A “flipped exam” is how the authors describe this unique group exam activity. The students, all enrolled in a post-baccalaureate program at Wayne State University School of Medicine, had applied to the medical school and not been accepted, but showed promise. This 10-month program helps students from underrepresented backgrounds “improve their scientific knowledge, academic skills, and personal adjustment.” (p. 339) The flipped exam activity happened in a 20-class-session cardiopulmonary unit of a physiology course.