Assessing clinical competency often mirrors regional board examinations in which clinical procedures are performed on live patients a practice for which there is increasing pressure to be eliminated. In this program, a panel of three experts explores several non-traditional methods of clinical assessment. Dr. Phyllis Beemsterboer reports on design, implementation, educational outcomes and costs of using OSCEs (objective standardized clinical examinations). Dr. Wilbert Milligan discusses how senior student comprehensive case presentations are used at University of Pittsburgh to assess student clinical competency. Finally, Dr. Denice Stewart, (Oregon Health & Science University) presents assessment of students practice and patient management skills in a series of comprehensive care courses that cover all 4 years. Program attendees will learn specific methods of using non-traditional assessment and how to evaluate the costs and impact at their own institution.