Recent Posts

  • Burnout Prevention for MEs

    Recognizing these warning signs can help you address burnout before it escalates.

    Burnout Prevention for MEs

    Recognizing these warning signs can help you address burnout before it escalates.

  • Drug Testing CDL Applicants

    MEs play a crucial role in the CDL qualification process, but drug testing is not part of the DOT physical exam. 

    Drug Testing CDL Applicants

    MEs play a crucial role in the CDL qualification process, but drug testing is not part of the DOT physical exam. 

  • 2024 SPE Technical Amendment

    The update addresses precision prehension and power grasp prehension capabilities and addresses ME documentation errors.

    2024 SPE Technical Amendment

    The update addresses precision prehension and power grasp prehension capabilities and addresses ME documentation errors.

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Table of Contents

NRCME Blog Posts

A Question Bank to Master the NRCME Exam
A Question Bank to Master the Exam
CDL Drivers Lose Privileges for Prohibited Status
CDL Drivers Lose Privileges
What Truck Drivers Wish Medical Examiners Knew
What Truck Drivers Wish MEs Knew
FMCSA Updates
FMCSA Updates
Choosing the Right NRCME Training Program
Choosing the Right Training Program
Understanding NRCME Eligibility Numbers
Understanding Eligibility Numbers
Little Room For Checkups
Little Room For Checkups
Protecting Your Login.gov Credentials
Protect Your Credentials
Initial vs Recertification Training
Initial vs Recert Training
Chiropractor CME Credits
Chiropractor CME Credits
Fastest Way to Recertify
Fastest Way to Recertify
Exam Scheduling Problems
Exam Scheduling Problems
NRCME Changes Over The Years
NRCME Changes Over The Years
99% Pass Rate
99% Pass Rate
New Non-Insulin-Treated Diabetes Mellitus Form
New Non-Insulin Diabetes Form
ME Removal from the National Registry
ME Removal from the Registry
2024 ME Handbook
2024 ME Handbook
Navigating Altitude Challenges
Navigating Altitude Challenges
2024 Auditing of ME Non-compliance
2024 Auditing of ME Non-compliance
2023 Average CDL Exam Fees
2023 Average CDL Exam Fees
The Silent Struggle: Commercial Drivers Battling Major Depression
Drivers Battling Major Depression
Driving Safe: CDL Driver Drug and Alcohol Testing
CDL Driver Drug & Alcohol Testing
Why Choose Us for Your Training?
Why Choose Us for Your Training?
Faster Rescheduling for Exam Failures
Faster Exam Rescheduling
Optimizing Ergonomics for Commercial Drivers: Preventing Injuries and Promoting Well-being
Ergonomics for Drivers
High Blood Pressure Regulation Reference Guidance
Blood Pressure Regulations
The FMCSA Skill Performance Evaluation (SPE) Program
The FMCSA SPE Program
The Medical Examiner’s Handbook Through The Years
The ME Handbook Through The Years
Optimizing Ergonomics for Commercial Drivers: Preventing Injuries and Promoting Well-being
Hypertrophic Cardiomyopathy
Disqualifying Conditions
Disqualifying Conditionse
The Driving Forces Behind the Creation of the NRCME Program
The Forces Behind the NRCME
Pass Guarantee Promotion
Pass Guarantee Promotion
A Day in the Life of an NRCME Certified Medical Examiner
A Day in the Life of an ME
Is Becoming a Certified Medical Examiner Worth the Investment?
Is Becoming an ME Worth it?
The Whisper Test
The Whisper Test
A Better Training Program
A Better Training Program
A Tale of Recertification
A Tale of Recertification
Scheduling Your Recertification Exam
Scheduling Your Recert Exam
December 31, 2022 Refresher Training Deadline
December 2022 Refresher Deadline
Can a pregnant driver be certified?
Can a Pregnant Driver be Certified?
Driver CDL Physical Examination Checklist
Driver CDL Physical Checklist
Designating a Third-Party Organization
Designating a Third-Party
Who Needs to Have a CDL Exam?
Who Needs to Have a CDL Exam?
Safe Sender
Safe Sender
NRCME Exam Testing in Hawaii
NRCME Exam Testing in Hawaii
Drivers with a Foreign License or No License
Drivers with a Foreign License
Changes in Reporting Requirements
Changes in Reporting
Removal from the National Registry
Removal from the National Registry
Drug Testing Requirements
Drug Testing Requirements
Issuing MECs to Qualified Drivers
Issuing MECs to Qualified Drivers
Medical Examiner Compliance
Medical Examiner Compliance
NRCME 10-Year Recertification
NRCME 10-Year Recertification
Upload Your Certificate
Upload Your Certificate
Vision Regulation Changes
Vision Regulation Changes
Driver Examination Forms Expiration Date Updated
Exam Forms Expiration Date
National Registry Search Functionality
National Registry Functionality
Young Interstate Truckers Are Coming
Young Truckers Are Coming
Internet Explorer Problems
Internet Explorer Problems
