Lactation Credits for UCSF Health Ambulatory Clinicians
By Caroline Wick on October 29, 2020
Lactation Credit program for Ambulatory Providers at UCSF Health
Breast/chestfeeding has numerous benefits for lactating individuals and babies including potential reductions in disease risk, antibody transference, promotion of a healthy weight, reduced risk for postpartum depression and convenience for parent and baby. Despite excellent breast/chestfeeding initiation rates, lactating clinicians as a group are at risk of premature breast/chestfeeding and lactation cessation, citing lack of sufficient time and adequate place for milk expression at work.
When working in a productivity model in clinical work, as many of our ambulatory physicians do, the time needed to pump results in decreased productivity and pay. This may affect salary, access to bonuses and scribes, as well as staffing resources for the clinic. The message we are sending our physician parents who breast/chestfeed is that they are not meeting productivity standards due to breast/chestfeeding, pressures not faced by non-lactating parents.
In order to address this inequity and to further support lactating individuals returning from leave, UCSF Health will now offer 1 year of support to those lactating after a childbearing leave. Physicians, trainees and Advanced Practice Providers returning from childbearing leave who work at UCSF Health sites, will now be allowed to schedule one 30-minute lactation hold per half day clinic session for up to 1 year after the birth date of a child. For physicians who are paid on a productivity model, 1.5 wRVU credit per hold will be provided to the clinician’s home department on a quarterly basis for disbursement of funds to the clinician. For APPs who rely on an RVU target, the target will be reduced by 1.5 wRVU credits per lactation hold. This support began on November 1st, 2020.