40 years of public health messaging has worked tremendously. We have met the HP2020 goals of >80% breastfeeding initiation, you are to be congratulated. Unfortunately, what we have missed is providing clinical skills training to our health care providers. We now have a majority of new families initiating breastfeeding and very few people prepared to care for them when there is trouble. Research shows that 80% of new families experience clinically significant breastfeeding problems in the first two months of lactation, and physicians and nurses are woefully unprepared to help. This leaves the families without care and unprepared for what may be a difficult and painful struggle. This presentation discusses the research regarding health care provider education and reports on studies that may demonstrate and effective way to encourage provider self-efficacy in breastfeeding support.