I have a hard time understanding how programs can give out "Certifications".  
Some create their own "certifying boards" so that their students can call 
themselves "certified" and then there are others that just slap the 
word "certified" into the title for marketing reasons.  Is this the root of the 
issue, no governance of these "certifying" entities? How do you educate the 
public to the difference? What are the organizations doing about this? Where 
is the scope of practice for these "certifications"?   Who is clarifying what can 
be done and not be done when you "market" yourself as anything other than 
an IBCLC? There has to be a standard. If there is no definition for professionals 
to understand, how we going to expect a mother to understand the 
difference? And, how are we going to progress as whole if "anyone" can do the 
job?


Renee Palting, RN, IBCLC, RLC
Tucson, Arizona

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