Aim: The College of Medicine, Nursing and Health Sciences (CMNHS), Fiji National University (FNU) implemented the Objective Structured Clinical Examination (OSCE) for the final year MBBS in 2019. This study was set out to explore student acceptance of the OSCE as an assessment. Methods: This was a cross-sectional survey using a 33-item self-administered questionnaire that was completed by 74 medical interns. Main outcome measures were student perception of examination attributes including the quality of instructions and organization, the quality of performance, authenticity and transparency of the process and the usefulness of OSCE as an assessment instrument compared to the Traditional Clinical Examination (TCE). Results: There was overwhelming dissent of the OSCE with respect to the comprehensiveness (33%), fairness (44%) and authenticity of the required tasks (51%). Majority felt that it was an intimidating (58%) and strong anxiety producing experience (85%). Concerns were raised regarding the inadequacy of time for expected tasks. Conclusion: The OSCE was perceived negatively by the students. Concerns and challenges regarding an assessment that is overwhelmingly complex, resource and time intensive can be overcome with better preparation of both the students and examiners. Key words: objective structured clinical examination, student perception and traditional clinical examination.