I have been teaching the four hour Medication Assistant program and the annual 2 hour update since 2001. Please be advised that staff who have successfully completed the course are NOT "LICENSED"- they are "CERTIFIED", which is a world of difference. Those having received the 4 hour ALF training are NOT med techs, although many facilites give them that title- in fact they a Resident Medication Assistants. A MED TECH is licensed after having completed extensive training- as such, the tech is legally accountable for his practice, similar to a Licensed Nurse. Please be careful of this one, nurses. Technically you are legally responsible.