MRO Resources

Medical Review Officer (MRO) and Medical Review Officer Assistant Courses

A Medical Review Officer (MRO) is a critical part of federally mandated drug testing programs. They are entrusted with the responsibility of safeguarding the tested individual’s rights while also contributing to health and safety in the workplace. With advances in technology and regulatory changes, not to mention new forms of substance abuse, the field is constantly evolving.  ACOEM has the resources you need to prepare for the MRO initial certification along with recertification, which takes place every five years. 

Medical Review Officer Fast Track Course

Friday - Saturday, November 15 - 16, 2024
ACOEM Headquarters • Elk Grove Village, IL
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Course Description

This course will be presented in a day and a half format. The MROCC will offer certification exam following the course. 

The need for trained medical review officers (MROs) to evaluate drug and alcohol test results is enormous, and it is estimated that more than 20 million Americans are covered by programs requiring testing. Physicians in many specialties conduct drug and alcohol tests for business, industry, government agencies, and schools. The Drug-Free Workplace Act affects all federal agencies, and mandatory alcohol and drug testing is now required of all intrastate truckers, commercial driver’s license holders, pilots, and other transportation workers. 

ACOEM has been the educational provider of choice for MROs since 1990. More than 17,000 physicians have completed ACOEM’s highly acclaimed training.


Lecture/discussion, self-assessment exercises, case studies, panel, questions, and answers.

Learning Objectives

Upon completion of this course attendees will be able to:

  • Discuss the prevalence and impact (epidemiology) of alcohol and drug abuse in the workplace today.
  • Recognize the physiological effects and clinical signs of commonly abused drugs.
  • Develop effective urine collection and breath alcohol testing programs.
  • Implement DOT regulations for motor carrier, railroad, mass transit and other transportation modes.
  • Perform MRO duties, including verification interviews with individuals whose laboratory drug tests are positive, adulterated, substituted or invalid.
  • Recognize a potential false positive drug test and when to order a reanalysis or split-specimen analysis.
  • Address medical confidentiality, disclosure of medical information, and job safety issues.
  • Review federal custody and control forms to identify correctible and fatal flaws.
  • Monitor forensic laboratory testing and quality assurance efforts.
  • Refer employees to substance abuse professionals and treatment/rehabilitation programs.
Registration Type
Early Registration Rate by October 24, 2024
Standard Registration Rate after October 24

ACOEM Member Price



ACOEM Resident Member Price






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MRO Online Course

The highly acclaimed Medical Review Officer (MRO) Course in available in an online format! Physicians and other health care professionals seeking in-depth understanding of workplace substance abuse testing and are interested in adding Medical Review Officer to their scope of services should register for this course. The MRO course fully meets the DHHS and DOT MRO Qualification Training requirements -- over 16,000 physicians have completed this course!
The MRO Online Course with Live Discussion includes 30 on-demand content recordings, 90 self-assessment questions, and self-study of the course materials. Also included are live Q&A and content review sessions with course faculty. You can access the course recordings and learn at your own pace, on your own schedule, and from the safety of your home or office!
The course is available with a digital syllabus or with a digital and print syllabus. Click on the links below for more information.

MRO Assistant Course

Testing for illicit drugs, alcohol and prescription medication continues to grow at the workplace and in communities (e.g., schools, sports). Improve your skills and your ability to support a Medical Review Officer with ACOEM’s training course. This training also meets educational eligibility requirements for the Medical Review Officer Certification Council (MROCC)’s MRO Assistant certification examination.
For more information or to register, click here.