ChildKind Meeting Aug 18-19, 2017

Stefan Friedrichsdorf: The Children’s Comfort Promise. Doing everything possible to prevent and treat pain: System-wide for every child every time. Download Handout here: Comfort Promise FRIEDRICHSDORF

Friedrichsdorf SJ, Eull D, Weidner C. A Children’s Comfort Promise: how can we do everything possible to prevent and treat pain in children using quality improvement strategies? Pediatric Pain Letter 2016;18(3):26-30.



Join us in groovy Minneapolis / St. Paul. Our current team of 36 staff, including 3.2 physicians and 6 nurse practitioners is expanding:

The Department of Pain Medicine, Palliative Care, and Integrative Medicine at Children’s Hospitals and Clinics of Minnesota is seeking an Associate Medical Director or Medical Director Pediatric Pain Medicine. 

Download more information here: Pain Director Job Posting July2017


11th International Symposium on Pediatric Pain (ISSP) in Kuala Lumpur, Malaysia from July 6-9, 2017

Here are my handouts:

THURSDAY, July 6, 2017:

FRIDAY July 7, 2017:

SATURDAY July 8, 2017:

  • (3)  Stefan J. Friedrichsdorf, MD, FAAP Kavita Desai Dakoji, PhD-LP Michael Sangster, PT, Clinical Specialist (Pain Science): 23 Years After ‘Reflex Sympathetic Dystrophy’ – Advances In The Understanding & Management Of Complex Regional Pain Syndrome (CRPS) In Children And Teenagers 03 CRPS DESAI FRIEDRICHSDORF SANGSTER


  • (4) Stefan J. Friedrichsdorf: Myths, Mirrors, Magic and no Morphine? Interdisciplinary Multimodal Analgesia in Children with Complex Chronic Persistent Pain04 Chronic Pain FRIEDRICHSDORF
  • Friedrichsdorf SJ, Giordano J, Desai-Dakoji K, Warmuth A, Daughtree C, Schulz C: Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints. Children 2016. 3(4):42




Education in Palliative and End-of-Life Care: Become an EPEC-Pediatrics Trainer April 29-30, 2017 Montréal, Canada

Are you interested in teaching pediatric pain medicine and palliative care? Then become an EPEC-Pediatrics Trainer!

In Affiliation with The American Society of Pediatric Hematology/Oncology Annual Meeting (ASPHO, April 29-30, 2017 Montréal, Canada, following the ASPHO Annual Meeting

plus optional EPEC-Pediatrics Professional Development Workshop April 28, 2017 (requirement to become EPEC-Pediatrics Master Facilitator)

Please join us for this innovative EPEC-Pediatrics curriculum, which offers state of the art knowledge to provide excellent pain & palliative care to pediatric patients and their families. Funded by the National Cancer Institute and based on proven training methods, it features a high impact, train-the-trainer model and equips clinicians to educate interdisciplinary teams that care for children with cancer/hematological conditions as well as other serious illnesses about palliative care.

This training is designed for MDs and AP/NP and other pediatric specialties.

Curriculum includes

  • Training in the EPEC model of professional education, with an emphasis on learning how to teach
  • 20 online modules
  • 24 PowerPoint modules, trainer’s guide & film clips upon successful completion of the course

$1295 for physicians, $ 895 for fellows and other clinicians (discount available)


Registration open:

Seeking 2 International Scholars from low-moderate income countriesEPEC Scholarship Application Guidelines 2017

Further Information:

Education in Palliative and End-of-life Care (EPEC – Pediatrics): A comprehensive curriculum designed to address the needs of children, their families, and pediatric oncology providers and other pediatric clinicians. Funded by the National Institutes of Health / National Cancer Institute. (NIH Grant Number: 1 R25 CA151000-01) from 2010-2017, Stefan Friedrichsdorf, MD, Joanne Wolfe, MD. Joshua Hauser, MD, and Stacy Remke, LiCSW lead this initiative and collaborate with a team of 35 national and international leaders in the field of pediatric pain medicine and palliative care.

The recently developed curriculum now comprises of 24 core palliative care modules, delivered in a combination of distance online learning and in-person conference sessions. These “Train-the-Trainer” modules provide the “trainers” (pediatric hematologists/oncologists or other pediatric specialists incl. nurse practitioners) with all powerpoint presentations, all trigger-tape videos and a teaching handbook for each module to teach interdisciplinary teams.

