Re: New IBLCE requirements

[Guest guest]

, I haven't heard...please enlighten! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: New IBLCE requirementsTo: YabbaDabbaDoula1@...Date:

Saturday, May 15, 2010, 6:00 PM

I was curious what everyone thought about the new IBLCE exam requirements?

I think it is a move in the right direction. There is still a lot of improvements to make, but I think this is progress, and good progress at that. I feel like they are open to reflecting on the future of the credential and making a sincere effort to assure IBLCE exam candidates possess the education that will lead to the entry level IBCLC competencies. I don't think it is quite there yet but it is heading the right way!

[Guest guest]

http://americas.iblce.org/announcing-future-requirements

[Guest guest]

oh...I guess I knew that already. at least the pathway 3 part since I've had people ask me to mentor. I thought it was required for 2010! thanks for the link, ! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From:

popikins Subject: Re: New IBLCE requirementsTo: Date: Saturday, May 15, 2010, 7:41 PM

http://americas.iblce.org/announcing-future-requirements

[Guest guest]

I don't know if you read all the way down but it will now be a requirement for

every applicant that they demonstrate semester long coursework in 8 discipline

areas starting with 2012 exam applicants:

•Human Anatomy

•Human Physiology

•Biology

•Infant and Child Growth and Development

•Nutrition

•Sociology or Cultural Sensitivity or Cultural Anthropology

•Introduction to Research

•Psychology or Counselling or Communications Skills

and documented education in the following areas:

•Basic life support (e.g. CPR)

•Medical terminology

•Medical documentation

•Universal safety precautions and infection control

•Occupational safety, including security

•Professional/legal ethics (e.g. Code of Ethics)

I thought that was an improvement over the existing requirements.

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> Subject: Re: New IBLCE requirements

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> Date: Saturday, May 15, 2010, 7:41 PM

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no, I didn't see that. Yes, that's great! (but I"m glad I didn't have to do those things. My bS and M.Ed degrees cover a lot of that stuff, but not all. whew! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From:

popikins Subject: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 8:03 AM

I don't know if you read all the way down but it will now be a requirement for every applicant that they demonstrate semester long coursework in 8 discipline areas starting with 2012 exam applicants:

•Human Anatomy

•Human Physiology

•Biology

•Infant and Child Growth and Development

•Nutrition

•Sociology or Cultural Sensitivity or Cultural Anthropology

•Introduction to Research

•Psychology or Counselling or Communications Skills

and documented education in the following areas:

•Basic life support (e.g. CPR)

•Medical terminology

•Medical documentation

•Universal safety precautions and infection control

•Occupational safety, including security

•Professional/legal ethics (e.g. Code of Ethics)

I thought that was an improvement over the existing requirements.

>

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> Subject: Re: New IBLCE requirements

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> Date: Saturday, May 15, 2010, 7:41 PM

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[Guest guest]

Hi, My name is Kimberley MacKenzie, I'm an LLL Leader in Montreal, Canada. I

have been an IBCLC since 2008, with a small, but growing private practice. This

is my first post to the group.

I was wondering about the new requirements myself. I think it may deter some

non-RNs from becoming LCs. The background requirements are a lot more extensive.

For example, there will be a requirement for Health and Safety, and one for

Universal Precautions. They will require a full semester equivalent in the

general education requirements. I think this may be part of a trend toward

medicalization and protocolization of lactation work. What are your thoughts? I

hope there will still be a place for non-RN IBCLCs in private practice... and

elsewhere.

Kimberley

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> http://americas.iblce.org/announcing-future-requirements

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[Guest guest]

I don't think you can have the outcomes that are listed as entry level IBCLC

competencies without likewise requiring demonstration of the applicant retaining

the associated education. As it sits right now the IBLCE lists entry level

competencies and skills that it does not require the applicant to provide

evidence of obtaining any education related to in terms of the skill or

competency.

As I read the new requirements, I can't identify any that don't apply to the

dual purpose of both hospital/clinical or private practice. Clinicians working

in private practice should be familiar with universal precautions wouldn't you

agree?

I don't see any efforts to discourage non-RN applicants. I think they are

actually attempting to identify a variety of pathways to achieve the objective.

In terms of the credential there should be a minimum amount of education that is

universally required. I don't have any objection to the new requirements at all,

only that I still do not think they are sufficient to guarantee that all

applicants once passing the exam will have demonstrated they possess the minimum

entry level competencies.

In my opinion the certification is necessary to protect consumers and assure

that competent services are provided by all IBCLC's. The certification is not

designed to necessarily appeal or not appeal to any specific potential

applicant. I would never consider not putting these requirements into place out

of fear the rigor will deter some potential applicants. If they want the

credential then they will commit themselves to obtaining the education that is

necessary to competently perform the job duties.

