Dear Friends:
    I wonder if another element in this fracas is that  certification just 
means that one knows a bit more about a subject; it doesn't  really change one's 
scope of practice that is defined by licensure.
    What determines what we can and can not do is  defined by our 
state/province/country, and by legalities. Certification is  extra; it is not needed. One 
does not need to be any particular combination of  alphabet soup to help 
mothers and babies. 
    I don't know if it is possible for IBLCE to come up  with a scope of 
practice that will serve all of us, everywhere in the world,  with all our 
different skills and abilities. 
    Is it possible?
    warmly,
 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Lactation Consultant,  Philadephia Department of Public Health
Maternal-Child Adjunct Faculty, Union  Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com

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