Train-the-Trainers participants 2012-2016: 365 Trainers from 25 countries and territories: USA (271) plus Puerto Rico (1); Argentina (3), Australia (26), Brazil (1), Canada (12), Costa Rica (2), Denmark (3), Dominican Republic (1), Egypt (1), Jordan (1), Kuwait (1), Mexico (2), Guatemala (1), India (3), Malaysia (3), New Zealand (22), Singapore (2), Saudi Arabia (1), South Africa (1), Thailand (1), Turkey (1), United Kingdom (2), Uruguay (1)

Existing EPEC-Pediatric modules:

1.     Multimodal Analgesia: Acute Pain Management

2.     Opioid Selection and Opioid Rotation

3.     Neuropathic Pain Management and Adjuvant Analgesia

4.     Procedural Pain Management Strategies

5.     Chronic/Complex Pain Management

6.     Methadone

7.     Management of Gastrointestinal Symptoms

8.     Management of Respiratory Symptoms

9.     Management of Fatigue, Psychosocial & Psychiatric Symptoms

10.  Management of Neurological Symptoms

11.  Management of Refractory Distress

12.  Preparation for Imminent Death

13.  Integrative Medicine

14.  Introducing Quality Improvement in PPC

15.  What is Pediatric Palliative Care and Why Does it Matter: An Overview

16.  Child Development

17.  Family Centered Care

18.  Grief and Bereavement

19.  Professional Care for Professionals

20.  Team Collaboration and Effectiveness

21.  Communication & Planning

22.  Ethical & Legal Considerations

23.  Teaching with EPEC-Pediatrics in the Face-to-Face Setting

24.  Teaching Pain & Symptom Management




Stefan J. Friedrichsdorf, MD, FAAP: Pediatric Grand Rounds. Stanford Children’s Health. Lucile Packard Children’s Hospital, Stanford, CA. Feb 12, 2016

Pain Management in Hospitalized Children – From Schrödinger’s Cat and Heisenberg’s Uncertainty Principle to Myths, Morphine and Multimodal Analgesia.

Click following link to watch video of this grand rounds lecture (58 minutes)


Learning Objectives:

  • Critically review risks & safety of analgesic under-treatment versus over-treatment in hospitalized infants & children with pain
  • Evaluate assumptions about opioid use in children
  • Discuss how multiple agents, interventions, rehabilitation, psychological & integrative therapies act synergistically for more effective pediatric pain control with fewer side effects than a single analgesic or modality – and improves patient experience
  • Explore how principles of quantum physics might explain effectiveness of pediatric pain treatment modalities

Link to brochure: Pain Clinic Grand Opening

Media Coverage:

Kare11 Minneapolis/St.Paul (NBC): Innovative kids’ pain clinic opens in Twin Cities (Jan 15, 2015)

WCCO 4 News At 6: Children’s Hospital in Minneapolis officially opened a pain clinic unlike any other in the country, reports Susan-Elizabeth Littlefield (Jan. 15, 2015)

Star Tribune: Clinic taps into the senses to relax and soothe hurting children. (Jan 19, 2015)

Children’s new Pain, Palliative & Integrative Medicine Clinic opens new doors

Minneapolis /St. Paul Business Journal: Children’s Hospitals opens expanded pain therapy clinic (Jan 15, 2015):

Minneapolis/St.Paul Magazine: Horst Rechelbacher’s legacy: $ 3.1 Million New Healing Environment Pain, Palliative & Integrative Medicine Clinic at Children’s of MN (Oct 2014)

Kiran Stordalen and late Horst Rechelbacher discuss integrative medicine with Dr. Stefan Friedichsdorf and their generous gift to create the Kiran Stordalen and Horst Rechelbacher Pediatric Pain, Palliative and Integrative Medicine Clinic at Children’s Hospitals and Clinics of Minnesota. (Oct 2014)

CBS: Horst Rechelbacher and Kiran Stordalen give $1.5M to Children’s Hospitals and Clinics of Minnesota for new pain, palliative and integrative medicine clinic (Oct 2014)



10th Annual Pediatric Pain Master Class

Twitter Hashtag #PedsPMC

Presented by Children’s Institute for Pain and Palliative Care, Department of Pain Medicine, Palliative Care & Integrative Medicine, Children’s Hospitals and Clinic of Minnesota; June 17-23, 2017 in Minneapolis, MN

Registration now available:

Contact if any questions

The Pediatric Pain Master Class offers state of the art education in pain management for the pediatric patient from a holistic and interdisciplinary perspective. The program will cover pharmacological, medical,psychosocial and integrative therapies in the management of children’s acute, procedural, and complex/chronic pain. Pain assessment and management of somatic, visceral, neuropathic, psychosocial andspiritual pain as well as end-of-life management of pain and distressing symptoms will be explored in depth.

