Introduction: Due to the COVID-19 pandemic assessments in medical education had to be reconsidered. Some universities introduced online OSCEs to ensure a continuous learning experience and to uphold the quality in medical education. The aim of this work is to evaluate how communication skills and clinical skills OSCE results changed during the COVID-19 pandemic compared to pre-pandemic results in undergraduate medical students. Methods: Retrospective analyses of the results of the clinical and communication skills OSCE exams were conducted. The results derived from the years 2018, 2019, and 2021.Results: Students who took the communication skills OSCEs online and the clinical skills OSCEs face-to-face scored on average lower compared to students who took the OSCEs entirely face-to-face. The average results in communication skills in all modules are significant different before and during the COVID-19 pandemic.Discussion: Significantly lower scores in the online communication OSCE compared to the face-to-face communication OSCEs indicate that students might require different competencies and skills in an online consultation.Conclusion: Optimally, medical undergraduate students will be prepared for online and face-to-face consultations during their education. However, further research is warranted to conclude on the comparability of online and face-to-face OSCEs. <br/
