The Ottawa Conference on the Assessment of Competence in Medicine and the Healthcare Professions were set up by Professor Ian Hart (Ottawa, Canada) and Professor Ronald Harden (Dundee, UK) in 1985. Held Biennially they provide a forum for medical and other health care profession educationalists to network and share ideas on all aspects of the assessment of competence in both clinical and non-clinical domains, throughout the continuum of education. Participants include both those new to the area of assessment and those with many year’s experience to share. Ottawa Conferences are committed to encourage developments in assessment with a view to improving health care and health care delivery around the world. Ottawa Conferences are now jointly organized by AMEE (www.amee.org) and a Local Organizing Committee.