Step by Step


EPIC: (BEST) Plus: Module 1 - Birth Through 14 Days


Course Survey




Credit Hours: CME 1.75

Target Audience:

This training is primarily directed to Primary Care Physicians, office staff and hospital staff.

Educational Objectives:

At the conclusion of this presentation you should be able to:

  • Identify challenges with breastfeeding in the first days of the infant’s life.
  • Develop office policies to support breastfeeding
  • Provide anticipatory guidance to support mothers to successfully breastfeed
  • Assist women with breastfeeding problems in your office and help them utilize community resources

Joint Sponsor Statement - Note: This Accreditation Statement Supersedes All Other Statements & Suggested Additional Reading:

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and the Pennsylvania Chapter American Academy of Pediatrics. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.​

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.75  AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.​

The maximum number of hours awarded for this Continuing Nursing Education activity is 1.75 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.​

Suggested Additional Reading
  1. Allen, M., & Schafer, DJ. (2015). Nurses Improving the Health of Mothers and Infants by Dancing the 10 Steps to Successful Breastfeeding. JOGNN - J Obstetric, Gyn, Neo Nursing.
  2. Bartick, MC, Schwarz, EB, Green, et al. (2017). Suboptimal breastfeeding in the United States: Maternal and pediatric health outcomes and costs. Maternal and Child Nutrition.
  3. Buchholz, M, Dunn, DM, Watkins, L, & Bunik, M. (2016). Integrating Infant Mental Health with Breastfeeding Support: Five Years of the Trifecta Approach. Newborn and Infant Nursing Reviews, 16(4), 293–297.
  4. Dekel, S., Stuebe, C., & Dishy, G. (2017). Childbirth induced posttraumatic stress syndrome: A systematic review of prevalence and risk factors. Frontiers in Psychology.
  5. Flaherman, VJ, Schaefer, EW, Kuzniewicz, MW,  et al. (2015). Early weight loss nomograms for exclusively breastfed newborns. Pediatrics.
  6. Forbes, JD, Azad, MB, Vehling, L, et al.(2018). Association of exposure to formula in the hospital and subsequent infant feeding practices with gut microbiota and risk of overweight in the first year of life. JAMA Pediatrics.
  7. Kenny-Scherber, AC, & Newman, J. (2016). Office-based frenotomy for ankyloglossia and problematic breastfeeding. Canadian Family Physician.
  8. Lessen, R, & Kavanagh, K. (2015). Position of the academy of nutrition and dietetics: Promoting and supporting breastfeeding. Journal of the Academy of Nutrition and Dietetics.
  9. Meek, JY.(2019). Educational Objectives and Skills for the Physician with Respect to Breastfeeding, Revised 2018. Breastfeeding Medicine. 
  10. Perrine, CG, Galuska, DA, Dohack, JL,  et al. (2015). Vital Signs: Improvements in Maternity Care Policies and Practices That Support Breastfeeding — United States, 2007–2013. MMWR. Morbidity and Mortality Weekly Report.
  11. The United States Breastfeeding Committee (2020). “Landscape of Breastfeeding Support” Image Gallery.
  12. Wieczorek, CC, Marent, B, Dorner, TE, & Dür, W. (2016). The struggle for inter-professional teamwork and collaboration in maternity care: Austrian health professionals' perspectives on the implementation of the baby friendly hospital initiative. BMC Health Services Research, 1691.

Beverly Ann Curtis, DNP, PPCNP-BC, IBCLC — Beverly Ann Curtis is employed as a Pediatric Nurse Practitioner at Keystone Pediatrics, located in Chambersburg, Pennsylvania. She has practiced in general pediatrics and in breastfeeding medicine for over 25 years. Dr. Curtis has also served on numerous local and national boards including Chair of the Board of Directors of the United States Breastfeeding Committee. She has worked in many clinical settings developing breastfeeding evidence-based systems of care for families and their infants.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Debra L. Bogen, MD — Professor of Pediatrics, Psychiatry, and Clinical and Translational Science, University of Pittsburgh School of Medicine, Department of Pediatrics
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.