Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement

Gary, A.; Birmingham, Erin; Jones, Laurie

doi:10.4103/efh.efh_180_15

Cited by 32 publications

(6 citation statements)

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“…23 Furthermore, these repeated encounters are challenging to coordinate when residents are spread across multiple specialties with different clinical and curriculum schedules. Combined, these challenges have made it arduous for residents to receive adequate breastfeeding education in a clinical environment, 24 even for residents in specialties that frequently interact with both parents and children, such as pediatrics. 25 To address some of these challenges in training residents to work with breastfeeding mothers, a series of videos in breastfeeding management was developed to create a sustainable, self-paced, and flexible way to educate residents.…”

Section: Introductionmentioning

confidence: 99%

Using Videos to Teach Medical Learners How to Address Common Breastfeeding Problems

2021

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Introduction: Though breast milk is the recommended first food, only 84% of mothers try breastfeeding, and 19% of those babies are supplemented with formula by the second day of life. Mothers often fall short of their breastfeeding goals, which has been traced in part to primary care physicians' discomfort and lack of confidence in assisting breastfeeding mothers. A video-based educational intervention was developed to enhance learner comfort and confidence in supporting breastfeeding. Methods: Prior to watching the videos, two separate groups of learners (25 primary care residents and 40 medical students) were given two assessments to assess their baseline knowledge and self-perceived comfort and confidence with breastfeeding based on the American Academy of Pediatrics residency breastfeeding curriculum. We gave the learners a checklist to guide their observations while watching the videos. The learners repeated the assessments after watching the videos. Results: Students who participated showed a statistically significant increase in breastfeeding knowledge and self-perceived comfort and confidence in assisting mothers with common breastfeeding problems. Additionally, residents increased their knowledge and confidence, but not their comfort with breastfeeding. Discussion: The videos seem to have been most helpful in assisting learners with confidence with helping breastfeeding mothers and knowledge of breastfeeding. The videos also improved student comfort but were less effective in increasing residents' comfort as residents generally self-rated their comfort level as high preceding the video curriculum. These videos provide an effective way to begin sensitizing learners to the importance of breastfeeding, common challenges, and potential solutions for new mothers.

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Section: Introductionmentioning

confidence: 99%

Using Videos to Teach Medical Learners How to Address Common Breastfeeding Problems

2021

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“…However, the lack of knowledge and skills of health professionals has been considered as a cause of failures in care, such as support for breastfeeding. It brings consequences for training, since students need knowledge about breastfeeding to support women (5)(6)(7) . The importance of this preparation stands out considering the positive results, for example, the support of nurses in the beginning in opportune time, and the maintenance of exclusive breastfeeding, both in the provision of direct care and in the organization of care (8) .…”

Section: Introductionmentioning

confidence: 99%

“…Changes in the learning process in health education will improve knowledge, confidence in breastfeeding management and attitudes and practices to support breastfeeding (6) . Interventions have demonstrated effectiveness to promote learning about breastfeeding (9)(10) .…”

Section: Introductionmentioning

confidence: 99%

Musical educational technology for lactation physiology learning: knowledge translation

