Wanted: America's Next Top ?????

I think American TV is stuck in a rut.

Let's see... There are America's... Shows

1. America's Next Top Model
2. America's Next Producer
3. America's Next Top Chef
4. American Idol
5. Nashville Star (the country version of American Idol)
6. and so on and so forth

Then there are crime/ cop shows:

1. Law & Order
1. Original
2. Special Victims Unit
3. Criminal Intent
2. Miami Vice
3. Psych
4. Monk
5. Diagnosis Murder
6. Texas Ranger
   
7. McGiver
8. The X Files
9. Pushing Daisies
   
10. and yadda yadda ya

And then there are the Doctor ones:

1. House
2. Private Practice
3. Grey's Anatomy
   
4. blah blah blah

My question is... when are they going to start
"America's Next Top Secret Medical/Kick Derriere Agent"