Mental health consumers in Australia have a basic right of access to high-quality mental health assessment and treatment. Given that universities are the entry point to the training process, they have a responsibility to train high-quality clinicians. Clinical psychology is the sub-discipline of psychology with specialist training in mental health assessment, diagnosis and treatment. There has been a call for clinical psychology programs to assessment away from a largely theoretical base to one that integrates theory with practice. In 2008, the University of Southern Queensland developed a viva voce for a course on adult psychopathology. The viva voce is an Objective Structured Clinical Examination, modeled closely on the one used by the Royal College of Australian and New Zealand Psychiatrists. This paper outlines the development of this innovation to assessment and gives directions for future research and evaluation.