That's how I feel about it for now

> >

> > http://americas.iblce.org/announcing-future-requirements

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[Guest guest]

I agree that more requirements are needed. and happy to see the additions! I've wondered many times how I could have done this job w/o the background I have (special ed, child development, psychology) some candidates would't bother to learn that stuff on their own, so it's necessary safeguard, for sure...cheers, Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- On Sun, 5/16/10,

popikins wrote:Subject: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 1:09 PM

I don't think you can have the outcomes that are listed as entry level IBCLC competencies without likewise requiring demonstration of the applicant retaining the associated education. As it sits right now the IBLCE lists entry level competencies and skills that it does not require the applicant to provide evidence of obtaining any education related to in terms of the skill or competency.

As I read the new requirements, I can't identify any that don't apply to the dual purpose of both hospital/clinical or private practice. Clinicians working in private practice should be familiar with universal precautions wouldn't you agree?

I don't see any efforts to discourage non-RN applicants. I think they are actually attempting to identify a variety of pathways to achieve the objective. In terms of the credential there should be a minimum amount of education that is universally required. I don't have any objection to the new requirements at all, only that I still do not think they are sufficient to guarantee that all applicants once passing the exam will have demonstrated they possess the minimum entry level competencies.

In my opinion the certification is necessary to protect consumers and assure that competent services are provided by all IBCLC's. The certification is not designed to necessarily appeal or not appeal to any specific potential applicant. I would never consider not putting these requirements into place out of fear the rigor will deter some potential applicants. If they want the credential then they will commit themselves to obtaining the education that is necessary to competently perform the job duties.

That's how I feel about it for now

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> > http://americas.iblce.org/announcing-future-requirements

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[Guest guest]

This may sound random but I feel the inability to recognize and dissect research

is a chronic problem in our field (in maternal child health overall). We have

such long historical use of practices that are not supported by any

recent/valid/overwhelming valid evidence (denying laboring women drink and food

during labor, etc. etc.). I really feel like the ability to read and comprehend

medical research, and identify legitimate, solid research against 'interesting'

facts and so forth is critical to implementing evidence based care.

I think all of the new required semester long courses are an invaluable source

of education that will benefit the work of any IBCLC.

I'm sure we all have a few additions we would like to toss onto the list but

this is a good start. Certainly not quite comprehensive enough in my opinion but

definitely an improvement.

>

> I agree that more requirements are needed.  and happy to see the additions!

 I've wondered many times how I could have done this job w/o the background I

have (special ed, child development, psychology)  some candidates would't

bother to learn that stuff on their own, so it's necessary safeguard, for

sure...

> cheers,

>

>

> Beebe, M.Ed., IBCLC

> Lactation Consultant/Postpartum Doula

>

> www.second9months.comBreastfeeding Between the Lines:

 http://second9months.wordpress.com/

>

[Guest guest]

I agree! I didn't appreciate my research background while I was learning, but it's certainly helpful now. even when reading the paper! statistics can be interpreted many ways... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From: popikins

Subject: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 1:42 PM

This may sound random but I feel the inability to recognize and dissect research is a chronic problem in our field (in maternal child health overall). We have such long historical use of practices that are not supported by any recent/valid/overwhelming valid evidence (denying laboring women drink and food during labor, etc. etc.). I really feel like the ability to read and comprehend medical research, and identify legitimate, solid research against 'interesting' facts and so forth is critical to implementing evidence based care.

I think all of the new required semester long courses are an invaluable source of education that will benefit the work of any IBCLC.

I'm sure we all have a few additions we would like to toss onto the list but this is a good start. Certainly not quite comprehensive enough in my opinion but definitely an improvement.

>

> I agree that more requirements are needed. Â and happy to see the additions! Â I've wondered many times how I could have done this job w/o the background I have (special ed, child development, psychology) Â some candidates would't bother to learn that stuff on their own, so it's necessary safeguard, for sure...

> cheers,

>

>

> Beebe, M.Ed., IBCLC

> Lactation Consultant/Postpartum Doula

>

> www.second9months.comBreastfeeding Between the Lines: Â http://second9months.wordpress.com/

>

[Guest guest]

, many people feel the new requirements are going to pretty much eliminate most folks with a background from volunteer organizations (such as La Leche League, Nursing Mothers Council, and even WIC Peer Counselors) from ever being able to become IBCLCs. If you don't already have an RN diploma or a Bachelors degree in some biological science area, then it's going to be tough to find the time and money to meet these new requirements. And a lot of us who come from a volunteer background, myself included, really are good IBCLCs without having all that education.