2019

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Objective: create and validate a musical educational technology for lactation physiology learning for professional training in health. Method: methodological study with application of a conceptual framework of Knowledge Translation. In the creation cycle, the knowledge of the physiology of lactation was synthetized in key points to create the lyrics and the melody. In the action cycle, the content of the musical educational technology was validated by judges experts in breast feeding, in the period from September to December 2017. Results: 18 judges from all Brazilian regions participated in the validation. The content of the technology obtained a global Content Validity Index of 0.94 with one round of validation. Conclusion: the musical educational technology is validated to introduce the content of the physiology of lactation in the learning process of students, mediated by the teacher. Descriptors: Breast Feeding; Educational Technology; Translational Medical Research; Nursing; Validation Studies. RESUMO Objetivo: criar e validar uma tecnologia educativa musical para a aprendizagem da fisiologia da lactação na formação profissional em saúde. Método: estudo metodológico com aplicação de Modelo Conceitual de Tradução do Conhecimento. No ciclo de criação foi sintetizado o conhecimento da fisiologia da lactação em pontos-chave, com os quais foram criadas a letra e a melodia. No ciclo de ação foi validado o conteúdo da tecnologia educativa musical por juízes experts em aleitamento materno, no período de setembro a dezembro de 2017. Resultados: 18 juízes de todas as regiões brasileiras participaram da validação. O conteúdo da tecnologia obteve Índice de Validade de Conteúdo global de 0,94 com uma rodada de avaliação. Conclusão: a tecnologia educativa musical está validada para introduzir o conteúdo da fisiologia da lactação no processo de aprendizagem de estudantes, mediado pelo docente. Descritores: Aleitamento Materno; Tecnologia Educacional; Tradução do Conhecimento; Enfermagem; Estudos de Validação. RESUMENObjetivo: crear y validar una tecnología educativa musical para el aprendizaje de la fisiología de la lactancia en la formación profesional en salud. Método: estudio metodológico con aplicación del Modelo Conceptual de Traducción del Conocimiento. En el ciclo de creación, el conocimiento de la fisiología de la lactancia fue sintetizado en puntos clave con los que se crearon la letra y la melodía. En el ciclo de acción, el contenido de la tecnología educativa musical fue validado por jueces expertos en lactancia materna, en el período de septiembre a diciembre de 2017. Resultados: 18 jueces de todas las regiones brasileñas participaron de la validación. El contenido de la tecnología obtuvo un Índice de Validez de Contenido global de 0.94 con una ronda de evaluación. Conclusión: se validó la tecnología educativa musical para introducir el contenido de la fisiología de la lactancia en el proceso de aprendizaje del alumno, mediado por el profesor. Descriptores:

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“…As a result, mothers expect and rely on the support of nurses and physicians for lactation success, yet they often report that they receive unhelpful or conflicting guidance from these support sources (Rollins et al, 2016). Physicians and nurses report low confidence in and poor knowledge of breastfeeding management skills given the lack of standardization among lactation curricula across training programs and hospitals (Esselmont, Moreau, Aglipay, & Pound, 2018; Gary, Birmingham, & Jones, 2017; Parker, 2015; Webber & Serowoky, 2017). Nevertheless, they are expected to play a key role in improving long-term breastfeeding rates (Gavine et al, 2016; Yang, Salamonson, Burns, & Schmied, 2018).…”

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confidence: 99%

Assessing Application-Based Breastfeeding Education for Physicians and Nurses: A Scoping Review

Chuisano

Anderson

2019

J Hum Lact

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Background: Physicians and nurses are expected to support breastfeeding mothers. However, there is a lack of standardized lactation education throughout training programs and hospitals. As a result, providers lack the necessary confidence and skills to guide mothers throughout the breastfeeding experience. The hands-on nature of breastfeeding management demands the implementation of application-based learning tools to improve skills retention and patient breastfeeding outcomes. Research aim: In this scoping review, we aimed to critically assess the types of application-based breastfeeding management learning tools reported within medical and nursing professions and the evaluation methods of learner and patient outcomes. Methods: The authors searched the literature to identify peer-reviewed articles published between 2000 and 2018 with medical or nursing students, residents, or professionals as the target learner group in an application-based educational intervention. Both authors independently assessed the content in the resulting articles, with specific focus on teaching methods, curricular development, and the learning outcomes reported within each study. Results: Ten articles matched the inclusion criteria and were included in the final review, including five studies from the medical field and five from the field of nursing. Use of real patients was a common method for application-based skills training, followed by role playing and use of standardized patients. Teaching and evaluation methods varied widely across the studies. Conclusion: The results align with existing literature in finding a dearth of high-quality studies assessing breastfeeding education among physicians and nurses. The variability in teaching and evaluation methods indicates a lack of standardization in breastfeeding education between institutions.

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Improving breastfeeding medicine in undergraduate medical education: A student survey and extensive curriculum review with suggestions for improvement

Abstract: The authors recommend several curriculum changes to advance breastfeeding education. A more targeted breastfeeding curriculum in medical education will help to improve physician knowledge, practice patterns, and confidence in breastfeeding management.

Cited by 32 publications

References 1 publication

Using Videos to Teach Medical Learners How to Address Common Breastfeeding Problems

Using Videos to Teach Medical Learners How to Address Common Breastfeeding Problems

Musical educational technology for lactation physiology learning: knowledge translation

Assessing Application-Based Breastfeeding Education for Physicians and Nurses: A Scoping Review

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