Learning needs of family physicians, pediatricians and obstetricians to support breastfeeding and inform physician education

Abstract

Background: Physicians require breastfeeding education appropriate to their roles. The aim of this survey was to determine physician learning needs and to inform development of breastfeeding education for physicians. Methods: A cross sectional survey was distributed to family physicians, pediatricians and obstetricians in a tertiary institution. Importance of knowledge to practice and confidence to manage was assessed for 18 learning topics proposed by a multi-specialty physician working group. Descriptive statistics, ANOVA and tests for equality of variances were calculated. Mean values of importance to practice and confidence to manage for each topic suggested learning priorities. Results: The study group included 75 physicians. The most important topics were “informed choice when supporting newborn feeding,” “analgesics, antidepressants and other medications while breastfeeding” and “community resources for breastfeeding support.” Confidence to manage was lowest for “latch assessment,” “what mom can do during pregnancy to promote milk production,” and “risk factors for delayed lactogenesis.” Preferred learning formats were 15-minute online modules and grand rounds. Conclusions: Physicians acknowledged the importance of all topics but report lowest confidence to manage latch assessment, prenatal interventions to support lactogenesis and management of delayed lactogenesis. Participants placed relatively low importance on learning about latch assessment despite the central nature of this skill in supporting early breastfeeding.

A co-designed evaluation study to identify Breastfeeding Knowledge of General Practitioners’ and Practice Nurses’

“…(2020) describe how women based in the UK perceived HCPs’ disapproval of breastfeeding beyond infancy, which in turn fostered a hesitancy to seek advice from HCPs. Canadian physicians also reported a lack of knowledge and confidence in supporting breastfeeding during the newborn period in relation to latch assessment and delayed lactogenesis ( Baerg et al ., 2021 ).…”

Implementasi Learning In The Flow Of Work Pada Lembaga Pemerintah, Studi Kasus Di Badan Pengawas Obat Dan Makanan

“…Pembelajaran terintegrasi di tempat kerja, selain bermanfaat dalam peningkatan kompetensi pegawai, juga meningkatkan pemanfaatan kompetensi dan skill pegawai dalam pekerjaan sehingga berkontribusi terhadap kepuasan kerja dan produktivitas pegawai (Mateos Romero & Salinas-Jiménez, 2018;Mustofa & Prasetyo, 2020). Selain itu, konteks pembelajaran yang disesuaikan dengan kebutuhkan dan kompleksitas dalam lingkungan kerja dapat berdampak pada peningkatkan persepsi pegawai terhadap pentingnya topik pembelajaran tertentu terhadap pekerjaan, juga menunjukkan relevansi kontekstual inisiatif pembelajaran dalam pekerjaan (Baerg et al, 2021). Manfaat lainnya pembelajaran yang terintegrasi di tempat kerja, seperti pembelajaran informal, pembuatan dan pelaksanaan action learning, juga pembelajaran tematik, terbukti efektif untuk meningkatkan kompetensi serta produktivitas kerja pegawai (Kusuma & Purba, 2021;Nurhayati, 2022;Widawati, 2021).…”