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From:
"Jennifer Tow, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 11 Aug 2014 01:36:50 -0400
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Jeanette,
I agree with you. And I am one of those people you are describing who does a lot more than the avg IBCLC and a lot more than I did 20 years ago. But, I believe in mother-to-mother support as the foundation of bfing care. I think we should remain absolutely accessible to LLL and other volunteers and use a student/intern/apprenticeship model for entry-level. This would make IBCLC so much more accessible globally by using Skype to educate students/interns/apprentices. That does not mean inferior knowledge (and really needs to be structured to ensure better skills than folks attain now), but a different approach to attaining that knowledge. I also think we should have advanced practice IBCLCs who can provide the kind of support I do and emeritus IBCLCs as well. Enough is enough with the absurd retaking of exams. I think what has always troubled me is that you can ever lose a credential that you acquired through education. I have always said the IBCLC should be for life, while the RLC should mean that you have maintained your registration. A doctor does not lose her MD bc she retires, but she does give up her license. The same is true for RNs and every other credential I can think of. Passing that test should mean you are an IBCLC. Period. Ongoing education (which I think needs to be better supervised and more rigorous) should mean you maintain the RLC. One's knowledge does not disappear bc she wants to move into education or research or volunteer work. How is it that someone at 75 must take a test to maintain a credential she earned 25 or 30 years earlier? 


Finally as to the CLC/IBCLC: if CLCs were out there trying to fill a gap, I might have less aversion to it. But, they are not. They are blatantly claming they are equal in skill to IBCLCs and they deserve to charge the same fees and have the same insurance reimbursement . That is in no way improving access to basic bfing care. It is opportunistic. No one is served but the organization itself. 


Jennifer Tow, IBCLC, USA & France
Intuitive Parenting Network, LLC





Date:    Sun, 10 Aug 2014 11:12:08 -0700
From:    Jeanette Panchula <[log in to unmask]>
Subject: CLC/IBCLC

Pat Young said: 

"I see a LE (CLC) as akin to the average LLLL.   Know the yellow and red
flags and know where to point mom to get the help she may need for a more
complex problem.  Then when you have been a LE (CLC) or LLLL for a long
time, take the exam and move up the ladder, if that is your goal. "

 

I agree.but there is a problem now!  With the requirements of college-level
courses, many LLL Leaders, especially from other countries, but even in the
US (where I've trained Peer Counselors in Spanish, but they cannot read and
pass the courses offered in local community colleges) are unable to take the
IBCLC exam (even if offered in their own language).  That means in the US we
will continue to be white and monolingual!

 

We are making the IBCLC, in my opinion, more like a Nurse Practitioner level
rather than equivalent to Speech, physical or occupational therapist - which
was what I thought we were aiming at.  A team of players to work WITH the
health care provider - not that we would be doing everything from
Craniosacral therapy to Nutritional supplementation recommendations.  

 

I totally support those IBCLCs who would like to become higher level
specialties - think that is great, and refer to them and their books and
studies often!  However,  requiring everyone at the entry-level of the IBCLC
to meet those requirements is leaving no one at the level that most mothers
need - assessment, information and education and referral if needed to
others.  

 

It also prevents many in the Native American,  African American and Hispanic
groups from ever getting ON the ladder to go UP!  I KNOW it has prevented
very experienced LLLLeaders in Latin America  to even try  - as they feel
this field is totally closed to them  - as it probably is to many others
such as those in Japan (as I learned in this years' ILCA Conference). 

 

Sorry.a real issue for me right now!

 

 

Jeanette Panchula, BSW, RN, PHN, IBCLC  

La Leche League Leader

Public Health Nurse (retired)

International Board Certified Lactation Consultant











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