Dee Kassing

Subject: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 10:03 AM

I don't know if you read all the way down but it will now be a requirement for every applicant that they demonstrate semester long coursework in 8 discipline areas starting with 2012 exam applicants:•Human Anatomy •Human Physiology •Biology•Infant and Child Growth and Development•Nutrition •Sociology or Cultural Sensitivity or Cultural Anthropology•Introduction to Research•Psychology or Counselling or Communications Skillsand documented education in the following areas:•Basic life support (e.g. CPR)•Medical terminology•Medical documentation•Universal safety precautions and infection control•Occupational safety, including security•Professional/legal ethics (e.g. Code of Ethics)I thought that was an improvement over the existing requirements.> > > Subject: Re: New IBLCE requirements> To: > Date: Saturday, May 15, 2010, 7:41 PM> > > > > > > > > > > > > > > > > Â > > > > > > > > > > http://americas.iblce.org/announcing-future-requirements> > > > >

[Guest guest]

wrote: "I don't think you can have the outcomes that are listed as entry level IBCLC competencies without likewise requiring demonstration of the applicant retaining the associated education. As it sits right now the IBLCE lists entry level competencies and skills that it does not require the applicant to provide evidence of obtaining any education related to in terms of the skill or competency. "

If the board exam is supposed to test for those competencies, then if you pass the test that should be sufficient to show that you have learned what you need for entry level IBCLC qualification. It shouldn't matter how you learned them. If you could pick up a textbook and teach yourself, or if you went to numerous conferences to gain the knowledge, what should that matter if you show you can pass the test?

Dee Kassing

[Guest guest]

Dee, I understand your point, completely, even though I think those requirements are important. It's like I felt when I was a master teacher training grad. students. I had some amazing student teachers who just "got it" and would have been great teachers even if they hadn't taken the necessary coursework. there were others that were brilliant in their coursework, who would never, ever be good teachers. Much of what we do is by "feel" and intuition. How can we train that? I don't think anyone really can. I come from an LLL background, too. Nothing compares to that experience--even though I do have quite a bit of formal education. (tho not in nursing) I don't know what the answer is... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 6:51 PM

, many people feel the new requirements are going to pretty much eliminate most folks with a background from volunteer organizations (such as La Leche League, Nursing Mothers Council, and even WIC Peer Counselors) from ever being able to become IBCLCs. If you don't already have an RN diploma or a Bachelors degree in some biological science area, then it's going to be tough to find the time and money to meet these new requirements. And a lot of us who come from a volunteer background, myself included, really are good IBCLCs without having all that education.

Dee Kassing

From: popikins <YabbaDabbaDoula1@ aol.com>Subject: Re: New IBLCE requirementsTo: @yahoogroup s.comDate: Sunday, May 16, 2010, 10:03 AM

I don't know if you read all the way down but it will now be a requirement for every applicant that they demonstrate semester long coursework in 8 discipline areas starting with 2012 exam applicants:•Human Anatomy •Human Physiology •Biology•Infant and Child Growth and Development•Nutrition •Sociology or Cultural Sensitivity or Cultural Anthropology•Introduction to Research•Psychology or Counselling or Communications Skillsand documented education in the following areas:•Basic life support (e.g. CPR)•Medical terminology•Medical documentation•Universal safety precautions and infection control•Occupational safety, including security•Professional/ legal ethics (e.g. Code of Ethics)I thought that was an improvement over the existing requirements.> > From: popikins <YabbaDabbaDoula1@ ...>> Subject: Re: New IBLCE requirements> To: @yahoogroup s.com> Date: Saturday, May 15, 2010, 7:41 PM> > > > > > > > > > > > > > > > > Â > > > > > > > > > > http://americas. iblce.org/ announcing- future-requireme nts> > > > >

[Guest guest]

Absolutely! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 8:05 PM

There is undoubtedly something very special about that LLL background. IleneDee, I understand your point, completely, even though I think those requirements are important. It's like I felt when I was a master teacher training grad. students. I

had some amazing student teachers who just "got it" and would have been great teachers even if they hadn't taken the necessary coursework. there were others that were brilliant in their coursework, who would never, ever be good teachers. Much of what we do is by "feel" and intuition. How can we train that? I don't think anyone really can. I come from an LLL background, too. Nothing compares to that experience-- even though I do have quite a bit of formal education. (tho not in nursing) I don't know what the answer is... Beebe, M.Ed., IBCLC Lactation Consultant/Postpart um Doula www.second9months.

