This document discusses the development of an assessment for Assisted Reproductive Technology (ART) Laboratory Professionals. A committee of 5 experienced ART laboratory directors and Canadian Fertility and Andrology Society members created items to evaluate competencies in safe work practices, gamete and embryo processing, communication, quality management, and critical thinking. The items underwent field testing by 13 ART professionals who provided feedback. Based on analysis, 14 of the 82 multiple choice questions required revision. The next challenge was translating the questions into French as the first exam is scheduled for this spring. The main challenge for the committee was learning how to write multiple choice questions that effectively assess practical competencies, with guidance provided by Touchstone.