This article summarizes 12 presentations in Group 7 of the 2007 joint symposium of the International Association for Educational and Vocational Guidance, Society for Vocational Psychology, and National Career Development Association held in Padua, Italy, that focused on procedures for verifying the efficacy of vocational guidance programs. Three themes, or general tensions, emerged from the group's discussion of the presentations: (a) quantitative versus qualitative evidence, (b) public policy needs versus local needs, and (c) comprehensive versus cost-effective programs. On the basis of these core themes, recommendations are made for 3 potential directions for research that address certain threats and opportunities for the field.