comBreastfeeding Between the Lines: http://second9month s.wordpress. com/From: popikins <YabbaDabbaDoula1@ aol.com>Subject: Re: New IBLCE requirementsTo: @yahoogroup s.comDate: Sunday, May 16, 2010, 10:03 AM I don't know if you read all the way down but it will now be a requirement for every applicant that they demonstrate semester long coursework in 8 discipline areas starting with 2012 exam applicants:•Human Anatomy •Human Physiology •Biology•Infant and Child Growth and Development•Nutrition •Sociology or Cultural Sensitivity or Cultural

Anthropology•Introduction to Research•Psychology or Counselling or Communications Skillsand documented education in the following areas:•Basic life support (e.g. CPR)•Medical terminology•Medical documentation•Universal safety precautions and infection control•Occupational safety, including security•Professional/ legal ethics (e.g. Code of Ethics)I thought that was an improvement over the existing requirements.> > From: popikins <YabbaDabbaDoula1@ ...>> Subject: Re: New IBLCE requirements> To: @yahoogroup s.com> Date: Saturday, May 15, 2010, 7:41 PM> > > > > > > > > > > > > > > > > Â > > > > > > > > > > http://americas. iblce.org/

announcing- future-requireme nts> > > > >

[Guest guest]

The LLL background is a priceless component of breastfeeding support I

completely agree! I'm not implying we disregard it's value, precisely the

opposite, we should advocate for the elements that make LLL so effective to be

part of the fundamental part of preparation for an IBLCE exam candidate.

The thread posted in a weird sequence and I did not want my responses to be

misinterpreted

>

> There is undoubtedly something very special about that LLL background.

> Ilene

>

[Guest guest]

I see all these points, but I do have a little fear that the classroom knowledge expectation will trump the touchy-feely part of what we do. Only because it's more measurable. that would be a huge loss. the internship piece will, hopefully, help counteract that. thinking about this tonight, it occurs to me...what other /occupation requires it's "experts" to understand so much about about so many different fields of study? Interesting...And since IBCLC is a minimum competency, should we have an advanced competency? What would that look like? Pondering... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: New IBLCE requirementsTo: Date: Sunday, May 16, 2010, 8:49 PM

The LLL background is a priceless component of breastfeeding support I completely agree! I'm not implying we disregard it's value, precisely the opposite, we should advocate for the elements that make LLL so effective to be part of the fundamental part of preparation for an IBLCE exam candidate.

The thread posted in a weird sequence and I did not want my responses to be misinterpreted

>

> There is undoubtedly something very special about that LLL background.

> Ilene

>

[Guest guest]

They are not mutually exclusive. It's feasible to have a strong established

foundation that is demonstrated through effective communication and counseling

skills.

I don't think increasing the educational requirements is going to compromise the

counseling skills of a LLL anymore than I would expect increasing the

educational requirements related to counseling/effective listening and

facilitation will compromise the educational foundation of a RN.

We need both.

I have a degree in Human Services and Generalist Social Work and it surprises

some people who enter this major that the study of science, biology and human

anatomy and physiology are requirements for my degree. Actually every one of the

new IBLCE requirements was part of my degree pathway with the exception of

nutrition (which I have taken otherwise, as part of requirements for me to

certify as a perinatal educator).

>

>

> Subject: Re: New IBLCE requirements

> To:

> Date: Sunday, May 16, 2010, 8:49 PM

[Guest guest]

I agree with Kimberley and Dee here. The requirements will prevent many LLL

Leaders and other bf counselors from pursuing the IBCLC credential. The best

IBCLCs I know are (or were) LLL Leaders!

It is also another step toward medicalizing breastfeeding, which I think does a

disservice to moms and babies.

I'm disappointed, to say the least. I *would* like to see additional 'advanced'

credentials or sub-specialities for IBCLCs.

Another option would be to make the test harder. Or add clinical demonstration

as part of the exam. That could help to test knowledge AND counseling skills.

I do understand how challenging and expensive that would be for IBLCE to

implement at this time.

I have not taken many of the courses that will be required in 2012 and I scored

in the 90s last year.

I would be interested to know how they decided to make these changes. Do they

look at data correlating education with exam performance? Are those with less

education performing poorly? I was equally curious a few years ago when they

made the education 'recommended' rather than 'required'.

I am also curious to know what our colleagues around the world think of these

changes. I imagine in some areas, the education requirements (or lack of access

to this type of education) will prohibit many potential IBCLCs from achieving

the credential, and I think that is a shame.

Healy

Seattle, WA

[Guest guest]

I totally agree with you, Dee and Ileene..

