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Medical Examiner Course

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Price: $495.00
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Format: Case studies, selfpaced learning, clinical scenarios, regulation review, on-line examination to confirm training and electronic pocket medical reference.



CME Provider Contact Information:
University Services
Office of CME
2837 Southampton Road
Philadelphia, PA 19154
215- 637-6800 or


Release Date: September 1, 2014

Expiration Date: September 1, 2017

Statement of Need:  This SAPAA Training Institute Commercial Driver Medical Examiner Training Course is intended to meet the requirements of the National Registry of Certified Medical Examiners Training Program (The National Registry) which requires medical examiners to be certified to conduct medical examinations for drivers of commercial motor vehicles (CMVs) operating in interstate commerce. To achieve certification, medical examiners need to be trained and tested on the Federal Motor Carrier Safety Administration (FMCSA) physical qualification standards. The purpose of the training and certification is to enhance the medical examiner’s ability to determine if a driver is medically qualified to safely operate and meet the demands of CMV driving operations.


Learning Objectives:  Upon completion of this activity, participants should be able to:

·         Identify the role of the Medical Examiner in performing a driver medical evaluation with detailed history and physical examination.

·         Derive the appropriate diagnostic tests and /or referrals necessary for driver medical evaluation.

·         Produce clear documentation of all the ancillary information collected on behalf of the driver.

·         Give appropriate health education counseling with various health conditions that require further evaluations & testing and monitoring based on the FMCSA guidelines.

·         Outline individual Risk Assessments.

·         Derive certification outcomes and intervals.

Target Audience: Medical Doctors, Doctors of Osteopath, Doctors of Chiropractic, Nurse Practitioners and Physician Assistants.

Course Format: This Enduring Material Activity is a self-paced guided format presented in 13 Training modules, each module composed of 8 topics outlined in the current core curriculum specifications established by FMCSA (Federal Register 49 CFR Parts 390 and 391). The course includes 21 training self-study clinical scenarios and 136 self-check questions along with the SAPAA Training Institute Pocket Medical Examiners Handbook (Version 1.5)

Estimated time for completion: 15 hours of instruction including the SAPAA on-line exam.

Accreditation Statement: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of University Services and Substance Abuse Program Administrators Association (SAPAA).

University Services is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians.

Credit Designation: University Services designates this educational activity for a maximum of 15 credit hours of AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the educational activity.

Method of Participation: To receive CME credit(s), the participant should complete the study of all 13 modules and SAPAA on-line self-assessment exam.
At the conclusion of this activity, the participants are required to complete an activity evaluation in order to receive a CME certificate. Please click on this link and complete the CME Evaluation-


Chauncey B. Thuss, Jr., M.D. CMRO

Substance Abuse Program Administrators Association
P.O. Box 6203
Tallahassee, FL 32314

Phone: (800) 672-7229

Dr. C. B. Thuss, Jr. is a third generation practicing Occupational Medicine physician and currently the Medical Director of the Occupational Health Clinic at St. Vincent's Medical Center in Birmingham, Alabama. Dr. Thuss was one of the first Certified Medical Review Officers in the United States and serves on the Board of Substance Abuse Program Administrators Association (SAPAA) and has served on the advisory boards of the American Association of Medical Review Officers (A.A.M.R.O.) and the Alabama Chapter of the National Safety Council. He is a past Vice-Chairman of the Drug and Alcohol Testing Industry Association (D.A.T.I.A.) and member of the Advisory Committee on Athlete Drug Testing of the A.H.S.A. Drugs and Medications Program for the U.S. Olympic Committee National Anti-Doping Program.

Disclosure of Conflicts of Interest: It is the policy of University Services, Office of CME to insure balance, independence, objectivity and scientific rigor in all its individually or jointly sponsored educational programs. All faculty, planners, managers and other individuals and their spouses or immediate family members are expected to disclose to the participants any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter. Faculty is also required to disclose plans to present any unapproved or investigative uses of commercial products or devices.

Dr. Chauncey B. Thuss has reported no real or apparent conflict of interest in relation to this educational activity and does not plan to present any unapproved/investigative uses of commercial products or devices.

The planning committee for this activity has reported no real or apparent conflict of interest or other relationships related to the content of this presentation.

Commercial Support: There has been no commercial support awarded for this activity.

Software Requirements:

  • You’ll need a computer with Internet access to take our course, but it doesn’t need to be yours.
  • You can use a computer at a friend’s home, at work, at school, or at the public library.
  • You can log on to the course from any computer with Internet access.
  • The hardware and software requirements are simple. You’ll need a computer with a standard Web browser. If you don’t have flash player installed on your computer you will need to download the free software to view the videos.
  • High speed connection is recommended due to the video. Broadband wireless will usually work but some of the videos may load slower.

Hardware/ Software Needed:

Minimum System Requirements

  • 200 MHz Processor
  • 128 Megabytes of Memory
  • 56k Modem or faster
  • Speakers & Sound Card
  • A mouse or other pointing device
  • 800 x 600 screen resolution

Minimum Browser Requirements

  • Internet Explorer 5.0 or higher
  • Windows Media Player 9 or newer

It is your responsibility to ensure that the computer you are using meets these minimum requirements. If it doesn’t you may still be able to take the course but we do not offer any support if you have problems. 

To be eligible to sit for the FMCSA National Registry examination, Medical Examiners must obtain training from an organization such as the SAPAA Training Institute that is CME accredited to provide health care professional training.  

