As career clusters and pathways are being implemented within the program of study requirement of the Perkins IV legislation, the current linkages between entry level occupations and careers requiring advanced certifications or degrees should be examined by career and technical education (CTE). This study examined the linkage in the healthcare field in Oklahoma and used archival enrollment trend data from 2000-01 through 2004-05. It determined the degree to which high school students completing Health Science Technology/Health Careers Certification programs were transitioning (i.e., articulating) into advanced healthcare programs in technology centers and colleges. The findings suggested that the connection between health career programs at technology centers and colleges may not be well defined for students as indicated by continuing study in postsecondary education. The findings also indicated that the programs of study that were examined may not be effective in connecting high school students to further studies in technology centers or colleges. The study has implications for rethinking programs of study, and their implementation through career clusters. (Contains 1 table.)