1. The morning Session has 11 SP's, one SP being experimental non-graded.

2. After you present your admission slip and photo ID, you will be given arm bands which will serve as your ID.

3. You will have to sign an agreement/release stating that the exam is the property of USMLE/ECFMG and that no content of the exam will ever leave the center.

4. You are only allowed to bring your white coats and stethoscopes into the exam room so the rest of your belongings will be placed in a locker.

5. A brief introduction talk and explanation on how to use the equipment provided in the room.

6. English is the only language recognized here so DO NOT converse in other languages.

7. You will then be escorted to the exam hall which has the examination rooms,wash basins etc.

8. The triage information is posted on the door, including why the patient is there, vital signs and information that you have to look for. This door information is coverered so under no circumstances should you look at it before told to do so.

9. Outside the door is an area where you will write your history, physical exam, differential diagnosis and diagnostic testing. You have 10 minutes to write down your findings and 15 minutes to do the history and PE. Also, in the station will be posted a list of abbreviations accepted by the ECFMG. Be sure to familiarize yourself with them.

10. Once time is called, read the door information quickly and write down the information on the paper provided. Be sure to KNOCK before entering the room.

11. Introduce yourself to the patient and acknowledge the patients name.

12. Given the limited amount of time, a lengthy history and PE is impossible so be focused and dont let the patient sidetrack you.

13. Always wash your hands before and after doing the physical exam.

14. Drape the patients appropriately when doing the physical examination.

15. Assist the patient, especially the elderly.

16. Take time to explain your findings and plan of management to the patient.

You are not allowed to perform a rectal, breast, male genital and pelvic examinations. If you think they are warranted you can order them in the patients notes