Thank you, Peter. Many institutions have added competency checks in selected courses that require students to demonstrate that they have mastered a particular skill. In my school, students who cannot successfully demonstrate each of the competencies in a selected course automatically fail the course even if they did well in the rest of the course. Students get lots of time to practice a skill under the supervision of a qualified faculty membeer. The also get more than one chance to demonstate the skill. By the end, they have to be able to perform or they have to repeat the course.