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Commercial Driver Medical Examiner Training: Improving Transportation Safety through Education and Certification - Online CME Course

Committed to transportation safety through education and certification, Mayo Clinic offers online training for health care professionals who perform physical examinations for interstate Commercial Motor Vehicle (CMV) drivers. Effective May 21, 2014, all health care professionals who perform physical examinations and issue medical certificates for CMV drivers were required to complete accredited certification training and pass an examination before being listed on a national registry of medical examiners.

This interactive course will provide the essential core administrative and clinical knowledge necessary to complete the required examination mandated by the FMCSA for initial training. PLEASE NOTE: All refresher training for examiners already listed on the National Registry of Certified Medical Examiners (NRCME) will be required to take an on-line course offered by the FMCSA directly and completing any other course listed as a “training organization” will not be counted for recertification of existing examiners.

This course will review certain subspecialty diseases and conditions encountered while performing CMV examinations, utilizing a case-based interactive approach focused on efficiently addressing complex clinical issues. The training includes the following core competencies: 1)The role of the examiner in enhancing public safety; 2) Diagnostic approaches in assessing medical fitness of the commercial driver; 3) Navigating clinical and administrative issues commonly encountered in driver medical certification; 4) Understanding and effectively managing the complexity of the physical requirements and stresses involved in operating commercial vehicles; 5) Strategies for prevention and health promotion for CMV drivers. Content will focus on the core curriculum required by the Federal Motor Carrier Safety Administration (FMCSA). Following completion of this training, participants will receive the certification required to take the NRCME examination.

Claiming Credit:

To claim CME credit, you will need to:

  • Complete the pre-course assessment
  • Complete the 15 learning modules
  • Complete the course evaluation
  • Complete the post-course assessment (There is a minimum 80% pass rate required, with one retake allowed.)
  • Claim your credit and print your Record of Attendance

Target Audience

This program is designed for health care professionals who will be performing DOT examinations, or who have an interest in promoting wellness in the population of professional drivers.

Learning Objectives

Upon conclusion of this program, participants should be able to:

  • Describe the specific physical and mental demands associated with operating a commercial motor vehicle (CMV).
  • Explain the responsibilities of a CMV driver.
  • Recognize potentially disqualifying diseases, medications, or health conditions in the examination process, and provide drivers with parameters for safely proceeding with work duties.
  • Document the requirements for the medical history and physical examination of a CMV operator.
  • Develop strategies for efficiently conducting forensic evaluations, including addressing difficult issues in the certification process.
  • Identify a variety of strategies for promoting improved health and wellness in this cohort of individuals.
  • Explain the step-by-step process of registering for FMCSA exam and NRCME registry.

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

Additional Information

Course summary
Available credit: 
  • 5.25 AAFP Prescribed
  • 5.25 AMA PRA Category 1 Credit
  • 5.25 Attendance
Course opens: 
Course expires: 

Course Director
Clayton T. Cowl, M.D., M.S.
Associate Professor of Medicine
Division of Preventive, Occupational, and Aerospace Medicine
Division of Pulmonary & Critical Care Medicine

Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation 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.

Credit Statement(s):


Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 5.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This Enduring Material activity has been reviewed and is acceptable for up to 5.25 Prescribed credit(s) by the American Academy of Family Physicians. Term of approval begins 07/31/2015.  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.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s), please go here

Available Credit

  • 5.25 AAFP Prescribed
  • 5.25 AMA PRA Category 1 Credit
  • 5.25 Attendance


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