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Medical Examiners performing driver medical exams are expected to understand fully the medical standards of the Federal Motor Carrier Safety Regulations (FMCSRs) and related guidance.

All commercial drivers whose current medical certificate expires on or after May 21, 2014, at expiration of that certificate must be examined by a medical professional listed on the National Registry of Certified Medical Examiners.

Medical Examiners must enroll, complete necessary training, and pass a certification test in order to be listed on the National Registry.


How do I become a certified medical examiner?
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
  • FMCSA will notify you of certification via email and enclose your certification credential. You must receive notification of certification from FMCSA before you are authorized to perform driver exams.
How do I get trained?
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've completed my training? How do I get tested?
Once you've completed the required training, you need to pass a certification test to be listed on the National Registry. Find a testing center near you.
  • Find a test delivery organization that has been approved by FMCSA
    • 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: Certified medical examiners are responsible for keeping their National Registry accounts up to date (licenses, training records, etc.). They are also responsible for transmitting results of all CMV driver exams performed to FMCSA via the National Registry on at least a monthly basis.
Maintaining Medical Examiner Certification
To maintain your Medical Examiner certification you must:
  • Continue to be licensed, certified, or registered in accordance with applicable State laws and regulations to perform 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
  • Submit Form MCSA-5850 for each driver examined electronically every month via the National Registry Web site. 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
  • Provide copies of Medical Examination Reports and medical examiner's certificates to FMCSA within 48 hours of request
  • Follow all FMCSA administrative requirements
  • Complete periodic training every 5 years as specified by FMCSA
  • Pass the Medical Examiner certification test every 10 years
To assist in maintaining certification, 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 number to complete the designation process.
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 Web site when there are changes. If the contact and medical licensing information you entered during registration on the National Registry Web site does not match the credentials you present to the test center, you will not be allowed to take the exam.
Removal From The National Registry
FMCSA may remove a medical examiner from the National Registry of Certified Medical Examiners when/if a ME fails to meet or maintain the qualifications as outlined in the regulation. The reasons for removal may include, but are not limited to:
  • Failure to comply with the requirements for continued listing on the National Registry of Certified Medical Examiners as outlined in the regulation
  • Errors, omissions, or other indications of improper certification of an operator in either the completed Medical Examination Reports or the medical examiner's certificates
  • Issuance of a medical examiner's certificate to an operator of a commercial motor vehicle who failed to meet the applicable standards at the time of the examination
  • The medical examiner fails to comply with the examination requirements specified in the FMCSA regulations
  • The medical examiner falsely claims to have completed training in physical and medical examinations standards
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