FMCSA develops medical examiner certification registry
The National Registry of Certified Medical Examiners was created to accompany the new final rule that requires healthcare professionals who perform medical examinations for interstate truck and bus drivers to be trained, tested and certified on the specific physical qualifications that affect a driver's ability to safely operate the vehicle.
The Federal Motor Carrier Safety Administration (FMCSA) announced a new safety rule that requires health care professionals who perform medical examinations for interstate truck and bus drivers to be trained, tested and certified on the specific physical qualifications that affect a driver's ability to safely operate the vehicle.
The final rule also creates a national online database of medical examiners who have completed the FMCSA certification process.
FMCSA developed the National Registry of Certified Medical Examiners final rule as part of the agency's commitment to enhancing the medical oversight of interstate drivers and preventing commercial vehicle-related crashes, injuries and fatalities. This rule addresses four National Transportation Safety Board recommendations on comprehensive training for medical examiners and tracking of driver medical certificates.
In 30 days, FMCSA will post its uniform training and testing standards for medical examiners at http://nrcme.fmcsa.dot.gov/. At that time, health care professionals, drivers, employers, law enforcement officers, and the public can review the training standards and sign up to receive updates on the implementation of the rule.
By May 21, 2014, all certified medical examiners must be on the National Registry database, and drivers must obtain a medical examination from a certified examiner. Medical examiners that fail to maintain federal standards will be removed from the registry.
To allow time for testing and training centers to prepare their curricula and receive FMCSA approval, healthcare professionals seeking to become certified examiners can begin registering on the National Registry website this summer.
Medical examiners perform approximately three million examinations on commercial truck and bus drivers each year. A U.S. Department of Transportation (U.S. DOT) medical exam looks at a range of conditions to determine a driver's medical fitness, including cardiovascular disease, respiratory and muscular functions, vision and hearing.
All commercial drivers must pass a U.S. DOT medical examination at least every two years in order to obtain a valid medical certificate, maintain their commercial driver's license and legally drive a commercial motor vehicle.
More Motorcoach

Financing, Fleet Replacement Requires a More Strategic Approach
Executives from ABC Companies and MCI discuss how rising costs, changing market conditions, and post-pandemic challenges are prompting motorcoach operators to rethink financing strategies, fleet replacement cycles, and long-term planning.
Read More →
Rethinking the Road: Transportation Challenges for Smaller College Athletics
Smaller college athletic programs are rethinking fleet strategies as rising costs, driver shortages, and longer travel distances put new pressure on transportation budgets.
Read More →
Brian Dickson on Building Stronger, More Resilient Transportation Organizations
Bus Business Consultants Founder Brian Dickson discusses the leadership principles, operational discipline, and strategic planning that separate transportation companies positioned for long-term success from those stuck in survival mode.
Read More →
Roman Cornell on ABC Companies’ Evolution and the Future of Passenger Transportation
The company’s CEO discusses carrying forward a third-generation family legacy, ABC’s continued evolution in passenger transportation, support for increasingly complex fleets, and how technology and continued investment could help operators improve uptime.
Read More →
From Surviving to Thriving: Building Stronger Transportation Organizations
Bus Business Consultants founder Brian Dickson shares lessons on leadership, organizational health, and creating options for long-term success in a changing transportation industry.
Read More →
Report: Canadian Motorcoach Industry Generates $4.4B in Economic Impact
The 2025 Motorcoach Economic Impact Report finds motorcoach travel supported nearly 25,000 jobs and generated $980 million in federal, provincial, and local taxes.
Read More →
Prevost Opens Expanded Chicago-Area Service Center
The $8.1 million Elk Grove Village investment nearly triples facility space while adding service capacity, parts storage, and customer amenities.
Read More →
People Movement: Dan Dipert Coaches Adds Third-Generation Leader, Keolis Names New Valley Metro VP/GM, and More
In this edition, we also cover recent appointments and announcements at the Wabtec, SilverRide, HNTB, and more, showcasing the individuals helping to shape the future of transportation.
Read More →
METRO Opens Submissions for 2026 Motorcoach Awards
Nominations are now being accepted for METRO Magazine’s Operator of the Year and Innovative Operator of the Year awards.
Read More →
Biz Briefs: Alstom Lands Canadian Contract, LYT to Supply California TSP, and More
In METRO's latest installment, we take a look at recent news from Complete Coach Works, Beep, FlixBus, and more partnerships making headlines across the transportation sector.
Read More →