The Basic Physical Exam Sequence (BPES) is a screening physical exam that all students are introduced to at the beginning of medical school in MD 1 unit.  By the end of year 1, students will successfully perform the exam on a standardized patient with faculty observation and summative feedback.  This screening head to toe exam covers the important elements of the physical exam, with emphasis on an efficient sequence of examination that minimizes patient repositioning and redundancy.  This is by no means a comprehensive examination of every organ system and body area.  Extended organ-specific exams and maneuvers are taught and practiced in the respective units: MD2 cardiopulmonary, MD3: hematology and renal, MD4: endocrine and gastrointestinal, MD6: musculoskeletal, neurological and behavioral and MD7: the life cycle with attention to the reproductive/genitourinary system, pediatric components and selective elements of geriatric medicine.  We updated the BPES in June 2023 and ensured that it's consistent with the National Directors of Clinical Skills Education Organization's (DOCS) history, communication and physical exam assessment checklists updated July 2022.