The master class is primarily designed for physicians and advanced practice nurses to develop their expertise in the field of pain management in a highly interactive seminar format. Other disciplines are of course welcome.

Two competitive scholarships will be awarded to physicians from low to moderate income countries working in the field of pediatric pain and/or palliative care. The two-week scholarship consists of a one-weekpracticum with the pain, palliative and integrative medicine team at Children’s and registration for the 9th annual Pediatric Pain Master Class. Application guidelines can be found on the registration site.

Course director: Stefan J. Friedrichsdorf, MD, FAAP, medical director, department of pain medicine, palliative care and integrative medicine, Children’s Hospitals and Clinics of Minnesota

Course co-director: Kavita M. Desai, PhD, LP, psychologist, department of pain medicine, palliative care and integrative medicine, Children’s Hospitals and Clinics of Minnesota

For more information about our program: 

Invited  2017 Faculty includes:

KJS “Sunny” Anand, MBBS, Phil – Stanford University, Stanford, California, USA

Charles Berde, MD, PhD – Boston Children’s Hospital, Boston, Massachusetts, USA

Marsha Campbell-Yeo, PhD, RN – Dalhousie University, Halifax, Nova Scotia, Canada

Christine Chambers, PhD, Psych – Dalhousie University, Halifax, Nova Scotia, Canada

John J. Collins, MD – Children’s Hospital at Westmead, Sydney, NSW, Australia

Julia C. Finkel, MD – Children’s National Health System, Washington, D.C., USA

Allen Finley, MD – Dalhousie University, Halifax, Nova Scotia, Canada

Julie Hauer, MD – Pediatric Neuro-Palliative Care Consultant, Newton, Massachusetts, USA

Leora Kuttner, PhD – British Columbia Children’s Hospital, Vancouver, British Columbia, Canada

Melanie Noel, PhD – Alberta Children’s Hospital, Calgary, AB, Canada

Michael Sangster, MBA, BSc (PT) – Dalhousie University, Halifax, Nova Scotia, Canada

Terri Voepel-Lewis, PhD, RN – University of Michigan Health System, Ann Arbor, Michigan, USA

Tine Vervoort, PhD – Health Psychology Lab, Ghent University, Ghent, Belgium

Gary A. Walco, PhD – Seattle Children’s Hospital, Seattle, WA, USA



9th Annual Pediatric Pain Master Class: June 11-17, 2016 in Minneapolis, MN (USA): Download here the complete brochure and agenda: Pain Master Class 2016_booklet_D3

(2017 Pain Master Class Brochure will be posted in January 2017)


SCHOLARSHIP for 10th Pediatric Pain Master Class plus 1-week Practicum

June 10-16, 2017 for physicians from low-moderate income countries: Guidelines available at: 

(Click to download): Application Guidelines for PPMC Scholarship 2017

Past Scholars include:

2016: Mauricio Cervantes, MD, Hospital Infantil Teleton de Oncologia, Querétaro; Mexico

2016: Andrey Penkov, MD, Kharkov Regional Baby Home #1, Kharkov; Ukraine

2015: Rakesh Sharma, MD, from Shimla, Indira Gandhi Medical College, Shimla; India

2015: Issrang Nuchprayoon, MD, Chulalongkorn University, Bangkok; Thailand

2014: Wendy Cristhyna Gómez García, MD, Dr. Robert Reid Cabral Children’s Hospital, Dominican Republic 

2014: Cornelius Kondwani Huwa, MD. Queen Elizabeth Central Hospital, Palliative Care Support Trust, Malawi

2013: Mercedes BernadaMD. Professional Faculty, Department of Pediatrics, Central Hospital Pereira Rossell, Uruguay

2013: Catherine Segbefia, MD. Clinical Tutor, Department of Child Health, University of Ghana School of Medicine, Ghana

2012: Juan Carlos Irola Moya, MD. Pediatric Palliative Care Physician, National Children’s Hospital, Costa Rica

2012: Julius X. Scott, MD, Associate Professor, Pediatric Hematology/Oncology, Sri Ramachandra Medical University, India

