Department of Family Medicine, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University (IMSIU), PO BOX 62510, Riyadh, 11595, Saudi Arabia.
Department of Obstetrics and Gynecology, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
BMC Med Educ. 2018 Oct 8;18(1):232. doi: 10.1186/s12909-018-1282-3.
Lack of sufficient preparation of physicians for the provision of breastfeeding support and counselling has been well-documented. The development of training in breastfeeding medicine for medical students is currently ongoing worldwide. This study was conducted to gain insights into a potential framework for a breastfeeding education curriculum.
A mixed-method design was used to evaluate the opinions of medical teachers regarding current lactation education and the applicability of the World Health Organization 'Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals' in medical colleges in Riyadh, Saudi Arabia. Twelve teachers from three medical schools were invited to participate in three rounds of research. The first round was carried out through an interview using open-ended questions under three headings: 1) The general opinion on breastfeeding medicine education in medical colleges; 2) The opinion on the contents of the chapter under investigation; and 3) The opinion on cultural points regarding Saudi Arabia and breastfeeding education in medical colleges. This was followed by a thematic analysis. Self-administered, closed-ended questionnaires were created for the second round based the results of the first round. The third round addressed areas of disagreement in opinions. To assess the degree of agreement objectively, rounds 2 and 3 were analyzed according to the 5-point Likert scale, with responses merged to a 3-point Likert scale where appropriate. A consensus was reached when greater than 70% agreement achieved.
All participants agreed that breastfeeding education is suboptimal. Although they considered the world health organization resource on infant and young child chapter a suitable reference for the curriculum, they agreed that modifications to suit the Saudi Arabian context are necessary. The medical teachers suggested a unique curriculum for medical students, which is similar for both genders. However, disagreement existed regarding the provision of extra clinical training to female students.
Breastfeeding medicine education in medical colleges should be developed using resources that are rich in content, are physician-specific and take into consideration the culture.
大量文献记录显示，医生在提供母乳喂养支持和咨询方面准备不足。目前，全球范围内正在为医学生开展母乳喂养医学培训。本研究旨在为母乳喂养教育课程制定一个潜在框架。
采用混合方法设计，评估医学教师对医学院当前哺乳教育的看法，以及世界卫生组织“婴儿和幼儿喂养：医学生和辅助卫生专业人员教科书示范章节”在沙特阿拉伯利雅得医学院的适用性。邀请来自三所医学院的 12 名教师参加三轮研究。第一轮通过访谈进行，访谈采用三个标题下的开放式问题：1）医学院母乳喂养医学教育的总体看法；2）正在调查章节的内容的看法；3）关于沙特阿拉伯和医学院母乳喂养教育的文化点的看法。然后进行主题分析。根据第一轮的结果，为第二轮创建了自我管理的封闭式问卷。第三轮针对意见分歧的领域。为了客观评估同意程度，第二轮和第三轮根据 5 点李克特量表进行分析，适当合并答复至 3 点李克特量表。当达成 70%以上的协议时，即达成共识。
所有参与者都认为母乳喂养教育不足。尽管他们认为世界卫生组织关于婴儿和幼儿章节的资源是课程的合适参考，但他们认为需要进行修改以适应沙特阿拉伯的背景。医学教师为医学生建议了一个独特的课程，男女学生都适用。但是，对于是否向女学生提供额外的临床培训存在分歧。
应利用内容丰富、针对医生且考虑到文化的资源来开展医学院的母乳喂养医学教育。
