Implementation of the Consensus Model has created new certifications and advanced practice nursing education programs. The combining or creation of new adult-gerontology programs prepares Advanced Practice Registered Nurses (APRNs) to care for the adult-gerontology population across the health spectrum of wellness to illness. As often occurs with legal or regulatory change, conundrums can develop for graduate nursing education programs during the implementation efforts as they struggle to meet the new requirements before needed resources are available. One of the most challenging problems has been developing the Adult-Gerontology population foci with available current resources. In order to address the conundrum, strategies need to be developed which will enhance graduate nursing education programs, create partnerships with practice and create service learning opportunities. The change of preparing adult-gerontology APRNs capable of delivering care across the spectrum of wellness to illness in a variety of health care settings will eventually help address the needs of society, but there are barriers to the initial implementation which have to be overcome in order to achieve a successful long term solution to the nation's health care requirements. Formative strategies to effectively deal with the conundrums will keep the process of change moving forward. Working together collaboratively in a team approach will enable academia, practice, and the community to identify and bridge the hurdles to achieve success.