“…5 A 2007 survey reporting the most important characteristics of surgery clerkships in North America revealed that 38% of US schools and 69% of Canadian schools used OSCEs for student assessment. 6 Although there have been numerous published reports of the use of simulated patients to assess surgical residents, [7][8][9][10] and medical students in surgical clerkships, [11][12][13] there has been less attention directed toward the assessment of trainees' surgical skills, and the related development of OSCE stations that combine both simulated patients and simulation models. [14][15][16][17] Naylor et al recently reported on the use of simulation models to assess skills proficiency, 18 and LeBlanc et al reported on a study of 16 medical students and residents in a validation of an integrated assessment of third-year students' technical and communication skills.…”