National Registry of Certified Medical Examiners

Training Course

Sponsored by:

Iowa Academy of Family Physicians Illinois Academy of Family Physicians Kansas Academy of Family Physicians Nebraska Academy of Family Physicians

The Iowa, Illinois, Kansas and Nebraska Chapters are

working together to bring you medical examiner

education to prepare you to take the National Registry

for Certified Medical Examiners Federal Motor Carrier

Safety Administration (FMCSA) examination.

Click here to Register Online

Training Dates

• August 3

Iowa Western Community College -Looft Hall

Council Bluffs, IA -7:45 am to 12:30 pm

• October 12

Adler Auditorium at the Genesis Heart Institute

Davenport, IA –7:45 am to 12:30 pm

• October 23

Prairie Winds Event Center

Orange City, IA- 7:45 am to 12:30 pm

• October 31

Prairie Meadows Conference Center

Altoona, IA – 11:45 am to 4:30 pm

• November 9

Tomahawk Ridge Community Center

Overland Park, KS -7:45 am to 12:30 pm

Schedule of Training 8:00-8:30 am Understanding FMCSA and NRCME /

Responsibilities and Job Tasks of CMV Drivers

8:30-9:00 am Identifying the Driver / History and Physical

Examination Component Requirements

9:00-9:30 am Determining When Diagnostic Tests and

Specialty Evaluations are Needed

9:30-10:00 am Educating the Driver / Medication Concerns

10:00 -10:15 am Break

10:15-11:45 am Determining Driver Certification Outcome for

Various Medical Conditions

11:45 am – 12:15 pm Reporting and Documentation Requirements /

Q&A / Post Test

Speaker for all Sessions: Douglas W. Martin MD FAAFP FACOEM FAADEP

This is an advanced level fast-paced course that assumes a prior mastery

and skill set in the basics of history and physical examination

techniques.

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.

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.

Faculty Disclosure

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 live activity, National Registry of Certified Medical

Examiners Training (DOT) Course, August 3, 2013 - August 3,

2014, has been reviewed and is acceptable for up to 4.50

Prescribed credits by the American Academy of Family

Physicians. 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 4.5 hours of Category I

credit for completing this program.

The American Academy of Nurse Practitioners accepts AAFP

approved courses for its CME requirement.

The National Registry of Certified Medical Examiners (National Registry) is a new Federal Motor Carrier Safety Administration (FMCSA) program. It requires all medical examiners (MEs) who wish to perform physical examinations for interstate commercial motor vehicle (CMV) drivers to be trained and certified in FMCSA physical qualification standards. Medical examiners who have completed the training and successfully passed the test are included in an online directory on the National Registry website.

What is the National Registry?

Here is the new FMCSA RULE!

Effective May 21, 2014, all health care professionals who perform

physical examinations and issue medical certificates for CMV drivers

will be required to complete accredited certification training and pass an

examination.

Medical Examiners who perform driver medical exams are expected to

understand fully the medical standards of the Federal Motor Carrier

Safety Regulations (FMCSRs) and related guidance. The National

Registry requires medical examiners to participate in required training,

pass a certification test, and register on the National Registry system to

become a certified medical examiner. Certified medical examiners agree

to keep their National Registry accounts up to date (licenses, training

records, etc.) and to transmit at least monthly results of all CMV driver

exams performed to FMCSA via the National Registry system.

What steps do you need to take to become Certified?

To become a Certified Medical Examiner you must:

•Be licensed, certified, or registered in accordance with applicable State

laws and regulations to perform physical examinations

•Register on the National Registry System and receive a unique identifier

•Complete required training

•Pass the Medical Examiner certification test

•Report results of driver exams every month via the national registry

system

•Submit to periodic monitoring and audits

•Maintain certification by completing periodic training every five years

and recertify by passing the ME certification exam every 10 years

How do I train?

Find a training organization that meets the following requirements:

•Accredited by a nationally recognized medical profession

accrediting organization to provide continuing education

units

•Meets the current core curriculum specifications established

by FMCSA for medical examiner training

•Provides training participants with proof of participation

•Provides FMCSA point of contact information to training

participants

I am trained now where do I go to be tested?

• Search for a test delivery organization in your area

Some test delivery organizations may offer online, remote

testing, enabling you to take the test at a location of

your choice.

• Provide your identification (a photo ID, your medical

credential or license, and your training certificate) to

the test delivery organization and take the test

• Pass the test and receive a FMCSA Medical Examiner

certification credential valid for 10 years

IMPORTANT INFORMATION

It is your responsibility to keep your contact and licensing

information up to date on the National Registry. If your license

has expired or your name changes, you MUST put the correct

information into the National Registry. Be sure to update the

contact (e.g. name, address, etc.) and medical licensing

information (e.g. license expires, license number, license state,

etc.) you entered when registering on the National Registry

website when there are changes. If the contact and medical

licensing information you entered during registration on the

National Registry website does not match the credentials you

present to the test center, you will not be allowed to take the

exam.

Do I have to do all this reporting myself?

To support them in managing their Registry account, certified

medical examiners may authorize administrative assistants to

access the National Registry system and perform certain

activities on their behalf.

To begin this process, the medical examiner's support staff

must register on the National Registry system and create their

own accounts as administrative assistants. Next, the certified

medical examiner designates each assistant as authorized to,

on the medical examiner's behalf, transmit CMV driver exam

data, and update contact information. The medical examiner

will need to know the assistant's National Registry # to

complete the designation process.

FMCSA will issue a certification document that will expire 10 years from the date of issuance. After the initial training and certification, an ME must complete periodic training every 5 years to refresh his or her knowledge of both the medical standards for CMV drivers and any changes to FMCSA examination standards or guidelines. MEs are required to complete recertification testing every 10 years. FMCSA may remove an ME from the National Registry if he or she does not complete the periodic training (after 5 years) or pass the recertification test (after 10 years.)

I am all done now how do I maintain this certification?

What other rules apply now that I am certified?

Medical examiners also have to comply with the following administrative requirements as of May 21, 2014.

• Submit Form MCSA-5850 electronically via the National Registry every month for each driver examined. If no exams were performed during the month, that must also be reported;

• Retain original completed Medical Examination Reports for all drivers examined and a copy or electronic version of the driver's medical examiner's certificate for at least 3 years from the date of the examination;

• Submit to periodic audits;

• Provide FMCSA with medical examination report forms and other documents as requested.

• Continue to be licensed, registered, or certified in accordance with the applicable State laws and regulations of each State in which you perform examinations with a scope of practice that includes performing physical examinations;

• Submit any changes in the application information to FMCSA within 30 days of the change.

• Report to FMCSA any information related to any termination, suspension, or withdrawal of your license, registration, or certificate under State law;

• Maintain documentation of State licensing, registration, or certification and completion of all required training.

Contact the NRCME here with questions

Contact Pam Williams at the IAFP office with registration

questions

Telephone: (515) 283-9370

Email: pwilliams@iaafp.org or kcox@iaafp.org

I AM STILL CONFUSED????