The arrival of ChatGPT and other artificial intelligence (AI) has caused considerable concern for educators worldwide, many of whom are still recovering from the impact of the COVID-19 pandemic. Although the debate continues around the use of AI in education, one approach to ensure students are achieving their learning objectives, the oral exam or assessment, is gaining renewed interest. This article covers the background of oral exams and assessments, types, benefits, challenges, practical considerations, and recommendations. The oral exam or assessment is not only a vehicle to reduce academic integrity issues but is an authentic assessment offering educators and students a range of benefits: mirroring professional practice and increasing student communication skills, confidence, and a deeper understanding.