When Was The National Driver Register Established
Click on the questions below to read the answer.
Medical Examiners Questions
Commercial Motor Vehicle Driver Questions
Training Organization Questions
Testing Organization Questions
What is the National Registry of
Certified Medical Examiners National Registry.
The National Registry of
Certified Medical Examiners National Registry is a Federal program that
establishes requirements for healthcare professionals who perform physical
qualification examinations for
truck and bus drivers. To become a certified medical examiner ME and be listed on the National Registry,
healthcare professionals must complete training and testing on the Federal Motor Carrier Safety Administration s
FMCSA physical qualifications standards and guidelines. The
National Registry website is accessible to carriers, drivers, enforcement officials, and the
general public.
All healthcare professionals whose scope of practice authorizes them to perform
physical examinations, as defined by the State in which they practice,and who
intend to perform physical examinations and issue medical certificates for
commercial motor vehicle CMV drivers to meet the requirements of Section
391.41 of the Federal Motor Carrier Safety Regulations FMCSRs must be
certified and listed on FMCSA s National Registry by May 21, 2014.
Why is the National Registry necessary.
The National Registry is necessary because information from
NTSB crash investigations indicates that improper medical certification of CMV
drivers with serious disqualifying medical conditions has directly contributed
to fatal and injury crashes.
Who is impacted by this program.
The program impacts medical examiners who need to obtain certification in order to continue issuing
medical certificates for truck and bus drivers, CMV drivers who need to obtain medical certificates from examiners
on the National Registry, motor carriers who must ensure their interstate drivers have been medically certified
by an examiner on the registry, and training and testing organizations that will deliver these aspects of the program.
Are there any National Transportation Safety Board NTSB recommendations related to the establishment of the National Registry of Certified Medical Examiners National Registry program.
Yes. There are several open NTSB recommendations to FMCSA to develop a comprehensive medical oversight program for interstate drivers that includes the following elements:
Individuals performing medical examinations for drivers are qualified to do so and are educated about occupational issues for drivers H-01-017 ;
A tracking mechanism is established that ensures that every prior application by an individual for medical certification is recorded and reviewed H-01-018 ;
Medical certification regulations are updated periodically to permit trained examiners to clearly determine whether drivers with common medical conditions should be issued a
medical certificate H-01-019 ;
Individuals performing examinations have specific guidance and a readily identifiable source of information for questions on such examinations H-01-020.
FMCSA staff will meet with NTSB staff to provide a briefing on the rule. The Agency will provide any additional technical assistance necessary for the NTSB to determine whether the recommendations have been satisfied through the rulemaking.
Medical Examiners
Who can perform FMCSA medical examinations for CMV drivers.
FMCSA s current regulations require that all MEs must be licensed, certified
and/or registered, in accordance with applicable State laws and regulations, to
perform physical examinations. This includes, but is not limited to, doctors of
medicine, doctors of osteopathy, physician assistants, advanced practice nurses,
and doctors of chiropractic.
MEs must be knowledgeable of the specific physical
and mental demands associated wih operating a CMV and the requirements of
391.43 c, including the medical advisory criteria prepared by the FMCSA as
guidelines to aid the medical examiner in making the individual determination
whether a driver should be issued a medical certificate; and be proficient in
following the medical protocols necessary to adequately perform the medical
examination.
Beginning May 21, 2014, all MEs who wish to conduct
medical examinations for interstate CMV drivers must complete training about
FMCSA s physical qualifications, regulations and advisory criteria, and pass a
certification test to be listed on the National Registry.
All medical
certificates issued on or after this date must be issued by examiners listed on
the National Registry.
What do I have to do to become a certified medical
examiner.
To become certified as a Medical Examiner, you must register through
the National Registry website. Once registered, you will receive a unique
identification number. You will then need to complete the necessary training and
pass the certification test required by FMCSA. The National Registry website
provides program information to healthcare professionals who wish to become
certified MEs, CMV drivers, motor carriers, bus companies, training and testing
organizations, and the interested public.
CMV drivers in interstate commerce
must use MEs listed on the National Registry to obtain a medical examiner s
certificate beginning May 21, 2014. Medical certificates issued prior
to this date are valid until the expiration date. Contact information for MEs is
available online at the National Registry website to drivers who wish to obtain
a CMV driver physical examination.
How can a healthcare professional obtain more
information about the National Registry.
This website contains comprehensive
information about the program, including Frequently Asked Questions. For ongoing
updates, sign up for the National Registry ListServ.
When will an ME be required
to complete a training program.
Training must be completed within one year prior
to taking the certification test.
What is the Compliance Date.
May 21, 2014. All CMV drivers seeking a medical certificate must use a certified ME
listed on the National Registry.
