The UF Experience: Breastfeeding Curriculum Is Not Optional

1
The UF Experience Breastfeeding Curriculum Is
Not Optional Elizabeth Davis, DO1, Mary
Ryngaert, ARNP, IBCLC1, Karen Bodnar, MD1,
Meredith Mowitz, MD1, Randy Graff, PhD2 and
Sandra Sullivan, MD, IBCLC1,
(1)Pediatrics (2)Academic Information Systems
Support, University of Florida, Gainesville, FL
RESULTS
CURRICULUM
Pre-test in July each year Post-test following
NBN rotation each year PGY-1  Attend 2
breastfeeding clinics, Shadow hospital IBCLC ½
day        Complete Wellstart module 1 Complete
2 of the following from WBC discs Immunology of
human milk, Glucose, or Feeding the late
preterm Watch video Baby-led Breastfeeding
The Mother-Baby Dance Assemble and operate
the manual/electric breast pumps provided by
our hospital  PGY-2      Attend 2 breastfeeding
clinics       Complete Wellstart module
2 Complete 2 of the following from WBC discs 
Medications and contraceptives, Breast pain,
or Insufficient weight gain Watch video
Breastfeeding Management, Educational Tools for
Physicians and Other Professionals  PGY-3 Re
view case scenarios in Wellstart module 3
INTRODUCTION
MODIFICATIONS
We present our experience with the first of
a 2-phase implementation of breastfeeding
curriculum for pediatric residents. We
incorporated many components of the AAP
Breastfeeding Residency Curriculum into our
current Newborn Nursery (NBN) Rotation, while
adding material from other sources and
instituting a Breastfeeding Clinic. Phase 1,
July 2009 Institute curriculum in paper/CD
format Phase 2, July 2010 Development of an
online course

• Clinic was overwhelmingly well-received by
  resident reports
• Expanded opportunities, 5 days per week 
• Development of online course
• remedy access issues to CDs DVDs, tracking of
  individual progress, tracking of test completion
  scores
• relieve labor intensive monitoring of each
  residents progress by Dr. Davis (her advocacy
  project)
• enhance learning by
•  providing feedback for online pre- and
  post-tests
• personalize clinic (and other) experiences with
  reflective writing assignments
• incorporate 3-5 question formative assessments
  throughout the Wellstart modules
• fostering more independent study of material at
  residents convenience
• Advanced elective in breastfeeding medicine
• Medical student introduction to breastfeeding
  medicine lecture

MATERIALS
PRETEST (MEAN SD) POST-TEST (MEAN SD) P VALUE
2009 PGY-1 75 12.3 83 8.79 0.1775
2009 PGY-2 75 12.05 90 6.65 0.0049
2009 PGY-3 (N3) 87 --- ---
2010 PGY-1 74 9.92 --- ---

1. AAP Breastfeeding Residency Curriculum
   www.aap.org
2. The Revised 3rd Edition of Wellstarts Lactation
   Management Self-Study Modules, Level 1, Wellstart
   International, www.wellstart.org
3. Lactation Education for Physicians 2 CD set,
   Washington Breastfeeding Coalition
4. Baby-Led Breastfeeding The Mother-Baby Dance,
   Christina Smillie, MD
5. Breastfeeding Management, Educational Tools for
   Physicians and Other Professionals, Jane Morton,
   MD

This project was funded by grants from W. K.
Kellogg Foundation, Thomas H. Maren Foundation,
and Childrens Miracle Network.