A challenge to the Bruce & Levin's Taxonomy is seen in the way that attempts teach an individual the technique for self breast examination. Attempts have been made to convey the information by providing data access as a hypertext environment of the web (which would be classified under the taxonomy category of Media for Inquiry) such as that found in the Celebrating Life Foundation Web Site,   However, the learning of this technique is not simply a cognitive exercise. Other methods of conveying this information have been developed and provide an interactive touch screen program with a model of a breast with simulated lumps for practice. The second method would be considered as Robotics (which would be classified under the taxonomy category of Media for Construction) But, performance of the procedure requires the individual to be willing to actually perform the procedure and realize the potential consequences of finding a negative result. This willingness and affective implications do not fit into any of the categories of the taxonomy as currently designed.

As the authors state in the section about a test of the taxonomy, there are projects that appear in more than one place in the taxonomy and may be complex in their design. One contemplates whether the pattern set by the authors listed below are a reflection of what we may expect to see in programs in the future and whether the taxonomy will endure.