<![CDATA[This study aimed to evaluate the clinical competency achievement of midwifery students based on Objective Structured Clinical Examination (OSCE) results from 2023 to 2026, identify competency areas with the highest and lowest achievement, and examine differences in OSCE performance across the four-year period. A quantitative retrospective evaluative design was employed using secondary OSCE data from 95 Diploma III Midwifery students. Competency was assessed across six clinical stations comprising 125 checklist items. Station scores were converted to a 0–4 scale, with a competency threshold of ≥3.00. Data were analyzed descriptively and differences across years were examined using One-Way ANOVA, Kruskal–Wallis, and Tukey post-hoc tests. The overall mean OSCE score was 3.07 ± 0.51, with 56.8% of students achieving the competency standard. Family Planning had the highest mean score (3.23 ± 0.56), whereas Emergency Childbirth had the lowest (2.83 ± 0.67). Mean OSCE scores increased from 2.79 in 2023 to 3.37 in 2026. Significant differences were found across years (F = 6.523; p < 0.001), particularly between 2023 and each subsequent year. Clinical competency achievement showed an improving pattern across the study period, although competency remained uneven across clinical domains. Emergency childbirth requires particular attention through strengthened simulation, repeated practice, structured feedback, and remediation. Longitudinal OSCE data can support continuous evaluation of clinical learning and competency development.]]>
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