Academic anxiety is one of the psychological problems often experienced by medical students, especially before the Objective Structured Clinical Examination (OSCE), which is known as a high-pressure examination. This literature review aims to examine the relationship between academic anxiety levels and OSCE performance in medical students. The research method involved collecting and reviewing seven relevant articles from various online databases with inclusion criteria consisting of original studies discussing the relationship between anxiety and OSCE scores among medical students, published between 2016 and 2024 and available in open access. The results showed that most of the studies reviewed, namely 5 out of 7 studies, found no significant relationship between anxiety levels and OSCE scores among medical students. Meanwhile, the other two studies reported a significant relationship between the two variables. The variation in research results was influenced by differences in anxiety measurement tools, OSCE settings, and participant characteristics. Therefore, although anxiety is common among students before OSCE, its impact on OSCE scores has not been conclusively determined and may be influenced by factors other than anxiety.
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