The different fields of expertise in the nursing profession all require different types of educational or practical requirements. Some may require that you attend a specific type of class, or that you have to pass an examination in order to be certified in a particular field. Some require that you pass in order to join a fellowship program, where you can apply the new theories that you have learned. If you are planning to take up care management as your specialty, then you need to be able to get into a reputable fellowship program for it. Certain fellowship programs require that you enroll in a continuing education course on the specialty. You need to take the prescribed classes and pass them, in order to be eligible to take the examination to become a member of a fellowship program. Certain courses allow for you to submit and verify prior experience in the specialty, instead of taking classes for it.