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photo illustration MEDICAL ADVANCE

A new doctorate in nursing practice and a certification exam offer advanced-practice nurses more autonomy from physicians. Mary O'Neil Mundinger (above), dean of Columbia University's nursing school: "If nurses can show they can pass the same test at the same level of competency, there's no rational argument for reimbursing them at a lower rate or giving them less authority in caring for patients." Physicians' groups, however, beg to differ. (Photograph by Frank Fournier)

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