Information for Students

Arrival and Exam Schedule

You must report to Berryhill 302 on the scheduled date of your examination by 8:30am for orientation. Failure to arrive by 8:30am on the scheduled date will result in students being reported to the Office of Student Affairs and may incur a fee due to the increased cost of additional testing days to the SOM. Please make every effort to arrive on time. Information on changing your exam date can be found under 'Switching Dates' below.

On most dates, the morning session will have 6 cases and will finish by 11:30. You will complete the remaining cases in the afternoon and should finish the exam by 3:00. Please note that the exam timings are approximate and will not apply to all dates.

You will have a minimum of 30 minutes for lunch and will be able to leave the testing center during that time. However, we strongly recommend bringing lunch in order to avoid having to rush or risk being late for the afternoon portion of the exam. You will be able to use the refrigerator and microwave on the third floor of Berryhill.

Visit The Day of the Exam for further details.

Test Date Assignments

You will receive email confirmation of your assigned CPX test date. Please ensure that you frequently check your School of Medicine email account for CPX information as unexcused absences will result in referral to the Office of Student Affairs and may incur a fee due to the increased cost of additional testing days being added. Test date assignments will also be posted to one45.

Students wishing to switch their testing date should first look at the Google swap document to request to swap dates with another student. If no suitable alternative date can be found, contact the Director of the Clinical Skills and Patient Simulation Center at  to discuss options.

Administrative Excuses

Absences from Application Phase courses will be excused to take this exam. Please contact  in the Office of Student Affairs.

Testing Accommodations

Any student seeking testing accommodations for CPX, including extended time, should contact Dr. Ingersoll ( at least two weeks prior to her/his assigned testing date. Failure to contact Dr. Ingersoll in a timely manner and follow established procedures for requesting accommodations may result in an inability by the CSPSC to accommodate the request.

Leave of Absence Students

If you are planning to take a leave of absence following the completion of Application Phase courses, you must take CPX prior to the beginning of your leave, as the Associate Dean for Student Affairs will have confirmed during your LOA meeting. Students wishing to appeal this should contact the Center director ().


An unexcused absence from the assigned exam date can result in failure of CPX. Any students missing cases due to arriving late for the exam should expect to receive a failing score for those cases.

Grade Reporting and Feedback

Results of CPX 2016-17 are available via one45.  Results from CPX 2017-18 will be reported on one45 after all students have completed the exam in March 2018. Students who would like to receive detailed feedback should contact the CSPSC director at  or by phone at 919-966-2707. Partial feedback will be made available to students before they take Step 2 CS. If you have already taken CPX and your Step 2 CS date is approaching but you have not received feedback, please contact Julie Messina at the email address above.

You will be scored on performance criteria established for each case. The performance criteria reflect minimal clinical competence and are considered essential by SOM faculty. CPX is graded as Pass/Fail and will be reported as such on official transcripts. If you receive notification of a failure on CPX, you will complete a program of remediation and be reassessed on a date to be determined by the CSPSC and the Office of Student Affairs. A passing grade on CPX is a requirement for graduation.

Visit Performance Assessment for more information.


Please visit Preparing for CPX for helpful tips and pointers about the exam.