Pediatric Pain Management:
State of the Art and Science

October 17 – 18, 2014

Boston Children’s Hospital, Boston, Massachusetts



The Pediatric Pain Conference is designed for pediatric clinicians; physicians, nurses, psychologists and other clinical staff who care for children with painful conditions. Despite many advances in this field, a significant number of children experience pain unnecessarily in medical settings. This conference is designed to present the latest information on pediatric pain and identify barriers to its adequate treatment.

Recent data have shown that approximately 20-25% of children in hospitals experience unnecessary pain, and addiction and misuse of prescription drugs is a major problem with adolescents in the Unites States. Our conference will include reviews surrounding pharmacologic interventions for pain management, current literature, developmental neuroanatomy, the biology and behavior of addiction, weaning opioids and benzodiazepines, chronic pain management, and the genome project and its implications to pain management. Other topics included in this conference include nonpharmacologic strategies to reduce pain and suffering in children and management of painful needle procedures.


Upon completion of this course, participants will be able to:

  • Discuss strategies and interventions to decrease pain and fear in the traumatized patients during medical procedures.
  • Summarize the current evidence and safety factors of administering analgesics to infants and children and practical aspects of opioid related management.
  • Discuss new insights and approaches in managing the patient with functional abdominal pain and sickle cell disease.
  • Review the physiologic and behavioral factors of reward and addiction.
  • Describe the practical measures in managing end-of- life care more effectively.
  • Outline some practical strategies to implement patient care change institutionally.
  • Describe the physiological progression of a migraine and the implications to treatment at a young age
  • Discuss the biology of tissue stretch and implications for specific treatment
  • Discuss guidelines in weaning opioids and benzodiazepines in the pediatric population and a system to support the practice.
  • Review the essential aspects of the Genome project and implication for medical care and management.


Clinicians who care for children. These include staff nurses, advanced practice nurses, physicians assistants, physician generalists and subspecialists, psychologists, child life workers, social workers, pharmacists, physical, and occupational therapists. Although not specifically intended for researchers, there may be parts of the conference that may be of interest to researchers.


Abstract submission deadline: July 1, 2014.


The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 14.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing education credits will be offered for Nurses, Psychologists, Child Life Specialists, Social Workers and Physical Therapists, who sign in, attend the lecture/s, and complete the program evaluation forms. Clinical Education and Informatics of Boston Children’s Hospital is an approved provider of continuing nursing education by the Massachusetts Association of Registered Nurses, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.

AMA PRA Category 1 Credits™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credits™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC©) granted by the UEMS. One AMA PRA Category 1 Credit™ is equivalent to one (1) hour of European EACCME Credit (ECMEC©), therefore up to 14.50 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.

This activity meets the criteria for 4.75 hours of Risk Management credits, 3.75 hours of Opioid Education/Pain Management credits and 1.0 credit of End-of-Life Care. These credits were determined based on criteria outlined by the Massachusetts Board of Registration in Medicine.


Day 1 October 17, 2014




Analgesics for Infants and Children: Evidence and Practical Aspects

Charles Berde, MD, PhD; Eric Fleegler, MD


Reward and Addiction: Biology and Behavior

Dusica Bajic, MD; Sharon Levy, MD., M.P.H




Biology of tissue stretch and implications for yoga, physical therapy and acupuncture

Helene M. Langevin, MD., (BWH);
Yuan Chi Lin, MD


Lunch and Poster sessions


Caring for Children with Serious Illness: Can we do better?

Richard Goldstein, MD


Functional Abdominal Pain: New Insights and Practical Approaches

Sam Nurko, MD; Neil Schechter, MD




Implementing Practice Change - the Good the Bad and the Ugly

Anna Taddio, BScPhm, MSc, PhD

Day 2 October 18, 2014




Pain, Fear and the Hospitalized Child

Laura E. Simons, PhD.;
Suzanne Graca, CCLS, MS


Sickle cell disease and Pain: Evidence and Practical aspects

Matthew Heeney, MD




Migraine Progression and Chronification –
Implication to Treatment at a Young Age

Rami Burstein, PhD; Alyssa A. Lebel, MD


Lunch and Poster sessions


Weaning Opioids and Benzodiazepines: Science and Systems

Brenda Dodson, PharmD;
Jean Solodiuk, PhD, RN, CPNP;
Christine Greco, MD


Implications for Genome Project

Catherine Brownstein, Ph.D


Closing Remarks

Charles Berde, M.D PhD

*Program changes/substitutions may be made without notice.



Course Number #3414516

Tuition Fees:
Physician $475.00 (USD)
Allied Health Professionals $150.00 (USD)

Early Registration by 9/1/2014
Physicians $450.00 (USD)
Residents/Fellows and Allied Health Professionals $125.00 (USD)

For Boston Children's Hospital Nurses and Allied Health Professionals,
please click here and register in Net learning: The course title is Pediatric Pain Management Conference 2014. You have the option to register for Day 1 or Day 2 or both conference days.

Lunch and snacks will be provided.

Registration by credit card (VISA, MasterCard or American Express) can be made here. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School—Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including: registration confirmation, evaluation and certificate.


This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: Patient Care, Medical Knowledge, Practice-based learning and improvement, Interpersonal and Communication Skills, Professionalism, Systems-based practice.


By phone (617-384-8600), Mon - Fri, 9 am to 5 pm (ET) or by email at: For Boston Children's Hospital Nurses and Allied Health Professionals, please click here and register in Net learning: The course title is Pediatric Pain Management Conference 2014. You have to option to register for Day 1 or Day 2 or both conference days.


To register or view activity information online, click here. To ensure proper registration, please add the first three characters of the source code found at the bottom of the registration form.


A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter.


Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.


All sessions for this course will be held at Boston Children’s Hospital, Folkman Auditorium, Enders Research Building, 300 Longwood Avenue, Boston, MA 02115.


Directions to Boston Children’s Hospital can be found here. Folkman Auditorium is in the Enders Building, which is immediately to the right of the Emergency Department when facing the hospital’s front entrance.


A limited number of rooms have been reserved at Best Western, The Inn at Longwood, Boston, MA (Telephone: 800-992-4023) until September 29, 2014. To receive this rate, please mention the pediatric pain conference. Please specify that you are enrolled in this course to receive a reduced room rate of $209 per night. Please do not purchase non-refundable airline ticket(s) until you have received an email from HMS office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877- 4-HARVMD (1-877- 442-7863) Monday–Friday 9 a.m.–8 p.m. (EST). From outside the U.S., Canada, and Virgin Islands, please call 617-559-3764.


Parking is available at 375 Longwood Avenue. Enter this parking garage by Brueggers. Parking will be available at Brueggers and there will be reduced parking rates at Brueggers on Friday and Saturday.

Course #3414516

Offered by



Course Directors
Charles B. Berde, MD, PhD Joyce LoChiatto, RN, MS, CPNP
Jean Solodiuk, RN, PhD, CPNP Neil Schechter, MD

Course Administrator
Althea Hankey, BSM

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  Copyright © 2014, Harvard Medical School, Department of Continuing Education
    Last update 5.14.2014