Hi Jan:
There's probably many and varied opinions about your question. Some factors such as the type of training, the level of training, and the level of competence required all play into the degree of testing.
As instructors we aim to assure our students have the needed proficiency and knowledge to be successful in the particular career category. How that's verified (tested) and to what degree is just going to be varied. If the Student Learning Objectives (SLO) are met, then, in a sense, the testing is a secondary concern. But...usually it's the testing that determines if the SLO's have been met!
Regards, Barry