The all-encompassing term "Medical Spanish" references the Spanish used by healthcare professionals. Medical Spanish courses have gained traction as the Spanish-speaking population in the U.S. continues to grow. Consequently, demand for courses in Medical Spanish and other areas of Spanish for Specific Purposes (SSP), a subfield of Languages for Specific Purposes (LSP), has grown. As SSP discipline grows, there is a need to understand curricular decisions and implementation, assessment, and learning activities for Medical Spanish courses. One area of Medical Spanish that has not been widely explored is that of assessment. This article discusses assessment challenges in teaching Medical Spanish and offers tips for instructors of these courses, including two learning activities--community service-learning and role playing--that can serve as useful assessment tools.