshot of the last page of the DOT NRCME registration page
Training Provider information:
The NRCME Training Institute, LLC
9652 E. Presidio Road | Scottsdale, AZ 85260
The group that accredited this training course is the Postgraduate Institute for Medicine.

3: Schedule the $79 national certification examination using your National Registry certification number, with either a PSI or Prometric testing center near you. The day you sit for the national exam in person you will need to bring the following with you:

1. Certificate of Completion from this course.
2. A valid state issued photo ID, where your name matches your Certificate of Completion.
3. 
A copy of your current medical license.

Once the DOT have received your test results from the testing company (which can take 1 to 3 weeks), you will receive an email with an official certificate indicating your status as a certified medical examiner listed on the National Registry. Submit your monthly examination results to the DOT for all activity, including non-activity, via your online account with the DOT.

Refresher course: To remain eligible for listing on the Federal Motor Carrier Safety Administration's (FMCSA) National Registry (NR) and as required under 49 CFR 390.111(a)(5)(i) Certified Medical Examiners must maintain medical examiner certification by completing training and testing requirements. The FMCSA will provide the required (5) year refresher training online to Medical Examiners at no cost. Medical Examiners eligible to take the (5) five-year periodic online training will be notified by email from the FMCSA.

Click here to read the DOT/FMCSA Final Rule regarding the National Registry of Certified Medical Examiners.

Frequently Asked Questions

What does it take to complete the NRCME Training Institute training program?
You will review the modules and quizzes, complete a Final Test to demonstrate mastery of the materials, and print your Certificate of Completion which documents your eligibility to take the national certification examination. The course will take from 8-10 hours to complete, depending on prior knowledge and experience.

What is included in the NRCME Training Institute training program?
Our program includes 730-day unlimited access to our online training course, which includes a 500+ sample question bank, a Pre-Test Review, a Study and Reference Guide, the 2014 Medical Examiner Handbook, and the Medical Examiner Report forms, all in PDF file format, available to download for offline review, searching, and printing. There are no printed books or videos that accompany the course, allowing us to provide users with a low-cost, high-quality training program.

When was this course last updated?
This course was last updated September 9, 2016.

Are there any discounts for providers and groups?
Please call us at (941) 600-8411 for a current provider discount code offer and group rates.

Is there CME credit for the NRCME Training Institute training program?
Yes, the program is approved for up to 10 AMA PRA Category 1 credits™ / 10 contact hours. This program is accredited through the Postgraduate Institute for Medicine.

Is the certification examination included in the NRCME Training Institute training program?
The FMCSA require that the training program and national certification examination are provided by separate organizations - no single organization can offer both. After completion of the NRCME Training Institute training program, the participant will sign up for and take the national certification examination. That examination is taken in person (not on-line) and currently costs $79; details for how to locate a local examination provider can be found at the FMCSA NRCME website.

What does the national certification test consist of, what is required for passing, and what if I don’t pass?
The national certification test is 120 questions taken over 2 hours. A score of 71% is required to pass. The examiner will receive instant notification of pass or fail. If failed, the examination may be re-taken in 30 days, and as of October 10, 2016, the current pass rate for NRCME Training Institute training program users is 100%.

How long is NRCME certification good for?
Re-certification is required 10-years from the original certification date.

What is the national exam pass rate after taking this course?
99%. With the more than 9,500 providers who have taken our course nationwide since 2013 we have had approximately two dozen providers notify us that they did not pass the national exam the first time.

What will certified medical examiners be required to do after they are added to the National Registry?
As of May 21, 2014, certified medical examiners are required to electronically report driver medical examination information to the NRCME monthly. This may be reported by the medical examiner, or by administrative assistants designated by the medical examiner. The management of all of these issues is accomplished by going to the main federal NRCME website and using the LOGIN button. After logging in, the medical examiner can then designate administrative assistants, report CMV driver exam results, and manage related information. Medical examiners are required to submit an electronic report for each driver exam conducted in the prior calendar month; if no driver exams were conducted during the month, this information must be reported.

How will an employer or enforcement personnel verify that a medical examiner is on the National Registry and/or find a certified medical examiner?
Anyone may visit the National Registry website and search for a medical examiner in the registry of certified medical examiners.

How often do drivers need examinations?
At least every 2-years, more frequently depending on medical conditions.

What is the cost of the examination?
There is no set price. The market price currently is $75-$125.

What equipment is needed for the examination?
Snellen vision, dipstick urinalysis, and blood pressure cuff.

Is it required to collect blood and urine during the examination? 
No blood. Dipstick urinalysis for specific gravity, glucose, blood, and protein.

Is it required to screen for illegal drugs?
No, however some drivers will request a drug test to oblige their employer. For more information, see Overview of Drug and Alcohol Rules.

How long is the CDL certification good for?
Driver certification is at least every 2-years, with some drivers needing certification annually. Medical examiner certification is every 10-years, education required every 5-years.

