National assessment of physicians'breast-feeding knowledge, attitudes, training, and experience.
- Previous reports have demonstrated that physician counseling can improve rates of breast-feeding initiation and duration but suggest that physicians are ill-prepared for this role.
It is unclear whether residency training for pediatricians, obstetrician/gynecologists, and family physicians provides the knowledge and skills necessary for effective breast-feeding promotion.
- A national random sample of 3115 residents and 1920 practicing physicians in pediatrics, obstetrics/gynecology, and family medicine.
- Assessment of breast-feeding knowledge, attitudes, training, and experience.
- Overall response rate was 68%. All groups demonstrated significant deficits in knowledge of breast-feeding benefits and clinical management ; for example, less than 50% of residents chose appropriate clinical management for a breast-fed jaundiced infant or a breast abscess.
Practicing physicians performed slightly better, but still more than 30% chose incorrect advice for mothers with low milk supply.
Only 55% of senior residents recalled even one instance of precepting related to breast-feeding, and less than 20% had demonstrated breast-feeding techniques at least five times during residency.
Regarding preparation for breast-feeding counseling, more than 50% of all practicing physicians rated their residency training as inadequate.
Mots-clés Pascal : Homme, Allaitement, Evaluation, Médecin, Connaissance, Attitude, Expérience, Formation, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Human, Breast feeding, Evaluation, Physician, Knowledge, Attitude, Experience, Formation, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0248027
Code Inist : 002B20G01. Création : 01/03/1996.