The National Registry of Certified
Medical Examiners represents the
greatest opportunity for the
chiropractic profession in our time.
In regard to government and
professional acceptance, financial
and personal achievement,
it is unsurpassed.
National Registry of Certified
THIS IS NOT A FMCSA APPROVED OR
Ideas expressed in this presentation are forward
looking, based on current thinking, and may not
represent the Final Rule of the NRCME.
The National Registry Mission
To improve highway safety by producing trained, certified
medical examiners who can effectively determine if a
commercial motor vehicle operator’s health meets Federal
Motor Carrier Safety Administration standards.
Who are Medical Examiners?
FEDERAL DEFINITION –
“Medical Examiner” includes but not limited to:
Mds, DOs, ANPs, PAs and DCs
(DCs in 49 of 51 US jurisdictions)
Certified Medical Examiner:
The FMCSA makes no distinction between
“non-medical” and “medical” providers.
To be a CME your state must have a licensing
board, and your scope of practice must
include performing physicals. UAs are
required (can be referred out).
We are in a Race!
DC “Drivers” Wanted!
FMCSA Projects To Train And Certify
40,000 Medical Examiners in Two
Regardless of the economy:
All Drivers must have a medical exam at least every 2
years. Due to health conditions, 42% must have a exam at
Also required: 50% tested f/drug, 10% f/alcohol yearly.
FMCSA estimates 4.2 Million driver physicals will be
performed yearly (+ CDL/MC 2012)
Estimated Market: $500,000,000 yr
Drug and Alcohol: $300,000,000 yr.
Non DOT Drug/Alc: ?????? 7X more estimated
We have the fastest Car!
DCs Offices often Underutilized, more flexible scheduling
Lower Overhead allows Competitive Pricing
Staff Underutilized- ½ of exam, 99% Drug/Alcohol Testing
Equal Status- Level playing field for all CMEs
Ethical Practice Building
–get paid for potential patients to come to your office
Helps Chiropractic into other Programs. AME, MRO, CS
DCs are enthusiastic, but inexperienced at
performing the CMV medical Exams
Most DCs starting from a dead stop
“Other” Drivers are experienced, but they may be
too busy driving on other racetracks.
You don’t win races by starting preparations on
race day. Advanced preparation is needed for
continuing education hour acceptance.
The other professions have CE acceptance already
in place. They have the advantage at this time.
Those that start driving early, have a detering
effect on the “other” drivers before race day.
Certified Medical Examiners will:
– Complete “required” training
– Pass a “certification” examination
To perform Driver’s Examinations in the
future, all Medical Examiners will need to be
FMCSA approximates: 8+ Hours
Allowance for additional training specific to a
– DC training longer.
– Training is intensive
Providers must be “accredited” by a nationally-
recognized profession accrediting body to provide
Accrediation Council for continuing Medical Ed.
American Nurses Credentialing Center
American Academy of Physician Assistants
American Osteopathic association Council on CME
Chiropractic Providers of Approved Continuing Ed
Provide Quality Assurance
Specific to gaining acceptance of approved training
for CEs and MEs.
(Objective: Remove obstacles to physicians
Removing Barriers to Racing
Cross-Professional CE/ME Acceptance
MDs attending DC training
DCs attending MD training
Does your state accept ME credits? Limited?
Removing More Barriers
Reduce Cost to the Physician
Pre-Constructed Powerpoint Courses Available
to training providers
Does your state allow on-line courses/web
conferences? Limited hours?
The “Pace”Car is on the Track
PACE is a nationally-recognized medical profession
accrediting body to provide CEUs. Are there
“Cross-acceptance” may be more likely between
Board Review of individual Programs Unnecessary
On-line vs Live issue simplified?
State Board Choices
MEs Acceptable (or increased)
CE acceptance streamlined (due to expected #)
On-line Accepted (or increased)
Do none of the above (race car hitting the wall)
Completed by: NRCME Final Rule (Spring ‘10)
Keeping the Car on the Track
State Boards are the Pits (figuratively speaking)
Recurrent training is required at least every 3 years
Recurrent testing is required every 6 years.
We have the fastest car on the track,
but any Driver will tell you:
Races are won, or lost in the Pits.