Dewey first described reflective thought as a way to solve issues ofperplexity in his seminal work How We Think. Dewey's work underpinnedStrauss' contribution to The Discovery of Grounded Theory. Grounded theorymethods are characterised by memo writing. This paper will describe howmemos, in the form of slides, were employed to demonstrate advanced skillacquisition in practice by an immigrant nurse and health visitor to a panelconvened by the New Zealand Nursing Council. Globalisation and migrationof the nursing workforce contributes to advancement of the nursing professionin some countries. New Zealand, whose critical mass of primary health carenursing leaders is small, with no specific postgraduate primary health carequalification, benefit from the transferable skills of migrant nurse and communitypractitioners. Finding easier ways to demonstrate advanced practice toNew Zealand's Nursing Council would maximise the potential contribution ofimmigrant nurses.