The process of Objective Structured Clinical Examination design begins with needs assessment of the program, its faculty, the involved trainees, and the requirements from regulating agencies. During program development phase, key concepts to be evaluated are identified and specific goals and objectives are formulated. In the design and implementation phase, specific tasks and their corresponding scoring sheets are designed, and location, personnel, equipment, finances, and duration of the Objective Structured Clinical Examination stations are decided. Throughout the process, continuous evaluation of the program is performed and the program altered as needed.