• Sachiko Oshio CNM, PhD,

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    • Sachiko Oshio received her BS in nursing from St. Luke's College of Nursing in Tokyo, Japan, an MS in nursing from Boston University, a PhD in nursing from the University of Washington, and a certificate in nurse-midwifery from the Oregon Health Sciences University. Dr. Oshio is a Clinical Assistant Professor at the University of Washington. She is chair of the ACC Research Committee.

  • Peter Johnson CNM, PhD, FACNM,

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    • Peter Johnson received a PhD in educational psychology from the State University of New York at Buffalo and a midwifery certificate at the United States Air Force Nurse-Midwifery Education Program. Dr. Johnson is a clinical associate professor and the director of the State University of New York at Stony Brook Nurse-Midwifery Education Program. In addition to his midwifery expertise, Dr. Johnson is a psychometric consultant and has extensive expertise in the analysis of technology and its use in maternal child health care. He is currently a member of the ACNM Division of Research and the ACC Research Committee.

  • Judith Fullerton CNM, PhD, FACNM

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    • Judith Fullerton received a BSN from Wayne State University, an MS and certificate in nurse-midwifery from Columbia University, and a PhD in Health Education from Temple University. Currently, she is professor in the College of Health Sciences, School of Nursing, University of Texas at El Paso. Dr. Fullerton was the Principal Investigator for the two previous task analysis studies (1985 and 1994) during her term of service as test consultant to the ACNM Certification Council and chair of the ACC Research Committee. Dr. Fullerton is a Fellow of the American College of Nurse-Midwives.

  • The authors gratefully acknowledge the financial and staff support of the ACNM Certification Council, Inc., the contributions of time and effort provided by the ACNM, and all of the participants in the pilot and study phases of this research project.

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A master list of tasks, which contained 200 task statements, 23 professional issues statements, and 177 clinical conditions, was divided into three equivalent survey forms and distributed to those certified nurse-midwives (CNMs) and certified midwives (CMs) certified by the ACNM Certification Council, Inc. during the 5-year period from 1995 to 1999. Specific efforts were made to encourage the participation of CMs, because they represented a new professional cohort. A total of 627 valid responses were obtained. Reasonably similar numbers of respondents contributed data related to each of the three versions of the survey form. The responsibilities have expanded substantially within the domains of nonreproductive primary health care and gynecologic care of the well woman, including advances in assisted reproductive technology. A diminished emphasis on the CNM/CM role in the provision of newborn care was documented. The ACC Research Committee recommended the revision of the entry-level certification examination blueprint, and this was approved by the ACC Board of Directors. The specific recommendations included the development of a new primary care domain and the reconfiguration of content emphasis with percentage allocations as follows: Primary Care, 5-10%; Well-Woman/Gynecology, 15-20%; Newborn, 5-10%; Postpartum, 5-10%; Antepartum, 25-30%; Intrapartum, 25-35%; Professional Issues, up to 5%.