Evidence map›Paper›PMID 30300105›Full record

ArticleMedical education online2018

A case study on breastfeeding education in Lebanon's public medical school: exploring the potential role of social networks in medical education.

Sara Moukarzel, Christoforos Mamas, Melissa F Warstadt, Lars Bode, Antoine Farhat, Antoine Abi Abboud, Alan J Daly

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Medical education online, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Sara Moukarzela Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence , University of California San Diego , La Jolla , CA , USA.
Christoforos Mamasb Department of Education Studies , University of California San Diego , La Jolla , CA , USA.
Melissa F Warstadtb Department of Education Studies , University of California San Diego , La Jolla , CA , USA.
Lars Bodea Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence , University of California San Diego , La Jolla , CA , USA.
Antoine Farhatc Faculty of Nursing and Health Sciences , Notre Dame University , Zouk Mosbeh , Lebanon.
Antoine Abi Abboudd School of Medicine , Lebanese University , Hadath , Lebanon.
Alan J Dalyb Department of Education Studies , University of California San Diego , La Jolla , CA , USA.
University of California, San Diego · USLebanese University · LBNotre Dame University – Louaize · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited knowledge, negative beliefs, and lack of sufficient breastfeeding promotion and support by physicians contribute to global suboptimal breastfeeding rates. Formal medical education is well-known to influence future physicians' knowledge, beliefs, and medical practice. However, less understood is the influence of social networks and processes on the exchange and diffusion of knowledge and practices related to breastfeeding.

objectivesWe selected the underserved and under-supported public medical school in Lebanon to examine the social side of medical education. Our objectives were to assess knowledge, beliefs, and self-efficacy related to breastfeeding promotion and support among interns and residents. We also examined the social ecosystem surrounding these students concerning the exchange of breastfeeding knowledge.

designAll data were collected during one study visit per participant. First, an interview-administered structured survey was used to assess beliefs, perceived knowledge, basic breastfeeding knowledge, and self-efficacy related to breastfeeding among n = 70 medical interns and residents. Then, social network data were collected during a semi-structured interview and analyzed using an ego-network approach. All interviews were voice-recorded, transcribed, coded, and thematically analyzed. Descriptive statistics were used to analyze quantitative survey and social network results.

resultsAlthough interns and residents had positive beliefs about breastfeeding benefits, they had limited knowledge and low self-efficacy related to the psychosocial and clinical aspects of breastfeeding promotion and support. They did not seem to have a well-connected professional network around breastfeeding knowledge and practices. Several tended to rely on their informal/non-professional network, such as their mothers, partners, and sisters, for knowledge and practice.

conclusionsOur work using breastfeeding as an exemplary case suggests there is a role for better attending to the beliefs of medical students as well as to the social side of medical education. Future studies can use social network theory to help identify and address influences on medical education outcomes.

Indexed as

Health Knowledge, Attitudes, PracticeSocial SupportBreast FeedingFemaleHealth PromotionHumansInternship and ResidencyLebanonMaleSelf EfficacyStudents, MedicalYoung AdultattitudesbeliefsBreastfeedingknowledge assessmentLebanonmedical educationsocial network

Identifiers

PMID30300105
PMCPMC6179049
OpenAlexW2896854733

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.