“…In this line, individual differences like some personality factors or previous life experiences would impact on the ability to modulate the stress response making some people more vulnerable (Saravanan and Wilks, 2014;Hood et al, 2015). In the confrontation of a OSCE scenario in which the students' clinical abilities are evaluated is expected an autonomous sympathetic activation, as previous studies reported (Sánchez-Conde et al, 2019), causing an increase in blood pressure and heart rate, the liberation of cortisol that would negatively affect neurons communication in pre-frontal cortex, fact that could negatively affect cortical process as memory, attention, planning, decision making or reflective thinking (Diamond, 2013;Starcke et al, 2016;Beltrán-Velasco et al, 2020;Mendoza-Castejón and Clemente-Suárez, 2020;Mendoza-Castejon et al, 2020;Ruisoto et al, 2021). Then, to minimize the negatives effect of stress in students, the complex or difficult scenarios must be place after easier ones.…”