{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:48:37Z","timestamp":1777852117745,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,9,4]],"date-time":"2014-09-04T00:00:00Z","timestamp":1409788800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Previously reported breastfeeding curricula for residents have combined different teaching methods, have focused on knowledge and attitudes, and have been time-intensive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to evaluate 3 time-efficient breastfeeding curricula for effectiveness in regard to pediatric residents\u2019 knowledge, confidence, and skills in managing a simulated breastfeeding scenario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>First-year pediatric residents during their 4-week community hospital newborn nursery rotation were consecutively assigned to 1 of 3 groups. Group 1 shadowed an International Board Certified Lactation Consultant (IBCLC) for 1 hour; group 2 watched a 25-minute case-based breastfeeding DVD; and group 3 observed a 3-hour prenatal parent breastfeeding class (CLS). Residents were assessed by (1) a pretest and posttest evaluating their breastfeeding knowledge and confidence, and (2) a clinical skills scenario managing a breastfeeding standardized patient (SP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-nine pediatric residents participated in the study (11 in IBCLC, 16 DVD, 12 CLS) over a 1-year period. All groups significantly improved their knowledge scores and confidence in managing breastfeeding problems, with the IBCLC group showing more improvement in knowledge than the other groups ( P = .02) and a higher rating of their teaching method ( P = .01). All groups performed well on the SP clinical skills scenario, with no significant difference between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>All 3 teaching methods were time-efficient and produced important gains in knowledge and confidence, with residents in the IBCLC group demonstrating greatest improvement in knowledge and a higher rating of their teaching method. Our study provides support for 3 methods of teaching residents breastfeeding management and demonstrates that IBCLCs are well-received as interprofessional educators.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334414548459","type":"journal-article","created":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T01:46:23Z","timestamp":1409881583000},"page":"458-465","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Educating Pediatric Residents about Breastfeeding"],"prefix":"10.1177","volume":"30","author":[{"given":"Jennifer A.F.","family":"Tender","sequence":"first","affiliation":[{"name":"Division of General and Community Pediatrics, Children\u2019s National Medical Center and George Washington University School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Cuzzi","sequence":"additional","affiliation":[{"name":"Children\u2019s National Medical Center and Holy Cross Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry","family":"Kind","sequence":"additional","affiliation":[{"name":"Division of General and Community Pediatrics, Children\u2019s National Medical Center and George Washington University School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel J.","family":"Simmens","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Milken Institute School of Public Health at the George Washington University, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Blatt","sequence":"additional","affiliation":[{"name":"The Clinical Learning and Simulation Skills Center, George Washington University School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larrie","family":"Greenberg","sequence":"additional","affiliation":[{"name":"The Clinical Learning and Simulation Skills Center, George Washington University School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,9,4]]},"reference":[{"key":"bibr1-0890334414548459","volume-title":"The Surgeon General\u2019s Call to Action to Support Breastfeeding","author":"US Department of Health and Human Services","year":"2011"},{"key":"bibr2-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.5.e435"},{"key":"bibr3-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2009.0050"},{"key":"bibr4-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-1248"},{"key":"bibr5-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1616"},{"key":"bibr6-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2011.0057"},{"key":"bibr7-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"bibr8-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.4.e283"},{"key":"bibr9-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.1.108"},{"issue":"3","key":"bibr10-0890334414548459","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1542\/peds.96.3.490","volume":"96","author":"Freed GL","year":"1995","journal-title":"Pediatrics"},{"key":"bibr11-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.3.e35"},{"key":"bibr12-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.162.12.1142"},{"key":"bibr13-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2010.11.002"},{"key":"bibr14-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/17.6.541"},{"key":"bibr15-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.5.e59"},{"key":"bibr16-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1177\/0890334406286993"},{"key":"bibr17-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3250"},{"key":"bibr18-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.0028"},{"key":"bibr19-0890334414548459","first-page":"CD006425","volume":"9","author":"Lumbiganon P","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr20-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2007.0008"},{"key":"bibr21-0890334414548459","volume-title":"Breastfeeding for Medical Providers: Translating Knowledge into Practice","author":"Tender JAF","year":"2010"},{"key":"bibr22-0890334414548459","unstructured":"American Academy of Pediatrics. Welcome to the breastfeeding residency curriculum. http:\/\/www2.aap.org\/breastfeeding\/curriculum\/. Accessed October 21, 2012."},{"key":"bibr23-0890334414548459","unstructured":"American Academy of Pediatrics. Curriculum tools. http:\/\/www2.aap.org\/breastfeeding\/curriculum\/tools.html. Accessed October 21, 2012."},{"key":"bibr24-0890334414548459","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2011.02.008"},{"issue":"4","key":"bibr25-0890334414548459","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1542\/peds.105.S3.973","volume":"105","author":"Lane JL","year":"2000","journal-title":"Pediatrics"},{"key":"bibr26-0890334414548459","volume-title":"SAS\/STAT\u00ae 9.3 User\u2019s Guide","author":"SAS Institute Inc","year":"2011"},{"key":"bibr27-0890334414548459","unstructured":"Cohen J. Statistical Power Analysis for the Behavioral Sciences. 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