Competitors are judged on their skills, speed, use of correct safety measures and the ability to interact personally with the patient(s). The competition consists of various stations associated with skills that may be found in an ambulatory medical office or clinic. The competitors are judged on general office skills, communication skills, patient education, knowledge of anatomy and physiology, knowledge of medical terminology, instruments, medical equipment and on procedures and techniques found in an ambulatory medical office or clinic. Competitors are given a scenario which requires action. They should be able to read scenarios, assess the supplies/equipment and/or situation in a short period of time and execute the skill required for that situation within the given time limit. Documentation, grammar, correct pronunciation and spelling count in all stations.