Medical Review Officer

Promoting and Preserving the Highest Quality of Standards Among MROs and Their Teams.

MROCC CME Offerings


In this rapidly changing arena it is crucial for MROs to be up to date in the latest technologies, procedures and regulations.  MROCC's challenging and innovative manuals and CME activities are developed by leaders in the field of drug testing, and provide practical and detailed learning experiences for MROs in both regulated and non-regulated testing programs.


All MROCC CME activities offer either AMA PRA Category 1 credit or AAFP Prescribed credit and may be used to fulfill state requirements for CME updating. The American Board of Preventive Medicine has approved these activities for Maintenance of Certification (MOC) Credit. Visit the ABPM Website for additional information on MOC.

MROCC CME for Recertification

These CME activities are based on the The Medical Review Officer's Manual: MROCC's Guide to Drug Testing, 5th edition available from OEM Press. Please note: Although the 5th Edition MRO Manual is still a useful tool for the practicing MROs, we are currently in the process of updating it to include the recent guidelines/regulations changes. The recent guideline changes require that anyone involved in drug testing for HHS have training on the updates. Those involved in federal drug testing will need to complete our online 2 hour CME activity that covers the updated guidelines/regulations (see other CME below) as part of the recertification process.

Option 1: MROCC's 25 Hour "At Home" Self-Study CME Activity

For those who need to recertify, this activity consists of reading the MRO Manual and 49 CFR Part 40, completing the CME evaluation, and passing the MROCC Recertification Examination - All from the convenience of home! This is the most cost-effective means to recertification - and there is absolutely no need to travel to a training course or an examination site! The cost of this activity is $665 ($170 CME/$495 Recertification Examination) and includes the online recertification examination plus 25 Hours of Category 1 CME (and 25 hours of MOC credit for ABPM Diplomates). The price for this activity does not include the manual, which must be purchased separately from OEM Press. This activity fulfills both DOT & MROCC recertification requirements for MROs. To start this activity, follow the steps below:


Option 2: MROCC 15 Hour "At Home" Self-Study CME Activity

For those who don't need to recertify but want MRO Specific CME, this activity consists of reading the MRO Manual, completing the Self-Assessment questions, and submitting the CME Evaluation (Recertification exam is not included). This convenient activity is for certified MROs who are not seeking MROCC recertification at this time but who wish to keep abreast of the latest techniques and methods within the MRO arena, or who need Category 1 CME to meet State Board or other licensure requirements.  The total cost for this self-assessment activity is $170 (plus the cost of the MRO Manual) and offers 15 Hours of Category 1 CME credit, as well as 15 hours of MOC credit for ABPM diplomates. This activity can be used to fulfill the retraining prerequisite for recertification at a later date as long as it completed in the 5 years preceeding recertification. To start this activity, follow the steps below:


Our CME activities have 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 the American College of Preventive Medicine (ACPM) and MROCC. ACPM is accredited by the ACCME to provide continuing medical education for physicians.


The following CME offerings are educational opportunities that may be of interest to the practicing MRO. These are not acceptable to fulfill the educational requirement for becoming certified or recertified as an MRO.

MROCC: The Latest Federal Drug Testing Regulations CME Activity (online activity)

Updates to the Mandatory Guidelines for Federal Workplace Drug Testing Programs were implemented by the U.S. Department of Health and Human Services (DHHS) effective October 1, 2017. The U.S. Department of Transportation (DOT) has updated Part 40 - Procedures for Transportation Workplace Drug and Alcohol Testing Programs effective January 1, 2018 to harmonize with the new DHHS Mandatory Guidelines.

This educational activity is based on these regulations updates and fulfills the HHS requirement for training on the new regulations. This activity is intended for anyone with an interest and/or responsibility in providing or monitoring workplace drug and alcohol testing programs. This activity can be completed from the convenience of your office or home with no need to travel to a training course. Release date for this activity is January 25, 2018 and expires on January 24, 2020.

ACOEM:CDME Training Course (online activity)

As a registered NRCME training provider and a long-time leader in medical examiner education, ACOEM is a well-qualified resource for those seeking to be listed on the new National Registry of Certified Medical Examiners. Led by Dr. Natalie Hartenbaum for more than a decade, the highly successful Commercial Driver Medical Examiner (CDME) course assumes participants have had extensive medical training and licensure which should have included training in taking medical histories, conducting physical examinations, and determining differential diagnosis, treatment, and medical management

ACMT: Total Tox Course (new course)

ACMT's Total Tox Course is a comprehensive review of the scope of emergency toxicology and will include cutting-edge interventions and management options for poisoned patients. The course will be held on September 5-7 in Chicago.

ACMT: Seminar in Forensic Toxicology

Due to the popularity of the 2017 Seminar in Forensic Toxicology, ACMT is offering an encore presentation on December 13-14, 2018, in Dallas, TX. This encore seminar will focus on the forensic and medical-legal aspects of opioid use, abuse, prescribing, and addiction by presenting real cases encountered by medical toxicology experts. The seminar will be tailored to the interests of physicians and other scientists involved in numerous disciplines, including medical toxicology, forensic and laboratory medicine, addiction medicine, and the legal community. .