The Objective Structured Clinical Examination (OSCE) is the practical part of the NMC Test of Competence for internationally educated nurses and other relevant applicants.
Unlike the CBT, which assesses knowledge through a computer-based examination, the OSCE evaluates practical and communication skills. The NMC describes the OSCE as a practical test in which candidates demonstrate clinical and communication skills.
What Does the NMC OSCE Assess?
OSCE preparation should go beyond memorising individual procedures. Candidates need to demonstrate safe, professional and patient-centred practice.
Preparation should include:
- Clinical skills
- Communication
- Patient safety
- Professional behaviour
- Assessment and decision-making
- Applying the NMC Code
- Evidence-based practice
The NMC recommends candidates use its official preparation materials, reading lists and mock OSCE resources when preparing for the examination.
Important OSCE Update for Future Candidates
The NMC regularly reviews and refreshes Test of Competence content. This process can include retiring stations that have been used for some time and introducing skills that reflect contemporary clinical practice.
Therefore, nurses planning an OSCE in 2027 should not rely exclusively on old station lists or outdated preparation videos. They should check the latest NMC information and preparation materials before their examination.
OSCE and CBT: Both Are Important
The CBT and OSCE are the two parts of the Test of Competence. Candidates can take them in either order, but both must be successfully completed for the registration application to continue. The NMC currently states that the two tests must be passed within two years of each other.
Train with Fortu West International
Strong OSCE preparation combines clinical knowledge, repeated practice, communication skills and confidence.
Fortu West International supports international nurses preparing for their UK career journey through structured OSCE preparation and professional guidance.
Prepare for the standard expected in UK clinical practice and approach your OSCE with greater confidence.

