AAP National Conference & Exhibition (AAP Experience) Oct 11-14, 2014 in San Diego, CA


Here are the handouts of my presentations & additional references:

F2039 and F3090: Pediatric Pain & Suffering:

01 Neuropathic Pain & Adjuvant Analgesia HANDOUT


2013 Onco-Ch72-PainManagementChildrenCancer



Paediatric Pain Profile

H2089: Integrative (non-pharmacological) Pain & Symptom Management:

02 Integrative Medicine Friedrichsdorf.key

2012 Palliative Care for Children with Advanced Cancer copy

2014 BLOG Integrative (non-pharmacological) therapies in managing acute, chronic and procedural pain in children. Australian Pain Society

2009 Integrative Therapeutic Interventions in Pediatric Palliative Care. Oxford.2009

H2089: Consult Etiquette (with David Steinhorn, MD)

03 Consult Etiquette HANDOUT







The early registration price is $1700 if registration is completed by June 20, 2014

Download (click here): Pediatric Integrative Med brochure

September 21-26, 2014
Marquette Hotel, Minneapolis, MN

Presented by:
Department of Pain Medicine, Palliative Care and Integrative Medicine; Children’s Hospitals and Clinics of Minnesota
Pediatric Integrative Medicine Master Class: Advanced pain and symptom management
The Pediatric Integrative Medicine Master Class offers state-of-the-art education in the holistic, non-pharmacological management of common symptoms such as pain, nausea, fatigue, insomnia, depression and anxiety, particularly as they are experienced by children and teens with cancer, life-limiting conditions, chronic pain, and those in palliative care or hospice situations. Participants will gain knowledge and experience with a variety of modalities including imagery, biofeedback, meditation, acupressure, aromatherapy, massage, music, storytelling, and energy therapies. Additional topics will include practical discussions of ethics, legal issues, business and administrative aspects of integrative care, care coordination and self-care for the practitioner.
This master class is designed for physicians and advanced practice nurses to develop their expertise in the field of pediatric integrative medicine. Other disciplines are welcome.
Online registration open
For more information, please contact Katie McGuire at or 612-813-6405
Course directors
Timothy Culbert, MD, FAAP, Medical Director, Pediatric Integrative Medicine Program, Ridgeview Medical Center
Maura Fitzgerald, RN, CNS, Department of Pain Medicine, Palliative Care and Integrative Medicine, Children’s Hospitals and
Stefan Friedrichsdorf, MD, FAAP, Medical Director, Department of Pain Medicine, Palliative Care and Integrative Medicine, Children’s Hospitals
Invited faculty includes:
Gerard Banez, PhD, Cleveland, OH
David Becker, MD, San Francisco, CA
Cora Breuner, MD, Seattle, WA
James Giordano, PhD, Washington, DC / Oxford, UK
Scott Shannon, MD, Fort Collins, CO
Greg Plotnikoff, MD, Minneapolis, MN
Sunita Vohra, MD, Edmonton, Alberta, Canada

Here is a list of current

US Pediatric Palliative Care Physician Fellowship Programs

Thanks to Joanne Wolfe, Boston, in compiling this information !!!

(1) Akron Children’s Hospital Pediatric Palliative Medicine Fellowship (2 slots) Contact: Cathy Kelly-Langen, MD – or 330-543-3343



(2) Children’s Healthcare of Atlanta and Emory University School of Medicine (Pediatric Track) Contact: Jeffrey C Klick, MD -



(3) Children’s Hospital of Philadelphia (2 slots)  Contact:  Jennifer K. Hwang, MD MHS



(4) Children’s of Alabama Palliative & Supportive Care Team/University of Alabama at Birmingham (Pediatric Track, not dedicated position)  Contact: Michael Barnett, MD MS  or (205) 975-8197



(5) Cincinnati Children’s Hospital Hospice & Palliative Care Fellowship (2 slots)

Contact: Marybeth Sullivan, fellowship coordinator

Contact: Norb Weidner, MD  Director



(6) Jefferson Medical College Program – Wilmington DE

Nemours/duPont Hospital for Children HPM Fellowship (Pediatric Track)

Contact: Elissa Miller, MD



(7) Harvard Palliative Care Fellowship (Pediatric Track) (2 slots)

Contact: Joanne Wolfe, MD MPH  pediatric fellowship director

Contact: James F. Fitzgerald  fellowship coordinator



(8) Kaiser Permanente Southern California Hospice and Palliative Medicine Fellowship (Pediatric Track at Children’s Hospital Los Angeles)

Contact: Susan Wang,MD or Ilanit Brook, MD (CHLA Palliative care physician)



(9) Northwestern University Palliative Medicine Fellowship (Pediatric Track, not dedicated position) Contact: Joshua Hauser, MD Contact: Joel Frader, MD



(10) University of Florida Jacksonville (Pediatric Track)

There is also an adult track – 1 position for each year.




