Medical Review Officer

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

The Latest Federal Drug Testing Regulations CME 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, 2022. This activity does not fulfill the recertification retraining requirement.


This activity has been designed to meet the educational needs of MROs within Federally-regulated and non-regulated drug testing programs.


Today, physicians in many specialties conduct drug and alcohol tests for business, industry, government agencies, and schools. The need for trained MROs to evaluate test results extends to more than 20 million Americans. The Drug-Free Workplace Act affects all federal agencies. Mandatory alcohol and drug testing is now required of all intrastate truckers, commercial driver's license holders, and other transportation workers. More than 60 percent of large private employers require drug and alcohol testing.

In order to help ensure high standards, the DHHS requires that all MROs who evaluate Federally-mandated drug test results for employees covered by the DHHS receive training in the recently updated regulations. This educational activity will provide the latest information related to the drug testing guidelines of DHHS and requirements issued by the DOT.


Upon completion of this educational activity, learners should be able to:
1. Interpret current DHHS and DOT MRO regulations and integrate them into all aspects of MRO processes and procedures.
2. Increase proficiency in interpretation of drug test results, interviewing donors, obtaining corroborating information, and reporting appropriate findings to employers in a timely manner.
3. Demonstrate to employers drug testing programs that are effective and comply with current relevant federal regulations, e.g., DHHS and DOT.


This Enduring Material activity, The Latest Federal Drug Testing Regulations CME Activity, has been reviewed and is acceptable for up to 2.00 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 01/24/2021. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 2 LLSA credits towards ABPM MOC Part II requirements starting 2/15/2018.


All planning committee members, faculty, and staff who have the ability to control the content of this activity will not present any unapproved or investigative uses of commercial products or devices, and have no actual or potential conflict of interest in relation to this program or the content of this activity. There has been no commercial support awarded for this activity.


James Ferguson, DO (presenter)
Dr. Ferguson is medical director, recovery management services, for FirstSource Solutions, for which he serves as an MRO. He has directed MRO training for the American Society of Addiction Medicine and other professional societies. He also serves as Chair of MROCC.

Kent Peterson, MD (presenter)
Dr. Peterson is president of Occupational Health Strategies and medical director of Examinetics, for whom he serves as chief MRO. For over 20 years he has created and directed MRO training courses for professional societies. He also serves as Vice-Chair of MROCC.


This CME activity can be completed online from the convenience of your own office or home. See below for instructions on how to complete the activity.

1. Begin by registering for the activity and paying the appropriate fee (listed below).
    $70 - MROCC currently certified MROs. Includes 2 AAFP Prescribed Credits (and 2 ABPM LLSA credits if applicable).
    $90 - Physicians not currently certified by MROCC. Includes 2 AAFP Prescribed Credits (and 2 ABPM LLSA credits if applicable).
    $40 - Educational tool for physicians and non-physicians with NO CME included.

2. You will receive a confirmation email with instructions for beginning the activity once your payment has been processed. If the email has not been received within 1 hour of payment, please contact the office by email ( or phone 847-631-0599.

3. Review the reference materials and watch all video segments of the activity. Each segment must be watched in its entirety. The complete activity is approximately 2 hours. You are allowed to log on and off of the activity as needed.

4. Complete the self-assessment quiz and obtain a score of 75% or better.

5. Complete the CME Activity Evaluation (required for anyone requesting CME).

6. CME will not be awarded until all videos have been watched, the self-assessment quiz has been completed successfully, and the CME Activity Evaluation Form has been submitted. Once the entire activity has been completed, a completion certificate will be sent by email to the email address you provided.