How can credentialing programs move beyond multiple-choice exams to better measure real-world readiness? This panel will showcase performance-based assessment approaches being used across sectors—from immersive simulation and AI-driven training to structured clinical scenarios that evaluate communication, professionalism, and decision-making. Panelists will explore how hands-on and situational assessments can be both scalable and defensible, while offering a more authentic measure of candidate competence. Attendees will gain practical insight into integrating these models into their own programs, along with strategies to manage accessibility, regulatory requirements, and operational realities.