Kathy et al I have been following this discussion closely and do appreciate that the "international" aspect of the credential was highlighted. I am wondering how other professions, such as physical therapy, evolved in the beginning. It's unlikely that on-the-job training/mentoring was available from the start. How soon before recognised "training" began? Did they also start with multiple pathways? Speaking from a country with very few IBCLCs spread over a wide geographic area I have many similar concerns to those expressed in this forum. Quality on-going education is a huge challenge. Mentoring would be valuable, but not really practical for us at this stage. That the exam is only the beginning of an explosion of learning is a concept that is not always grasped. Our clients and the profession suffer as a result. What is "good training"? Guess I also have more questions than answers! Jean Ridler RN RM IBCLC South Africa [log in to unmask] *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html