Jane writes:

And I  think we need SUPERVISED clinical hours to qualify. "
~~~
Last night, for some reason, I also remembered that as a PT student, the  
college I attended (they are sometimes different, admittedly) did not allow 
us  to graduate unless we had completed at least 4 rotations, each between 4 
and 8  weeks long, in different clinical settings. During that time, we were 
directly  supervised, assigned our own patients we were to work with, and 
every note that  we wrote had to be read through and co-signed by a PT. We 
would sign SPT (  student PT). When I was a PT at Harlem Hospital ( Go Harlem, 
you Baby-Friendly  hospital!), and supervising several students in a 
program I set up, I also  realized that the students from certain colleges seemed 
much more ready to take  their exam ( with its practical component) and work 
as PTs, than students at  other programs, and the main difference seemed to 
be how much the school  emphasized and gave opportunities for clinical work 
and supervision. The schools  which emphasized theory and research-writing 
sent me students that had SO much  more work to do to actually get ready to 
be in a therapeutic relationship with a  person in need. ( They would have 
made good avatars of information, though  :).....) So I have to second Jane's 
idea. I do feel that as a LLLLeader with  other experienced Leaders, I was 
" co-supervised" during the 7 years before  I sat for the exam ( the minimum 
at the time was 5 years, now I see it is 2). I  have also seen that the 
Leaders I have mentored into Leadership have such a  deeper and wider knowledge 
base than I had when I became a Leader, and then  later an IBCLC. The 
Leaders I mentored to Leadership who then sat for the exam  were well-prepared. 
Just some random thoughts on a Tuesday evening in  Brooklyn...
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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