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More empirical work is needed to develop understanding of the impact on pass/fail decision-making of the proposed standard setting methods developed in this paper. There are psychometric arguments for and against the limiting of compensation in OSCEs, but it is clear that many stakeholders value the application of an MNSP standard. This paper adds to the limited literature on this important topic and notes that current MNSP practices are often problematic in high stakes settings. More empirical work is needed to develop underst