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Dixie Whetsell, MS, IBCLC
Why Become
an IBCLC?
Jan 2011 - US Surgeon General’s Call to Action to Support Breastfeeding says
IBCLCs increase breastfeeding rates
IBCLCs increase the provision of human milk in NICU
US needs almost 4X more IBCLCs
WIC programs need more IBCLCs
Look at the new Breastfeeding Initiatives
2010 - Joint Commission added new Perinatal Core Measures - Exclusive Breastmilk Feeding
2012 – Institute of Medicine’s Report - Accelerating Progress in Obesity Prevention – recommends health facilities and employers adopt policies and practices that support breastfeeding
2010 – Affordable Care Act
Affordable Care ActBreak Time for Nursing Mothers : requires employers to:
provide break time for expressing breast milk provide a private, non-bathroom place for mother to express breast
milk make these accommodations for one year after birth.
Women's Preventive Services Required Health Plan Coverage Guidelines: The Act requires health plans to: cover preventive services with no cost sharing, Includes breastfeeding support, supplies, and counseling.
Community Transformation Grants : CDC is using funds to: increase the number of designated Baby-Friendly hospitals increase policies and practices to support breastfeeding in health
care, community, workplaces, and learning and childcare settings.
Baby-Friendly Hospital Initiative - BFHIWHO and Unicef global
initiative started in 1991Designation for birth
facilities that offer best care for infant feeding and mother/baby
These birth facilities must follow the 10 Steps to Successful Breastfeeding and the WHO Code
Many US birth facilities are seeking BFHI designation
Photo: from the US Breastfeeding
Committee
WIC
NICU
Teaching
Hospital
Community Support
Educating
Home
Visits
International Board of Lactation Consultant
Examiners (IBLCE)Certification Requirements
All IBLCE exam applicants have to complete:Health Sciences EducationLactation EducationClinical Experiencethe IBLCE Exam
For more information, go to iblce.org
Health Sciences Education
All candidates must have health sciences education.
IBLCE recognizes that certain licensed/ registered health professionals have already obtained the required Health Sciences education. See the list on the next slide.
Candidates who are not recognized health professionals must complete required college-level education in eight subjects and six college-credit or continuing education subjects.
List of IBLCE Recognized Health Professionals
IBLCE states that past professional education meets the Health Sciences Education requirements
Must meet national definition for their health profession
Provide current license, registration, diploma, or transcript
PharmacistDentistDietitianPhysical Therapist/
PhysiotherapistMidwifePhysician/Medical
DoctorNurseOccupational TherapistSpeech
Pathologist/Therapist
IBLCE Health Sciences Education College credit
courses
One college credit course (equivalent to one academic term) with a passing grade in each of the eight subjects:
Biology Human anatomy Human physiology – same as above (Must take 2
separate courses if the course you take does not cover both Anatomy and Physiology)
Sociology or Cultural Sensitivity or Cultural Anthropology
Psychology or Counseling or Communication Skills Infant and Child Growth and Development Nutrition Introduction to research
IBLCE Health Sciences Education Continuing
EducationYou must complete one credit course or one
continuing education course in six subjects:
Basic life support (CPR) Medical documentation Medical terminologyOccupational safety, including security,
for health professionals Professional ethics for health
professionalsUniversal safety precautions and
infection control
IBLCE Continuing EducationHere are some online or self-study
courses that meet the IBLCE Continuing Education requirements:Lactation Education Resources
Breastfeeding Outlook
http://www.lactationtraining.com/our-courses/online-courses/preview/17-iblce-additional-general-education-package-complete
http://www.breastfeedingoutlook.com/cart/detail.php?Item=MD-HealthPkg
Education in Human Lactation and Breastfeeding
90 contact hrs of basic education in human lactation and breastfeeding completed within the five years prior to taking the IBLCE exam. Training must be:
>Lactation/breastfeeding specific>Entry level IBCLC appropriate>Within the scope of IBLCE Exam Blueprint>Based on current research/scientific
principles/evidence-based>Presented by professional, qualified person with relevant experience
Clinical Experience
Direct breastfeeding care for families
Breastfeeding education for familiesBreastfeeding support provided via
phone or emailThe number of required hrs is
different in each pathway
Clinical Experience SettingsIBLCE recommends that students obtain direct in-
person experience in three different clinical settings
In-patient
Out-patient
Community
Take and Pass the IBLCE Exam and
Recertify every 5 yearsCurrent cost for first exam=$660Every 5 yrs recertify by
Taking 75 CEUsOR
Taking the examEvery 10 yrs recertify by taking exam
Current recertification exam cost=$440
Certification Exam Stats
2013 - Exam given to 3,660 candidates (34% recertification) in 56 countries in 17 languages.
Includes 175 multiple choice questions 4-5 hrs 75 questions based on written scenarios 100 questions based on photographs
Graded on a curve with passing score usually between 65-70
2013 - 85% of candidates passed the examUS Cost = $660
Three IBLCE Certification Pathways
There are three ways to meet the certification requirements. Which pathway is right for you?
Pathway 1 – health professionals and breastfeeding counselors
Pathway 2 – those completing a lactation specific academic program
Pathway 3 – those obtaining their clinical practice hours under the supervision of mentor who is a recertified IBCLC
IBLCE Pathway 1
Health professionals and breastfeeding peer counselors who can obtain clinical experience in their work or volunteer setting use this pathway. They must have appropriate supervision as defined by IBLCE.
It requires 1,000 hrs of clinical experience. You are not required to have any IBCLC supervision
of your clinical experience in this pathway. You do have to document your hours, and provide
the name of a supervisor or manager who will act as a reference for you to confirm that you obtained the clinical experience.
Breastfeeding Support Counselor
To be recognized by IBLCE, the candidate must be associated with an organization that provides breastfeeding counseling and that requires its counselors to: Complete a structured training program that
includes comprehensive education in breastfeeding management
Work with on-site supervision or in an organization that meets IBLCE requirements for supervision
Adhere to defined ethical standards for conduct; and
Remain up to date by participating in continuing education
IBLCE Pathway 2
These are college credit programs that include the required lactation education and clinical experience.
Students are required to complete the Health Sciences Education requirements either before or concurrently.
These programs must provide students with the opportunity to obtain 300 hrs of clinical experience supervised by an IBCLC.
IBLCE Pathway 3
This is a pathway used by those who have a mentor who is a recertified (has been certified for 5 yrs or more) IBCLC who is willing to directly supervise their clinical experience.
It requires 500 hrs of clinical experience. When using this pathway, you must complete
a IBLCE Mentorship contract and have it approved by IBLCE before you can begin to accumulate any of your clinical experience.
Once you have met the requirements of your pathway, you are ready to take the IBLCE Exam.
When can I take the IBLCE Exam?
2015 – Exam will be given in July
2016 - Exam will be given in April and October
2017 and later the exam will be given twice each year in April and Oct
Where can I take the IBLCE Exam?
In the US you will take the exam by appointment at a computer-based testing center. There are many centers located in cities across the US.
For more information about the exam go to:
http://iblce.org/certify/faqs/#FAQ6
Oregon Washington Lactation AssociationOpen to all
breastfeeding advocates
Meets on the first Monday of Feb, April, June, and October
Offers lactation education and networking
Membership available
US Lactation Consultant Association
www.uslca.org
International Lactation Consultant
Associationwww.ilca.org
Youtube – 2014 ILCA Vision
and Mission
Resources for more informationInternational Board of Lactation Consultant Examiners
www.iblce.orgLactation Education Accreditation and Approval Review Committee http://www.leaarc.org/
There are now over 27,000 IBCLCs in over 100
countries!Join us!