Development and Evaluation of a Lactation Rotation for a Pediatric Residency Program

2017 ◽  
Vol 33 (4) ◽  
pp. 748-756 ◽  
Author(s):  
Jennifer B. Albert ◽  
Jody Heinrichs-Breen ◽  
Frank W. Belmonte
Keyword(s):  
American Academy ◽  
Self Report ◽  
First Year ◽  
Convenience Sample ◽  
Pediatric Residents ◽  
Lactation Consultant ◽  
Breastfeeding Knowledge ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Clinical Confidence

Background: The American Academy of Pediatrics recommends that pediatricians promote and help manage breastfeeding. However, research has shown that they are not adequately prepared. To address this gap, a 2-week mandatory lactation rotation program was developed for first-year pediatric residents. Research aim: The aim of the study was to provide a lactation education program and to measure the residents’ knowledge and perceived confidence regarding breastfeeding. Methods: This longitudinal self-report pretest/posttest study was conducted with a convenience sample of 45 first-year pediatric residents. Each resident spent a minimum of 50 hours with an International Board Certified Lactation Consultant. To measure breastfeeding knowledge and clinical confidence, the American Academy of Pediatrics’ Breastfeeding Residency Curriculum pretest was used 4 times: first and last day of the rotation and at 6 and 12 months postrotation. Results: Test and confidence scores were evaluated. Statistically significant differences in knowledge were found between test 1 when compared with tests 2, 3, and 4 ( p < .001). No significant differences were found between tests 2, 3, and 4 ( p > .05). The abilities to “adequately address parents’ questions” and to “completely manage common problems” were significant, with confidence increasing in tests 2, 3, and 4 ( p < .001). Conclusion: As a result of an innovative, comprehensive educational lactation program, the pediatric residents’ knowledge and perceived confidence related to breastfeeding significantly increased.

AMERICAN ACADEMY OF PEDIATRICS RESIDENCY FELLOWSHIPS STIPULATIONS

PEDIATRICS ◽  
1979 ◽  
Vol 63 (1) ◽  
pp. 162-162
Keyword(s):  
American Academy ◽  
Training Program ◽  
Residency Training Program ◽  
The United States ◽  
First Year ◽  
Pediatric Residents ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Interns And Residents ◽  
Young Physicians

To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant a small number of fellowships of $500 to $2,500 each to pediatric interns and residents for the year beginning July 1. Candidates must meet the following requirements: 1. Be legal residents of the United States or Canada; 2. Have completed, or will have completed by July 1, a qualifying approved internship (P1-0) or have completed a P1-1 program, and have made a definite commitment for a first year pediatric residency (P1-1 or P1-2) acceptable to the American Board of Pediatrics; or 3. Be pediatric residents (P1-1, P1-2, or P1-3) in a training program and have made a definite commitment for another year of residency in a program acceptable to the American Board of Pediatrics; 4. Have real need of financial assistance; and 5. Support their application with a letter from the Chief of Service substantiating the above requirements; if a change in residency training program is contemplated (i.e., moving to another institution), a letter from the chief of this service certifying acceptance to this program will also be necessary. The fellowships have been provided through grants to the American Academy of Pediatrics by Mead Johnson Laboratories and the Gerber Products Company. Although the fellowship awards are intended primarily for the support of first and second year pediatric residents, it is also recognized that some physicians may desire a third or fourth year of pediatric residency. Up to 25% of the fellowships may be awarded to persons in this category.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1952 ◽  
Vol 10 (3) ◽  
pp. 373-375
Keyword(s):  
American Academy ◽  
Medical School ◽  
General Hospital ◽  
Harvard Medical School ◽  
Massachusetts General Hospital ◽  
Pediatric Endocrinology ◽  
Pediatric Residents ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
One Year

POSTGRADUATE COURSE IN PEDIATRIC ENDOCRINOLOGY AND METABOLISM A Pediatric Postgraduate Endocrinology and Metabolism course will be held at the Burnham Memorial Hospital for Children, Massachusetts General Hospital, Boston, under the direction of Dr. Nathan B. Talbot and associates, Oct. 6 through Oct. 11, 1952, daily from 9:00 am, to 4:30 p.m. For further details, write Courses for Graduates, Harvard Medical School, 25 Shattuck St., Boston. ANNOUNCEMENT OF PEDIATRIC RESIDENCY FELLOWSHIPS Through the generosity of Mr. D. Mead Johnson and Mead Johnson and Company, the American Academy of Pediatrics is pleased to announce that 8 fellowships for pediatric residents will be available for a period of one year, beginning Jan. 1, 1953.

