The NRCME Report

The NRCME Report The NRCME Report is a quarterly newsletter for certified medical examiners in issues related to the

THE NRCME REPORT publishes a quarterly newsletter for certified medical examiners and others interested in issues related to the medical evaluation and certification of commercial motor vehicle drivers. Our mission is to provide information, commentary, and insight into FMCSA medical regulations and to serve as a clearinghouse for issues related to the NRCME. Contact us with comments, questions, concerns, clinical scenarios, and any other issues you might like to see addressed in future issues.

Here’s what drivers and carriers should do now to stay compliant and avoid OOS headaches.
10/24/2025

Here’s what drivers and carriers should do now to stay compliant and avoid OOS headaches.

FMCSA renews medical-cert waiver: keep carrying your wallet MEC. What drivers & carriers must do now to stay compliant during the NRII transition.

If you're an NP, PA, or MD trying to get certified or recertified with the DOT, there's one thing you absolutely should ...
07/24/2025

If you're an NP, PA, or MD trying to get certified or recertified with the DOT, there's one thing you absolutely should NOT do when locked out of your account…

Creating a second NRCME account could delay your certification.

Avoid FMCSA login issues—don’t create a second DOT account. Learn how to recover access and pass your NRCME exam with trusted training and exam prep tools.

This overview outlines several common neurological disorders—such as epilepsy, stroke, peripheral neuropathy, and sleep ...
04/18/2025

This overview outlines several common neurological disorders—such as epilepsy, stroke, peripheral neuropathy, and sleep disorders—and the evaluation standards CMEs must follow to ensure compliance and promote roadway safety.

Learn about common neurological conditions affecting CMV drivers and how FMCSA-certified medical examiners assess fitness to drive.

The FMCSA is replacing the current seven BASICs (Behavior Analysis and Safety Improvement Categories) with six new Compl...
04/05/2025

The FMCSA is replacing the current seven BASICs (Behavior Analysis and Safety Improvement Categories) with six new Compliance Categories.

We break down the essential FMCSA regulations for Medical Examiners, covering the certification process, physical qualif...
03/13/2025

We break down the essential FMCSA regulations for Medical Examiners, covering the certification process, physical qualification standards, and best practices for compliance.

We break down the essential FMCSA regulations for MEs, covering the certification process, physical qualification standards, and best practices for compliance.

We guarantee that you will pass the NRCME national exam after completing our program, or we will pay your $80 exam fee.
03/05/2025

We guarantee that you will pass the NRCME national exam after completing our program, or we will pay your $80 exam fee.

We guarantee you will pass the NRCME national exam after completing our program or we will pay your $80 exam fee.

While Canada and Mexico have their own systems for certifying the health and fitness of CMV drivers, there are noteworth...
02/20/2025

While Canada and Mexico have their own systems for certifying the health and fitness of CMV drivers, there are noteworthy similarities and key differences when compared to the U.S. NRCME program.

While Canada and Mexico have their own systems for certifying the health and fitness of CMV drivers, there are noteworthy similarities and key differences.

Medical Examiners play a crucial role in the CDL qualification process, but drug testing is not part of the DOT physical...
12/04/2024

Medical Examiners play a crucial role in the CDL qualification process, but drug testing is not part of the DOT physical exam.

DOT drug testing is a mandatory step for CDL applicants and is regulated under 49 CFR Part 40, the federal guidelines for drug and alcohol testing.

The newly published NRCME amendments clarify the requirements for applicants who have upper limb loss or impairment, spe...
12/03/2024

The newly published NRCME amendments clarify the requirements for applicants who have upper limb loss or impairment, specifically in relation to their ability to demonstrate precision prehension and power grasp prehension, crucial skills for driving commercial vehicles.

This important NRCME update addresses the need for precision prehension and power grasp prehension capabilities, and addresses common ME documentation errors.

Our interactive question bank is part of a comprehensive package of NRCME Exam Reference Materials designed to help you ...
11/26/2024

Our interactive question bank is part of a comprehensive package of NRCME Exam Reference Materials designed to help you pass the NRCME exam.

Preparing for the National Registry of Certified Medical Examiners (NRCME) exam can feel like an overwhelming task, but it doesn’t have to be.

Drivers in "prohibited" status will now lose commercial driving privileges. Learn how to reinstate your CDL.
11/21/2024

Drivers in "prohibited" status will now lose commercial driving privileges. Learn how to reinstate your CDL.

As of 11/18/24, compliance with the FMCSA’s Clearinghouse II Final Rule takes effect, bringing significant changes for CDL drivers in a "prohibited" status.

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