Gonneke asked:
<< How does reaching the highest score in a daylong multiplechoice test
make someone automatically fit for serving in a board?>>
Actually, it is the person who receives the highest score on the exam the
previous year who is invited to sit on the exam writing committee for the next
year, not on the IBLCE board. The exam committee includes a few people from
the board (like the president), but is a different group than the board
itself. They only meet one time for several days.
Quite frankly, sitting on the exam committee and helping write the exam was
one of the most fun and instructional things I've ever done. I had the
privilege of being that person (much to my SHOCK!) one year, and I learned a great
deal about writing an exam. I will tell you, whatever you may think about
the exam itself, it is NOT an easy thing to write, given that you have to have
a certain number of questions that fit into each category -- disciplines and
chronological ages. Ain't easy, folks. And you have to have primary
references for each.
If you are ever invited to sit on the exam committee, DO SO. It is a
fabulous time.
Also, there is nothing unethical about helping mothers over the phone or by
e-mail. Sometimes by e-mail is the only way I can keep up with my moms when
I'm traveling. And certainly, like Jaye, I do a lot of triaging over the
phone. Many times a mom is unable to come and see me -- I have missionary
friends whom I might be helping in other countries -- I'm certainly going to do so
to the best of my ability -- and will try and help her find an IBCLC if
warranted -- but I'm not going to stop helping over the phone. So please don't
worry about doing that -- just document, document, document!!
HIPAA is another elephant in the living room. You can fax, e-mail, or phone
your reports into the primary HCP. Make sure there is a cover letter on it,
so only the primary HCP sees it. If you are struggling with how to get your
reports to the HCP, do read the HIPAA guidelines over again. Once again,
this is an excellent example of a good idea run amuck, where people are not
using common sense in communicating with HCPs, and offices, in their zeal to not
be fined for doing something wrong, are getting nuts over what can and
cannot be done.
Like Barbara, I fax my reports to the HCP -- at this point, haven't had any
difficulty with that. And no, I don't fax a report if I do a phone
consultation, only if I see a mom in my office. And yes, I have a consent form that
includes permission to touch her and the baby and communicate with her HCP.
I've not had anyone that doesn't have one -- I think the concern here is that
she doesn't view the IBCLC as her primary health care provider since we are
part of the team.
Please keep those letters going into IBLCE. As of this morning, the SOP is
still up on their website.
Jan Barger, RN, MA, IBCLC
Wheaton IL
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