**FILE** North Carolina Gov. Bev Perdue (left) and Health and Human Services Secretary Kathleen Sebelius watch a pediatric primary care scenario before Sebelius announced that Duke Hospital would be one of five hospitals selected to participate in a new initiative to train more advanced practice registered nurses on July 30, 2012, at Duke University School of Nursing in Durham, N.C. (Associated Press/The Herald-Sun)

Photo by: Al Drago

**FILE** North Carolina Gov. Bev Perdue (left) and Health and Human Services Secretary Kathleen Sebelius watch a pediatric primary care scenario before Sebelius announced that Duke Hospital would be one of five hospitals selected to participate in a new initiative to train more advanced practice registered nurses on July 30, 2012, at Duke University School of Nursing in Durham, N.C. (Associated Press/The Herald-Sun)