For a study of the basic competencies required by medical assistants, an instrument was developed listing 92 competencies and 9 cognitive domain statements. Respondents were asked their opinion on the level of importance and level of proficiency needed for job entry for each competency. Instruments were mailed to 100 physicians, 102 clinics, and 212 medical assistant graduates. Usable responses came from 34 physicians, 45 clinics, and 80 graduates. Results revealed a generalization in necessary skills needed by assistants in a solo or two-man office and more specialization needed by assistants in a clinic atmosphere. The survey also determined the level of proficiency needed to perform these tasks. The medical assistant must do more with less supervision in the smaller office than in the clinic. It is recommended that further study be done on the following: Mandatory certification or licensure, articulation between high school and VTAE schools concerning specific course offerings in high school to eliminate the need for them in the vocational school medical assistant curriculum, and the refining of present competency lists and of existing programs to keep pace with changes in the field. It is also recommended that physicians be encouraged to employ people with proper credentials to work on human beings and to promote advanced training for their employes. The report contains tables presenting the importance ratings and proficiency levels for each item in the competency list. Also included are copies of cover letter, followup letter, and instruments sent to physicians, clinics, and graduates. (LAS)