In regard to this fascinating discussion of proposed educational and internship requirements, I am wondering how more rigorous standards would be applied to candidates outside the US/Canada/Australia sphere.? How would the international nature of the credential be guaranteed if the quality-standards being discussed were adopted??Would requiring?a college education and supervised internship for a potential IBCLC in the Middle East, Africa or China be realistic??? Does this issue perhaps point to a need to reevaluate the viability of an international credential?

Barbara Ash, IBCLC, PCD (DONA)
Falls Church, VA

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