Always great information from Liz!!!
On Jul 7, 2015 5:01 PM, "Elizabeth Brooks" <[log in to unmask]> wrote:

> The question is asked whether it violates the International Code for an
> IBCLC to attend an educaitonal session sponsored by a formula company and
> featuring a well-known speaker in the field of lactation.  A second
> question ponders whether a hospital-sponsored BFg warmline must "legally"
> provide for medical-charting of the call, over a simpler log book.
>
> (1) [WHO] International Code Q first.  Code analysis is simply a subset of
> coinflict of interest (COI) analysis. In Lactation Land, we must be
> cautious when we interact with commercial vendors of the products falling
> under the Code (formula, bottles, teat and weaning foods).  As healthcare
> providers (HCPs) it is *well* known that a professional COI exists when
> *any* educational offering is provided by a pharmaeutical or medical device
> manufacturer.  http://www.ncbi.nlm.nih.gov/books/NBK22942/
>
> Thus: it is a professional conflict of interest for an IBCLC or HCP to
> attend any informercial-disguised-as-education, provided by a formula
> manufacturer.  AND, such commercially-sponsored informercials will *not*
> allow CERPs, CNEs or CMEs to be awarded.
>
> It would be considered a Code violation if the HCP or IBCLC attended the
> session for free, as a "gift" from the formula manufacturer.  However, if
> someone pays to attend such a credit-less session, it removes the Code
> conflict. BUT, one has to ask how much good evidence-based information
> comes from a company with a decided interest in influencing clinical and
> buying behaviors.
>
> The well-known clinician offering the talk is not at risk of losing the
> IBCLC credential ... IBLCE has made that position clear. (From the IBLCE
> FAQs on the CPC:  "However, from a legal perspective IBLCE cannot prohibit,
> or pursue ethical sanctions, against a certificant who chooses to work for
> an infant formula company.")  However, the rest of us in the field can draw
> our own conclusions as to the validity and motivations of teaching from a
> hired spokesperson.
>
> (2) As for the warmline ... what will "legally" pass muster at any given
> hospital is a question to ask their Suits in the Legal Dept.  However, many
> facilities do provide warmline service, to patients and the
> public-at-large. Such facilities prepare a clear policy of how the warmline
> will be monitored and answered, and how they will track minimal information
> to verify that the policy was met (i.e. a log book). The real issue is that
> once a person is discharged, the charting for the patient "ends."  So most
> warmlines have some sort of regular way of letting callers know that if
> they have true health concerns, they need to contact their own primary
> HCPs.
>
> Liz Brooks, JD, IBCLC, FILCA
> Wyndmoor, PA, USA
>
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