How Does a Medical Examiner Get Listed on the FMCSA National Registry?

FMCSA sets out the steps for medical examiner certification in 49 CFR 390.103. To receive certification, a person must:

1. Be licensed, certified or registered under state law to perform physical examinations, as an advanced practice nurse, doctor of chiropractic, doctor of medicine, doctor of osteopathy, physician assistant or other medical professional authorized by state law

2. Register on the National Registry website and receive a National Registry number before taking the required training

3. Complete a training program that meets 49 CFR 390.105

4. Pass the FMCSA medical examiner certification test, given by a testing organization that meets 49 CFR 390.107, with results sent to FMCSA no more than 3 years after the training was completed

Under 390.105, the training provider must be accredited by a nationally recognized medical profession accrediting organization to provide continuing education units. The training covers topics such as the role of the medical examiner, the work environment of commercial motor vehicle operation, medical history and medications, performing and documenting the examination, and FMCSA reporting requirements.

Under 390.107, testing organizations must follow documented security and proctoring policies. Remote, computer-based testing is allowed if the system can verify identity, monitor the test taker and prevent recording of the test.

Under 390.103(b), a certified examiner must stay qualified and complete additional training and testing to renew. Trainers are one of the provider types listed in the MyDrugTesting.com directory.

Sources: 49 CFR 390.103, 49 CFR 390.105, 49 CFR 390.107