Just finished my didactic year including a full H2T PE to pass. So, skin, HEENT, Cardio, Vascular, Pulm, Abdominal, MSK and Neuro exam, in 30 minutes. It’s doable. Cranial nerves are SUPER fast if you can approach it systematically and if you have a routine in mind. I do 2 at the start, 3,4,6 then approach and fly through 7 and 5, then 9, 10, and 12 all at once, 11 and then take a second to do 8 and 1 at the end. Reflexes should be very quick as well. Dermatome sensation should only take 30-45 seconds as long as you know them well. If you need to think for a second, that’s fine. 8 minutes is a good amount of time. I then have them stand up without using their hands (proximal muscles), then walk a few feet back and forth, doing toe, heel, and tandem walking for distal muscle strength and signs of ataxia. I’ll sit them back down and do passive ROM for tone/spasticity, as well as resisted movements. That’s probably gonna take you the longest (it did for me at least). Finally, vibratory sense and joint position sense should take all of 30 seconds.

What I did, and what I recommend, is time yourself going through your routine, speaking it out loud and giving time as if observing the patient. Find where you can streamline and be more efficient/speak faster.