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The purpose of this study was to determine the historical development of associate degree nursing education in West Virginia and to analyze this development for particular themes or concepts. The descriptive method of research was used in this study. Data was collected through questionnaires, interviews and examination of records and documents. After the data were collected, the data were analyzed and the findings were reported. At present, there are nine associate degree nursing programs in West Virginia accepting approximately 600 students per year. Geographically these programs are distributed throughout the state. Seven of the eleven schools received accreditation by the National League for Nursing. Curriculums of the eleven schools are similar. One-third to one-half of the courses are general education courses and one half to one third are nursing courses. Total number of credit hours for the nursing programs range from 65 to 73 credits. Nursing education in West Virginia has established itself in higher education. Each of the programs are individual but have basic commonalities with the other associate degree programs. Commonalities include deep roots within each community, older students seeking an education, most graduates are employed within the local community, and most faculty members are prepared at the Masters in Nursing level. Examination shows that the basic philosophy and structure of these programs do not vary significantly from Montag's original design developed through the Cooperative Research Project in 1954.