MRO Update

MRO Update is the comprehensive online publication for medical review officers (MROs) and other providers of workplace drug and alcohol testing services.

MRO Update is written and edited by Robert Swotinsky, MD, MPH, FACOEM, a certified MRO and substance abuse professional (SAP) who is certified by the American Board of Preventive Medicine in occupational medicine. Dr. Swotinsky is author of The Medical Review Officer’s Manual and 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
For more information on the content contained in each issue, access the 2020​ MRO Update Index.

Current subscribers are eligible to receive complimentary CME through our online continuing medical education (CME) program. Earn 1 AMA PRA Category 1 Credit™/ABPM Maintenance of Certification (MOC) per issue or 10 per year. 

10 issues per year; ISSN 1079-3291

Subscriptions: $220 for ACOEM members; $245 for non-members

Subscribe to MRO Update

To Renew: Log in to ACOEM Connect, click on Membership and Subscriptions, hover over Status, and click the RENEW button.

Questions? Contact or call us at 1-847-818-1800.