FMCSA DOT NRCME Medical Examiner
Training Course Accreditation

Release date: April 1, 2020
Expiration date: April 1, 2026
Estimated time to complete activity: 18 hours

The NADME Online DOT NRCME Certification Training Course is accredited by the Postgraduate Institute for Medicine and this training program provides up to 18 AMA PRA Category 1 Credits or 18 ANCC contact hours.

PIM has been providing trusted independent continuing education for healthcare professionals for over 40 years and is a recognized leader for jointly provided CME/CE activities. The purpose of the PIM continuing healthcare education program is to deliver effective CME/CE activities that are designed to contribute to the professional development of physicians, as well as other healthcare professionals, support the development and function of collaborative interprofessional teams, and positively impact the delivery of healthcare. We fulfill this mission by forming successful alliances and working in collaboration to deliver impactful educational experiences that are designed to improve patient care practices.

Jointly provided by Postgraduate Institute for Medicine and NADME

Target Audience

This activity is intended for MD’s, DO’s PA’s, NP’s, and Chiropractors engaged in the DOT/ FMCSA medical examination and certification/ qualification of commercial motor vehicle drivers.

Educational Objectives

After completing this activity, the participant should be better able to:

At the conclusion of this activity, the participant should be able to:

  • Discuss how the U.S. Department of Transportation (DOT) driver fitness requirements affect the physical examination and subsequent driver certification status.
  • Perform a more thorough and accurate examination in compliance with federal D.O.T. regulations, therefore lowering the potential for serious accident or injury resulting from a driver who was not medically qualified to drive.
  • Apply knowledge of FMCSA’s driver physical qualifications standards and advisory criteria to findings gathered during the driver’s medical examination; and
  • Identify the driver’s medical and physical qualifications for safely operating a commercial motor vehicle (CMV) in interstate commerce.
  • Discuss the history of FMCSA and its position within the Department of Transportation including its establishment by the Motor Carrier Safety Improvement Act of 1999 and emphasize FMCSA’s Mission to reduce crashes, injuries and fatalities involving large trucks and buses.
  • Describe the responsibilities, work schedules, physical and emotional demands and lifestyle among CMV drivers and how these vary by the type of driving.
  • Discuss factors and job tasks that may be involved in a driver’s performance, such as:
    • Loading and unloading trailers;
    • Inspecting the operating condition of the CM; and
    • Schedules
    • Irregular work, rest, and eating patterns/ dietary choices.
    • Identification of the driver and obtaining, reviewing, and documenting driver medical history, including prescription and over-the-counter medications
  • Explain the FMCSA physical examination requirements and advisory criteria in relationship to conducting the driver’s physical examination of all body systems.
  • Describe the FMCSA diagnostic testing requirements and the medical examiner’s ability to request further testing and evaluation by a specialist.
  • Inform and educate drivers about medications and non-disqualifying medical conditions that require remedial care
  • Discuss the medical examiner’s obligation to consider potential risk to public safety and the driver’s medical and physical qualifications to drive safely when issuing a Medical Examiner’s Certificate, when to qualify/disqualify the driver and how to determine the expiration date of the certificate
  • Demonstrate the required FMCSA medical examination report forms, appropriate methods for recording the medical examination findings and the rationale for certification decisions


Dr. Lawrence Earl, MD
Medical Director
National Academy DOT Medical Examiners

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The National Academy of DOT Medical Examiners (NADME).  Postgraduate Institute for Medicine is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 18 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education

The maximum number of hours awarded for this Continuing Nursing Education activity is 18 contact hours.

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

Planners and Managers

The PIM planners and managers have nothing to disclose. The NADME planners have nothing to disclose.

Method of Participation and Request for Credit

During the period of January 1, 2017 through to April 1, 2026 participants must 1) read the learning objectives and faculty disclosures; 2) study the educational activity; and 3) complete the post-test with a score of 70% or better to complete the PIM activity evaluation. Once you complete the PIM evaluation, your participation credit certificate will be made instantly available. Click on View Certificate and print the certificate for your records. If you have any questions regarding the CME certification for this activity, please contact Postgraduate Institute for Medicine at or (303) 799-1930.

To Receive Acknowledgment for Completing This Activity

After successfully completing the course you will be provided a link to CME University to complete an activity evaluation.

Upon registering and completing the activity evaluation, your certificate will be made available immediately.



Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

PIM Privacy:
For more information about Postgraduate Institute for Medicine’s privacy policy, please visit
For replacement certificates of course completion or questions regarding the DOT NRCME Certification process, this program or this website, please contact us at


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Software Requirements

  • You’ll need a computer with Internet access to take our course, but it doesn’t need to be yours.
  • You can use a computer at a friend’s home, at work, at school, or at the public library.
  • You can log on to the course from any computer with Internet access.
  • The hardware and software requirements are simple. You’ll need a computer with a standard Web browser. If you don’t have flash player installed on your computer you will need to download the free software to view the videos.
  • High speed connection is recommended due to the video. Broadband wireless will usually work but some of the videos may load slower.

Hardware/ Software Needed:
Minimum System Requirements

  • 200 MHz Processor
  • 128 Megabytes of Memory
  • 56k Modem or faster
  • Speakers & Sound Card
  • A mouse or other pointing device
  • A web browser

Questions regarding CME credit? Contact PIM –

Postgraduate Institute for Medicine and NADME Logos

Jointly provided by Postgraduate Institute for Medicine and NADME