Got Milk? Design and Implementation of a Lactation Support Program for Surgeons

Livingston-Rosanoff, Devon; Shubeck, Sarah P.; Kanters, Arielle; Dossett, Lesly A.; Minter, Rebecca M.; Wilke, Lee G.

doi:10.1097/sla.0000000000003269

Cited by 22 publications

(24 citation statements)

References 6 publications

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“… 5 Proactively discussing departmental policies and educating faculty can normalize the process of pregnant residents requiring individualized accommodations. 28 Improved parental leave and breastfeeding accommodations have been shown to reduce burnout. 29 Residencies should strive to provide inclusive training environments by promoting a culture that encourages basic human life cycle events.…”

Section: Discussionmentioning

confidence: 99%

“…However 42% of Otolaryngology program directors report having an official written maternity leave policy 5 . Proactively discussing departmental policies and educating faculty can normalize the process of pregnant residents requiring individualized accommodations 28 . Improved parental leave and breastfeeding accommodations have been shown to reduce burnout 29 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Otolaryngology residents' experiences of pregnancy and return to work: A multisite qualitative study

Champaloux

Acosta²,

Gray

et al. 2022

Laryngoscope Investig Oto

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Objectives A paucity of literature exists about childbearing during otolaryngology residency. Pregnancy is a common part of many physician life cycles, but the timing of residency and the rigors of surgical training amplify the challenges. This study was designed to understand the experiences of childbearing otolaryngology residents and support them during this major life event. Unique challenges include long training, shortage of role models, combination surgical and clinical work, and higher rates of infertility. Study Design Qualitative research. IRB exempt. Setting United States. Methods To capture modern perspectives, 16 current and former otolaryngology residents that experienced pregnancy and childbirth during residency in all four geographic regions of the United States in the past 10 years were recruited to participate in individual structured qualitative interviews. Results Although there was significant training program and personal anxiety reported by childbearing otolaryngology residents, many surgeons experienced healthy pregnancies and postpartum recoveries with minimal disruption to clinical productivity and minimal disruption to their training programs. Multiple recurring themes were identified among the participants spanning the entire childbearing process: increased incidence of pregnancy complications and preterm labor, pregnancy stigma from leadership and coresidents, scheduling logistics regarding call and parental leave, and challenging transitions back to clinical work while navigating breastfeeding and childcare. Conclusion There are actional recommendations that programs can address to make childbearing during residency accessible and acceptable. Understanding these challenges is an important step to encouraging childbearing residents to prosper in academic otolaryngology, increasing the diversity at the highest levels of the field. Level of Evidence 4.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Otolaryngology residents' experiences of pregnancy and return to work: A multisite qualitative study

Champaloux

Acosta²,

Gray

et al. 2022

Laryngoscope Investig Oto

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“…First published online August 2, 2022 doi: 10.1097/ACM.0000000000004898 of breastfeeding physicians and describe the structural and systemic barriers encountered by breastfeeding physicians. While a handful of institutions have created evidence-based policies to improve breastfeeding support for physicians, [8][9][10][11] the majority of the literature strongly suggests that there has been limited system-wide progress to meaningfully support breastfeeding.…”

Section: Decades Of Both Qualitative and Quantitative Data Capture Th...mentioning

confidence: 99%

“…Successful solutions to allow for protected time include blocking off clinic appointments for pumping and implementing a cross-cover system for surgical residents to cover for one another during noncritical portions of surgical cases. 9,11 Solutions that work in one specialty may not be as successful in others. For example, one anesthesia program analyzed surgical case lengths and found only 39% lasted long enough for a resident to receive a break in the middle of the case without missing the critical induction and emergence stages.…”

Section: Addressing the Problemmentioning

confidence: 99%

Supporting Breastfeeding Physicians Across the Educational and Professional Continuum: A Call to Action

et al. 2022

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The benefits of breastmilk and lactation are well established for both infants and women. National organizations recommend exclusively breastfeeding for the first 6 months of life and continued breastfeeding for the first 1–2 years of life. For physicians, childbearing years often coincide with key periods of training and their early career. Physician mothers have high rates of initiating breastfeeding but low success in maintaining breastfeeding. Breastfeeding discontinuation among physicians is a well-described, multifactorial issue that has persisted for decades. Reasons for discontinuation include inadequate access to pumping rooms, insufficient workplace and coworker support, and constrained schedules. Pumping is viewed as a burden to teammates and superiors, and physicians are often required to make up time spent pumping. Vague or absent policies to support breastfeeding by accreditation organizations and institutions create workplace conflict and impose additional stress on breastfeeding physicians, who devote significant time, energy, and mental reserves navigating clinical responsibilities, workplace relationships, and licensing requirements to pump. The authors propose several recommendations to improve the environment, support, and resources for breastfeeding physicians with a focus on what individuals, institutions, and professional organizations can do. Creating lactation policies that allow breastfeeding physicians equitable participation in the workplace is a matter of reproductive justice. Improving the collective awareness and support for breastfeeding trainees and physicians is a critical step in recruiting, retaining, and supporting women in medicine.

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“…One exception is the University of Michigan, where surgical residents and departmental leaders have developed guidelines that outline specific accommodations for a lactating resident, with the stated objective of minimizing disruption in clinical activity while creating a ''welcoming and inclusive environment for a diverse workforce.'' 9 These efforts have been shared on social media, and residents at other programs are now seeking to draft and adapt similar policies at their respective institutions. However, it should not be the responsibility of residents to ask for this support; rather, it is our charge as clinicians and DOI: http://dx.doi.org/10.4300/JGME-D-19-00140.1 educators to create an environment and system that support trainees who are breastfeeding.…”

mentioning

confidence: 99%

Call to Action: Universal Policy to Support Residents and Fellows Who Are Breastfeeding

Johnson

Mitchell

Snyder

2019

Journal of Graduate Medical Education

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Got Milk? Design and Implementation of a Lactation Support Program for Surgeons

Cited by 22 publications

References 6 publications

Otolaryngology residents' experiences of pregnancy and return to work: A multisite qualitative study

Otolaryngology residents' experiences of pregnancy and return to work: A multisite qualitative study

Supporting Breastfeeding Physicians Across the Educational and Professional Continuum: A Call to Action

Call to Action: Universal Policy to Support Residents and Fellows Who Are Breastfeeding

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