After the successful conduct of four NEB examination cycles during 2017, 2018 and 2019, the Step II of the second cycle for 2019 was held on Sunday at Pak China Friendship Centre Islamabad. A total of 1359 candidates; 1355 medical and four dental graduates, appeared in the exam. A feedback proforma was given to each candidate to have their candid opinion for the improvement of the system. Pro-Vice Chancellor and Controller of Examinations NUMS monitored various professional and administrative arrangements through a number of committees overseeing specific tasks. In all, 48 administrative personnel and 90 superintendent /deputy superintendent and invigilation staff participated in the conduct of the event. Diverse faculty and HPE experts participated in the moderation process in accordance with stipulated Table of Specifications. Stringent security measures were undertaken by developing four color coded question booklets under round the clock direct supervision of the senior officials of the Examination Directorate NUMS. The result was prepared through immaculate cross-validation mechanism over the sophisticated equipment.