More recently, three important reviews have summarized the growing body of research literature on NP care. Two have been narrative reviews,2021 with one a quantitative synthesis using meta- analytic methods.2 The first major review was conducted by the OTA in 1986, at the request of the U.S. Congress. A multidisciplinary panel reviewed the literature on NPs, Certified Nurse Midwives (CNMs), and Physician’s Assistants (PAs). Reviewers concluded that the care provided by NPs, as well as that provided by CNMs and PAs, is of quality equivalent to physician care. In areas of communication and preventive care, NPs and CNMs are “more adept than physicians”.