Body work skills etc....

[Guest guest]

That's not where I was going with my comments. Those fundamental skills are not

at all what I am referring to. I think I pasted Jaye's comments in my response,

you can read from the YahooGroup and see what in particular I am responding to.

When I mentioned 'subset' skills, I was referring to the use of body work as an

intervention that has been referred to here, and I mentioned the use of herbs

for maternal gut health. These types of interventions are not part of the core

competencies, and it's not expected that an entry level, or perhaps even

experienced LC would have expertise in this area. They are not part of the exam

blue print, nor are they part of the minimum required education to qualify to

sit the exam.

So my point is for people who are trained and experienced in these approaches,

in order for them to be recognized as part of the required minimum education we

need people to continue to facilitate and publish research, and then assuming

the conclusion is these interventions improve outcomes, share this with the rest

of the IBCLC community and get the IBLCE to recognize it.

I don't consider my peers who are not experts in these realms incompetent, or

not knowing what they are doing.

I agree with 's comments, that each of us probably brings a unique

background to our work, we all will not have the same degree of experience with

every case. Doesn't make our peers incompetent however. And as for things like

CST and so forth, I'm open to these approaches but we do need to get more

research going on these types of interventions.

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> But these skill sets have yet to be incorporated into the basic competencies

> of the IBCLC. Rather than criticize a consultant who may not possess your

> level of expertise, might I persuade you to make your case to the IBLCE and

> explain why in your opinion this knowledge and skills should be incorporated

> into the core competencies, and 'lobby' them to require this in the basic

> education requirements?

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> Well I think the original post was asking about midwives clipping and not

> properly identifying swallow/suck issues but forgive me if I am wrong. The

> thread seems to have takes a turn or perhaps I missed a digest but if we are

> now talking about skill sets and the IBCLC, then I would have to say that

> assessing oral issues is absolutely a skill set ALL IBCLCs should have.

> Being able to perform an oral assessment, in my opinion, is a huge part of

> doing our job properly and it is part of the clinical competencies. It is

> true that the level of skill and types of skills sets for then taking care

> of what is found during the oral assessment will vary, but an IBCLC should

> be able to identify oral restrictions, abnormalities and neuromuscular

> impingements/alignment issues impacting the feeding process and refer the

> patient on for proper therapies (which we all have various options on I am

> sure). Just sticking a finger in babies mouth and saying, " hm, suck seems

> fine " is not an oral assessment (yet this is what I often hear of). IBCLCs

> do not need to possess training in other modalities but at the very minimum

> they do need to be able to assess and form a care plan for feeding/lactation

> related issues so they can then know who to refer to.

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> Cole

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