Hi to everybody! I failed spoken english part, though according to my patient notes I did excellent. How could you explain this? I passed IELTS 2 years ago. I spoke to american people. They understand me. And nobody from patients wasn't mention about my speech. How could they think about my bad English if I had perfect data gathering according to the graphs??? And if they mean other nonmedical parts of conversation, I didn't ask any. Patients only answered for my medical questions. I don't agree with a result. My interpersonal communication was good, PT were excellent. I want an appeal of the test results. Did anybody did this? :?: I don't agree, I don't want to pay this ugly organization for this unpredictable test again. Help me, please, in this trying. :idea: Advise me steps in this dispute attempt. USMLE organization doesn't have steps for this process, though any reputable organization has such descriptions of disputes.