In the prior episode we learned that there is no evidence that time-limited testing improves test validity and that, in fact, there is ample research showing that it makes tests less valid and less equitable. In this episode we discuss how, despite the data, the NBME denies accommodations on the USMLE exams to over half of medical students who have a documented learning disability and are approved for accommodations at their medical school (e.g., extra time). We talk with a leading medical educator about a national survey she and her colleagues conducted to assess the scope and impact on medical schools and their students. And we conclude with a discussion about how the NBME could make the test fair and valid for everyone.