BACKGROUND AND OBJECTIVES: The COVID-19 pandemic has forced universities to move the completion of university studies online . Spain's National Conference of Medical School Deans coordinates an objective, structured clinical competency assessment called the Objective Structured Clinical Examination (OSCE), which consists of 20 face-to-face test sections for students in their sixth year of study . As a result of the pandemic, a computer-based case simulation OSCE (CCS-OSCE) has been designed . The objective of this article is to describe the creation, administration, and development of the test . MATERIALS AND

METHODS: This work is a descriptive study of the CCS-OSCE from its planning stages in April 2020 to its administration in June 2020 .

RESULTS: The CCS-OSCE evaluated the competences of anamnesis, exploration, clinical judgment, ethical aspects, interprofessional relations, prevention, and health promotion . No technical or communication skills were evaluated . The CCS-OSCE consisted of ten test sections, each of which had a 12-minutes time limit and ranged from six to 21 questions (mean : 1.1 minutes/question). The CCS-OSCE used the virtual campus platform of each of the 16 participating medical schools, which had a total of 2,829 students in their sixth year of study . It was jointly held on two dates in June 2020 .

CONCLUSIONS: The CCS-OSCE made it possible to bring together the various medical schools and carry out interdisciplinary work . The CCS-OSCE conducted may be similar to Step 3 of the United States Medical Licensing Examination.