This article has four aims. First, it will explain what factors led to the initial PHETE program review, and the phasing out of the traditional program at Penn State University. Second, it will describe the steps that were taken during the development of the Applied Exercise and Health dual-pathway degree option. Third, it will provide a description of the Applied Exercise and Health option and its implementation. Finally, it will provide recommendations for departments that are considering replacing traditional PETE/PHETE programs with a dual-pathway version as a way of addressing declining enrollments.