I think that there is not enough in the exam about counselling skills, and communication skills.

What I saw here in Italy in the last years, is that professionals coming from mother/child field (doctors, nurses, midwives..), have no so much trouble in passing the exam, even if they really do not know anything about listening, and concrete skills like positioning/latch on, problem solving, and so on....

i dont' know how it could be solved. SOmetimes I think that the exam should have an orally part to show attendee's listening and counselling skills, or that the number of question on those skills should be more...

Hugs

a, LLLL - PP-IBCLC

Rome, Italy

www.latteecoccole.it

Re: New IBLCE requirements> To: > Date: Saturday, May 15, 2010, 7:41 PM> > > > > > > > > > > > > > > > > Â > > > > > > > > > > http://americas.iblce.org/announcing-future-requirements> > > > >

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[Guest guest]

Maybe the answer is a curriculum specialized in Lactation, from

a college or university, that would comprise all the new requirements with an

internship or mentorship in a various settings.  Then, it would be an

investment but not as great as taking an entire RN course.

ILCA was working on developing a curriculum. I think Miriam

Labbok was the one working on building this new curriculum.

I also come from a LLL background. I agree with that LLL

is a great training school for “feeling†and “intuitive†approach to a

breastfeeding dyad.  I work in a healthcare facility as an IBCLC for a large birthing

hospital with intermediate care nursery (infants more than 32 weeks gestation)

and three community health centers. 

Although I felt thoroughly confident about counselling women

through bf difficulties, there is a lot that my LLL background did not prepare

me for. For example, I have a background in translation (B.A.) so I never

really studied universal precautions.  Of course, I knew I had to wash my hands

thoroughly when working with newborns but that was the extent of my knowledge.

I had to learn how to behave in a neonatal nursery when an infant was isolated

because of an infection. I had to learn how a hospital works (doctor’s duty,

etc.).  The learning curve was steep.  I remember calling a doctor who was out

of town for one of his patient instead of calling the doctor on call for this

group of physician. L  These are minor details but

it made my life not so easy during my learning period.

Sometimes, I wished I had had a more formal training in a

hospital setting with more formal guidance.

Ghislaine Reid, BA, IBCLC

Montreal, Quebec, Canada

De :

[mailto: ] De la part de

Beebe

Envoyé : 16 mai 2010 22:05

À :

Objet : Re: Re: New IBLCE requirements

Dee, I understand your point,

completely, even though I think those requirements are important. It's

like I felt when I was a master teacher training grad. students. I had

some amazing student teachers who just " got it " and would have been

great teachers even if they hadn't taken the necessary coursework.

there were others that were brilliant in their coursework, who would

never, ever be good teachers. Much of what we do is by " feel "

and intuition. How can we train that? I don't think anyone really

can. I come from an LLL background, too. Nothing compares to that

experience--even though I do have quite a bit of formal education. (tho not

in nursing) I don't know what the answer is...

Beebe, M.Ed., IBCLC

Lactation Consultant/Postpartum Doula

www.second9months.com

Breastfeeding

Between the Lines: http://second9months.wordpress.com/

From: popikins <YabbaDabbaDoula1@ aol.com>

Subject: Re: New IBLCE requirements

To: @yahoogroup s.com

Date: Sunday, May 16, 2010, 10:03 AM

I don't know if you read

all the way down but it will now be a requirement for every applicant that

they demonstrate semester long coursework in 8 discipline areas starting

with 2012 exam applicants:

•Human Anatomy

•Human Physiology

•Biology

•Infant and Child Growth and Development

•Nutrition

•Sociology or Cultural Sensitivity or Cultural Anthropology

•Introduction to Research

•Psychology or Counselling or Communications Skills

and documented education in the following areas:

•Basic life support (e.g. CPR)

•Medical terminology

•Medical documentation

•Universal safety precautions and infection control

•Occupational safety, including security

•Professional/ legal ethics (e.g. Code of Ethics)

I thought that was an improvement over the existing requirements.

>

> From: popikins <YabbaDabbaDoula1@ ...>

> Subject: Re: New IBLCE requirements

> To: @yahoogroup s.com

> Date: Saturday, May 15, 2010, 7:41 PM

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[Guest guest]

Ilene,

Every day, I see in my work the lack of compassion and empathy

from some professionally trained personnel.  Some, however, are

excellent.   I guess it can be learned but not all feel these are important

skills to master. With our LLL background, we know that these skills are

essential.

