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Be aware of a new rule that states PCPs can not treat drivers with insulin and the exemption form to see endocrinology has been taken away as of November 19, 2018. A new form is in the works for PCPs which we will post when it becomes available and the NRCME will provide webinars soon. Questions? Contact Jerri Davis at


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"Improving Transportation Safety: Commercial Driver Medical Examiner Training"


This is where CAFP comes in!

The Federal Motor Carrier Safety Administration (FMCSA) has established a National Registry of Certified Medical Examiners with requirements that all medical examiners who conduct physical examinations for interstate commercial motor vehicle drivers must complete a training course and pass a certification examination prior to May 21, 2014. We are pleased to offer our members and other primary care professionals this course.  The CAFP Medical Examiners Department of Transportation training program is delivered completely online.  You may log in and out as time permits and finish at your own pace.

Participation in this course does not guarantee successful passage of the certification exam. This is an advanced level fast-paced online course for physicians, which assumes a prior mastery and skillset in the basics of history and physical examination techniques. In addition, this course includes extensive resources materials that the learner will need to review and study prior to taking the certification exam.

Questions? Contact Jerri Davis at (916) 447-1349.


Release date: 2/14/2014  |  Expiration date: 2/14/19
Estimated time to complete: 2.5 hours
2.5 AMA PRA Category 1 Credit(s)TM   AND   2.5 AAFP Prescribed Credit

We also have a sample FMCSA exam form available for review.



The cost for this program is $350.00 for members of the American Academy of Family Physicians and $500.00 for all other learners. Group Discounts are available for FIVE (5) or more registrants from the same setting. This is a $50 discount applied to each person in the group.



1. Register through the National Registry:  You will need to register online through the National Registry to obtain a “unique identification number.”  Your credentials will be validated within 24 hours.  

2. Find a training course:  The training course will review FMCSA- specific knowledge of Commercial Drivers and the physical demands of the job.  The course must be accredited, meet the current core curriculum established by the FMCSA, and provide proof of participation.

3. Find a certified testing facility:  The testing delivery organization must be certified.  The exam must be taken at a testing site.

4. Take the exam:  Note: You will need to provide your training certificate, your credential or license, your photo ID and your “unique identification number.” The testing site will notify the National Registry when you have passed the exam. FMSCA will send you certification document valid for 10 years. Completing our training program does not guarantee that an individual will pass the exam.


FACULTY:  Nancy Swikert, MD, FAAFP, Certified Medical Examiner/Trainer

Dr. Nancy Swikert is from Union, Kentucky, where she practiced medicine for over 33 years. She is a past-president (1996) of the Kentucky Academy of Family Physicians (KAFP), Citizen Doctor of the Year (2007), KAFP Distinguished Service Award winner in 2012, and has been a delegate to AAFP since 2010. Dr. Swikert has served as Treasurer of the AAFP Foundation and currently serves as Co-Chair of the KAFP Advocacy Committee.

ACCREDITATION:  The California Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The California Academy of Family Physicians designates this educational activity for a maximum of 2.5 AMA PRA Category 1 credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Improving Transportation Safety: Commercial Driver Medical Examiner Training has been reviewed and is acceptable for 2.5 Prescribed credits by the American Academy of Family Physicians. AAFP accreditation begins February 14, 2014. Term of approval ends February 14, 2019.

GROUP REGISTRATION:  Group registration is available at a discounted rate for five (5) or more allied health care professionals/providers from the same practice or organization. 

The discounted member rate is available for allied health care professionals/providers from the same practice (valid AAFP member ID must be provided for verification).

CANCELLATION POLICY: Requests to cancel the CAFP Medical Examiners Department of Transportation online training program or to transfer to another health care professional within your practice must be sent via email or fax prior to the start date of the online training.  

Cancellation requests emailed or faxed on or before the listed start date of the online training will be charged a $15 processing fee.

Note:  Cancellation requests emailed or faxed after the listed start date of the webinar will not be refunded. Refunds for credit card transactions processed online will be refunded back to the credit card within 2 weeks after the cancellation. Refunds for check transactions will be refunded by check within 4-6 weeks after the cancellation.


After you’ve completed one of the CAFP courses you will need to register for the final test. Visit the National Registry website to schedule your Certified Medical Examiner examination.  California testing facilities are available in:

Anaheim Burlington Fresno Los Angeles San Diego
Atascadero Camarillo Hayward Redding San Francisco
Bakersfield Carson Lancaster Riverside Santa Clara
Burbank El Monte Livermore Sacramento Santa Rosa







IMPORTANT: As a Certified Medical Examiner you MUST report exam activities every month (even if you have not performed any exams.) You MUST keep your registry information up-to-date.


We have a sample FMCSA exam form available for review.

For questions regarding the content of this activity, contact Jerri Davis at


© 2016 California Academy of Family Physicians. All rights reserved. No part of this program may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embedded in articles or reviews.