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Previous Volume 330:1537-1540 May 26, 1994 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In response to your editorial on the role of nurse practitioners in primary care (Jan. 20 issue),¹ the scope of practice for nurse practitioners and nurse-midwives is defined by a program's competency standards and by state requirements for licensure. If we encounter a problem that is outside our expertise, we consult others or make a referral. In this way, a nurse practitioner or nurse-midwife always works in collaboration with a physician, so that the transition to acute care can be made quickly and easily. Our education and experience make it unlikely that we would dismiss a serious . . . [Full Text of this Article]

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