I renewed my FAA Class 1 medical yesterday. Scheduled with the Dr using his online scheduling service, filled in the FAA form online (most info prefilled from the previous year) & was issued with a reference number.
Get to his office, give him the number, piss in a cup, get the once over + ECG, pay & walk out with the Class 1 medical *in my hand*. All up, about 20 mins.