Two important changes in the past year have addressed the need for ongoing assessment and training of radiologic technologists. Those changes are mandatory continuing education for ARRT-registered technologists and the JCAHO's requirement to assure staff competency. To prepare for a JCAHO inspection, supervisors at Pennsylvania Hospital developed competency checklists for orientation and annual performance appraisals. The checklists included job-specific skills in two areas: equipment and protocols. Sample checklists are reprinted in this article. They cover representative jobs in different areas of radiology: support staff, diagnostic radiology, radiation oncology, computed tomography and nuclear medicine.