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  • Judith T. 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 a 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. She is the immediate past Chair, and presently a member of the ACC Research Committee. Dr. Fullerton is a Fellow of the American College of Nurse Midwives.

  • Peter Johnson CNM, PhD,

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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 an assistant professor and the program director of the University of Maryland Nurse-Midwifery Education Program. In addition to his midwifery expertise, Dr. Johnson is a psychometric consultant and has extensive experience 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.

  • 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 an Assistant Professor at the University of Washington. She is the Chair of the ACC Research Committee.

Judith Fullerton, CNM, PhD, FACNM, 7717 Canyon Point Lane, San Diego, CA 92126.


The national certification examination (NCE) in nurse-midwifery and midwifery is developed, administered, and evaluated by the ACNM Certification Council (ACC). The blueprint for the NCE is based upon a comprehensive list of tasks that describe the knowledge, skills, and abilities expected of the midwifery practitioner at entry into the profession. In 1999, the ACC initiated the third in a series of task analysis studies to ensure the currency and relevance of the task list. This study was considered particularly timely, given that the professional organization, the American College of Nurse-Midwives, had approved pathways to midwifery for individuals whose first degree was not in nursing (the certified midwife) and also had expanded the core competencies for midwifery practice to include responsibilities in the domain of primary care. This manuscript reports the results of the pilot study, in which the specific list of tasks was developed. Three hundred and six ACNM members responded to a preliminary list of tasks, indicating their opinion about whether each specific task was relevant to entry-level midwifery practice. The task list finally derived consists of 219 tasks and 177 clinical conditions, dispersed among seven domains of practice (antepartum, intrapartum, newborn, postpartum, well-woman/gynecology, primary care/health assessment, and professional issues.) The task list represents a comprehensive profile of entry-level practice for nurse-midwives and midwives certified by the ACC.