IBLCE: International Board of Lactation Consultant Examiners: the first 25 years. Anna Utter, Regional Director IBLCE in the Americas

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IBLCE: International Board of Lactation Consultant Examiners: the first 25 years Anna Utter, Regional Director IBLCE in the Americas 1

IBLCE in brief Established in 1985 to develop and administer a certification program for International Board Certified Lactation Consultants (IBCLC) Since 1988, the exam process has been accredited every 5 years by the National Commission for Certifying Agencies (NCCA) 2

IBLCE: Vision & Mission Vision IBLCE will advance the health and well-being of mothers and children worldwide by improving the quality and increasing the number of practitioners of lactation and breastfeeding care. Mission IBLCE is the global authority that determines the competence of practitioners in lactation and breastfeeding care. 3

Structure of IBLCE International Office in Virginia, USA Three regional offices IBLCE in the Americas (USA) IBLCE in Asia Pacific (Australia) IBLCE in Europe and the Middle East (Austria) Supported by a team of IBLCE Country Coordinators in most countries where there are IBCLCs Board of Directors and committees 4

Marcia Lutostanski, Interim Executive Director IBLCE Senior staff Isle Bichler Regional Director, Europe and the Middle East Karolyn Vaughan Regional Director, Asia Pacific Anna Utter Regional Director, The Americas Cindy Hogan Executive Assistant, International Office 5

IBLCE Board 2010 Ellen Gail Jeanne Angela Broad geographical and professional representation Padmini Wendelmoet Paula Becky Julie Jim Tomoko Rachelle Kaili 6

I in International IBLCE has had an international focus from the beginning The Lactation Consultant profession was established across cultural, social, religious and political borders 21,203 currently certified IBCLC Lactation Consultants practice in 82 countries around the world (March 2010). 7

IBLCE Board Chairs 1985 1987 Judy Good, RN IBCLC Delegate, LLLI 1987 1989 Jan Riordan, RN, IBCLC Educator, Researcher, Author 1989 1990 Arnold Tanis, MD, FAAP, IBCLC, Delegate, LLLI Med Assoc 1990 1993 Allan Coleman, MD, FAAP, IBCLC, Observer, AAP 1991 1993 Sylvie Vannier-Savard, BA, IBCLC, Canadian Delegate 1993 1998 Arnold Tanis, MD, FAAP, IBCLC, Delegate, LLLI Med Assoc 1998 2000 Molly Pessl, BSN, IBCLC, Educator 2000 2002 Judith B. Roepke, RD, PhD, Delegate, ADA 2002 2005 Wendy Brodribb, MBBS, IBCLC Delegate, NMAA 2005 2007 Roberta Hewat, PhD, RN, IBCLC, Researcher 2007 2008 Claibourne Dungy, MD, MPH, FAAP, Delegate, AAP 2008 Ellen McIntyre, OAM, PhD, IBCLC, Delegate, ABA 8

IBCLCs in Brazil 62 currently certified IBCLCs live in Brazil 55% are physicians; 61% work in hospitals First Brazilian IBCLC was certified in 1993 Elsa Giugliani served as IBLCE s country coordinator in Brazil for many years and she continues to translate the exam into Portuguese. 1998 was the first year there were exam sites in Brazil and exam was offered in Portuguese Until 2008, exam was given every 2 years; now offered every year 9

IBLCE Exam in Brazil 1998 to 2009 Year Sat Exam Passed Exam Pass Rate 1998 61 30 49.2% 2000 36 12 33.3% 2002 29 14 48.3% 2004 34 30 88.2% 2006 32 22 68.8% 2008 28 15 53.6% 2009 19 7 36.8% Total 239 130 54.4% 10

IBCLCs in Brazil 1993-1999 Elsa R J Giugliani Maria Beatriz Do Nascimento Roberto Mario S. Issler Honorina de Almeida 11

IBCLCs in Brazil 2000-2005 Ariane Nadolskis Severine Analia Ribeiro Heck Andrea dos Santos Ione Queiroz de Jesus Evanguelia Santos Carlos Eduardo de Carvalho Correa Clea Machado de Carvalho Marcus Renato de Carvalho Silvana Salgado Nader Marcia Dorcelina Trindade Cardoso Angela M. Amancio de Avila Ana Maria Calaca Prigenzi Maria Fernanda Dornaus Suzana Lopes Melo 12

IBCLCs in Brazil 2006 Luciana Herrero Eunice Amaral Jefferson Pereira Guilherme Vania Olivetti Steffen Abdallah Daniela Marques Lima Mota Ferreira Walkiria S. Pinheiro dos Santos Marion Kohlmann Aline Rodrigues Correa Sudo Erasmo Eustaquio Cozac Elida Peixoto Moreira de Farias Nidia de Castro Bastos Angela Maria De Morais Oliveira Maria do R de Fatima R Kehrle Marcia Mizrahy Lima Marcia Cristina Guerreiro Reis Rosane Siqueira V Pereira Akemi Nagata Magda Regina Silva Moura Marcia Olmos Moucachen Antonio Carlos de Moraes Catarina Terumi Abe Mendonca Andrea Paula Dos Santos Pinto 13

IBCLCs in Brazil 2008 Maria Haydee Augusto Brito Fabiane Elias Mizobuchi Marcia Regina Silva Patricia Pires Queiroz Ruy Medeiros Oliveira Leandro Meirelles Nunes Dalton Luis Chiaradia Virginia B. de R. Silva Denize Menezes Lourenco Rosemeire A. Gandolfo Chiaradia Maristela de Marchi Benassi Tania Maria C. Batista Ana Paula Melo Viana Ana Carla Zuccoli Kelly Pereira Coca 14

IBCLCs in Brazil 2009 Stella M. Siqueira Martins Elisabeth Kuehn de Souza Edson Borges Souza Angela Narcisa M Soares Milene Da Rosa Sandra Valeria Martins Pereira Sandra Da Silva Monteiro 15

The IBLCE Exam 16

Worldwide Standard All candidates are assessed against exactly the same body of knowledge and competency standards An IBCLC anywhere in the world should have the same entry level knowledge and skills 17

Exam data Since the first exam in 1985, there have been 25 annual exams held on the last Monday in July Exam changes: from slides to photos (1996), and now more photos (2010, n=100) with fewer questions (175) while still improving the quality 41,112 have sat this exam since 1985 18

Translations The exam has been translated into 18 languages determined by need and availability of resources Over 25% have sat the exam in a language other than English IBLCE s strict exam translation and retranslation procedures have been validated and are now accepted as the standard used by other examining bodies. 19

Exam Languages Translations (since 1987): Arabic Croatian Dutch French German Hebrew Hungarian Indonesian Icelandic Italian Japanese Korean Polish Portuguese Slovenian Spanish Swedish Taiwanese There are also adaptations to accommodate different versions of the same language eg European and Canadian French, American and British English, and European and South American Spanish. 20

Future Plans 21

Future plans Online exam application and recertification Online exam Enhancing the credential Strengthening recertification New translations New countries New credentials 22

2012 Exam Eligibility Requirements 1000 hours clinical experience as a health professional or as a breastfeeding support counselor Experience must be obtained in an appropriately supervised setting Higher education in 14 subjects that are typically studied by health professionals during their formal education 90 hours of education in human lactation and breastfeeding 23

24

Anna Utter & Ellen McIntyre Cutting the 25 th Anniversary Cake in March 2010 25

For more information visit www.americas.iblce.org 26