In my experience, nurses who have continued to give out poor breastfeeding info or support for years (without learning and changing their ways) have not passed the IBLCE. Those who've gone on and learned from past mistakes do alright. There will always be some IBCLCs who are better LC practitioners than others--look at licensed physicians and nurses--aren't some better than others? The way it goes... (Doesn't mean we have to like it or stop working to improve it!) Karen