Diabetes Guidance
Diabetes Guidance
Medication/Drug Use
Medication/Drug Use
Sleep Disorders
Sleep Disorders
Physical Qualifications, Examinations and Limited Exemptions
Physical, Exams & Exemptions
Updates on MCSA-5875, 5876, and 5870
Updates on MCSA-5875, 5876, & 5870
Requirements for Department of Veterans Affairs Examiners
Requirements for VA Examiners
Medical Examiner Eligibility and Issuance of Certification
ME Issuance of Certification
Medical Scenario - Determination Pending
Determination Pending
The Driver Shortage
The Driver Shortage
What is an intrastate only driver?
What is an Intrastate Driver?
Changes to MCSA-5875
Changes to MCSA-5875
Medical Examiner’s Administrative Assistant
ME Administrative Assistant
Submitting Outstanding Exam Results
Submitting Exam Results
Scheduling the National Exam
Scheduling the National Exam
Medical Examiner's Certification Integration (NRII) final rule Extension
ME's NRII Extension
The Steps to NRCME Certification
The Steps to Certification
Completing Form MCSA-5875 and Certificate Form MCSA-5876
MCSA-5875 & MCSA-5876
Why Become Certified?
Why Become Certified?
National Registry Compliance Date Now 2025
2025 Registry Compliance
NRCME Acronyms and Abbreviations
NRCME Acronyms & Abbreviations
Uploading CDL Exam Results
Uploading CDL Exam Results
The King of Cool
The King of Cool
Issuing Medical Examiner’s Certificates to Drivers With Expired Driver’s Licenses During COVID-19
Drivers With Expired Licenses
FMCSA Notice Regarding Seizures
FMCSA Notice Regarding Seizures
COVID-19 CDL and CLP Waiver
COVID-19 CDL & CLP Waiver
A Spotlight on Clinical Nurse Specialists
A Spotlight on CNS
FMCSA Clearinghouse Drug & Alcohol Violations
Clearinghouse Violations
Testing Options: PSI or Prometric?
Testing Options: PSI or Prometric?
NRCME Testing Pandemic Closures / Reopen
NRCME Testing Pandemic Closures
FMCSA Grants Exemptions from Seizure Regulations for 11 Drivers
FMCSA Grants Exemptions
11 Vision Exemptions Extended by the FMCSA
11 Exemptions Extended
Periodic 5-Year Refresher Training Statement
Periodic 5-Year Refresher Training
Hearing Standard Request for Public Comments
Hearing Standard Request
DOT Certification Eligibility
DOT Certification Eligibility
The Best DOT Training Company
The Best DOT Training Company
The Medical Examiner’s Handbook
The ME Handbook
No Driver Shortage
No Driver Shortage
Managing Relationships With Other Medical Providers
Relationships With Providers
The Fast-track to Certification
The Fast-track to Certification
Growing Your CMV Driver Examination Business
Growing Your CMV Business
What forms do you use?
What Forms Do You Use?
FMCSA Revisits NRCME Handbook
FMCSA Revisits NRCME Handbook
A New National Registry
A New National Registry
Growing Your CMV Driver Examination Business
Charging for CDL Exams
About the NRCME Exam
About the NRCME Exam
NRCME Study Materials and Practice Questions
Study Materials & Practice Questions
Free CDL Examination Marketing
Free CDL Marketing
CDL Examination Fees
CDL Examination Fees
Diabetes Rule
Diabetes Rule
Updated Driver Examination Forms Posted
Updated Driver Examination Forms
Message to MEs from the DOT/FMCSA
Message to MEs from the DOT
FMCSA Reiterates Prohibited Medications
FMCSA Reiterates Prohibited Meds
NRCME Website Functionality Restored
NRCME Website Restored
DOT/FMCSA NRCME Update
DOT/FMCSA NRCME Update
FMCSA Webinars Discuss Driver Examination Forms
Webinars Discuss Forms
DOT/FMCSA NRCME New User Agreements
NRCME New User Agreements
FMCSA Renews Driver Exemptions for Insulin-Dependent Diabetics and for Drivers with Monocular Visions
FMCSA Renews Exemptions
FMCSA Establishes National Training Standards for New Truck and Bus Drivers
FMCSA Establishes Training Standards
What do you charge for a DOT medical exam?
What do you Charge for a CDL?
DOT Issues 30-Day Extension on Public Comments for CMV Speed Limiting Technology
Extension on Speed Limiting Tech
FMCSA: Protect Your Move
FMCSA: Protect Your Move
FMCSA Issues Safety Advisory Related to Samsung Galaxy Note 7
FMCSA Issues Safety Advisory
The Dangers of Driving Commercial Vehicles With Electronic Cigarettes
The Dangers of E-Cigarettes
Medical Evaluation Costs for Drivers
Medical Evaluation Costs for Drivers
Sleep Disorders
Sleep Disorders
Risk Management
Risk Management
Medications and Driver Safety
Medications & Driver Safety
Who Can Perform Commercial Motor Vehicle (CMV) Driver Examinations?
Who Can Perform CMV Driver Exams?

Regulation vs. Guidance
Regulation vs. Guidance

Diabetes and the Commercial Motor Vehicle (CMV) Driver
Diabetes & the CMV Driver

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© 2025. 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).