When does Registration begin for Medical
Examiners.
August 21, 2012.
Medical Examiners may
register on the National Registry website and receive their unique
identification number. The unique identification number will be needed to take
the certification test.
What will MEs be required to do after they are added to
the National Registry.
After an examiner is certified in the National Registry,
the examiner must apply the qualifications standards consistently and uniformly
during the examination of drivers. Each ME listed on the National Registry will
also be require to complete and transmit to FMCSA once every calendar month the
following information about each CMV driver examined during the previous month:
name, date of birth, driver s license number and State, date of examination, an
indication of the examination outcome for example, Medically Qualified,
whether intrastate driver only, and date of driver medical certificate
expiration. If the ME does not conduct any exams during any given month, he/she
must submit that information. Data will be submitted electronically via the
secure FMCSA National Registry website.
How do MEs find training and testing
organizations.
The National Registry website provides a list of some Training
Organizations. Please note that this is not an all inclusive list of training
organizations. To find an acceptable training organization, be sure to look at
the criteria for training.
Approved testing organizations are listed on the
National Registry website.
How will a Medical Examiner know that a training
provider s program meets all of the National Registry requirements.
The ME
candidate may visit the National Registry website to obtain the regulatory
requirements for training, including the eight topics the Core Curriculum that
must be covered by the training. The training organization must be accredited by
a nationally-recognized medical profession accrediting organization that
provided continuing medical education units and the training must include all of
the topics outlined in the final rule. The training organization must provide
training participants with proof of participation.
Although FMCSA posts contact
information for training organizations that sign up to be listed on the National
Registry, FMCSA does not approve or endorse training providers or courses. The
onus is on the medical examiner candidate to determine whether a training course
meets the regulatory requirements.
Where will MEs go to take the test.
The test
will be offered by private sector test delivery organizations throughout the
United States. FMCSA will post contact information for testing organizations on
the National Registry website. In addition, testing organizations may administer
the test online with remote monitoring.
Are ME candidates required to pay for
the training and testing.
Yes. The ME candidate is responsible for paying any
fees charged by the training and testing organizations.
FMCSA neither
establishes, nor regulates, the schedules of fees established and collected by
training or testing organizations, and does not receive any monies collected by
training or testing organizations. Training and testing providers are not
reimbursed by the Federal government, but may charge fees for training and test
delivery. The providers are responsible for the entire process of fee
determination, collection, and refund, if warranted. The providers are also
responsible for the advertising of their services, determining the schedules,
and managing requests for training and testing.
If an ME candidate does not pass
the test, can it be taken again.
If the candidate fails the test, he or she must
wait 30 days before taking the test again.
How long will the ME s certification
be valid.
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.
Do all medical examiners have to be
certified.
Yes. All MEs who intend to perform physical examinations and issue
medical certificates for interstate CMV drivers must complete the mandatory
training and testing requirements in the FMCSRs Section 390.101 through 390.115
by May 21, 2014.
If I attended a medical examiner training course prior
to the publication of the rule, does that qualify me to take the certification
test.
Yes, provided the curriculum for the training course covers all the topics
outlined in the final rule. The training organization must also be accredited by
provides continuing medical education units, and the training must include all
of the topics outlined in the final rule.
How will the certification test be
administered.
The testing organizations may administer the exam at a testing
facility where candidates can take the examination using test booklets and test
forms, or using computer terminals. Or, alternatively, the testing organization
may provide an on-line testing option where the candidate may take the test from
his or her office or other location provided the testing organization has a
monitoring mechanism to detect cheating or other inappropriate activity during
the on-line test.
Are there additional requirements that a medical examiner must
adhere to after they are added to the National Registry.
Yes, 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.
Commercial Motor Vehicle CMV Drivers
What impact does the
National Registry have on CMV drivers and motor carriers.
As of May 21, 2014, interstate CMV drivers are required to obtain physical
examinations and a medical examiner s certificate from a certified medical
examiner listed on the National Registry website.
Is this program applicable to
both interstate and intrastate CMV drivers.
No, this program is only applicable
to interstate drivers. Intrastate drivers must follow State requirements
concerning medical certification.
How is the medical certificate issued by an ME
on the National Registry different from the current medical certificate.
The new
medical certificate will contain the same information as the current medical
certificate, but will now include the ME s National Registry number.
Will the ME inform the State driver licensing agency that I have passed the physical examination.
No, it is up to CMV drivers, who are required to have a CDL, to provide the medical certificate to the State agency issuing the license.
Contact your State driver licensing agency for information about how to provide your medical certificate.
As of May 21, 2014, States will be required to enter the National Registry number from the medical examiner s certificate into CDLIS for each non-excepted interstate CDL driver.
