NRCME Training
24
NRCME Truck Racing “Formally The Brass Ring” Michael Megehee, DC Steve Conway, DC JD
Transcript of NRCME Training
NRCME
Truck Racing “Formally The Brass Ring”
Michael Megehee, DC
Steve Conway, DC JD
The Brass Ring:
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 Medical Examiners
THIS IS NOT A FMCSA APPROVED OR
ENDORSED PRESENTATION.
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 Years
Winner’s CircleRegardless 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 least yearly.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 yrDrug 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
“Drivers”…..actually CMEs
● 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.
Race Preparation
● 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.
“Driver” Training
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
become Certified.
“Required” Training
FMCSA approximates: 8+ Hours
Allowance for additional training specific to a profession– DC training longer.– Training is intensive
Training Providers
Providers must be “accredited” by a nationally-recognized profession accrediting body to provide CEUs .
Such as: Accrediation Council for continuing Medical Ed.American Nurses Credentialing CenterAmerican Academy of Physician AssistantsAmerican Osteopathic association Council on CMEChiropractic Providers of Approved Continuing Ed
Accrediting Organizations
Purpose:
Maximize Consistency
Provide Quality Assurance
Specific to gaining acceptance of approved training for CEs and MEs.(Objective: Remove obstacles to physicians becoming certified)
Removing Barriers to Racing
Cross-Professional CE/ME Acceptance
Examples:MDs attending DC trainingDCs 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
Allowed: On-Line courses On-Line Conferences Live Presentation
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 others?
“Cross-acceptance” may be more likely between professions.
Board Review of individual Programs Unnecessary
On-line vs Live issue simplified?
State Board Choices● PACE Accepted
● 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.
Winning Races
● We have the fastest car on the track, but any Driver will tell you:
● Races are won, or lost in the Pits.
The NRCME really isThe Brass Ring…
Questions
Steve Conway, DC JD
715 803 4646
Michael Megehee, DC
www.TeamCME.com
541-276-1938
Contact me for any DOT assistance.
