title: [Management of lactation and breastfeeding: role of the resident physician].
abstract: Doctors are in an ideal position to influence a woman's decision about breastfeeding. Studies have shown that residents recognize the importance of their role in promoting and supporting breastfeeding, but they have knowledge deficits and difficulty in advising mothers with lactation problems. The objective of this study is to assess the need of a formal, structured curriculum on breastfeeding for Pediatrics residents.
  
  
  METHODS
  Participants included twelve residents in their first year of training. Five of them (cases) received educational sessions on breastfeeding. Pre-test, post-test, and an objective structured clinical examination (OSCE) were given to all participants.
  
  
  RESULTS
  Residents who participated in the educational intervention did better than controls in the practical and written tests, and showed improvement in their knowledge about breastfeeding management.
  
  
  CONCLUSIONS
  This study has shown the need to improve residents' knowledge in breastfeeding management, practices, and confidence when educating breastfeeding mothers. A structured breastfeeding curriculum during the residency is recommended.
authors.affiliation: Departamento de Pediatría, Escuela de Medicina, Universidad de Puerto Rico, San Juan, PR. nortiz@rcm.upr.edu
authors.forename: Nerian
authors.initials: N
authors.lastname: Ortiz Matos
authors.forename: Lourdes
authors.initials: L
authors.lastname: García Fragoso
mesh_terms: D001942:Breast Feeding; D007396:Internship and Residency; D007774:Lactation; D010372:Pediatrics / Q000193:education*; D010819:Physician's Role