Implementing a Clinic Schedule with Protected Lactation Break Time Helps Neurology Residents Achieve Lactation Goals

Area of Science:

• Medical Education
• Occupational Health
• Lactation Support

Background:

• Lactating physicians face significant challenges balancing work schedules with lactation needs.
• Federal mandates exist for lactation breaks, but lack specific guidance on frequency and duration.
• Inflexible clinic schedules impede physicians' ability to meet lactation goals.

Purpose of the Study:

• To design and implement an outpatient neurology resident clinic schedule with protected lactation breaks.
• To support trainees' educational experience and lactation goals.
• To address the gap in specific guidelines for lactation break implementation.

Main Methods:

• A quality improvement study involving prototype schedule development with stakeholder input.
• Surveying neurology residents and fellows on the proposed schedule's feasibility.
• Implementing the schedule and surveying participants on their experiences.

Main Results:

• The prototype schedule was deemed sufficient by 11 surveyed residents.
• Protected lactation breaks were unanimously reported to aid lactation goals, work/life balance, and well-being.
• Despite benefits, 75% stopped breastfeeding early, and 100% experienced issues like diminished milk supply due to inadequate pumping or facilities.

Conclusions:

• Protected lactation breaks positively impact neurology residents' ability to meet lactation goals and enhance well-being.
• Persistent barriers, including work interruptions and insufficient lactation facilities, require further attention.
• Continued efforts are necessary to fully support lactating physicians in clinical settings.