It is up to each individual institution to "test" a new hire for their 
competency.  We are lucky to have both an HT and HTL program at our hospital so 
when we hire a graduating student we already know their work habits and skill 
level.  If I do hire someone from the outside, they have 90 days that they are 
in a probationary period.  If during this 90 day period they have not proven 
their ability to complete the required work according to our standards, they 
could be let go or I have the option to extend the probationary period.  
Whether they have completed a practical exam or not, they still need to prove 
they are competent after they are hired.  
We have had to hire from the outside (yes it is a pain going through this 
process) and you hope that your new hire is as competent as they claim to be.  
But in the end you will be the one stuck with an incompetent employee if you 
don't "test" them and catch it before their probationary period ends.  Whether 
or not they have taken a practical exam really does not matter in the end, 
almost anyone can redo a stain enough times to get it right.  The real question 
is, can they do it right on a daily basis and in a timely manner?
 
Sharon E. Scalise, HTL (ASCP)
Histology Supervisor
William Beaumont Hospital
Royal Oak, MI 48073
248 898-5981
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