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The clinical hours you need to become an IBCLC without being a healthcare professional

The clinical hours you need to become an IBCLC without being a healthcare professional


Struggling to find an approved way to get your hours?

Meet the IBCLC exam’s clinical hours requirement by supporting families in your own community

The LER HOURS (Hands On Understanding and Resources for Success) program is a way for those without a healthcare background or a current peer support position to earn the clinical hours they need to sit the IBCLC exam.

As an HOURS participant, you can support lactating families in your own community, while LER provides the tools and expert mentoring you need to succeed.

Because IBLCE recognizes the HOURS program, you can rest assured that your hours completed during this program will “count.”

LER provides the support you need while you complete your clinical hours


Tracking Tool: Track your hours, automatically calculate remaining hours, and categorize your cases by exam content area.

Practice Protocols: Guiding documents for your lactation practice

Apply Now

At-your-fingertips access to LER’s staff of experienced IBCLCs & CBSs.

Discuss cases, ask questions, receive feedback and support.

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Connect with others in the program via a Facebook group just for you.

Give and get encouragement and advice.

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  • Q. What is the LER HOURS program?

    A. The LER HOURS program is designed for Pathway 1 IBCLC exam candidates who are not recognized health professionals to meet the exam’s 1,000 clinical hours requirement. Participants assist lactating families in their own communities, and their hours are endorsed through LER HOURS, an IBLCE-approved breastfeeding support organization. LER HOURS also helps participants track and document their hours and provides mentorship and support. Apply Now

  • Q. Who is eligible for the LER HOURS program?

    A. To apply to join LER HOURS, you must have already earned your Certified Breastfeeding Specialist (CBS) designation through LER and be a CBS in good standing. Apply Now

  • Q. What does the LER HOURS program application entail?

    A. Applicants complete 3 online case studies (including multiple choice and free text questions) covering a range of lactation support situations. This is an open-resource task, and you will be required to provide references for the resources you use. Our staff will evaluate your case study responses, and you may be asked to revise them or do additional case studies. Once your case studies are approved, you will be accepted into the LER HOURS program. Apply Now

  • Q. How do I find families to support?

    A. As a participant in the HOURS program, it is your responsibility to identify families to support in your community. While LER does not directly connect you to families in need of support, LER will provide you with strategies for locating families and offering your services.

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