Abstract
Current normative or formative assessments of medical students tend to focus more on skills rather than knowledge. The script concordance test has good psychometric qualities to assess reasoning skills required to resolve complex problems in situationsof uncertainty. Objective structured clinical examinations assess clinical competence in realistic situations (clinical situation, standardized and simulated patients, neutral observers, observation check lists) however their organization is complex and costly. The introduction of human factors (panel of experts, simulated and standardized patients and observers) reduces the objectivity and reliability of both these tests. The generation Y (births between 1980 and 1992) has grown up in the digital age with widespread access to technology and as such expect new and innovative teaching aids. Serious games, developed in the health education field, could be used as a student assessment tool. This requires the convergence between medical science and information technology. Moreover, its implementation should meet the needs of the educational spiral (teaching needs, method, objectives and assessment). The move towards digital assessment could open the path towards a new way of evaluating skills in medicine.