News and Announcements

PEDIATRICS ◽  
1974 ◽  
Vol 54 (4) ◽  
pp. 527-532
Keyword(s):  
United States ◽  
American Academy ◽  
The United States ◽  
First Year ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Interns And Residents ◽  
Young Physicians

AMERICAN ACADEMY OF PEDIATRICS RESIDENCY FELLOWSHIPS STIPULATIONS: To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant fellowships of $500 to $1,500 each to pediatric interns and residents for the year beginning July 1. Candidates must meet the following requirements: 1. Legal residents of the United States or Canada; 2. Have completed, or will have completed by July 1, a qualifying approved internship (P1-0) or have completed a P1-1 program, and have made a definite commitment for a first year pediatric residency (P1-1 or P1-2) acceptable to the American Board of Pediatrics;

COMMITTEE ON RESIDENCY FELLOWSHIPS

PEDIATRICS ◽  
1972 ◽  
Vol 50 (6) ◽  
pp. 968-968
Keyword(s):  
American Academy ◽  
The United States ◽  
First Year ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Geographic Spread ◽  
Interns And Residents ◽  
Second Year ◽  
One Year ◽  
Young Physicians

To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant fellowships of $500 to $1,000 each to pediatric interns and residents for the year beginning July 1, 1973. Candidates must meet the following requirements: (1) legal resident of the United States or Canada; (2) have completed, or will have cornpleted by July 1, one year of straight pediatric internship, or one year of mixed internship, providing more than 50% of this time is spent in pediatric training, and have made a definite commitment for a first year pediatric residency acceptable to the American Board of Pediatrics; (3) first year residents in a training program who have a definite commitment for a second year, both programs acceptable to the American Board of Pediatrics; (4) have real need of financial assistance; and (5) support their applications with a letter from the Chief of Service substantiating the requirements mentioned above. The fellowships have been provided through grants to the Academy by Mead Johnson Laboratories, Gerber Products Company, and Fellows of the American Academy of Pediatrics. Although the fellowship awards are primarily intended for the support of first and second year pediatric residents, it is also recognized that some may desire a third or fourth year of residency. Up to 25% of the fellowships may be awarded to persons in this category. Consideration will be given to geographic spread of appointments so that all sections of the country will be represented, and preference will be exhibited for well qualified but smaller training centers which perhaps have fewer resources for residents in training than do some of the larger centers.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 627-629
Keyword(s):  
United States ◽  
American Academy ◽  
The United States ◽  
First Year ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Interns And Residents ◽  
Young Physicians

AMERICAN ACADEMY OF PEDIATRICS RESIDENCY FELLOWSHIPS STIPULATIONS: To enable young physicians to complete their pediatric training, the American Academy of Pediatrics will grant fellowships of $500 to $1,500 each to pediatric interns and residents for the year beginning July 1. Candidates must meet the following requirements: 1. Legal residents of the United States or Canada; 2. Have completed, or will have completed by July 1, a qualifying approved intership (P1-0) or have completed a P1-1 program, and have made a definite commitment for a first-year pediatric residency (P1-1 or P1-2) acceptable to the American Board of Pediatrics;

Prophylactic Vitamin D Dosage after Infancy

PEDIATRICS ◽  
1963 ◽  
Vol 32 (2) ◽  
pp. 308-308
Author(s):  
HARRY BAKWIN
Keyword(s):  
Vitamin D ◽  
American Academy ◽  
Children And Adolescents ◽  
Late Winter ◽  
First Year ◽  
Bellevue Hospital ◽  
American Academy Of Pediatrics ◽  
Prophylactic Dose ◽  
Nutrition Committee

In the report of the Nutrition Committee, American Academy of Pediatrics on the "Prophylactic Requirement and the Toxicity of Vitamin D" (Pediatrics, 31:512) the same prophylactic dose of vitamin D is recommended for children and adolescents as for infants. This seems to me unrealistic. Before the introduction of widespread vitamin D prophylaxis, all the babies over 3 or 4 months on the infant's ward at Bellevue Hospital had rickets during the late winter and spring. The only variation was in degree. Rickets was never seen after the first year or two except for an occasional case of "renal rickets" and "coeliac rickets."

