Hi, Ruth:  Thank you for your astute observation that there needs to be a 
formal training piece to LC certification and yes, this has been discussed many 
times on Lactnet.  I feel part of reason Lactation as a profession is in such a 
muddle today is because the beginnings are rooted in a lay perspective, which 
is LLLI.  And the focus continues to be on the lay aspect as we continue our 
struggles.  The lay component of Lactation has been both a strength and a 
detriment.  The strength because breastfeeding is an art, the detriment, 
because breastfeeding is also a science.  When we figure out how to "marry" 
these two concepts, we will have succeeded in developing a viable profession.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL    USA

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