Clinical Microbiology Proficiency Testing (CMPT; Canada) and the Institute of Public Health (IPH; Belgium) set up a joint external quality assessment (EQA) project in which they sent identical simulated clinical samples to their respective participants. Samples were sent out as throat swabs containing Streptococcus pyogenes (as pathogen) and viridans streptococci (as commensal). Results from identification by the Belgian laboratories were excellent: 99.5% detected the group A streptococci. About 10% of the Canadian laboratories reported the absence of reportable +¦-haemolytic streptococci, although for most of them the issue was one of non-examination of small or pin-point streptococci. Overall, Canadian and Belgian laboratories performed well in this EQA; the joint project clearly showed that although many similarities exist, there are differences between laboratories in treating EQA samples and reporting results. -® 2008 Springer-Verlag