Pathway 1 exam candidates typically gain their clinical experience through paid or volunteer work as a Recognized Health Professional or Recognized Breastfeeding Support Counselor. If you do not fall into one of those two categories, you may want to consider Pathway 2 or Pathway 3.
If you are not a Recognized Health Professional, the IBLCE requires that you complete several college-level health sciences courses as well as a few continuing education health sciences courses. Read the IBLCE's Health Sciences Education Guide for more information and review their Health Sciences Summary Page.
You will need the following courses from an accredited institution of higher learning:
And these courses from either an accredited institution of higher learning or a continuing education provider:
Breastfeeding Outlook has a Health Sciences Continuing Education Package that covers all of these except for Basic Life Support for just $99!
The very best way to get your 90 hours of lactation education is to take a LEAARC-Approved Comprehensive Lactation Course. You can be assured that these courses will properly prepare your to take and pass the IBLCE exam and to have a successful career as an IBCLC.
If you spend any part of your work day on lactation management issues, you may count that time towards your clinical hours. You first need to determine what percentage of your daily or weekly hours is spent doing lactation management work. Then, using that percentage determine how many hours you have and how many you need. All 1000 of your clinical hours must be accumulated in the 5 years immediately preceding your application for the exam . You will need the names and contact information of two people who will attest that your clinical hours are correct. The IBLCE's Candidate Information Guide has more detailed information on accruing and counting lactation-specific clinical hours.
Applications are due at least FIVE MONTHS prior to the exam and you must have ALL of your requirements completed BEFORE you apply. So this means you need to start early! If you still need to complete some college courses, you need to start even earlier. Give yourself at least a year to get your clinical hours and sign up for your 90 hours of lactation education about a year before you plan to test.
The exam itself currently costs about $660 in the United States, due when you apply. Completing your exam requirements may also be costly, especially if you need to take some college courses or need a mentor for your clinical hours. So determine the potential costs, start saving or clear off a credit card. Look into available scholarships (Yes! We have one!) and don't be afraid to ask for support from relatives and friends. This is a career, not a job, and it is worth the investment of your time and resources.
Breastfeeding Outlook offers a scholarship for our 90-hour programs each year. Click here to get more information or apply. We also have gift certificates. Just ask for them for your birthday or the holidays.
The IBLCE automatically audits a certain percentage of all applications. After you submit your application, you will be immediately notified if you will be audited. So have all of your back-up documentation available when you submit your application so an audit will not threaten your hard work and preparation.
The IBLCE Exam is a computerized, timed exam that consists of 175 multiple-choice questions. Questions on the exam cover the content in these IBLCE Documents:
Four hours are allowed to complete the exam. A portion of the questions (currently about 50%) are image-based. This means you will be shown a photograph, drawing, or chart and will be asked a question about that image. This part of the exam is tricky and tends to be the most difficult for people. Test items have a high degree of clinical relevance but cover global issues. You may well be asked questions about issues you have never seen in practice. The global scope of the exam is another reason candidates struggle and many fail. You simply cannot rely on your clinical knowledge and experience regardless of how many years you have worked in lactation because you will be required to know things that you may have never addressed. If you are wondering what it might be like, get our Free Practice Lactation Exam Demo, to give you an idea.
Once you've fulfilled all your requirements and submitted your application, now it is time to prepare to take that exam. This is not an easy exam. We hear from smart people every year that failed. And we often hear statements like, "That was the hardest exam I have every taken!" and "That was harder than my nursing boards!" So be prepared. You will need to spend a significant amount of time studying and you will need to practice taking computerized, timed, multiple-choice test questions, and make sure some of those are image-based questions.
This is especially important for candidates that have been working in lactation for a while. As Marie often says, "This is a GLOBAL exam!" And, because it is global, you must be prepared to answer questions about topics you may never face in your practice. Additionally, you must know the standard recommendations for dealing with lactation management issues, not the way your hospital or clinic does it. You must be able to sort out the right "exam response" vs. what is right in your day-to-day practice. Keep this in mind as you prepare.
When you are ready, there are many companies out there with exam prep materials. Do your research and find the best one for you. We offer our own selection of review courses, practice exams, drill questions, and Marie's live one-day seminar, Picture Perfect, which helps you learn how to analyze those pesky images on the exam.
Scores are released about 3 months after the exam and are highly anticipated. Know when your scores are due and watch for the notice. If you pass, you are immediately an IBCLC and your dream is complete!
Every year, approximately 500 people fail the exam. So, if this happens to you, remember that you are not alone. Don't give up and don't be afraid to reach out for help. Go back to the company that provided your exam prep tools and let them know you did not pass. Some companies, like Breastfeeding Outlook, have programs to help their clients get back on their feet and try again. Marie puts a lot of effort into helping those that have failed the exam, whether they were our customers, or not. Remember how much time, energy, effort, and money you have put into your dream already and don't give up on it easily.
Here at Breastfeeding Outlook, we strive to help all of our clients reach their dream, whether they do on the first try, or the third. We are here to support you from the initial stages of gathering information all the way to passing the exam and beyond. Your Success is our Goal!
March 6, 2019
National Nurse’s Day
May 6, 2019
National Nurse’s Week
May 6-12, 2019