Karen, I was surprised that no one had responded to my post, so I was glad to hear from you. I have used e-portfolios for students in a variety of programs that had professional standards or specific skills that had to be demonstrated. Two things that I think worked really well were a reflection component and the opportunity for students to present their portfolios (or a portion of them) to a faculty or professional committee. A reflection piece was placed after each item in the portfolio, so that the student could explain what he/she had learned, how it was learned and why it was important. The students know what SLOs or standards have to be demonstrated, so they are doing self assessment and showing meta-cognitive awareness. With an e-portfolio, the student can distribute copies to their faculty committees prior to a face-to-face or video conference. Portfolio presentations can regulated or left up to the student. I have had students perform a written speech, give a Power Point Presentation and demonstrate a taking a patient's vital signs.