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All health professions have developed a national program of competence assessment to address the specific issue of "entry-level practice." This is also true in optometry through the 3-Part examinations of the National Board of Examiners in Optometry. These examinations test the cognitive (knowledge) skills necessary to be fit to practice and the communication, affective and psychomotor skills that are required to apply the underlying knowledge in the solution of patient problems. The scope of the National Board examinations and how they change to keep pace with the expansion and the scope of practice, demonstrates that entry-level is a dynamic concept.