What is an "intrastate only" driver?
FMCSA regulations apply only to interstate drivers - drivers who transport goods and materials from one state to another, who pass through another state even if goods and materials are transported to and from destinations within a state, or who transport goods and materials that originated in a state different from their destination state (e.g., UPS, FedEx, and DHL drivers).

Drivers who do not meet the definition for interstate drivers may be eligible for intrastate only driving. Each state has its own standards for intrastate drivers, and drivers must apply to the state Department of Motor Vehicles (DMV) to obtain authorization to drive commercially within the state. When a driver does not meet DOT/FMCSA interstate driving standards, buy meets a given state's intrastate standards, the designation "Intrastate only" should be indicated on the Medical Examiner's Certificate and on the Medical Examination Report.

If a driver requires a waiver or exemption to be an intrastate driver, this should be indicated on the Medical Examiner's Certificate and the Medical Examination Report (just as it would be for an interstate driver).

 
Please contact us with any questions not answered on this page.

National Registry System Login for Certified Medical Examiners

Effective 6/22/2018, all medical examiners listed on the National Registry of Certified Medical Examiners (National Registry) must create an account with login.gov to access their National Registry account. The use of login.gov is required to meet new National Institute of Standards of Technology requirements for secure validation and verification. By using login.gov, you will get an extra layer of security to help protect your National Registry account against security breaches and users will be able to utilize their login.gov account to sign into multiple government agency accounts.

Once you create a login.gov account, our system will link it to your National Registry account. Therefore, the information in your National Registry account will remain available. After your login.gov account has been linked to your National Registry account, you must use your login.gov email address, password, and security code each time you sign into the National Registry.

If you do not already have a login.gov account, you must follow the steps below to create a login.gov account to access to your National Registry account:

  1. Go to https://nationalregistry.fmcsa.dot.gov/ and select Sign in
  2. On the National Registry login page, select Transfer or Create Account
  3. Select the Account Type
    1. Medical Examiner - requires National Registry number, professional license number and State
    2. Medical Examiner Administrative Assistant - requires National Registry number (functionality will be available at a later date)
    3. Third Party - requires National Registry number (functionality will be available at a later date)
  4. When you select submit in step 3 above, a message will be displayed on the screen that says: "Details on how to proceed have been sent to the email address on file, if it exists. Click Here to go to National Registry Home Page."
  5. You will receive one of two emails:
    1. Your account was migrated successfully
  • Your email address has been migrated to use login.gov. Please select the button below to go to login.gov. When on the site, select the Create Account link to register your account.
  • Your account was NOT migrated successfully
  • Your email address was duplicated in our system. In order for you to register with login.gov, you will need to update your profile with a new unique email address. Please select the button below to update your profile with a new email address.
  • To create a login.gov account:
  1. Select "Create Account" link
  2. Enter email address and select "Submit"
  3. Message on screen states that an email was sent so you can confirm your email address
  4. Go into your email, open email from login.gov and select "Confirm" your email address
  5. Message on screen asks you to create a password and select "Continue"
  6. Message on screen asks you to provide a phone number where you will be sent a verification code by either text message or phone call based on your selection
  7. Once you receive the one-time code, enter on the screen that says "Enter Your Security Code" Important Note: If you will always be using the same computer to access your account, select the box that states "remember for 30 days" so you don't have to get a new security code each time you log in
  8. Message on screen tells you to store your personal key. A personal key is provided for you to save or print etc. This code will be necessary if there is ever a need to recover your account so please save the key
  9. Message on screen asks you to enter your personal key. Enter your personal key and select "Continue"
  10. Screen displays your account information
  11. National Registry login screen is displayed, enter your email address and password to access your National Registry account
  12. Review your National Registry account to make sure all your information is accurate
  13. Each time you want to access your National Registry account, select Sign In and enter your email and password

If you already have a login.gov account, you must follow the steps below to gain access to your National Registry account:

  1. Go to (https://nationalregistry.fmcsa.dot.gov/) and select Sign in and then select Log in on the next page.
  2. You will be directed to (https://secure.login.gov); select Sign in and enter your login.gov email address and password.
  3. Message on screen asks you to provide a phone number where you will be sent a verification code by either text message or phone call based on your selection
  4. Once you receive the one-time code, enter on the screen that says "Enter Your Security Code" Important Note: If you will always be using the same computer to access your account, select the box that states "remember for 30 days" so you don't have to get a new security code each time you log in.

While this process is currently only available to certified medical examiners, it will be made available to medical examiner administrative assistants and third party administrators in the future.

If you have any questions about this process or need assistance, contact the FMCSA Help Desk at fmctechsup@dot.gov or 617.494.3003.

Please call us at (941) 600-8411 or email admin@nrcmetraininginstitute.com with any questions not listed on this page.

 

Copyright

© 2018. This CME-certified activity is held as copyrighted © by The NRCME Training Institute. Through this notice, The NRCME Training Institute grants permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).

The course is reviewed periodically and updated to reflect any changes in FMCSA regulations and guidelines.

This course was last updated on September 9, 2016.