Kerry asks:

<<So what do IBCLCs do in these situations?  When a woman  calls directly, 
has not been referred by an HCP, and does not, in any  meaningful sense, have a 
PCP, how does an IBCLC fulfill this obligation to  report?>>
 
Who is the baby's HCP?  And which doc/nurse  midwife/family practice 
physician actually attended the event of the birth of  the baby?  (Short of a 
C/Section, the MOM birthed the baby).  For our  practical purposes, THOSE are the 
folks that are the HCP for the baby and for  the mom.  
 
BTW, I love it when a mom has a Family Practice  Physician who takes care of 
both her and the baby as they do in  Australia.  What a best case scenario.  
Except that I believe  wholeheartedly and firmly in midwives.
 
But of course, they are "alternative" here in the US of  A.  
 
Sigh.  
 
Which brings me up to one other thing:  in the (rightful)  flap over the SOP 
(and Marsha, I sincerely hope you are going to pass your words  of wisdom on 
to the "board....") we have missed one small item that also needs  our 
attention (sigh.....how many things can we deal with at once?).  
 
Someone on Lactnet mentioned it and I truly apologize that I  don't remember 
who it was, but it HIT me like a ton of bricks.  I  mentioned, a few (hahaha) 
posts back, that the IBLCE had changed the criteria  for calculating CERPs 
from the 50 minute hour to the 60 minute hour, but had  retained the same number 
of CERPs needed for both certification (45) and  recertification (75).  Only 
one person on Lactnet picked up on that, and  she said something that I hadn't 
realized in my frustration that IBLCE didn't  bother to tell us until 
September this was going to happen (after LEC's printing  of nearly 18,000 brochures). 
 The kicker is this:  It is going to cost  each of us a minimum of 20% MORE 
to certify/recertify based on the new  criteria.  
 
For example:  as a CERP provider, if LEC does a one day  conference that runs 
from 8:00 to 4:30, with one hour for lunch and two 15  minute breaks, under 
the old system, that would have been worth 8.4 CERPs.   Under the new system, 
it is worth 7 CERPs.
 
Because the providers are working just as hard, teaching just  as long, and 
doing all the same work, they aren't going to charge any less for  the program. 
 So, assuming $100 charged for the day -- you are now only  going to get 7 
CERPs instead of 8.4 for the same price.
 
While it doesn't look like much, when you are adding up 75  CERPs, it is a 
lot.
 
Just thought you might like to cogitate over that along with  the second 
credential and the scope of practice.
 
To paraphrase our (way too often) IL (nasty) political  ads:  "What ARE they 
thinking?"



 Jan Barger, RN, MA

_Lactation Education  Consultants_ 
(http://www.lactationeducationconsultants.com/)  






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