I agree with Karleen completely. I am seeing a dumbing down of professional 
knowledge and skills in my area as it is.  People pass the exam but have no 
clue about IBCLC Standards of Practice and our Code of Ethics. This has 
created a situation where parents, hospitals and HCPs do not value 
"lactation consultants." I have heard horror stories of people getting BC 
hours in ways that don't prepare them to be professional lactation 
consultants but because they can pass the exam, they become one. I would 
like to see our profession strengthened by required course work that 
includes an internship (meaning college course work like RNs have). I would 
like to see the exam cover our professional standards and ethics. I would 
like the IBLCE to check people's BC hours and how they got them more 
thoroughly.

Kathy Eng, BSW, IBCLC

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