This test combines aspects of the CST and the MIPQ. It assesses candidates' ability to effectively understand and speak in both English and another language, and in addition evaluates accuracy of their performance in a long-form role-play scenarios containing a mixture of high and low level medical terminology with topics from general medicine.

• English/Spanish
• English/Core languages other than Spanish (Mandarin, Cantonese, Vietnamese, French, Somali, Arabic, Portuguese, Russian, Korean, Japanese, Hindi, German, Italian, Greek, Turkish, Ukrainian, & Haitian Creole)
• English/Rare languages (All languages not listed above)