I'm sorry that you deleted the original post; I think getting accommodations for the NBME exams is an important issue for people to be aware of. I will give you my advice anyway. I am a hard of hearing otolaryngologist. I wear bilateral hearing aids and use an electronic stethoscope. At a minimum, someone with hearing loss needs to get the personal item exemption (PIE) for the stethoscope you use for step 2 CS. I'm not sure if the ThinkLabs One is eligible since it has bluetooth. But the Cardionics E-Scope is eligible. I'd also recommend personal item exemption for your preferred headphones for the other Step exams. However, in my opinion, the answers to those questions that also had sounds associated with them (like heart or lung sounds) were usually not completely dependent on the sounds themselves. That is, I could at least get close even before hearing the sounds. There is no asterisk next to your score for the personal item exemption, or for any other accommodation. For the PIE you will need a letter from your audiologist and also possibly a copy of your audiogram. For me, getting the PIE was fast and efficient, except that on Step 2 CS test day the examiners made more of a big deal about it than I think they should have. I disagree with the DokterMom in that this is a case when you don't need to get your accommodations "on record"- you will always be able to prove that there is a need for reasonable accommodation for your hearing. It is not like the case that sometimes needs to be made for extra testing time.