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Table of Contents

Table of Contents

The Medical Review Officer's Manual: MROCC's Guide to Drug Testing, Sixth Edition

Author(s): Robert B. Swotinsky, MD, MPH

The Medical Review Officer’s Manual: MROCC’s Guide to Drug Testing, Sixth Edition

Medical Review Officer Certification Council

Robert B. Swotinsky, MD, MPH

The Medical Review Officer’s Manual: MROCC’s Guide to Drug Testing, Sixth Edition is a comprehensive, well-organized resource for Medical Review Officers (MROs), MRO Team Members, and everyone responsible for providing workplace drug and alcohol testing services. Written by Robert B. Swotinsky, MD, MPH, a Medical Review Officer with 30+ years of experience, this clearly organized and indexed manual sets the standard of performance for MROs. It also remains an excellent resource of preparation for MROCC’s MRO Certification Examination.

This newly revised reference has been updated to address regulatory changes during the past five years, including: 

  • Additional prescription opioids (added to the federal panel in 2017)
  • Oral fluid testing guidelines (2020)
  • The Federal Motor Carrier Safety Administration Clearinghouse (2020)
  • The updated federal Custody and Control Form (2020) 
  • An expanded discussion of testing of non-urine specimens

Guidelines for drug test interpretation have been updated to reflect evolving standards of practice.  These include the means of verifying medical explanations, the interpretation of marijuana-positives with respect to state-legalized marijuana use, and the use of cannabidiol (CBD).  Scientific discussions have been updated to include recent citations for some of the less well-known parts of the federal regulations so readers can more easily locate the source material. 

Available as a package in both print and electronic formats, the eBook version will be updated periodically to keep you abreast of future changes in regulations and recommendations.

The MRO Manual can also be used as a companion to The Medical Review Officer Team Manual: MROCC’s Guide for MROs and MRO Team Members, Second Edition by James Ferguson, DO, FASAM published by OEM Press.


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