Barbara and Kathleen,
 
    I want to thank you for validating my concerns, and  offering discussion 
in a very professional manner.  I was very concerned  about discussing this 
topic, and I personally had no desire to offend  anyone.  I am, however, very 
concerned about the state of our profession,  and feel that our future lies in 
organized educational process and  licensure.  If you take a look at the 
professions that are respected in the  medical community, they often have college 
degree programs and are  sanctioned by licensure on a state by state basis.  I 
am continuously  concerned about the ability of person's who can pass the IBCLC 
exam with minimal  competency, but I truly get all of the points that Barbara 
set forth.   However, in the State of Florida, and many states across the 
country, once  someone has an RN license, they are NEVER required to retest.  It 
is not  something that in any way helps the nursing profession, but I will 
never  have to take an NCLEX exam again.
 
>Other allied health  care professions and   international=20
>professional certifications require   recertification by exam every  2 or 
3=20
>years.  

Debbie  Albert, RN, Ph.D., LMHC, IBCLC, RLC
Tampa Lactation Counseling
Tampa,  FL 


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