I often think back over the 22 years I have served on the Certification Board for Urologic Nurses and Associates (CBUNA) and the challenges we have faced. We went through the change of our name, changes in our administrative offices, and the hiring of a testing service. Members of the Board volunteered their time and expertise to produce the excellent quality examinations we have today. The oral examinations, which had 20 categories of knowledge, were replaced by written examinations that were reorganized into six categories of client problems in urology. In addition, a theoretical framework was selected to provide the description of the care of urology patients. The Board ...