Umm I didn't have to spend $975 to take the GOSCE / OSCE at my school. We didn't get bland sandwishes at my school either. Oh and I didn't have to fly across the country to take the numberous OSCEs that my school requires.
We take three GOSCEs (group OSCE) in both our first and second year and then an OSCE with video taping at the end of our FM rotation. We then have to sit down with a behavioral psychologist and review our videotaped performance. At then at the end of our third year our Dean's office runs another OSCE for us.