----- Original Message -----
From: "Winnie Mading" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, March 11, 2008 5:27 PM
Subject: [LACTNET] competency, internships etc.
**Hello all,
As I recall, the first time the exam was given we were told that the picture
portion was a temporary part of the certification. The original idea was to
have a clinical portion where the examinee would be given a situation (or
situations) to consult and a panel of experts would evaluate the person's
competency in doing the consult. This sounds good, but logistically a
nightmare.
**Ha, Gonneke and I were just talking about this this morning! I had been
taking a test-exam from Linda's book and was just *so* disappointed and sad
about my results... and even angry when checking certain picture-answers! I
totally disagreed with several of them! And I also found the answers
incomplete or too superficial. Like Gonneke said: "Often my answer is not in
the options." hahaha
I suggested we should sort of have to describe the process of coming up with
an answer, but a nightmare indeed... to create a universal standard for
checking the answers. And who's gonna appoint the members of the panel and
find out about their competencies...? What if an incompetent lc is in the
position where she has to pass or fail a possibly way-over-entry-level
candidate...? Very difficult...
(snip)
I also feel there needs to be a better way of documenting the hours to
qualify currently than just having someone sign that the candidate has the
hours.
**I still wonder about this system... In the Netherlands, there is a
department in the Hogeschool Utrecht where you can study, well... sort of
*have to* study, lactation consultancy before you can take the international
exam. The national IBLCE-member checks that. Some of our collegues in the
southern part of the Netherlands, in Gonnekes area, go to Belgium to do the
study. In both schools, still a lot could do with improvement and length of
the programme and in my group (one and a half year, 24 school days, many
practical tests and assignments and selfreflection reports to be
fulfilled/handed in and in Belgium an oral exam to be passed), we gave a lot
of feedback to improve the way the study is organised and what is dealt
with, but despite all that... WE HAVE TO DO A SPECIFIC LC STUDY!
I think this should be obligatory in all countries; that way, you can at
least, to some extent, make sure that people are confronted with certain
issues. We all had to do one intern day, which is, of course, way too short,
but Utrecht works on addressing hospital based and pp lc's to offer
practising opportunities. It will always remain a matter of conscience and
personal responsibility to internalise what is handed to you, but this way,
at least you can get a glimpse of other area's. I myself asked a
knowledgeable collegue elsewhere in the country whether she would have me
for a day or so, and she was willing to let me join her for a day and a half
(thank you, Erica!). This was a very valuable experience, because she's in a
hospital and I, as a volunteer, almost exclusively deal with healthy babies,
often after unmedicated home births. So, I too would love the concept of
internships... and especially of the bachelor's degree Regina suggested!
;o))
Warmly,
Marianne Vanderveen, Netherlands
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