• Judith T. Fullerton CNM, PhD

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    • Judith Fullerton serves as Test Consultant to the ACNM Division of Examiners. She received her BSN from Wayne State University, Detroit, an MS and certificate in nurse-midwifery from Columbia, and a PhD in Health Education (Health Administration) from Temple. She is an Associate Clinical Professor, University of California, San Diego School of Medicine, and University of California, San Francisco School of Nursing Assistant Dean for Joint Programs at UCSD, where she directs a program of nurse-practitioner and nurse-midwifery studies.

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A research investigation conducted by the Division of Examiners led to the delineation and documentation of the knowledge, skills, and abilities associated with the contemporary practice of American nurse-midwifery. The identification of the frequency and importance of each task as a component of the concept of professional competence also was determined. Three hundred and thirty-four (334) statements that describe the tasks (performance behaviors) of American nurse-midwifery and one hundred and ninety-six (196) areas of clinical knowledge were identified and evaluated in a three phase, three year study. Nurse-midwives evaluated each item for the frequency of performance in practice, and for the importance of safe (competent) performance of the behavior to patient well being.