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Breastfeeding Residency Curriculum

- MEDICAL KNOWLEDGE:   Goal A Goal A
Residents will understand the anatomy of the breast, the physiology of lactogenesis, and the challenges of breastfeeding.

- Learner Objectives

  1. Describe the anatomy of the breast 
  2. Describe the physiology of lactogenesis

- Activities and Evaluation Strategies

Essential

  1. Complete Wellstart International's Lactation Management Self-Study Modules Level 1.

    Have the residents take the accompanying self-study exam immediately following the completion of the modules, and again 4-6 months later.

Additional

  1. Read and discuss Chapter 4, "Anatomy and Physiology of Lactation" in the Breastfeeding Handbook for Physicians, and Chapter 2 "Anatomy of the Breast" and Chapter 3 "Physiology of Lactation" in Breastfeeding, A Guide for the Medical Profession with mentor.

    Evaluate the resident's knowledge of anatomy and physiology of lactation by using the provided Pre- and Post-test or another simple exam.

  2. Present a lecture on the anatomy and physiology of lactation to the residents during noon conference.

    Evaluate the resident's knowledge of anatomy and physiology of lactation by using the provided Pre- and Post-test or another simple exam.

  3. Present 3 cases to mentor that illustrate an understanding of breast anatomy and lactation physiology.

    Evaluate the resident's knowledge of anatomy and physiology of lactation by grading the quality of the cases and the description of the problems and solutions.

  4. Complete Breastfeeding Basics course.

    Evaluate the resident's knowledge of anatomy and physiology of lactation by having him or her complete the exam that is provided with the breastfeedingbasics.org self learning module and submit the results to the mentor.


- MEDICAL KNOWLEDGE:   Goal B Goal B
Residents will become familiar with breastfeeding technology and contraception.

- Learner Objectives

  1. Understand the indications and application of breastfeeding technology (manual and mechanical breast milk expression [and identify rental sources], supplemental feeding methods, test weighing of the infant, milk storage, donor human milk).
  2. Describe the influence of contraceptive methods on breastfeeding (lactational amenorrhea method, other non-hormonal and hormonal methods, and how they influence breastfeeding).

- Activities and Evaluation Strategies

Essential

  1. Learn how to assemble and operate the manual and electric breast pumps provided by your hospital/clinic setting or used in your community. Describe how to use these tools to the mentor.

    Observe the resident describing how to assemble and operate manual and electric breast pumps. Assess clarity and accuracy in describing how to use the machines.

  2. Observe Jane Morton's video about manual expression for the preterm infant and mother,"Making Enough Milk, The Key to Successful Breastfeeding: Planning for Day One."

    Observe the resident providing guidance on manual expression with and without the infant latched and while using an electric or manual breast pump.

  3. List and become familiar with all the methods of contraception that can be used by a breastfeeding mother including the Lactational Amenorrhea Method, and understand what methods may interfere with breastfeeding and why.

    Evaluate the number of methods of contraception that the resident identified for the breastfeeding mother and particularly their description of the Lactational Amenorrhea Method, including the 3 criteria that must be met for this method and the rate of efficacy.

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