2012: Damte Shimelis, MD, Department of Pediatrics and Child Health, Addis Ababa University, School of Medicine, Ethiopia

2011: María Carolina Kamel, MD, Medical Supervisor Pediatrics & Assoc. Clinical Officer, Miguel Pérez Carreño Hospital, Venezuela

2011: Anna Sonkin, MD, Attending Pediatric Physician, Moscow Scientific-Practical Center for Pediatric Cranio-Facial Surgery/Neuropathology, Russia

2010: Linge Gowda, MD, Professor and Head, Kidwai Memorial Institute of Oncology, Bangalore, India

2010: Jinxiang Li, MD, Department of Palliative Medicine, The West China Fourth Hospital of Sichuan University, China

2009: Michelle Meiring, MD, Pediatric Physician, Bigshoes Paediatric Palliative Care Services, Capetown, South Africa

2009: Thao Tran, MD, Pediatric Physician, Pham Ngoc Thach University of Medicine Children’s Hospital, Vietnam


8th Annual Pediatric Pain Master Class – Selected Participant Comments

  • Stefan and his team’s PMC is probably the most intensive educational course I’ve ever done – it is a stunningly thorough coverage of the field of pediatric pain medicine, both broad & deep. The use of interactive feedback, and instant access to a plethora of resources electronically, and experiential aspects (as well as the excellent food, and the two social & one clinical visit provided a welcome balance to the early starts and long days. It truly is an amazing course. Thank you! Paul Vroegop, MD, Auckland, New Zealand
  • This course has invigorated me to become a leader of institutional change at my hospital – it’s time to make children’s comfort a given. Whether using nitrous oxide, topical anesthetics, distraction or advocating for 3 P approach in chronic pain and regional anesthesia at the end of life, comfort possibilities are endless if we just make them a priority. Katherine O’Connor, MD, Bronx, NY
  • Amazing & practical course, packed with entertaining speakers and real-world advice. Really game-changing. Molly Williams, FRACP, Melbourne VIC, Australia
  • This class has opened my eyes to pediatric pain and has made me realize that pain does not have to be a frustrating process and can change. This course should be a must for every pediatric provider to be able to continue to shift thinking in pediatric pain management. The concept of no needless pain/comfort promise is a concept that should absolutely be implemented in every children’s hospital and doctors office in the country (and world!). It has been empowering to want to make a change. J.D. USA
  • Wow, what an amazing course, truly integrated approach. I have learnt so much and it has been a brilliant experience. This seven day course had been a unique experience, the blend of lecturers really works well. You have a fantastic clinic and a really amazing team of people you work with. I will be recommending this amazing course to my colleagues back in the UK. Thank You. Julie Bayliss, Rn, RSCN, BSC Med, London, UK
  • The Pain Master Class was an amazing opportunity to not only (greatly) increase my knowledge on pediatric pain management, but also change my attitude on chronic and procedural pain. The many skills I learned at this course will directly translate to improved patient care. Melissa Acquazzino, MD, Milwaukee, WI
  • As an Emergency Physician I am an expert at managing acute pain, but have had challenging experiences with chronic pain and palliative care patients. Following this course I will bring increased enthusiasm and confidence to my interactions with these patients as I start to use some of my skills and knowledge I have gained. And I will go forward and strive to increase my advocacy for optimal pain management for all infants, children and young people. Jocelyn Neutze, MD, Auckland, New Zealand
  • The pain master class should be required education for every provider who sees a substantial number of pediatric patients with acute and chronic pain, and every provider who want to take a greater leadership role in pediatric pain/palliative care at their institution.
  • A comprehensive and wide ranging course on pediatric pain & palliative care. The speakers are world renowned in their field & are able to distil the clinically relevant aspects of their field. Highly recommended.
  • This was one of the most effective and enjoyable learning activites I have participated in. The approach was multi-modal, multi-faceted & modeled was taught (attitude, skill, knowledge). The time & money spent was the best use of those resources thus far in my career. Anyone who cares for children will benefit from the knowledge, resources, collegiality, networking & inspiration that this course provides. Christine Zawistowski, MD, New York, NY
  • I appreciate the chance to attend this wonderful conference. […] I noticed Japanese are indifferent to pediatric pain. I’m trying to eliminate the needless pain from now on. Yuko Cho, MD, PhD, Sapporo, Japan
  • This class has transformed the way I view pain in pediatrics. It has given me so many tips and methods to help any pediatric patient cope with the variety of things that happen in a hospital and I am really looking forward to making a positive change at my hospital.
  • Thank you for such a fantastic learning opportunity. This dynamic course has provided practical training and methods that I will be able to use immediately to improve the care that I give to children. Wonderful teachers and speakers. So refreshing to be with company of like-minded colleagues and innovative leaders in the field. M.B., Chicago, IL
  • Dear Stefan, Thank you and your team so much for this amazing course. You really found, addressed and taught the sweet spot of holistic, child-centered pain management. Besides this, I appreciated that you provided teaching methodology and skills as well as the implementation lectures. It was an exciting experience meeting you and your team and all the other excellent speakers and the colleagues from all over the world. It will be skill-changing for sure. Thank You. Kathrin Knochel, MD, Munic, Germany
  • Starting a career in palliative care- this course provided the knowledge base confidence to get started. Karen-Rose Wilson, MD, Calgary, Aleberta, Canada
  • This has been a fantastic course. It has provided both inspiration to strive for better pain management program for children and a solid foundation via confident, evidence-based manner. Any reservations about developing comprehensive pain program for pediatrics at my institution have been entirely removed through my participation in this course. Bradd Henker, MD, Coon Rapids, MI
  • This week was a feast for the mind, body and spirit – a very comprehensive overview of the field of Pain Management in children. Kaylani Raghavan, MD, MBBC, DCH, Hartford, CT
  • The Pain Master Class is a one of a kind course that raises the bar on pain management. The course focuses on pediatric pain management, palliative care and integrative medicine with international leaders in the field lending their expertise to this endeavor. As someone with extensive training in pain management already – I still felt that this course was extremely valuable to my practice. Alexander J. Madonis, MD, Los Angeles, CA
  • In the 16 years that I practiced pediatric oncology, and the 7 years of pediatric palliative medicine & hospice, I have never attended a conference that so fundamentally changed the way I think about how to care for / treat children that even remotely compares to this one. Bob Bash, MD, Tampa/St. Petersburg, FL
  • It was an extremely useful course. I will go back to my hospital with a more profound knowledge of all aspects of pediatric pain. Thank you! Join Verlooy, MD, Antwerp, Belgium
  • A well organized course with high content value. The presentation were par excellance and kept everyone glued. Created an opportunity to learn extensively in the field of pain management and the recent advances in the field. Rakesh Sharma, MD, India

