Chiming in here with my .02 worth -- as neither an IBCLC nor a LLLL.  I
think of the exam as an entry-level exam, and from there, depending on where
you work and the kinds of cases you see, you can go different ways.  People
can stay general, much like an MD who becomes a family practice or general
practitioner, or they can specialize.  An IBCLC who works in a hospital may
become a specialist in post-partum making sure baby is nursing well before
discharge, or she may become a NICU specialist, working primarily with
babies with heart-problems, or preemies, or multiples, or multiple/preemies,
or babies with cleft palate.  Another IBCLC may specialize in women who've
had breast surgery (implants, reductions, cancer), while yet another may
specialize in helping treat mastitis.  An LC who works in the NICU or on
labor/delivery may not get much experience working with yeast infections in
nursing toddlers.

Breastfeeding needs all the help it can get.  We need to clone Jo-Anne, is
what we need.  And Diane, and Kathleen, and Pat, and Barbara, and Valerie,
and Laurie, and Dawn, and Jack, and Frank, and ALL OF US.  We all bring
something to the table.

Kathy Dettwyler, espeically in awe of Jo-Anne tonight (she's so brilliant,
so eloquent, and such a NICE person)



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