Thanks for the reply My view is that the nav bar is for the medical profession There s also a medicine portal There s a health portal that includes nursing and I started working on a nursing portal last week No need to blur the lines between the professions Traditionally medicine has dominated the health care field but in numbers there are a lot more nurses not to mention other professionals and paraprofessionals I suppose you could do a separate nav bar for all the health professions together giving each of them equal weight but I don t see a purpose in that as there is already a category for it