(11) University of Michigan Ann Arbor Palliative Care Fellowship (Pediatric Track)

Applicants require funding from home institution

Contact: Terry Murphy



(12) University of Minnesota: Hospice and Palliative Medicine Fellowship (Pediatric Track)

Department of Pain Medicine, Palliative Care and Integrative Medicine, Children’s Hospitals and Clinics of Minnesota, Minneapolis/St. Paul, MN

Contact: Kris Catrine, MD , Pediatric Fellowship Director



(13) University of Mississippi / Batson Children’s Hospital, Hospice and Palliative Medicine Fellowship (Pediatric Track, 1 slot)

Contact: Rick Boyte, MD, Fellowship Director,

Contact: Daphne Secrest, Fellowship Coordinator,


(14) University of Tennessee Palliative Care Fellowship (Pediatric Track) (2 slots)

Contact:  Le Bonheur Children’s Hospital site director:  Melody Cunningham, MD:

Contact:  St Jude Children’s Research Hospital site director:  Justin Baker, MD:

Contact: Fellowship Coordinator:  Catina Price;



(15)  University of Texas Medical School at Houston Hospice and Palliative Medicine Fellowship (Pediatric Track, not dedicated position)

Contact: John Halphen, MD  Fellowship Director

Contact: Patrick Jones, MD Pediatric Track Director



(16) University of Washington Palliative Medicine Fellowship (Pediatric Track, not dedicated position)

Contact: Ross Hays, MD

Contact: Fellowship Coordinator, Betsy Zickler


International Scholarships available to physicians from low and moderate income countries for the 7th Annual Pediatric Pain Master Class, Minneapolis, MN (USA) plus a one-week clinical practicum (June 2-13, 2014)

Application Guidelines for 2-Week Scholarship 2014

Scholarships to applicants from low and moderate income countries for the Pediatric Pain Master Class, Minneapolis, MN, USA (June 7-13, 2014) plus a one-week clinical practicum (June 2-6, 2014) with the Pain and Palliative Care team

Funded by The Foundation of Children’s Hospitals and Clinics of Minnesota, the Children’s Institute for Pain and Palliative Care (CIPPC) is offering two competitive scholarships for physicians from low and moderate income countries currently working in the field of pediatric pain and/or palliative care.

The recipients of this scholarship will be selected based on leadership abilities, commitment to moving the field of pediatric pain and palliative care forward, and attending to underserved pediatric populations. The goal of this scholarship program is to identify medical professionals who are in a position to improve acute and chronic pain management for children both in their institution and beyond (region or country).

This 2-week International Scholarship includes:

• Airfare to and from Minneapolis/St. Paul

• Hotel accommodation and meals

• 1-week practicum with the Pain & Palliative Care Team at Children’s Hospitals and Clinics of Minnesota (June 2-6, 2014)

• 100% course tuition for the Pediatric Pain Master Class, Minneapolis, MN, USA (June 7-13, 2014). For Master Class
details, visit

• Ongoing mentorship 

Eligibility criteria:

• Physicians from a low and moderate income country [ See World Bank "low to upper-middle income economies" <>] who work either exclusively or largely with pediatric patients

• Applicants are currently involved in the management of children with acute and chronic/complex pain and/or in pediatric palliative care

• Preference will be given to individuals (e.g. faculty member, affiliated with a medical school, teaching hospital or large children’s hospital) who are interested in assuming or continuing a regional/national leadership role in the field of pediatric pain and/or palliative care

• Very good command of the English language (we prefer applicants to have undertaken a practicum, rotation, or training in an English-speaking country)

• Commitment from leadership in pediatric pain and palliative care practice and education within the academic, hospital or institutional setting

All applicants will be required to submit the following materials with their application:

