We want you to succeed! This guide contains useful information about the test, its format, and how best to prepare.

Overall Process

Things you will do as part of the exam process:

• Take the pre-assessment
• Receive pre-assessment feedback
• Take the medical Spanish test
• Take the medical English test (only if you have not waived out of it based on the pre-assessment)
• Receive your scorecard

Test Structure

Each test is made up of 6 scenario-based tasks. You may take notes throughout the test and will have time to prepare and plan your speaking responses before you record them. This gives you multiple opportunities to show your proficiency in different scenarios.

The test is divided into two parts. All of the tasks in Part A pertain to a particular scenario with one patient or colleague, and all of the tasks in Part B pertain to a different scenario with a different patient or colleague.

General Test Taking Instructions

Viewing Videos and Recording Your Audio

• Videos will only play once, cannot be stopped, rewound, or forwarded.
• If you are ready to record before the allotted time is up, click “NEXT”. Otherwise, the recording will start automatically.
• When you hear the beep, start recording your answer.
• The recording cannot be paused. When time runs out, it will automatically stop and save your recording.
• If you are done recording before time is up, click “NEXT” to save your recording and continue.

Speaking Tasks

Answer prompts are provided throughout the test. These prompts are not meant to prescribe how you should practice medicine or deliver healthcare; rather, they are designed to standardize test-takers' responses so that our raters can focus on grading linguistic performance instead of the underlying medical validity of the responses.

As tips for your spoken response, to demonstrate your highest level of medical language proficiency:

• Prepare an organized response.
• Include all the requested information.
• Use medical terminology and phraseology as well as lay terms the patient can understand.
• Provide a socio-culturally appropriate response.
• Use as much of the allotted time as you need to provide your most complete response.

Congratulations on your bilingual journey thus far! We appreciate your effort to make healthcare more accessible to all patients. Thank you for being a part of the solution.