Visit the FMCSA National Registry website Q&A for complete information:

I have performed DOT Driver physicals for over 30 years as part of my Occupational Physician’s practice and I have found that the SAPAA Training Institute Commercial Driver Medical Examiner Course is a very effective means of mastering the required material in preparation to become a certified DOT medical examiner and to be well prepared to sit for the FMCSA National Registry examination. The course presentation is thorough; the format is logical and progressive. The clinical case scenarios are entertaining and educational and the completion of the Commercial Driver Fitness Determination 649-F at the end of each clinical case scenario is an excellent self-paced learning technique for the practicing medical examiner. The iPad iBook version, an electronic Medical Examiner Handbook, affords instant access to the pertinent federal regulations, guidelines and word searches to a wealth of information which I now use as a medical reference resource in my daily practice. The fact that the course was self-paced and did not require travel, or take me away from my Practice, was a big plus for me as I am a solo practitioner. I will be a better examiner for having taken this course and give this course my highest recommendation.

-- J. Garth Stauffer,
M.D.Alabama Occupational Medicine
Auburn. Alabama


SAPAA Training Institute Commercial Driver Medical Examiner Training Course will have special emphasis on issues specific to the commercial driver, but assumes extensive medical training and state licensure. The preparation materials and study resources, all delivered electronically, received at the time of course registration include the following:

  1. SAPAA Training Institute Commercial Driver Medical Examiner Training Course materials in PDF format (150 Pages);
  2. SAPAA Training Institute Pocket Medical Examiners Handbook (Version 1.5 for iPad) in an iBook or PDF electronic format (230 pages);
  3. SAPAA ME Test Questions Only to record your self-check exam answers in PDF format (16 pages); and
  4. Blank FMCSA Medical Examination Reports (21) for use in completion of Clinical Scenarios in PDF format (75 pages).

This is a well written course manual for Health Professionals who administer the DOT Exam. It is comprehensive and understandable. I recommend it.

--Michael Vaughn,
St. Vincent's Medical Center
Birmingham, Alabama

The SAPAA Training Institute Pocket Medical Examiners Handbook(Version 1.5 for IPad)will not only allow the medical examiner to quickly navigate over 250 screen views to locate answers to the 21 training self-study clinical scenarios and 136 questions included in the SAPAA Training Institute Commercial Driver Medical Examiner Training Course materials, but also serves as an invaluable everyday medical reference tool to locate regulatory guidance in an illustrated fashion for the medical examiner long after passing the certification examination.


An assessment of the learner that measures achievement of the educational purpose and/or objectives of the activity has been implemented through a post-course on-line test which you will be directed to upon completion of the course. This assessment tool is to assist you with your studying, and a passing score is not to be construed as authorization, certification, or qualification. Once you complete the training course you must get testing from an accredited entity listed at FMCSA’s site. To receive your certificate of completion for this training course, and to secure CME credit, you must score a minimum of 80% on the SAPAA Training Instituteon-line test.



  • Module 1: Welcome to SAPAA Training Institute National Registry Training Course
  • Module 2: Overview
  • Module 3: Vision
  • Module 4: Hearing
  • Module 5: Cardiovascular
  • Module 6: Hypertension
  • Module 7: Respiratory
  • Module 8: Neurological
  • Module 9: Musculoskeletal
  • Module 10: Diabetes Mellitus
  • Module 11: Other Diseases
  • Module 12: Psychological
  • Module 13: Drug Abuse & Alcoholism
  • Frequently Asked Questions/Sample Test Questions
  • Login Instruction for On-line Exam

There will be an estimated 15 hours of required study to complete the course and take the SAPAA on-line exam. Note, the SAPAA on-line exam is for self-assessment. It is not the FMCSA certifying exam. The link for the exam is in the text instructions.  Course registration fee is for one person only.


I have been performing DOT driver physicals for the last 2 years as a CRNP. This course has helped me master skills that I already possess as well as gaining insight to new areas of information. This course was very entertaining as well as educational. I believe that it gives you ample information needed to perform safe DOT physicals as well as addressing issues that may arise. It also is an excellent reference for future issues. I am wife, a mother of 2 and pregnant with our third child. I currently hold a full time job, and my life can be pretty hectic at times. This course was very accessible and made it easy to work at my own pace and at times that were manageable for my family, my clinic, and me. I would definitely recommend this course. I feel well prepared to continue DOT examinations.
-- Jessica Voss CRNP
The Occupational Health Center
Gadsden Alabama


As Industrial Relations Chairman of the Alabama Chiropractic Association, I have learned that Doctors were being overwhelmed at the amount of information presented at live DOT Medical Examiner training courses they had taken. That together with travel and time out of the office led them to comment that the live class was a waste of their time and money. They called wanting to know what our clinic was going to do. Having done literally thousands of DOT physicals for 25 years, with over 50 large and small employers that rely on us to determine if their drivers are medically fit for duty, we looked for a better alternative. Our MRO Dr. C.B. Thuss, Jr suggested that we offer to be a Beta course taker for the SAPAA Training Institute Commercial Driver Medical Examiner Course. We did so and found the curriculum to be presented in a way that was easy to understand with color coded self-paced learning strategies, question/answer self-checks and very practical clinical based scenarios at the end of which we would fill in a mock 649-F. There is way too much information to be absorbed in a weekend live course to learn the 146 critical tasks for the medical examiner. Having the resource information at your fingertips on the iPad iBook version 1.5 of the Medical Examiners Handbook and FMCSA driver qualification regulations for training and future medical reference is invaluable. We give this great course our strongest recommendation and endorsement.
R. Kevin Palmer,DC
Stephanie White,DC
Palmer Chiropractic Wellness and Rehab Center
Haleyville ,Al



Format: Case studies, selfpaced learning, clinical scenarios, regulation review, on-line examination to confirm training and electronic pocket medical reference.










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