• Curriculum Vitae

• Personal letter outlining the need for this 2-week scholarship, including

-         Current and past pediatric experience

-         Current and past involvement in pediatric pain and palliative care

-         How this scholarship may improve the direct care for children in acute, chronic/complex pain and/or palliative care in their institution, region and/or country

-         Commitment to complete the Pain Master Class & a 1-week practicum with the Pain & Palliative Care team at Children’s Hospitals and Clinics of Minnesota

-         Description of your language skills

-         Career goals

• A letter from the Dean, Department Chair, or similar institutional leader indicating a commitment to the applicant and
his/her career goals, institutional support for the applicant’s activities in the field of pediatric pain and palliative care
(including weekly time to work in this area upon completion of this course)

• Three letters of recommendation from clinical peer(s), who work(s) with the applicant closely.

Application process opens November 1, 2013

All applications are due by December 15, 2013 (Incomplete applications will not be considered)

Final decisions will be made by January 15, 2014

To apply for this scholarship or further questions, please contact:

Children’s Hospitals and Clinics of Minnesota

Children’s Institute for Pain and Palliative Care (CIPPC)

Department of Pain Medicine, Palliative Care and Integrative Medicine

2525 Chicago Ave S

Minneapolis, MN 55404, USA


Phone: (+1) 612-813-6405

Fax: (+1) 612-813-6361



Scholarship Review Committee:

Kavita Desai, PhD

Stefan J. Friedrichsdorf, MD

Center to Advance Palliative Care (CAPC) – Pediatric Palliative Care Leadership Center (PCLC) Training Minneapolis, MN |
Jan 8-10, 2014 April 2-4, 2014 | July 23-25, 2014 | Oct 22-24, 2014
Education in Palliative & End-of-life Care [EPEC]: Become an EPEC-Pediatrics Trainer | San Diego, CA| March 15-16, 2014
7th Annual Pediatric Pain Master Class | Minneapolis, MN | June 7-13, 2014 
1st Pediatric Integrative Medicine Master Class | Minneapolis, MN | Sept 21-26, 2014 
Senior Administrative Assistant:

Katie McGuire | 612.813.6405  phone 

Twitter: @NoNeedlessPain

A Pediatrician’s favorite Top 10 Apps for Pain Management

State of the art pain management in the 21st century demands that pharmacological management must be combined with supportive and integrative (non-pharmacological) therapies to manage a child’s pain. At our department we are using physical methods (e.g. cuddle/hug, massage, comfort positioning, heat, cold, TENS), cognitive behavioral techniques (e.g. guided imagery, hypnosis, abdominal breathing, distraction, biofeedback) as well acupressure and aromatherapy.

For “needle-pokes” (vaccinations, blood draws etc.) for instance we expect that kids are sitting upright (use sucrose in the age group 0-12 months), that we numb their skin with topical anesthesia (e.g. EMLA-patch, LMX 4% lidocaine patch, or J-tip) and use distraction, such as bubble blowing or blowing a pin wheel. Alternatives can be apps on your smartphone etc.

My personal favorite remains teaching children in self-hypnosis. However, in addition, I use in my clinical practice (inpatient, clinic and home visits) increasingly Apps on my iPhone or iPad:

My Top 10 Apps for Pain & Symptom Management in Children

 #10 Chalkboard: Drawing on a realistic chalkboard with different color chalk – much more fun than it sounds. [$ 1.99]

 #9 Talking Tom: This is a cat that repeats everything you say in a funny voice. You can then record and share videos and send them by eMail / YouTube / Facebook. Kids really enjoy that they can make Tom the cat say funny stuff… [free]

# 8 Simply Being: Provides relaxation, stress relief and benefits of meditation without prior experience. It allows the child/teenager to choose from 4 meditation times and gives them the option to listen to the guided meditation with or without music or nature sounds. Kids can also listen to the music or nature sounds alone. More for older children and teenagers. [$ 0.99]

 #7 Drums:  As the name implies, this is a drum kit. Great for kids with too much [or too little] energy. Rock on! [$ 0.99]!/id311549739?mt=8

# 6 Tesla Toy: Tesla Toy is a fun interactive “particle toy”. When the fingers touch the screen they generate what looks like a powerful electrical field that makes the thousands of particles react beautifully. 
Kids (& adults) are often mesmerized by this app for a long time. [$ 1.99]

