I do not support this alternative for several reasons. First, this plan is not in agreement with the Consensus Model for Advanced Practice Nursing.  Also the number of hours in practice does not necessarily mean that the individual has the proficiency expected from a certified Clinical Nurse Specialist. Additionally, I would not support a petition that called for only a certification examination without clinical hours. Together, clinical hours along with an examination are currently the best ways to assess a sound clinical base of knowledge before one can use the title of Clinical Nurse Specialist.