Training for the Baby-Friendly Hospital Initiative

BFHI Physician Course Details


Dr. Silver is a graduate of Cornell University with a BS in Human Development and Family Studies. She received her M.D. degree from the University of Maryland School of Medicine, and completed her residency and chief residency in Pediatrics at Rainbow Babies and Children’s Hospital in Cleveland, Ohio. She is currently Associate Director for the outpatient department of the Herman and Walter Samuelson Children’s Hospital at Sinai in Baltimore, Maryland.

Dr. Silver has a special interest in breastfeeding and lactation management and donates her time freely to several related activities. She has been extremely involved in the Maryland Breastfeeding Coalition, the Maryland Chapter of the American Academy of Breastfeeding, and the AAP’s Section on Breastfeeding. She also serves on the Maryland WIC Advisory Board and has chaired a Legislative Work Group exploring the use of banked donor milk in NICUs.

Dr. Silver has lectured extensively on breastfeeding topics. In 2013, she was named a Fellow of the Academy of Breastfeeding Medicine. In 2014, she was honored as the Maryland AAP Pediatrician of the Year.

Statement of Need:

Previous studies have shown that medical providers lack the knowledge and skills needed to assist the breastfeeding dyad.  A national study of pediatricians and pediatric residents demonstrated that physicians had limited knowledge and clinical experience with breastfeeding.  In the 1999 American Academy of Pediatrics (AAP) Periodic Survey respondents reported lack of knowledge, confidence and positive attitudes toward breastfeeding.  The 2004 AAP Period Survey showed that pediatricians frequently gave misinformation and were up to five times more likely than in the previous survey to recommend mothers stop breastfeeding for reasons that were not medically justified. 

Activity Goal:

Our evidence-based online course will help close this gap described in the Statement of Need by improving the physicians' knowledge related to breastfeeding medicine and competency managing the breastfeeding dyad.

Learning Objectives:
After completing this course, learners should be able to:

  • Restate instructions on educating mothers in skin-to-skin contact and initiating breastfeeding within the first hours of birth;
  • Demonstrate how to counsel a mother whose infant is losing more than the expected amount of weight in the hospital; and
  • Explain to a mother how breastfeeding can be maintained even when there are pre-existing maternal or infant medical conditions.

Target Audience:

Obstetricians and Pediatricians and health care professionals whose scope of practice involves breastfeeding.

Accreditation Statement for CME:

This enduring material activity has been planned and implemented in accordance with the Essentials and Standards of MedChi, the Maryland State Medical Society, through the joint providership of LifeBridge Health and LactationEducationResources. LifeBridge Health is accredited by MedChi to provide continuing medical education for physicians and takes responsibility for the content, quality, and scientific integrity of this CME activity.

Designation Statement:

LifeBridge Health designates this educational activity for a maximum of 3 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

Physician Assistants: The AAPA accepts AMA PRA Category 1 Credit.

Post-tests and activity evaluations must be completed online, and participants can print their certificate or statement of credit upon completion (80% pass rate required).  Click for complete Technical Requirements or to view our Privacy Policy


The tuition for this course is covered by a separate agreement between Lactation Education Resources and your hospital. The hospital is billed for the number of physicians who will be taking the course and payment is made directly to Lactation Education Resources.

Equal Opportunity Statement:

Activities and facilities of LifeBridge Health are available to all without regard to race, color, marital status, gender, sexual orientation, religion, national origin, disability, or age.


LER/LifeBridge Health may use your personal information, such as your email address to inform you of upcoming events or new services offered by the sponsors that we believe may be of interest to you based on the information you have provided us. At any time, you may request that your information is changed or removed by sending an email to: This email address is being protected from spambots. You need JavaScript enabled to view it.

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Contact Information:

If you have questions about this information, please contact Vergie Hughes, Program Director at This email address is being protected from spambots. You need JavaScript enabled to view it.


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