#5 Fruit Ninja: A “juicy” action game with squishy, splatty and satisfying fruit carnage! [$ 0.99]

 #4 Koi Pond: One is gazing into a pond of crystal clear water with fish, turtles and more. Kids run their fingers across the cool surface of the pond and water ripples away from their touch.
The koi fish, disturbed, dart away… only to quickly forget and swim close once more… [$ 0.99]

#3 Easy Bake Treats: This is a highly recommended app. It let’s children make, bake, decorate, eat and share virtual cakes, cupcakes, cookies, cake pops and pizza. They pick their mix, fill the pan with batter and water, mix it all together and slide the pan into the virtual oven to cook.  Then they can add candles to their cakes and cupcakes too! Candles can be lit and re-lit for even more fun! 
Once they’ve baked and decorated their treats, kids can show off and share their delicious virtual creations with family and friends via email or Facebook. Highly addictive – kids can spend a very long time on this! [free]!/id462795218?mt=8

#2 The Healing Buddies Comfort Kit™ app provides an interactive, virtual way for kids and teens to engage with the latest in integrative medicine techniques and activities to assist in the management of symptoms they may be experiencing. 
Kids and families are increasingly interested in options to improve health and wellness that involve taking fewer pills and that involve supporting their body’s natural, internal healing systems. -combining kid-friendly activities and pre-recorded audio exercises and instructions that teach self-care skills. The Healing Buddies Comfort Kit™ (mobile app for iPad, iPhone and iPod Touch platforms) offers an interactive, virtual way for kids and teens at home, in a doctor’s office, or in the hospital, to learn and immediately benefit from self-care techniques to manage common symptoms like pain, worries, nausea, fatigue and trouble sleeping. 

The Healing Buddies Comfort Kit™ contains several integrative medicine techniques adapted for use by children and teens that are quick and effective for symptom control so kids can get back to doing what they like to do–and need to do each day. The techniques included in this mobile app are designed by leaders in the field of Pediatric Integrative Medicine (Physicians, Nurses, Psychologists and Child Life Specialists) and have been tested for years in several leading Children’s Hospitals and Clinics. The app leads kids through these various techniques and activities, plus, the Healing Buddies™ make it a fun and engaging experience.

Techniques that kids will learn that are included in the Healing Buddies Comfort Kit™ include:

-Mental Imagery/Visualization: in this technique kids/teens will learn to use the power of their imagination to effect changes in physical and emotional activity.

-Relaxation Exercises: with these breathing and muscle control techniques, kids/teens will learn to calm down and balance the body and the nervous system which helps to reduce symptoms of pain and nausea, improves sleep and can have a powerful effect on controlling & even eliminating worries

-Acupressure: acupressure is part of the ancient Chinese medical system and involves applying pressure to “special points” on the body which in turn releases helpful chemicals and induces nervous system changes that can help to reduce pain, nausea, and anxiety

-Aromatherapy: aromatherapy, which involves smelling oils made from plants, has been around in most cultures for thousands of years. Smelling certain kinds of scented oils offers another tool for kids/teens to use to control unwanted symptoms/feelings

-Positive Self-Talk: this involves learning to be a “self-coach” and harnesses the power of positive thinking. [Disclaimer:

The creation of the mobile app has been a collaborative effort of my department at the Children’s Hospitals and Clinics of Minnesota with Ridgeview Medical Center and DesignWise Medical.]

 and the winner is…

#1 Balloonimals:  Absolutely groovy – kids love it! My favorite app to distract a child in pain or discomfort. Beautifully rendered balloon animals spring to life when you blow into the microphone on your iPhone/iPad or swipe with your iPod Touch. Watch the balloon inflate and then give your phone a shake to start constructing your Balloon animal. With each shake, your animal takes greater shape until… Voila! Your Balloon animal appears and is ready to play. Pet your “Balloonimal” to see what tricks it can do.

Apps, which just did not make the list (but I still like them a lot): Art of Glow, Sand Garden, Build a Zoo, Naturespace, SkyView and Disney’s Small World



Stefan J. Friedrichsdorf, MD, FAAP Medical Director | Department of Pain Medicine, Palliative Care & Integrative Medicine | Children’s Hospitals and Clinics of Minnesota

Twitter: @NoNeedlessPain