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Subject:
From:
Jennifer Tow <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 26 Jan 2007 23:21:46 -0500
Content-Type:
text/plain
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The post from Winnie on the "job opening" got on my last nerve  
yesterday. I have written my own revised versions. The first job  
description is why the second one is such a nightmare for so many of  
us. I so do not want to play nice with these corporations.
Jennifer Tow, IBCLC, CT, USA
http://healinghumanpotential.blogspot.com/

The first is a more truthful description of the job Winnie was  
invited to apply for.
  (the typos and grammatical errors in the original were beyond belief):

Good afternoon. My name is ................... and I am a recruiter  
who specializes in recruiting Medical Professionals like yourself on  
behalf of
pharmaceutical companies.  I am currently representing a leading  
artificial baby milk company who (that) has an opening on their team  
in your local area.

I know as a Lactation Consultant that your priority is always going  
to be that breastfeeding is best. After recruiting in this field for  
many years and speaking with Nurses and Dietitians who are pediatric  
specialists I must say I and the company I work for agree that this  
non-threatening phrase has been a boon to our industry and one that  
we can all easily agree on.

What I have also learned though is that when it is not possible to  
breastfeed due to the outragious success of our marketing strategies  
that successfully undermine and sabotage breastfeeding, Infant  
formula is a needed substation.(UMM__did this guy really spell/word  
this phrase like this?).

Rep, Clinical Sales (CSR) Infant Nutrition Representative
---If you are a registered Dietitian or a Registered Nurse (wasn't  
the first sentence approaching LC's?? ) with nutritional experience  
and people say you have an outgoing, hard working, aggressive, take- 
no-prisoners attitude in which you can easily rationalize that need  
for corporate profit outweighs any responsibility to human health,  
then you should apply to this position. Especially if you Pediatrics!  
(umm--are in pediatrics??)

  The CSR is a  hospital specialty position very similar to that of a  
Pharmaceutical Rep.( amazing that this job is viewed with such  
esteem, rather than akin to a used care salesmen!!) This position  
will enable the right person with everything they need (meaning the  
ability to compromise ethics and integrity, or rather just leave them  
at the door, but remember to bring coffee and donuts) to have a  
highly successful corporate career. As we make enormous profits on  
the selling-out of mothers and babies, we can generously offer you  
compensation that is above par and a bonus that is very, very strong.  
Company car, lap top, cell phone and all other business needs are  
provided by the company.  This is a fun position with tons of  
OPPORTUNITY, so long as you have no conscious!

Relocation: Available for qualified candidates, especially to  
communities with high breastfeeding rates, where you are most needed.
This position is responsible for securing hospital recommendations  
for artificial infant feeding products in his/her specific territory.  
The Representative must have credible knowledge of infant and  
nutritional products/services, and must exhibit selling capabilities  
(please remember that credible does not imply accurate--it simply  
means believable). Primary focus is hospitals and Pediatricians who  
can help
with both the availability and recommendations of Infant formula in  
hospitals, as our expensive research has taught us that many doctors  
and hospital personnel are easily influenced by marketing materials  
spoon-fed as scientific data, especially when presented in the  
company of food and freebies.
Meet assigned performance objectives, which means push as much  
artificial baby milk as possible.
Compile database that includes prioritization of doctors and  
hospitals, office visits, infant formula sample distribution and key  
activities. This includes lobbying against any ban-the-bags campaign  
undertaken by fanatics who misunderstand our good-will gestures.
Develop effective selling skills and knowledge about  infant  
artificial feeding products. An understanding of infant nutrition is  
unecessary and may be a handicap.
Provide value-added services and develop relationships with pediatric  
office/birthing & pediatric hospitals that will lead to  formula  
recommendations. There is no need to feel intimidated, as Lactation  
Consultants cannot compete with your winning, non-adversarial,  
benefit-laden approach to "education". Remember, you are to behave as  
a member of the health care team. With the right attitude, you will  
be accepted as such.
Participate in medical professional national and local convention  
exhibits. Manage Individual medical marketing expenses, sample and  
literature budget. Busy health care personnel will appreciate your  
orchestration of and support for their national events.


This is my version of an ad for an LC position that more accurately  
defines what is so often expected of us:

Good afternoon. My name is ................... and I am a recruiter  
who specializes in recruiting Medical Professionals like yourself on  
behalf of medical corporate clients . I am currently representing the  
mothers and babies in your community who have a need for accurate and  
competent breastfeeding education and intervention, that must be  
tempered with the paramount need to maintain the status quo of the  
medical and social cultures.

