This addition to Ryan Hall on the Des Moines University campus houses the Standardized Performance Assessment Laboratory (SPAL). SPAL is a learning module in which instructors can monitor medical students' capabilities within the exam room to critique and correct their methods. The renovated area included fully equipped exam rooms accessible by two hallways. One hallway is used by students only, and the other, used by the instructors, includes one-way mirrors and listening devices for review of the students' activities within the exam room scenarios. The addition also featured general office space, break rooms, support spaces, and a new elevator.