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In a message dated 2/2/2005 9:34:28 A.M. US Eastern Standard Time,
[log in to unmask] writes:
Sure a manager has to sign the form, but what if
the manager has a mandate from on high that there must be an IBCLC in
that position and there was no one else? Would she be willing to fudge?
(Oh, I didn't realize ALL the hours had to be spent with just
breastfeeding moms.) Please don't flame me. I don't mean to cast
aspersions, but when breastfeeding is just a job and not your passion,
things may look a little different to you. I don't doubt a
less-experienced, passionate IBCLC will go after the experience and
education to fill in the blanks. But what about the one for whom it is
just a requirement of their job?
First we need to clarify something for WIC IBCLCs in Indiana which is the
location of these accusations. This was never mandated. NO one ever said
there MUST be an IBCLC. It is encouraged and it is our dream to achieve this
goal. No one was reimbursed nor was the exam paid for by WIC in Indiana. A WIC
employee sitting for the IBCLE exam in Indiana did so using her own funds. No
one received a raise for taking the exam. Again this is all done because
this is a personal choice to help breastfeeding mothers. No one was promised a
promotion if they completed this exam. Nor was becoming an IBCLC a
requirement of a job. We require that a Regional Center be directed by an IBCLC. In
some cases these centers were moved in order to meet this requirement. There
are 9 regional centers in Indiana. All but 2 are coordinated by employees who
were IBCLC before this position was even created. Three of these centers
are directed by people who have been IBCLC over 12 years and prior to WIC
employment.
Some WIC agencies may have encouraged this more than others, but some
hospitals encourage this more than others. However ALL of us are working toward the
goal of having IBCLC the standard for the lactation profession. Why is a
WIC IBCLC a detriment to the credential? Why would someone who was an IBCLC
prior to employment with WIC be considered "a WIC type lactation consultant?"
Should she give up her legitimate credential because she now works for WIC?
Indiana WIC IBCLCs with more than 5 years experience were trained to be
clinical instructors in order to assist those choosing to follow this path. If
someone did submit an application with hours that are falsified, I would like
to know about it, since as chairperson of the WIC Breastfeeding Committee, it
was part of my responsibility to mentor these people through the process.
The personnel I mentored had their hours checked and if there was a deficiency
they were given experiences, on their OWN time, to assist them in meeting the
requirements of IBLCE. Some even traveled to other agencies to get more
clinical experience.
Lactation consultants need to work together to become an accepted member of
the health care team. WIC has worked very hard to bring breastfeeding
promotion and support to the top of their program. Breastfeeding promotion is a
mandate for WIC. IBCLC is not a mandate or requirement. It is a goal for all
us to provide quality support to all mothers regardless of their income.
Carole Peterson MS, IBCLC
Indiana WIC program
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