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NRCME Plus Examiner Training System

  • Earn up to 12.00 CME credits | AAPA | ANCC | PACE

NRCME Plus Examiner Training System


Quick Facts


What's NRCME Certification?

As of May 2014, a federal ruling requires that healthcare professionals performing physical exams on commercial motor vehicle drivers must have National Registry of Certified Medical Examiners (NRCME) certification. In order to receive certification, you must complete training and pass a federal certification test to meet the Federal Motor Carrier Safety Administration's (FMCSA) guidelines.

Why is This a Great Opportunity for You?

With an estimated 7 million to 14 million commercial drivers coupled with legislation requiring every state to track and electronically tie the medical exam to the Commercial Drivers License (CDL), the number of exams performed is expected to increase exponentially. Use this requirement to retain your position as a DOT examiner in your community or to expand your practice base as a certified DOT examiner.

What is the NRCME Plus Examiner Training System?

NRCME Plus gives healthcare providers — MDs, DOs, DCs, NPs/APNs, and PAs — the knowledge to become a certified medical examiner and apply the FMCSA driver physical qualifications standards and guidelines. This training program is 100% online in a self-guided module format that is mobile device ready, does not require audio or flash, and is equipped with auto-save features to set your place if your training is interrupted.

Why Choose Oakstone CME’s Training Program?

NRCME Plus is the only NRCME training on the market that:

  • Includes unlimited access to training and no expiration date or time period to complete your training
  • Offers a Q&A deck with 550+ practice questions to help you assess your knowledge
  • Offers an online resource library with valuable information to support and supplement your training and to provide a continuing reference throughout your service as a certified medical examiner

Additionally, NRCME Plus was developed by 1 of the 10 original consultants who convened in Washington, DC to develop the FMCSA guidelines. It's also worth noting that 95% of those who complete our training pass the certification test the first time.

Our Program

NRCME Plus is an online, modular program that meets and exceeds the core curriculum requirements of the Federal Motor Carrier Safety Administration (FMCSA) for DOT examiners.


NRCME Plus can be completed in the comfort of your own home or office, on your schedule.


Training can be completed in about 12 hours.


Our NRCME program has over 1,000 slides and 27 training modules. Each module highlights one element of the FMCSA core curriculum.


Our program also includes access to our online resource library for conference guidelines, forms, waiver packets, and lists of federally prohibited medications for commercial drivers.


NRCME Plus includes a pretest to evaluate basic pre-training competencies and a post-training test to see if you're ready for the formal exam. Every module has a post module quiz to test you on the most important concepts.


After completing our training, you will be issued a certificate that qualifies you to sit for the Federal Registry examination at select testing centers throughout the country.

The 27 program modules include:

  • Pretest to evaluate your base level of knowledge
  • Comprehensive introduction to the National Registry program
  • Rules, regulations, discretionary vs. on-discretionary standards and resources (3 modules)
  • Hearing module
  • Vision module
  • Respiratory module
  • Neurological module
  • Hypertension module
  • Cardiovascular modules (5 modules)
  • Psychological module
  • Medical modules (2 modules)
  • Vascular disease module
  • Diabetes module
  • Musculo-skeletal module
  • Scenario module designed to give you typical and atypical driver presentations, with a thorough review of all proper application of standards and recommendations
  • Post-test – 40 questions covering learned material

Once all modules and this post-test have been completed, you will be awarded the certificate authorizing you to sit for the FMCSA Examination.

Certification FAQs

Who is Eligible to Become a Certified Medical Examiner?

  • All healthcare professionals (HCPs) whose scope of practice authorizes them to perform physical exams, as defined by the state in which they practice
  • Examples - NPs, MDs, DOs, DCs, PAs, and APNs

How does an Eligible HCP Become a Certified Medical Examiner?

  • Maintain a valid state license to conduct physical exams
  • Complete required training on FMCSA's physical qualification standards - e.g., NRCME Plus Online Training System
  • Register on FMCSA's National Registry website at to create an account
  • Pass the FMCSA medical examiner certification test
  • Complete refresher training every 5 years and FMCSA recertification testing every 10 years

When Should an Eligible HCP Become a Certified Medical Examiner?

HCPs who establish themselves early may gain a competitive edge. HCPs who are among the first to become a certified medical examiner have the opportunity to command more business. Experience practice growth and expand patient bases ahead of others that will be offering this vital public service.


NRCME Plus Online Training System strives to serve the entire continuum of healthcare providers seeking training for medical examiner certification. We have been awarded accreditation in multiple provider categories including ACCME, AACC and PACE. Accreditation is included with training registration and there are no additional fees to claim credit.

Updated for Rerelease: January 1, 2022
Date of Original Release: May 1, 2012
Date of CME Credit/Contact Hour Expiration: December 31, 2024
PACE CEU's Expiration: September 1, 2022 (credit extension approval pending)


Accreditation Council for Continuing Education (ACCME): This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Oakstone Publishing and NRCME Training Systems, LLC. Oakstone Publishing is accredited by the Accreditation Council for Continuing Medical Education to provide medical education for physicians.


Oakstone Publishing designates this enduring material for a maximum of 12 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.


American Nurses Credentialing Center’s Commission (ANCC): Oakstone Publishing is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Contact hours: 12


The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.


Providers of Approved Continuing Education (PACE): This program has been certified by PACE for 12 CEU’s in accepting states. PACE serves the Chiropractic profession.
PACE CEU’s valid until September 1, 2022

Learning Objectives:

After successful completion of this CME activity, the participant will be able to:

  • Apply the Federal Motor Carrier Safety Administration (FMCSA) driver physical qualification regulations and advisory criteria to pass the FMCSA certification test for the National Registry of Certified Medical Examiners (NRCME)
  • Apply the Federal Motor Carrier Safety Administration (FMCSA) driver physical qualification regulations and advisory criteria when performing examinations for CMV drivers and determining medical certification
  • Gain specific guidance and understand sources of information for questions on CMV examinations and requisite documentation necessary for such exams

Intended Audience:

Medical doctors, doctors of osteopathy, doctors of chiropractic, physicians assistants, nurse practitioners, and advanced practice nurses who are specifically interested in performing CMV driver physical exams and obtaining NRCME certification.

Quick Facts

What you get with the NRCME Plus Examiner Training System:

• Self-guided online program with easy access

• Average course completion in just 12 hours

• 27 modules spanning 1,000+ slides

• Pre-tests, post-tests and quizzes

• Online resource library

• ACCME, AANP, and PACE accreditation

• With the Q&A deck you will receive 550+ practice questions



Topics / Speakers



Further Information

Further Information

Further Information


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