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Published in: Annals of Surgical Oncology 10/2023

14-07-2023 | Lactation | Breast Oncology

Lactation Education for Surgeons: American Society of Breast Surgeons (ASBrS) Survey Demonstrates Strong Member Interest in Expanded Training

Authors: Helen M. Johnson, MD, IBCLC, Mediget Teshome, MD, MPH, FACS, Puneet Singh, MD, CMQ, FACS, Katrina B. Mitchell, MD, IBCLC, FACS

Published in: Annals of Surgical Oncology | Issue 10/2023

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Abstract

Background

The availability and extent of breastfeeding-specific surgical training has not been previously described. We aimed to survey breast surgeons on their lactation education and desire for additional knowledge.

Methods

Members of the American Society of Breast Surgeons were invited via email to anonymously complete an electronic survey from 27 October 2021 to 23 January 2022. The survey content included demographic information, sources of lactation education, and desired topics and methods for further training. Descriptive statistics were used to analyze the data.

Results

A total of 2698 surveys were delivered and 542 (20.1%) completed. While nearly all respondents (99%) reported treating lactating patients at least once or twice per year, 78% reported that their training was inadequate. The most frequently cited sources of lactation information were peer-to-peer informal knowledge sharing (50%) and personal experience with breastfeeding (44%). Nearly all respondents (99%) agreed that formal lactation education would benefit breast surgeons. Specific topics of interest included management of patients with complications of lactation (48%), management of lactating patients with a new diagnosis of breast cancer (47%), and counseling patients with pregnancy-associated breast cancer who desire to breastfeed (46%). The most frequently recommended educational formats included presentation at a national conference (60%), evidence-based management guidelines (58%), webinar (55%), and workshop/course (47%).

Conclusion

Breast surgeons self-report minimal formal training in the management of benign and malignant breast disease in lactating patients and strong desire for expanded education. Development of clinical practice guidelines and additional educational content for surgeons should be considered to meet the needs of this patient population.
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Literature
3.
go back to reference Meek JY, Noble L. Section on B. Policy statement: breastfeeding and the use of human milk. Pediatrics. 2022;150(1):e2022057988.CrossRefPubMed Meek JY, Noble L. Section on B. Policy statement: breastfeeding and the use of human milk. Pediatrics. 2022;150(1):e2022057988.CrossRefPubMed
5.
go back to reference Schwartz K, D’Arcy HJ, Gillespie B, Bobo J, Longeway M, Foxman B. Factors associated with weaning in the first 3 months postpartum. J Fam Pract. 2002;51(5):439–44.PubMed Schwartz K, D’Arcy HJ, Gillespie B, Bobo J, Longeway M, Foxman B. Factors associated with weaning in the first 3 months postpartum. J Fam Pract. 2002;51(5):439–44.PubMed
7.
go back to reference Johnson HM, Lewis TC, Mitchell KB. Breast cancer screening during lactation: ensuring optimal surveillance for breastfeeding women. Obstet Gynecol. 2020;135(1):194–8.CrossRefPubMed Johnson HM, Lewis TC, Mitchell KB. Breast cancer screening during lactation: ensuring optimal surveillance for breastfeeding women. Obstet Gynecol. 2020;135(1):194–8.CrossRefPubMed
9.
go back to reference Partridge AH, Niman SM, Ruggeri M, et al. Who are the women who enrolled in the POSITIVE trial: a global study to support young hormone receptor positive breast cancer survivors desiring pregnancy. Breast. 2021;59:327–38.CrossRefPubMedPubMedCentral Partridge AH, Niman SM, Ruggeri M, et al. Who are the women who enrolled in the POSITIVE trial: a global study to support young hormone receptor positive breast cancer survivors desiring pregnancy. Breast. 2021;59:327–38.CrossRefPubMedPubMedCentral
10.
go back to reference Jones LB, Mallin EA. Dr. Milk: support program for physician mothers. Breastfeed Med. 2013;8(3):330–2.CrossRefPubMed Jones LB, Mallin EA. Dr. Milk: support program for physician mothers. Breastfeed Med. 2013;8(3):330–2.CrossRefPubMed
11.
go back to reference Meek JY, Nelson JM, Hanley LE, Onyema-Melton N, Wood JK. Landscape analysis of breastfeeding-related physician education in the United States. Breastfeed Med. 2020;15(6):401–11.CrossRefPubMed Meek JY, Nelson JM, Hanley LE, Onyema-Melton N, Wood JK. Landscape analysis of breastfeeding-related physician education in the United States. Breastfeed Med. 2020;15(6):401–11.CrossRefPubMed
12.
go back to reference Bucholz EM, Sue GR, Yeo H, Roman SA, Bell RH Jr, Sosa JA. Our trainees’ confidence: results from a national survey of 4136 US general surgery residents. Arch Surg. 2011;146(8):907–14.CrossRefPubMed Bucholz EM, Sue GR, Yeo H, Roman SA, Bell RH Jr, Sosa JA. Our trainees’ confidence: results from a national survey of 4136 US general surgery residents. Arch Surg. 2011;146(8):907–14.CrossRefPubMed
13.
go back to reference Feldman-Winter L, Barone L, Milcarek B, et al. Residency curriculum improves breastfeeding care. Pediatrics. 2010;126(2):289–97.CrossRefPubMed Feldman-Winter L, Barone L, Milcarek B, et al. Residency curriculum improves breastfeeding care. Pediatrics. 2010;126(2):289–97.CrossRefPubMed
14.
go back to reference Rodriguez Lien E, Shattuck K. Breastfeeding education and support services provided to family medicine and obstetrics-gynecology residents. Breastfeed Med. 2017;12(9):548–53.CrossRefPubMed Rodriguez Lien E, Shattuck K. Breastfeeding education and support services provided to family medicine and obstetrics-gynecology residents. Breastfeed Med. 2017;12(9):548–53.CrossRefPubMed
Metadata
Title
Lactation Education for Surgeons: American Society of Breast Surgeons (ASBrS) Survey Demonstrates Strong Member Interest in Expanded Training
Authors
Helen M. Johnson, MD, IBCLC
Mediget Teshome, MD, MPH, FACS
Puneet Singh, MD, CMQ, FACS
Katrina B. Mitchell, MD, IBCLC, FACS
Publication date
14-07-2023
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 10/2023
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-023-13882-w

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