I think the main problem is that IBLCE is a certifying board, not a licensing agency like states Board of Nursing (or whatever you have in other countries). We, unfortunately, are comparing apples and oranges when we cite CNMs, PTs etc. who are licensed, altho I do like some of their wording. It's a conundrum (riddle) :-( ILCA is a "join if you want" organization, not mandatory. So it is hard to "make" people follow ILCA's SoP. Where is this leading??? Formal study and licensing? or do we want something else? Medicine started out like LCs. A "doctor" taught another apprentice and then he called himself a dr. Then formal ed was required, then licensing. We are sort of on a path here, whether we like it or not :-( BTW, I don't think the path needs to be via medical or nursing school. PT's don't have to go that route. In the US, unfortunately, CNMs go thru the nursing school route, elsewhere in the world CNM is a route of it's own (Yeah) All of this requires deep investigation, thought and planning. It is sort of exciting to imagine where we are going. We want recognition and credibility as a profession. What's the cost? That's mho this am. Pat in SNJ *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html