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NRCME Plus Examiner Training System

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

NRCME Plus Examiner Training System


Quick Facts


Examiner Training for DOT Physicals

With Oakstone’s NRCME Plus Examiner Training System®, you’ll gain access to all the resources you need to confidently prep for and pass the Federal Motor Carrier Safety Administration (FMCSA) medical examiner certification exam.


Leading the Pack

Ranked easiest-to-use among NRCME study courses, NRCME Plus is the only program of its kind backed by 45+ years of experience developing multimedia continuing education products for clinicians and healthcare providers at any level.


An impressive 95% of past NRCME Plus users passed their certification test on the first attempt. That’s because it’s designed by experts to identify the critical skills, abilities, and knowledge needed to successfully pass the exam and — more importantly — to effectively perform CMV driver physical exams.


NRCME Plus is the most up-to-date and effective system available, thanks to ongoing development and content review.


The latest edition of NRCME Plus meets FMSCA core education requirements for DOT examiners and offers:

  • Easy online access to self-guided training — set your own pace
  • Mobile-friendly convenience — study anytime, anywhere
  • 28 modules covering key topic areas
  • Pre-Test, module quizzes, Post-Test, and Certificate of Completion
  • BONUS! Q&A Decks with 500+ practice questions
  • BONUS! Online Resource Library
  • Our pass guarantee — pass the exam on your first attempt, or get your money back

Our Curriculum

Our training system meets or exceeds FMCSA 8 curriculum topics regarding regulations and guidelines for conducting CMV driver medical examinations. FMCSA regulations and guidelines are reviewed regularly and our training system is updated accordingly.


NRCME Plus training can be completed in about 12 hours, and you'll have the opportunity to earn up to 12.00 AMA PRA Category 1 Credits™.


You'll start with a Pre-Test to assess your base knowledge, then work your way through 28 modules covering:


• Introduction to Training

• Background & Structure

• FMCSA Definitions & Regulations

• The CMV Driver & Public Safety

• Diabetes Mellitus

• Hearing

• Vision

• Hypertension

• Neurological Introduction

• Progressive Neurological Disorders

• Episodic Neurological Disordes

• Cardiovascular Disease Introduction

• Coronary Heart Disease

• Arrythmias

• Congenital Heart Disease

• Valvular Heart Disease

• Heart Transplant

• Vascular Disease

• Non-CHD Cardivascular Diseases

• Pulmonary Conditions

• Musculoskeletal

• Mental Health

• Substance Abuse

• Other Diseases & Disorders

• Medication Rules

• Driver Medications

• CMV Physical Examination

• Case Studies


Quiz yourself following each module, then — once you've completed all modules, quizzes, and the Post-Test, you'll be awarded a certificate authorizing you to sit for the FMCSA examination.


For additional FMCSA exam prep, you can explore our case studies of typical and atypical driver presentations, including a thorough review of all proper application of standards and recommendations, and test your knowledge with 500+ practice questions in our Q&A Decks.


You can also take advantage of the Online Resource Library: Expert panel and guidelines, FMCSA forms, waiver packets, and sample templates for your practice.

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, including 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
  • • Register on FMCSA's National Registry website (
  • • 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.

Accreditation / Pass Guarantee

Oakstone Publishing and NRCME Training Systems, LLC. strive to serve the entire continuum of healthcare providers seeking training for medical examiner certification. Oakstone has been awarded accreditation in multiple provider categories including ACCME, ANCC and PACE. Accreditation is included with training registration and there are no additional fees to claim credit.


Updated for Rerelease: January 31, 2023
Date of CME Credit/Contact Hour Expiration: January 31, 2026
PACE CEU's Expiration: August 31, 2025
Date of Original Release: August 31, 2015


Accreditation Council for Continuing Education (ACCME): This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Oakstone Publishing and NRCME Training Systems, LLC. Oakstone Publishing is accredited by the ACCME to provide continuing 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 8/31/2025.

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.

NRCME Plus Pass Guarantee

Diligent course study provides the strongest likelihood of passing your certification or recertification exam. We are so confident of your success, we guarantee it. If you do not pass your FMCSA exam on the first attempt, mail copies of (1) your FMCSA exam failure notification; and (2) your NRCME Plus Certificate of Completion to: Oakstone CME, P.O. Box 190165, Birmingham, AL 35219. Once we’ve verified that you completed at least 70% of the NRCME Plus Examiner Training System modules and quizzes and scored at least 80% on the NRCME Plus Post-Test, we will issue a credit for the purchase price paid (less any discounts or premium). You may apply your credit to future Oakstone CME purchases. The copies of your exam record and certificate will be destroyed. If you have any questions about this policy, please contact Customer Service at 800-633-4743.

Quick Facts

What you get with the new NRCME Plus Examiner Training System:

• Online access to our self-guided program

• 28 comprehensive modules

• Pre-Test, module quizzes, Post-Test

• Online Resource Library

• ACCME, AANP, and PACE accreditation

• Q&A Decks with 500+ practice questions

• Our pass guarantee



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Further Information

Further Information