As one of the members of the task force that worked on the ILCA draft Scope
of Practice I will refrain from commenting on the quality of the document
itself.  This post is to reiterate that ILCA is an organization with an
elected board drawn from the membership, whose mission is to represent
IBCLCs in the way that a union does, as well as to promote awareness
internationally about what IBCLCs are and what they do.

IBLCE is a licensing body.  As such it must be independent of the
professional organization, though one hopes that the relationship between
the two is is friendly, mutually respectful and clearly defined.  It should
not be composed solely of practitioners whose access to practice is a
license issued by IBLCE.

Would you want to consult someone for specialized advice on anything at all,
knowing that their union had issued their certification?  ILCA had comments
to the Scope of Practice published by IBLCE but their comments were not
incorporated into the final IBLCE draft.  ILCA doesn't run IBLCE nor does
IBLCE run ILCA, for good reasons: to put it very crudely, it is in ILCA's
interest that as many people as possible pass the exam and stay in practice
because it means they can recruit more members.  It is in IBLCE's interest
that the exam is able to discriminate appropriately between candidates who
can demonstrate the minimum amount of knowledge required to start practicing
as an IBCLC, and candidates who should study and work some more and take the
exam again before being able to use the title.

Some posters have commented on the ILCA Scope's lack of mention of
practicing in keeping with the WHO code on marketing of breastmilk
substitutes etc.  A scope of practice merely delineates the area encompassed
by an IBCLCs practice.  It says nothing about how one should practice; that
is what Standards of Practice, and Codes of Ethics, are for.  To my mind,
they don't belong in the same document.

Rachel Myr, midwife, IBCLC and sometime nit-picking pedant,
Kristiansand, Norway

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