I understand that as a Lactation Consultant you know that there is no  
substitute for exclusive feeding at the breast, and that any other  
method is inferior, posing serious medical and developmental/ 
psychological risks to both mother and baby, however please remember  
that in your position you will be required to limit yourself to the  
mantra "breastfeeding is best". After recruiting in this field for  
many years and speaking with Nurses and Dietitians who are pediatric  
specialists I must say that I agree that "breastfeeding is indeed  
best" and I have learned that health care providers are also  
comfortable with this non-threatening phrase. Remember that it is  
your responsibility to assure every other person with whom you come  
into contact should never feel guilty about his/her breastfeeding  
experiences. The right candidate will never be tempted to discreetly  
mention the "potential risks" of other feeding methods and will  
remember that it is always prudent to resort to the even more phrase  
"breastfeeding is best, but...".

What I have also learned though is that in the many and varied  
circumstances when brestfeeding has been undermined and sabotaged,  
and therefore just doesn't work then Infant formula is a needed  
substation (UMM__did this guy really spell/word this phrase like  
this?). The right candidate will always remember that breastfeeding  
isn't for everyone and that most mothers will need to use formula  
during their child's infancy, therefore she will become very adept at  
"meeting the mother where she is", "not contradicting the health care  
provider" and rationalizing away the medical model of childbirth as  
the fault of mothers or something we have to learn to live with. She  
will make no unnecessary attempts to normalize exclusive  
breastfeeding as this is simply a pipe dream, nor will she act to  
cause women to become too aggressive in their own or their child's  
self-interest, as this could disrupt the carefully established (im) 
balance of power. The right candidate will be comfortable with the  
concept that "the formula companies are your friend". Your  
predecessors in this post could not embrace these precepts and thus  
found their jobs to be frustrating and unfulfilling.

---If you are a lactation consultant, counselor, educator or have  
similar letters after your name (the public doesn't know the  
difference anyway), and people say you have a meek, mild-mannered,  
don't ruffle any feathers, cow-tow to the establishment attitude you  
should apply to this position. We have found that strong, competent,  
advocacy-oriented applicants have not found themselves satisfied in  
this position. This position will enable the right person with  
everything they need to have a career in which she is over-worked,  
underpaid and ignored.

Even with your ability to compromise in the interests of the  
breastfeeding dyad, even with your skills in stroking overgrown,  
undereducated egos and your amazing ability to alternately walk on  
eggshells and then on fire, you will find yourself frustrated and  
exhausted. The interests of corporate compliance will undermine your  
success. Compensation is well below par, bonus is non-existent. Hours  
are long and the job never goes away. You will use your own car,  
purchase your own lap top, cell phone and all other equipment. You  
will go home at the end of the day and post your complex questions on  
LN, hoping you can better help the dyad battle her way through the  
system the next day. Continuing education is primarily at your own  
expense, but is mandated. For every excellent working relationship  
you establish with an HCP, there will be ten more waiting to be  
tackled, all of it your responsibility. Should you happen to have the  
IBCLC credentials, you will be required to retake your entry level  
exam every ten years and accept this humiliation with pride.  Should  
the politically-charged organizational structure behind you become  
burdensome to our organization you may easily be replaced with  
someone with a less complex code of ethics.

This position requires thousands of hours of one-on-one counseling  
experience covering all manner of complex breastfeeding situations  
including but not limited to inefficient latch, nipple trauma,  
insufficient milk supply, breastfeeding after reduction,  
breastfeeding after breast cancer, adoptive breastfeeding, weaning to  
treat maternal cancer, breastfeeding premature babies, breastfeeding  
terminally ill babies, breastfeeding toddlers, tandem nursing,  
plugged ducts, breast infections, identifying and referring for  
treatment for birth trauma, tongue-tie, oral-motor function, maternal  
nutrition, working outside of the home and breastfeeding, maternal or  
infant  illness and breastfeeding and candida. You must be skilled in  
the use of many gadgets and devices and be prepared to respond to/ 
research the most recent gadgets, books and mass media "studies" that  
mothers may ask about. You must be prepared to research fully any  
situation with which you are not familiar and to do so quickly as  
breastfeeding cannot wait. You will be asked to assist families of a  
wide variety of social, economic, ethnic and language backgrounds and  
to quickly assess the proper approach to take with a given family  
that validates their personal beliefs and values. The flexibility to  
adapt qickly to the social situation presented is essential. You must  
have a broad knowledge base in normal human physiology and  
development, Your problem-solving and inter-personal relationship  
skills must be well-honed.  You must have spent thousands of dollars  
and your personal unpaid time to have achieved a high level of  
excellence in your field. Passion for the well-being of mothers,  
babies, families, the environment and humanity as a whole would be  
highly desirable. A level of ethics above and beyond that in many  
other professions is the standard of practice for you, but do not  
take it too seriously.

If you have the ability to find your way through the political and  
ethical landmine that your certifying body has created for you, if  
you are able to come to peace with the reality of living in a bottle- 
feeding culture, if you are able to happily begin each day with the  
mantra "breastfeeding is best", then you are the ideal candidate for  
this position. Other candidates are welcome to apply, but are  
requested to leave their idealism and breastfeeding fanaticism at the  
door. "Breastfeeding is best".




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