Attention: will be going down tonight, 6/27/18 at 7:00pm CST for maintenance.

  • Medical Review Officer

  • Medical Review Officer Center (MRO)

    Continuing Medical Education

    Mandatory alcohol and drug testing is now required of all intrastate truckers, commercial driver's license holders, and other transportation workers. In joint government agreements, the United States, Canada, and Mexico also monitor truckers crossing international borders. More than 70 percent of large private employers require drug and alcohol testing. ACOEM has been the educational provider of choice for MROs since 1990; more than 12,000 physicians have completed ACOEM's highly acclaimed training.

    MRO Reminder - DOT Part 40 - changes effective October 1, 2010 (reprinted from MRO Update, September/October 2010). 

     View a listing of MRO courses

    MRO Update (A newsletter for medical review officers)

    mroupdateThe comprehensive newsletter for medical review officers (MROs) and other providers of workplace drug and alcohol testing services!

    NEW — Complimentary CME opportunity for all subscribers!
    FREE CME (1 AMA PRA Category 1 Credit™ per issue, or 10 per year).
    And earn ABPM Maintenance of Certification (MOC) credit too — all complimentary!

    MRO Update is written and edited by Robert Swotinsky, MD, MPH, a certified MRO and Substance Abuse Professional (SAP) who is board certified in occupational medicine. Dr. Swotinsky is affiliated with the University of Massachusetts after practicing clinical medicine at Reliant Medical Group in Worcester, Mass., where he chaired their occupational health department for 11 years. He is author of The Medical Review Officer’s Manual and is on the Medical Review Officer Certification Council’s Examination Development Committee. Dr. Swotinsky also serves on the faculty for ACOEM’s MRO training courses.

    Published 10 times a year, MRO Update contains clear, concise, and practical articles on topics such as: 

    • split specimen procedures and alternative specimen tests
    • direct observation and privacy issues
    • prescription drug abuse and illicit drug use
    • marijuana—medical, legal, and illegal
    • state and federal (DOT, SAMHSA, FHWA, FTA, etc.) regulations
    • courtroom updates
    • the MRO Forum — a timely question-and-answer column
    • a From the Journals section
    • information on upcoming MRO course offerings and examinations

    Current subscribers are eligible to receive complimentary CME through our new on-line continuing medical education (CME) program. The 3-5 question CME activity is available through ACOEM's Medical Review Officer Center (MRO Knowledge Center).

    10 issues per year
    Price: $210 for ACOEM members; $235 for non-members
    ISSN 1079-3291 

    BACK ISSUES – Complete sets from 2010 — 2016 are available through our Product Catalog for $150 per set. You may view each year’s topical index here: 2010, 20112012, 2013, 2014, 2015, or 2016. Single copies of back issues are also available for $15 each. Call ACOEM Publications Department at 847/818-1800, ext. 387 to place an order or to check on availability of indexes and issues prior to 2010.

    Medical Review Officer (MRO) List

    This is a free limited e-mail list designed to foster communications regarding drug and alcohol testing and MRO or SAP services between professionals working in the field (BATs, MROs, SAPs, etc.). To subscribe to the list, send an e-mail to and put “subscribe" in the subject line and in the message.

    MRO Code of Ethics (

    This link will take you to the web site of the Medical Review Officer Certification Council (MROCC). The MRO Code of Ethics was established by the MROCC Board of Directors on July 15, 2003, and endorsed by the ACOEM Board of Directors on November 4, 2004.