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How is proficiency/competency assessed: Written test? Trainer observation? Standard process performance? Spot audit?

How is proficiency/competency assessed: Written test? Trainer observation? Standard process performance? Spot audit?

Many options exist. Some level of direct observation or hands-on assessment is necessary in order to ensure processing skills remain sharp and tasks can be performed successfully. Written tests can also be useful to assess understanding of policy. Further, analysis of deviations and process outcomes are also a possibility as they can shed light on common issues experienced by multiple team members, implying the need for process changes. For Quality Control assays, external specimens with known values, for example CAP specimens, may be a useful tool.