One of us is a medical student turned educator. They watched students who passed their OSCE freeze on day one of placement. They watched the IV run out and the second-year nurse on the ward have no idea what to say to the patient — and call their instructor.
They saw clinical communication treated as content to be examined once and then assumed forever after, with no structure for practice in between, and no record of growth that survived the rotation. The OSCE was designed to test what students can do under pressure. It tested everything except the conversation that matters.