Authors Kevin Broom, PhD, of the University of Pittsburgh, and Daneil Gentry, PhD, of the University of Iowa, address the history and current state of competency-based education in the field, based on their experience in their programs as well as conducting numerous accreditation site visits at other institutions through the Commission on Accreditation of Healthcare Management Education. The need for better assessment and reporting tools regarding competency effectiveness and attainment are discussed, and the authors make recommendations for future improvement.