CLIA and CAP require that competency assessment be completed by the general supervisor and include the following methods:Direct observation of routine patient test performance as well as instrument maintenance and function checksMonitoring the reporting of test results, including critical results Review of test results, worksheets, QC, maintenance records as well as review of competency assessment resultsAssessment of test performance using external blind testing and internal PTinternal PT Evaluation of written test taking skillsAll the above

Yes, both CLIA (Clinical Laboratory Improvement Amendments) and CAP (College of American Pathologists) require competency assessment to be completed by the general supervisor. This assessment includes the following methods:

1. Direct observation of routine patient test performance, instrument maintenance, and function checks. This means the supervisor should directly observe the employee while they perform routine patient tests and maintain and check the function of the instruments.

2. Monitoring the reporting of test results, including critical results. The supervisor should monitor how the employee reports test results, paying special attention to how they handle critical results.

3. Review of test results, worksheets, quality control (QC), maintenance records, and competency assessment results. The supervisor should review these documents to ensure the employee is performing their duties correctly.

4. Assessment of test performance using external blind testing and internal proficiency testing (PT). This involves the supervisor assessing the employee's test performance using tests that the employee is not aware are being used for assessment purposes.

5. Evaluation of written test-taking skills. The supervisor should evaluate the employee's ability to take written tests.

So, all the methods mentioned above are required for competency assessment as per CLIA and CAP.