Ghislaine Reid, IBCLC

Montreal, Quebec, Canada

De :

[mailto: ] De la part de

Ilene Fabisch

Envoyé : 16 mai 2010 22:54

À :

Objet : Re: Re: New IBLCE requirements

I agree Dee....I've always been told this credential was " entry

level " the requirements really fit someone with more of

an advanced degree. LLLI was instrumental in the start

of the IBCLC credential and now it seems they've possibly

excluded the volunteer counselor from advancing without

substantial financial investment. I'd have not been able to

do it and I KNOW I've brought a LOT of skill and heart to my

work that a lot of people would have missed benefiting

from...not to mention that many (NOT ALL!) that don't come

from the LLL type counseling experience are not as skilled at

empathy and compassion and that too would be sad to lose.

, many people feel the new requirements are going

to pretty much eliminate most folks with a background from volunteer

organizations (such as La Leche League, Nursing Mothers Council, and even WIC

Peer Counselors) from ever being able to become IBCLCs. If you don't

already have an RN diploma or a Bachelors degree in some biological science

area, then it's going to be tough to find the time and money to meet these

new requirements. And a lot of us who come from a volunteer background,

myself included, really are good IBCLCs without having all that education.

Dee Kassing

Subject: Re: New IBLCE requirements

To:

Date: Sunday, May 16, 2010, 10:03 AM

I don't know if you read all the way down but it will now

be a requirement for every applicant that they demonstrate semester long

coursework in 8 discipline areas starting with 2012 exam applicants:

•Human Anatomy

•Human Physiology

•Biology

•Infant and Child Growth and Development

•Nutrition

•Sociology or Cultural Sensitivity or Cultural Anthropology

•Introduction to Research

•Psychology or Counselling or Communications Skills

and documented education in the following areas:

•Basic life support (e.g. CPR)

•Medical terminology

•Medical documentation

•Universal safety precautions and infection control

•Occupational safety, including security

•Professional/legal ethics (e.g. Code of Ethics)

I thought that was an improvement over the existing requirements.

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> Subject: Re: New IBLCE requirements

> To:

> Date: Saturday, May 15, 2010, 7:41 PM

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[Guest guest]



I understand what you write... unfortunately in Italy, there is not acknoledgment of IBCLCs or any LC credentials, so no IBCLCs work into Hs if they are not still HCPs. My school background is as a bookkeeper and I learned all I know as a LLLL and by myself. Changing the exam applying, if I were today applying, I couldn't became IBCLC anymore?

Hugs

a

From: Ghislaine Reid

To:

Sent: Monday, May 17, 2010 2:01 PM

Subject: RE: Re: New IBLCE requirements

Maybe the answer is a curriculum specialized in Lactation, from a college or university, that would comprise all the new requirements with an internship or mentorship in a various settings. Then, it would be an investment but not as great as taking an entire RN course.

ILCA was working on developing a curriculum. I think Miriam Labbok was the one working on building this new curriculum.

I also come from a LLL background. I agree with that LLL is a great training school for “feeling†and “intuitive†approach to a breastfeeding dyad. I work in a healthcare facility as an IBCLC for a large birthing hospital with intermediate care nursery (infants more than 32 weeks gestation) and three community health centers.

Although I felt thoroughly confident about counselling women through bf difficulties, there is a lot that my LLL background did not prepare me for. For example, I have a background in translation (B.A.) so I never really studied universal precautions. Of course, I knew I had to wash my hands thoroughly when working with newborns but that was the extent of my knowledge. I had to learn how to behave in a neonatal nursery when an infant was isolated because of an infection. I had to learn how a hospital works (doctor’s duty, etc.). The learning curve was steep. I remember calling a doctor who was out of town for one of his patient instead of calling the doctor on call for this group of physician. L These are minor details but it made my life not so easy during my learning period.

Sometimes, I wished I had had a more formal training in a hospital setting with more formal guidance.

Ghislaine Reid, BA, IBCLC

Montreal, Quebec, Canada

De : [mailto: ] De la part de BeebeEnvoyé : 16 mai 2010 22:05À : Objet : Re: Re: New IBLCE requirements

Dee, I understand your point, completely, even though I think those requirements are important. It's like I felt when I was a master teacher training grad. students. I had some amazing student teachers who just "got it" and would have been great teachers even if they hadn't taken the necessary coursework. there were others that were brilliant in their coursework, who would never, ever be good teachers. Much of what we do is by "feel" and intuition. How can we train that? I don't think anyone really can. I come from an LLL background, too. Nothing compares to that experience--even though I do have quite a bit of formal education. (tho not in nursing) I don't know what the answer is...

Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.com

Breastfeeding Between the Lines: http://second9months.wordpress.com/

From: popikins <YabbaDabbaDoula1@ aol.com>Subject: Re: New IBLCE requirementsTo: @yahoogroup s.comDate: Sunday, May 16, 2010, 10:03 AM

I don't know if you read all the way down but it will now be a requirement for every applicant that they demonstrate semester long coursework in 8 discipline areas starting with 2012 exam applicants:•Human Anatomy •Human Physiology •Biology•Infant and Child Growth and Development•Nutrition •Sociology or Cultural Sensitivity or Cultural Anthropology•Introduction to Research•Psychology or Counselling or Communications Skillsand documented education in the following areas:•Basic life support (e.g. CPR)•Medical terminology•Medical documentation•Universal safety precautions and infection control•Occupational safety, including security•Professional/ legal ethics (e.g. Code of Ethics)I thought that was an improvement over the existing requirements.> > From: popikins <YabbaDabbaDoula1@ ...>> Subject: Re: New IBLCE requirements> To: @yahoogroup s.com> Date: Saturday, May 15, 2010, 7:41 PM> > > > > > > > > > > > > > > > > Â > > > > > > > > > > http://americas. iblce.org/ announcing- future-requireme nts> > > > >

__________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 5120 (20100517) __________Il messaggio � stato controllato da ESET NOD32 Antivirus.www.nod32.it

[Guest guest]

That IS a SHAME!

Lou

From:

[mailto: ] On Behalf Of giadaeli

Sent: Monday, May 17, 2010 8:36 AM

To:

Subject: Re: Re: New

IBLCE requirements



 

I understand what you write... unfortunately in Italy, there is

not acknoledgment of IBCLCs or any LC credentials,

so no IBCLCs work into Hs if they are not still HCPs. My school background is

as a bookkeeper and I learned all I know as a LLLL and by myself. Changing

the exam applying, if I were today applying, I couldn't became IBCLC anymore?

Hugs

a

From: Ghislaine

Reid

To:

Sent: Monday, May 17,

2010 2:01 PM

Subject: RE: Re:

New IBLCE requirements

Maybe the answer is a curriculum

specialized in Lactation, from a college or university, that would comprise all

the new requirements with an internship or mentorship in a various

settings. Then, it would be an investment but not as great as taking an

entire RN course.

ILCA was working on developing a

curriculum. I think Miriam Labbok was the one working on building this new

curriculum.

I also come from a LLL

background. I agree with that LLL is a great training school for

“feeling†and “intuitive†approach to a breastfeeding dyad. I work in a

healthcare facility as an IBCLC for a large birthing hospital with intermediate

care nursery (infants more than 32 weeks gestation) and three community health

centers.

Although I felt thoroughly

confident about counselling women through bf difficulties, there is a lot that

my LLL background did not prepare me for. For example, I have a background in

translation (B.A.) so I never really studied universal precautions. Of

course, I knew I had to wash my hands thoroughly when working with newborns but

that was the extent of my knowledge. I had to learn how to behave in a neonatal

nursery when an infant was isolated because of an infection. I had to learn how

a hospital works (doctor’s duty, etc.). The learning curve was

steep. I remember calling a doctor who was out of town for one of his

patient instead of calling the doctor on call for this group of physician. L These are minor

details but it made my life not so easy during my learning period.

Sometimes, I wished I had had a

more formal training in a hospital setting with more formal guidance.

Ghislaine Reid, BA, IBCLC

Montreal,

Quebec, Canada

De : [mailto: ]

De la part de Beebe

Envoyé : 16 mai 2010 22:05

À :

Objet : Re: Re:

New IBLCE requirements

Dee,

I understand your point, completely, even though I think those requirements

are important. It's like I felt when I was a master teacher training

grad. students. I had some amazing student teachers who just " got

it " and would have been great teachers even if they hadn't taken the

necessary coursework. there were others that were brilliant in their

coursework, who would never, ever be good teachers. Much of what we do is

by " feel " and intuition. How can we train that? I don't

think anyone really can. I come from an LLL background, too.

Nothing compares to that experience--even though I do have quite a

bit of formal education. (tho not in nursing) I don't know what the

answer is...

Beebe,

M.Ed., IBCLC

Lactation Consultant/Postpartum Doula

www.second9months.com

Breastfeeding

Between the Lines: http://second9months.wordpress.com/

From: popikins <YabbaDabbaDoula1@ aol.com>

Subject: Re: New IBLCE requirements

To: @yahoogroup s.com

Date: Sunday, May 16, 2010, 10:03 AM

I

don't know if you read all the way down but it will now be a requirement

for every applicant that they demonstrate semester long coursework in 8

discipline areas starting with 2012 exam applicants:

•Human Anatomy

•Human Physiology

•Biology

•Infant and Child Growth and Development

•Nutrition

•Sociology or Cultural Sensitivity or Cultural Anthropology

•Introduction to Research

•Psychology or Counselling or Communications Skills

and documented education in the following areas:

•Basic life support (e.g. CPR)

•Medical terminology

•Medical documentation

•Universal safety precautions and infection control

•Occupational safety, including security

•Professional/ legal ethics (e.g. Code of Ethics)

I thought that was an improvement over the existing requirements.

