Hello, Initially, when I started out as a hospital-based l.c., I found that I had to do most of the consultations with mothers directly, teaching them at the classes (pre-and post-natally). Nowadays, after 7 years, the nursing staff has taken over the classes and difficult cases are then referred to me. I concentrated more on teaching the medical and postgraduate medical students and doing more research. These were the change in the nature of my work as each year brings its challenges. I hope that answers your questions. Doris Fok, lactation consultant in private practice, Singapore ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com