This course has been designed to meet the core curriculum for the medical examiner training in accordance with the National Registry for Certified Medical Examiners Federal Motor Carrier Safety Administration (FMCSA) in an accelerated four-hour class.
This course will cover the eight core competency areas designated by NRCME, specifically designed for the family physician, NP’s and PA’s. This course assumes a prior mastery and skill set in the basics of history and physical examination techniques.
Upon successful completion of the course, Medical Examiner candidates should be prepared to sit for the FMCSA National Registry of Certified Medical Examiners certification examination.
With the release of the FMCSA’s final rule establishing the National Registry of Certified Medical Examiners (NRCME), all Medical Examiners who conduct physical examinations for interstate commercial motor vehicle (CMV) drivers must be trained, tested, and certified to be on the FMCSA National Registry. As of May 21, 2014, drivers may only obtain DOT physicals from examiners who are on the FMCSA National Registry.
To be eligible to sit for the FMCSA National Registry examination, Medical Examiners must obtain training from an organization that is CME accredited to provide health care professional training.
The AAFP Chapters above are only offering the training course. Those taking the course will receive verification of training allowing you to register for the Federal exam. You must pay a separate fee and follow instructions for finding testing sites available on the FMCSA web site:
After successful completion of the required training and exam you will be listed as an NRCME examiner in the National FMCSA Registry.
After participating in this educational activity, the learner will have an understanding of the following seven core content curriculum areas that are mandated by the Federal Motor Carrier Administration for NRCME candidates
1. Background, rationale, mission, and Medical Examiner’s role;
2. CMV driver’s responsibilities and work;
a. CMV driver’s identification and medical history. Obtaining, reviewing, and documenting.
b. Prescription and over-the-counter medications.
3. Medical Examination;
a. Performing and documenting.
4. Additional diagnostic tests or medical opinions, as needed;
a. Performing, obtaining, and documenting diagnostic test.
b. Obtaining medical specialist/treating physician opinion.
5. Inform/educate CMV driver;
a. Medications/non-disqualifying medical conditions needing care.
6. Determining driver certification outcome;
a. Including period for which certification is valid.
7. FMCSA reporting and documentation requirements.
In addition to these curriculum topics, the training will address the medical examiner’s responsibility to teach or inform the driver about medications and the impact the medications may have on the safe operation of a commercial motor vehicle.
30 Minutes Understanding FMCSA and NRCME / Responsibilities and Job Tasks of CMV Drivers
30 Minutes Identifying the Driver / History and Physical Examination Component Requirements
30 Minutes Determining When Diagnostic Tests and Specialty Evaluations are Needed
30 Minutes Educating the Driver / Medication Concerns
90 Minutes Determining Driver Certification Outcome for Various Medical Conditions
30 Minutes Reporting and Documentation Requirements / Q&A / Post Test
Speaker for all Sessions: Douglas W. Martin MD FAAFP FACOEM FAADEP
Douglas W. Martin, MD, FAAFP, FACOEM, FAADEP is a family physician who is practicing occupational medicine physician in Sioux City, Iowa. He is a past president of both the IAFP and the American Academy of Disability Evaluating Physicians. Dr. Martin is the current Chair of the Medical Review Officer Section of the American College of Occupational & Environmental Medicine. He serves on the Editorial Advisory Board of the Official Disability Guidelines, an evidence based treatment guidelines document. He has been involved in educating physicians during his 19 year medical career on a number of topics, including the prevention of disability. He is frequently called upon as an expert in medicolegal contexts, specifically on the management of musculoskeletal injuries and impairment and disability issues.
Iowa Academy of Family Physicians asks all individuals involved in the development and presentation of Continuing Medical Education (CME) activities to disclose all relationships with commercial interests. This information is disclosed to CME activity participants. Iowa Academy of Family Physicians has procedures to resolve apparent conflicts of interest. In addition, faculty members are asked to disclose when any discussion of unapproved use of pharmaceuticals and devices occurs.
Unlabeled/investigational uses of commercial products are not discussed in this activity.
Dr. Martin disclosed that neither he nor any member of his immediate family has a relationship or financial interest with any proprietary entity producing health care goods or services.
This Enduring Material activity, Accelerated NRCME Online Training, has been reviewed and is acceptable for up to 5.00 Prescribed credit(s) by the American Academy of Family Physicians. Term of approval begins 04/16/2017. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award. When applying for AMA PRA, Prescribed credit earned must be reported as Prescribed credit not as Category 1.
AAPA accepts certificates of participation for educational activities certified for AAFP Prescribed Credit. Physician assistants may receive a maximum of 5 hours of Category I credit for completing this program.
The American Academy of Nurse Practitioners accepts AAFP approved courses for its CME requirement.
1. Make sure that you as an examiner go in and check the NRCME website to make sure you are Certified prior to doing exams. The FMCSA stated that there were a few hundred examiners who started doing exams on May 21 who had some technical issues with their registration, had completed the training and passed the exam but who were not cleared as Certified because of errors in entered demographic information. These examiners are being required to ask the driver to come back into their offices and have the examiner fill out a new certificate with a date that is AFTER the time they are officially certified by the FMCSA. A new exam is not necessary; the FMCSA lawyers told them that they could not have a certificate of record with a date on it where the examiner was not yet listed as certified on the website. This of course, has created a huge mess for these examiners and the drivers who must come back in.
2. The examiner or administrative assistant who enters the exam information on the NRCME website sometimes will make an error. Errors can occur when incorrect entries or spelling of driver names, incorrect certification expiration dates, etc. and some have realized that when they attempt to go back into the website to change it that the system does not allow them to do it. FMCSA wants the examiner (or assistant) to enter a new exam in this situation. Their software will override the prior incorrect exam as long as it is entered under the same examiner and within a few weeks. It will “red flag” the entry if put in under a different examiner (obviously to catch drivers who “doctor shop”)
3. There is a third party vendor who is nationwide who schedules CDME exams on behalf of companies who requires use of their proprietary electronic recording of information. As part of this process, this vendor has advertised that they will “automatically submit” the results on the examination on behalf of the examiner into the NRCME website. THIS PRACTICE IS NOT ALLOWED. Apparently, this vendor is “lording it over” examiners stating that they will not pay the provider for the exam and have even discontinued service relationships if the examiner does not allow them to do this. REMEMBER, the only person who can enter the exam result information on the NRCME website is either the EXAMINER or their DESIGNATED ADMINISTRATIVE ASSISTANT. FMCSA will be contacting this company with a stern warning to cease this practice.
REGISTER TO BECOME CERTIFIED & FIND A NRCME TESTING LOCATION HERE
Please Note: You do not need to register to take the course.
Would you like to get a jump start before taking the course? Here are some resources for you:
FMSCA Medical Examiner Handbook
FMCSA Medical Examiner Detailed Content Outline
Complete Guide to Medical Examiner Certification