Public health nursing is following a course of action prescribed by society, changes in offerings in colleges and universities, and the needs of nursing service. If the test for minimal competencies does not prove to be a viable alternative, the identification of specific courses and content needed may be a method of resolving the issue. It is hoped that nursing educators and professional organizations will continue to promote the baccalaureate degree as the professional level of practice, and continue to develop innovative programs to allow for easy access for associate and diploma nurses to meet the demand for education.