I start my internship this summer in internal medicine, and the department
has given me tentative approval to do 4 weeks of breastfeeding medicine as
my elective this year.  I have spoken with a couple of local LCs and will
likely be spending some time with them, along with probably one day a week
with one of the breast surgeons (who told me flat-out when I saw her as a
patient that I knew more than she did about breastfeeding and pumping
issues -- so should be interesting!)

I'm curious if anyone has participated in a program that had medical
residents rotate through?  Did you use a certain curriculum or have defined
objectives?  The medicine department here just wants me to give them a
proposal with aims/objectives and detailed info about where I'll be and who
I'll be working with when so they can make sure I'm actually putting in
realistic hours of work.  I'd appreciate hearing any suggestions for
specific issues I might want to make sure I cover -- I imagine that the
medicine department wants me to focus mostly on "mom" issues since I'll be
doing adult medicine.  One LC mentioned looking at the IBCLC clinical
competencies, but that seems quite exhaustive given I'll only be doing this
for 4 weeks.  I'm *hoping* to have a good enough experience that I can
organize something formal and try to make it an available 2 or 4 week
rotation for the 4th-year medical students.

Any ideas???

And as a sidenote, I start my anesthesiology residency next summer, and
look forward to exploring more about how anesthesia in labor affects
immediate and later breastfeeding success -- I know nothing as of yet so
haven't been able to comment on the preceding discussions about this. :)

Thanks so much,
Sarah Reece-Stremtan, M.D. (who's hurriedly trying to finish her MPH and
CLE before she starts working)
George Washington University
Washington DC

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