A driver s medical certificate is valid until it expires. If the expiration date is after May 21, 2014, the driver must obtain a medical certificate from an ME listed on the National Registry.
Will FMCSA transmit the medical certificate information for interstate CDL drivers to the State driver licensing agencies.
Not at this time. The final rule provides for reporting to FMCSA by the MEs of medical certificate information for all interstate CMV drivers.
The Agency is considering a new rulemaking to require more frequent submission of medical certificate information by the MEs, and for FMCSA to
transmit to the SDLAs information for interstate CDL drivers required to have a medical certificate.
How will an
employer or enforcement personnel verify that an ME is on the National Registry.
They may visit the National Registry website and search the registry for the ME
who provided the driver s medical certificate. They can sarch by ME name or
National Registry number.
How will a driver/carrier find an ME.
Medical examiner
candidates who pass the exam will be listed in an online registry located on the
National Registry website. As of May 21, 2012, all
CMV drivers seeking a medical examination/certificate must use an ME listed on
To find a certified medical examiner, visit the National
Registry website at and conduct a basic or advanced
search by:
City and State
Zip Code
Name of ME
Business Name
Employer
Name
Medical Profession
National Registry ID
Will the medical examination
reports be entered into the National Registry.
No. The FMCSA will not collect or
store medical examination reports i.e, the long form.
If I lose my medical
card, can I get a replacement copy from the National Registry.
No, the National
Registry is not intended to serve as a medical certificate database for drivers
or carriers. To get a copy of your signed medical certificate, you must contact
the ME who issued it.
If a driver receives a medical certificate from an ME who
is later removed from the National Registry for fraudulent activities, is the
medical certificate still valid.
Yes. However, FMCSA may exercise its authority
to review the ME s report long form and discuss the matter with the individual
driver to make an individual determination whether to void the certificate.
What
happens to an ME who inappropriately or fraudulently certifies a driver.
Errors,
omissions, or other indications of improper certification by an ME of a driver
in either the completed Medical Examination Reports or the medical certificates
may result in FMCSA initiating action to remove the ME from the National
Registry. The final rule provides due process for addressing the removal of MEs
from the National Registry.
I prefer going to my doctor for my CMV physical
exam. Can I still go to him or her once this rule is implemented.
Yes, provided
he/she is listed as a certified medical examiner on the National Registry. If
not, drivers will have to use a certified medical examiner who is listed in the
online registry.
Training Organizations
What are the requirements for becoming a
training organization for the National Registry program.
Training organizations
must:
Be accredited by a nationally recognized medical profession accrediting
organization to provide continuing education units;
Meet the current core
curriculum specifications established by FMCSA for medical examiner training;
Provide training participants with proof of participation
Provide FMCSA point
of contact information to training participants.
To see the other requirements,
visit the training organization overview section of this website.
Is there a
specific training method that we have to use.
No, training organizations can use
a variety of methods to train the medical examiners, including instructor-led,
self-paced e-learning, blended learning, guided literature review, and/or a
combination of methods.
Are there guidelines that training organizations must
adhere to when developing the training for medical examiners.
Yes, training must
cover, at minimum, the eight topics defined in the core curriculum
specifications established by FMCSA. An expanded description of these eight
topics can be found in the Guidance for Core Curriculum Topics.
FMCSA developed
a Sample Training Manual, a comprehensive example of medical examiner training
that demonstrates one way to cover the eight training topics in the core
curriculum required by FMCSA.
Testing Organizations
How do I apply to become a
National Registry testing provider.
Providers interested in being a test
delivery organization must apply through the National Registry website.
Information for test delivery providers can be found in the Administrative
Manual for Testing Organizations.
Can a testing organization be declined. If so,
why.
There are several different reasons why a prospective testing organization
would be declined. For example, a testing organization would be declined if it
does not have the proper protections and security safe guards for securing the
exam, or it may be declined if it doesn t have the technical capabilities for
uploading the test or for scrambling the questions. Basically, a prospective
testing organization can be declined if it does not meet the criteria and IT
security requirements outlined in the Administrative Manual for Testing
Organizations.
As a testing organization, can I offer online testing for the ME
certification examination.
Yes. To do so you must meet the criteria established
in the regulation. In addition to providing test security and processes to
minimize cheating, you must be able to authenticate the identity of the person
taking the test, verify the healthcare license and the ME training certificate,
provide a means for monitoring the activity of the person while taking the test,
and create and retain a record of each test taken.
Can the training provider
also be the testing provider.
No. To avoid potential conflict of interest and to
protect the integrity of the certification test, training providers cannot also
be testing providers.
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