Inquisitive This should have been resolved by the CME at the time of the examination. Every year or every other year I get re certified. Male patient strips and be intimately examined by the female doctor. There is a set health improvement manual one needs to follow for qualifying the test. I explained that to him and he said as long as I am under the evaluation process they will issue an extension on the 3 month card. How many days will it take for the cheque to clear?