>

> From: popikins <YabbaDabbaDoula1@ ...>

> Subject: Re: New IBLCE requirements

> To: @yahoogroup s.com

> Date: Saturday, May 15, 2010, 7:41 PM

>

>

>

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>

>

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> Â

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> http://americas. iblce.org/ announcing- future-requireme

nts

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>

>

__________ Informazioni da ESET NOD32 Antivirus, versione del database delle firme digitali 5120

(20100517) __________

Il messaggio � stato controllato da

ESET NOD32 Antivirus.

www.nod32.it

[Guest guest]

To chime in here I also come from a volunteer/layperson

background and there is NO WAY that I would have been able to then or now to get

all those courses and classes.  Do I think the education is important?  Yes.  Do

I think I see a trend towards eliminating from the field those of us who come

to the way those who started this field did?  You betcha.

This field was NOT started by medical personnel – it

was started by women who had breastfeeding challenges or who took an interest

in breastfeeding – it was started by LLL and grew from there.  (this is

my own interpretation)  They were moms who wanted to help – who got into

the research and started working to bring the human race back to where it got

lost.

When I sat the exam I needed 3000 or so hours of education

and hands on work.  I had an AA degree in Early Childhood Education (1 ½ yrs at

a junior college), and 2 ½ yrs of University.  I did not (and I may never)

finish my BA (tho I would like to someday).  I certainly did not have any

classes in statistics, nor science or medical anything.  I taught myself how to

read the research but still do not do it as well as I’d like – and it

generally puts me to sleep.

Now – Pathway 3 has the paltry requirement of 500

hours.  This is not nearly enough in my opinion.  I feel that 1000 hands on

hours is much more appropriate.  Too many people can learn from books –

this is how we pass a test – read it, learn it, remember it and mark the

box.  However, you cannot really test counseling and compassion skills or

bedside manners.  You cannot test hands on latch and positioning assistance and

you cannot test hands on evaluation techniques to make sure that every applicant

knows how to properly evaluate for a tongue-tie or torticollis and tight

muscles or cleft or anything.

Now – the new requirements:  Are they good?  Sure

they are.  Can’t complain about them – they are meant to beef up

newcomer’s education and make them better qualified.  But – what about

those of us who are damn good LC’s (and I am a damn good LC if I do say

so!) who would not be able to even sit the exam now?  God forbid I miss the

exam and have to start over and meet the new requirements!  I am a single

parent and support my family on my PPLC practice – school is crazy

expensive and time consuming – I can’t even save for my kids

education how am I going to pay for mine?  People have to work full time and

school takes time.  I don’t want to be an RN – so would not use

that avenue to meet some of the new requirements.  There must be a way to make

it equally as possible for those NOT in the medical field or with years and

years of college to get into this field and still be excellent LC’s.  And

at the rate it is going…that won’t be happening anymore. 

Not that I am complaining – just pointing out the

realities…and the reality is that the moms coming to me who want to be an

IBCLC are looking at the requirements and turning around and walking the other

way…which I think is hella sad…

Warmly,

Jaye

, many people feel the new requirements are going

to pretty much eliminate most folks with a background from volunteer

organizations (such as La Leche League, Nursing Mothers Council, and even WIC

Peer Counselors) from ever being able to become IBCLCs. If you don't

already have an RN diploma or a Bachelors degree in some biological science

area, then it's going to be tough to find the time and money to meet these new

requirements. And a lot of us who come from a volunteer background, myself

included, really are good IBCLCs without having all that education.

Dee Kassing

Jaye Simpson, IBCLC, CIIM

Breastfeeding Network

Sacramento, CA

www.breastfeedingnetwork.net

[Guest guest]

First time I saw the new requirements, my reaction was "okay, who are they trying to keep out?" Effectively, it keeps *out* those who got their knowledge and experience through volunteer work and independent (read: low-cost) study.

Hello?! isn't that what a lot of LLL Leaders voiced concern about in the beginning? The answer was, "oh no, that will never happen." Well guess what, it just did. Good bye LLL Leader, good bye WIC peer counselor. Hello medicalized breastfeeding.

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