Sarah,
I live in Missouri, and I know a LC that takes residents from the 
University of Missouri that wish to do an elective rotation with her in 
her practice.  I'm sure she would be very happy to talk to you about 
exactly how she runs the rotation, what type of things she has them do, 
and what experiences she tries to provide.  I am a Pediatric Nurse 
Practitioner and I would have loved to spend some time with her during 
my clinical time, or even now!  She really is great and if you would be 
interested in speaking with her, e-mail me privately and I will provide 
you with contact information.

Susan, CPNP
Missouri

Sarah Reece-Stremtan wrote:

>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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