Method: Forty psychiatry residents from all universities in Iran who were selected on a stratified sampling method participated in the third comprehensive pilot OSCE in Iran. After the exam, viewpoints were canvassed using a questionnaire and also face to face interview. Data were then analyzed using descriptive statistical methods.

Results: Ninety percent of residents believed that the simulations and scenarios were quite realistic and 97.5% considered the scenarios reflective of clinical situations they usually experience. Most of the residents believed also such an examination could discriminate com-petent and incompetent residents successfully. Eighty percent of the residents believed that OSCE is superior than the oral board examina-tion and 87.5% felt they would like the experience to be a formative part of their residency training.