Frequency of tuberculin testing

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 160-161
Author(s):  
Alex J. Steigman ◽  
Edwin L. Kendig
Keyword(s):  
American Academy ◽  
Personal Experience ◽  
Tuberculin Test ◽  
First Year ◽  
Test Results ◽  
American Academy Of Pediatrics ◽  
Tuberculin Testing ◽  
First Year Of Life

In a statement from the Section on Diseases of the Chest of the American Academy of Pediatrics entitled "The Tuberculin Test,"1 the second paragraph of a comprehensive article begins as follows: "A routine tuberculin test should be performed sometime during the first year of life and annually or biennially thereafter." This recommendation for the frequency of routine tuberculin testing differs from that currently proposed by others. The same issue of Pediatrics contains an article by Dr. Phyllis Q. Edwards entitled "Tuberculin Testing of Children."2 The Summary of the article states "The pediatrician should review and analyze tuberculin test results based on his personal experience.

Flexible Residency Programs for Women

PEDIATRICS ◽  
1985 ◽  
Vol 75 (5) ◽  
pp. 991-992
Author(s):  
NAOMI UCHIYAMA
Keyword(s):  
United States ◽  
American Academy ◽  
Training Program ◽  
Residency Training ◽  
Training Programs ◽  
The United States ◽  
Residency Programs ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics

To the Editor.— I am a member of the Committee on Women in Pediatrics of the American Academy of Pediatrics. The Committee recently studied the availability of flexible training and retraining programs in pediatric residency programs in the United States. We sent a questionnaire to the directors of the 292 pediatric training programs listed in the Directory of Residency Training Programs. At present, 200 of the 292 (68.5%) have a flexible training program. However, only two of these programs have this as a written policy; one such program was developed in 1973 and, in practice, this program was individually designed.

Residency Maternity Leave

PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 515-515
Author(s):  
Robert S. Walter
Keyword(s):  
American Academy ◽  
Maternity Leave ◽  
Training Programs ◽  
Parental Leave ◽  
Strong Support ◽  
Common Reason ◽  
Careful Planning ◽  
Pediatric Residents ◽  
American Academy Of Pediatrics

This letter is in strong support of the principles outlined in the American Academy of Pediatrics (AAP) statement on parental leave for pediatric residents and pediatric training programs.1 While family illness, paternity, and other personal leave issues must be appropriately handled, maternity leave situations are by far the most common reason for schedule adjustments for our residency each year. Although these adjustments can take much effort (especially by the resident involved and the chiefs) to ensure fairness to all, they can be successful with careful planning of call schedules and rotation changes.

Back in the Saddle Again

1986 ◽  
Vol 8 (1) ◽  
pp. 3-3
Author(s):  
R. J. .H.
Keyword(s):  
United States ◽  
South America ◽  
American Academy ◽  
Continuing Education ◽  
The United States ◽  
Pediatric Residents ◽  
American Academy Of Pediatrics ◽  
Wide Acceptance

After a 2-year absence as Editor, during which Dr McKay provided superb leadership as Editor of Pediatrics in Review, it is a pleasure for me to resume this role. It was my privilege in serving as President of the American Academy of Pediatrics to travel throughout the land. I was especially pleased and impressed with the wide acceptance of Pediatrics in Review as a major vehicle for the continuing education of the pediatrician. The circulation in now more than 21,000 in the United States, including all pediatric residents. This acceptance of the journal was also true in Central and South America, where PIR has been distributed, in Spanish, to more 15,000 additional pediatricians for the last few years.

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