7th Annual Pediatric Pain Master Class – Selected Participant Comments

  • This was an amazing class. I learned so much that is directly applicable to my own practice, both to the whole program and individual patients. I am inspired and rejuvenated to return to work. Mary Beth Chrismaeich, MD, St. Louis, MO
  • Stefan is a wonderful and innovative teacher, but even beyond that he really does bring the best people on the planet to teach the various domains in the course. Caitlin Neri, MD, MPH, Boston, MA
  • I loved all the resources provided. The fabulous networking activities were a great touch to make it even more special. Thank you! I will recommend this conference to my colleagues. Life changing! Anonymously
  • The lectures and experimental activities are based on equal parts compassion and evidence best practice… Sarah Fehr, RN, MSN
  • The lessons are largely practical and applicable even in my setting in Malawi. This will change the way pain is managed and viewed in children in Malawi. Cornelius Huwa, MD, Blantyre, Malawi (Africa)
  • I have gained knowledge and skills that I will start using Monday morning…My patients and their families are no doubt better off as a result of me taking this master class. Dr. N.P., Mesa, AZ
  • It is not often in our professional career that we have the fortune to experience a comprehensive course by worldwide experts in one location. Rebekah Holpira
  • Thanks for helping instill confidence in my management and my ability to affect change in pain management within my own institution. Mona Reed, MD
  • The days are long, but the learning is immense and relevant, fun and immediately usable. After a long day, you leave the course feeling energized and ready to begin again in the morning. Anonymously
  • Our days were filled with superb speakers who were all masters of their craft, simple to complex material was effectively communicated with innovative learning strategies and resources were provided to prepare us to be change agent for our return home. Debra Davis, APRN
  • Phenomenal, comprehensive, evidence-based, well-organized course … everything needed to start a pain program or to enhance / grow an existing program. S.D., NY, USA
  • I feel significantly more competent to care for my patients…This course has the highest proportion of truly excellent presenters of any course/meeting I have attended. Robert J. Brown, MD, Los Angeles, CA






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