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Medical Review Officer Training Course:  Toxicology Testing and the MRO, 
A Physician's Role in the Prevention and Treatment of Substance Abuse
*The MRO Course will be offered via Zoom November 21-22, 2020, $495 members, $595 nonmembers*

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More than 60 percent of large private employers require drug and alcohol testing, and over 20 million forensic drug test specimens are processed by certified laboratories every year. The results of these laboratory tests are reviewed and interpreted by thousands of highly-qualified physicians acting as certified Medical Review Officers (MROs).
Federal regulations require MROs to complete training and certification/recertification by a nationally-recognized MRO board every 5 years.  AOCOPM’s Comprehensive MRO Course not only fulfills this training requirement but also offers physicians the opportunity to learn from leaders in the MRO field.  This course is an excellent training option for physicians new to MRO practice as well as practicing MROs who are looking to maintain the highest standards of knowledge, practice, certification, and compliance.


James Ferguson, D.O., FASAM
Medical Director and Addiction Specialist
Dr. Ferguson has been a certified MRO since 1992. He is the author of The MRO Team Manual
and co-author of the MRO chapters of the Principles of Addiction Medicine and the Handbook
of Workplace Drug Testing.
Anthony Dekker, DO, FAOAAM, FASAM

Dr. Dekker is currently a member of the Primary Care Service Line at the Northern Arizona Veteran’s Administration Healthcare System in Prescott, Arizona.  He provides primary care and telemedicine services to veterans in mid and northern Arizona areas.  He is also active in the evaluation and treatment of veterans with chronic pain and addiction disorders.

For the past four years, Dr. Dekker was the director of the Department of Addiction Medicine at the Ft Belvoir Community Hospital which is one of the replacement hospitals for the Walter Reed Army Medical Center.  He directed the four divisions in Addiction Medicine dedicated to the comprehensive evaluation and treatment for substance abuse and dependence disorders in the military.  Dr Dekker is expert in substance dependence and co-occurring disorders in Veterans and the Active Duty Service Member (ADSM) population and with military dependents, and retirees.  He served on the Provider Wellness and Chronic Pain Committees at Fort Belvoir and is a member of the Joint Board of Directors for the Joint Task Force (Walter Reed National Military Medical Center/Fort Belvoir Community Hospital/ National Intrepid Center of Excellence) on Traumatic Brain Injuries (TBI).

R.H. Barry Sample, PhD, D-FTCB
Director of Science and Technology at Quest Diagnostics since 1991

Donna R. Smith, PhD
Dr. Donna Smith is the Regulatory Compliance Officer at WorkforceQA, a full- service Third Party
Administrator for workplace safety and compliance programs. Dr. Smith has over 35 years’
experience and expertise in drug-free workplace program regulatory compliance. Dr. Smith served in policy and regulatory positions with the U.S. Departments of Army, Defense and Transportation. She is a nationally recognized expert in the areas of Federal drug testing regulations, drug and alcohol testing procedures, drug and alcohol abuse awareness training for employees and managers, medical review officer(MRO) procedures, drug-free workplace policy and procedures, and substance abuse prevention and rehabilitation. Since 1990 she has served on the faculties of the American Society of Addiction Medicine (ASAM) and the American College of Occupational and Environmental Medicine (ACOEM) for continuing medical education courses for physicians serving as Medical Review Officers (MRO). Dr. Smith has served on the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Federal Drug Testing Advisory Board (DTAB), the Substance Abuse Program Administrators Association (SAPAA) Board of Directors, and currently serves on the Board of the Drug-Free America Foundation. In addition to her work in DFWP policy and program consultation, Dr. Smith serves as a technical expert in the Professional Health Monitoring arena. Dr. Smith earned a BA is sociology from Capital University, an MSW in clinical social work from Hunter College, CUNY, and a PhD in counseling psychology from Ball State University.


This program anticipates being approved for 13 credits of AOA Category 1-A CME credits, pending approval by the AOA CCME.

This program anticipates being approved for 13 MOC credits by the American Board of Preventive Medicine (ABPM).


MROCC certification is DOT and SAMHSA recognized and approved. Registration for the certification examination is separate from the course. Information on registering for the examination is available on the MROCC website at https://www.mrocc.org/getcertified.cfm.