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Fellows may choose an academic or primarily clinical pathway. Both would complete the full clinical hours, while those on an academic path will pursue an M.P.H., M.S. in Health Professions education or another Master in Science Degree (2 to 3 years depending on the choice of degree).

The curriculum follows guidelines of an academic training program and each requirement (clinical, research, education, and teaching) is breastfeeding-focused.

Fellows are actively involved in the development and refinement of their fellowship curriculum.

Clinical Time

The total amount of independent clinical time in breastfeeding medicine is 1000 hours, beginning with an additional approximate 500 precepted hours. There is an emphasis on complicated clinical scenarios and complex breastfeeding management. Clinical work is organized in primary care, neonatology settings, and in the community.

  • Breastfeeding Medicine outpatient practice
  • Inpatient rounding with the Breastfeeding Medicine team 
  • Primary care or other fellow's specialty time, as desired
  • Lactation Study Center – One-time orientation, then calls during the week precepted by center staff and Dr. Rosen-Carole
  • Weekly 1-hour meeting with primary mentor (case review, scholarly planning, etc.)


Fellows in the academic pathway are expected to complete a breastfeeding-focused research project as part of the fellowship. The fellow is expected to present this work nationally and publish this work as part of development of their academic focus in breastfeeding medicine. 

  • Research project requirement
  • Abstract and national presentation
  • Published work


Fellows in the academic pathway are expected to enroll in an advanced-degree program.

  • Master’s degree in Health Professions Education (2 years), M.P.H. (3 years), or other coursework (master's level or higher)
  • Breastfeeding lessons to residents, medical students, and community lactation consultants


All fellows are expected to foster community linkages and support.

  • Community involvement is expected in community programs including: Rochester Regional Breastfeeding Coalition, Rochester Hospitals Collaborative, or Care Track
  • Involvement is encouraged in community programs such as Baby Cafes, Centering Pregnancy, or others

National/International Presence

Involvement in national and international breastfeeding meetings and organizations, including the Academy of Breastfeeding Medicine, the United States Breastfeeding Committee, and the International Society for Research in Human Milk and Lactation is encouraged.