Verifying that nursing graduates possess adequate competency and ensuring that future graduates remain current with various nursing contexts and needs are critical concerns. Nursing competency has been emphasized recently in Taiwan nursing education. In the past, the traditional written and skill examinations had been used to test the competencies of students. However, these methods only minimally verify their clinical competency. Thus, in recent years, multiple evaluation methods including objective structured clinical examination (OSCE) have been adopted to assess the clinical competency of nursing students. OSCEs have been extensively conducted in educating various healthcare professionals internationally including dietitians, dentists, physical therapists, and nurses etc.