A plan was developed to assure equivalency of clinical education among the medical laboratory technician (MLT) programs affiliated with Sandhills Community College. The plan was designed by faculty to monitor the quality of clinical courses offered by the clinical affiliates. The major strategies were to develop competencies, slide/tape modules, a clinical simulation laboratory on campus, a short clinic rotation for all students, and workshops for clinical adjunct faculty. Evaluation of the project was based on interviews, questionnaire results, clinical grades, and statistical studies of the effectiveness of the modules and competencies. The evaluation was conducted using a multiple regression prediction of graduates' success on the national certifying examinations. Internal and external evaluations revealed that competencies, modules, and other project features contributed to improving clinical performance and assured equivalency of clinical education among affiliates. The project demonstrated that MLT programs need not be located in metropolitan areas, if innovative plans are developed to integrate didactic and clinical competencies and if adjunct faculty are prepared for clinical teaching. (Author/SW)