Scope and Standard Base
Unique Aspects of the FMC exam that will warrant long-term impact and importance to our healthcare delivery system are as follows:
- The FMC exam represents a focused, objective credentialing tool that is useful to clinicians
across industry associations and societies.
- The FMC exam content complies with the National Institute of Child Health and Human Development's (NICHD) recommendations for common
clinical nomenclature across clinicians. ACOG, SMFM and also the Association of Women's
Health, Obstetric, and Neonatal Nurses (AWHONN) have adopted the
Additional Background and Theory on SCT1,2,3
- Knowledge questions have only one clear, correct answer and are scored traditionally.
They often include a fetal monitoring strip, a clinical scenario, or both.
- Judgment questions, developed using the SCT methodology, offer participants an answer
key in the form of a 5-point Likert scale, generally allowing for more than one answer to be
acceptable, and therefore, to receive credit. Answers to the judgment questions are given a
weighted score, based on how an expert panel has answered the same question.
- Visual examples of both types of questions appear below.
How would you describe the decelerations in this tracing? Select all that apply.
A 25-‐year-‐old G1P0 patient presents at 41 weeks in spontaneous labor. Ruptured membranes are confirmed and the
initial cervical exam is 3/+1/100%/vtx. The initial FHR tracing is shown in Panel A.
Your management plan is...
Continue FHR monitoring and expectantly manage
...and then you learn the following additional information:
2 hours later, you review the FHR tracing shown in Panel B and note that the cervix is unchanged.
How does this additional information affect your thinking about the management plan?
- Strongly invalidates
- Could invalidate
- No impact
- Could support
- Strongly supports
For more information about the PQF credentialing exam, please contact Jean Lea Spitz, MPH, RDMS, Executive Director,
Perinatal Quality Foundation at firstname.lastname@example.org or Marin O'Keeffe RN, Program Director, FMC at
information is also available at http://www.perinatalquality.org.
1 Nouh, T et. al., "The Script Concordance Test as a Measure of Clinical Reasoning: A National Validation
Study," The American Journal of Surgery, Volume 203, Number 4, April 2012
2 Charlin, B et. al., "The Script Concordance Test: a Tool to Assess the Reflective Clinician," Teaching and
Learning in Medicine, Fall 2000
3 Charlin, B et. al., "Scripts and Medical Diagnostic Knowledge: Theory and Applications for Clinical Reasoning
Instruction and Research," Academic Medicine, Volume 75, Number 2, February 2000.