Pediatric & Adolescent Orthopedics for the Primary Care Provider

May 16 – 17, 2014 • Friday – Saturday
The Conference Center at Waltham Woods
Waltham, MA


The Division of Pediatric Orthopedics provides operative and nonoperative care for pediatric and adolescent patients of Massachusetts General Hospital and Massachusetts General Hospital for Children, including MGH, MGH Danvers, Newton-Wellesley Hospital and MGH Foxboro. This program is designed to enhance orthopedic care in the pediatric primary care setting through education of primary care providers, presentation of evidence-based practice, and sharing our department's expertise in the field.

Musculoskeletal (MSK) injuries are common in pediatric & adolescent patients. MSK complaints represent 20% of all outpatient and ED visits and 6-10% of pediatric visits to primary care offices; however, self-rated confidence in Pediatric MSK testing was low among primary care providers. This course will provide a foundation of knowledge to overcome insufficient and inadequate education while addressing common Pediatric Orthopedic conditions in the outpatient setting.

The program features diverse teaching methodologies, including primarily case based lectures, case discussions, expert panels, hands-on skill sessions, and interactive small-group sessions. Course content will focus on pediatric orthopedic care in the following areas: upper extremities, lower extremities, the spine, newborns, adolescents, sports medicine, and radiology.


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

  • Describe the fundamental concepts in pediatric orthopedic care of skeletally mature and immature patients
  • Demonstrate improved skill at diagnosing and treating pediatric orthopedic conditions
  • Provide improved patient education about pediatric orthopedic conditions
  • Increase self-assessed competency of pediatric orthopedics
  • Rate performance on scoliosis and newborn hip exams as higher


The program is designed to fulfill the educational needs of primary care physicians (Pediatricians, Family Medicine providers) and physician extenders (Nurse Practitioners, Physician Assistants, Physical Therapists, and Athletic Trainers). We expect the learners to be from HMS's affiliated hospitals and research institutions, the Greater Boston area, and the surrounding region. The course will be pertinent to senior medical students, residents, and practitioners.


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 educational activity for a maximum of 15 AMA PRA Category 1 Credits™.
Physicians should claim only credit commensurate with the extent of their participation in the activity.

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 15 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.


FRIDAY, MAY 16, 2014
7:15-8:00 Registrations/Continental Breakfast
8:00-8:15 Opening remarks
8:15-8:45 Torticollis
8:45-9:15 DDH: How do you screen?
9:15-9:45 DDH Cases: Reassure, screen, or refer
9:45-10:30 Break Out: DDH
10:30-10:45 Q&A
10:45-11:00 Break
11:00-11:15 Visual Diagnosis in Orthopedics
11:15-11:45 Jammed finger or more
11:45 AM-12:15 PM Bad posture or something else
12:30-1:30 Lunch
1:30-2:00 Getting to know your feet and knees IN(side) & OUT
2:00-2:30 Cases of the toddler limp
2:30-3:00 Shin pain in athlete
3:00-3:15 Q&A
3:15-3:30 Snack Break
3:30-4:00 The female athlete: is she getting her fair share
4:00-4:30 Abnormal motion and abnormal length
4:30-4:45 Q&A
4:45-5:15 Update in Pediatric Orthopedics
SATURDAY, MAY 17, 2014
7:15-8:00 Registration/Continental Breakfast/Ask the Expert
8:00-8:30 Scoliosis: To screen or not to screen
8:30--9:00 Your back is giving me pains
9:00-9:45 Break out: back examination
9:45-10:00 Q&A
10:00-10:15 Break
10:15-10:45 Physical pain about the knee
10:45-11:15 Does anterior knee pain have you looking elsewhere?
11:15-12:00 Break out: knee examination
12:00-1:00 Lunch
1:00-1:30 How's a sprain a fracture?
1:30-2:00 The problem ankle
2:00-2:45 Break out: ankle examination
2:45-3:00 Snack Break
3:00-3:30 Pain management with musculoskeletal injury
3:30-4:00 Should I get that x-ray?
4:00-4:30 Cases in sports related concussion management
4:30-4:45 Q&A
4:45-5:15 Update in Pediatric Sports Medicine

*Program changes/substitutions may be made without notice.


Course Number #3424556

Physicians Fee: $475 (USD)
Trainee/Allied Health Professional Fee: $250 (USD)
Athletic Trainers, Resident/Fellow: $250 (USD)

For specific tuition fees, see the registration form. 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, P.O. 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


By phone 617-384-8600, Monday–Friday, 9 AM to 5 PM (EST)
or by email


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 The Conference Center at Waltham Woods,
860 Winter Street, Waltham MA (Telephone: 781-434-7499).


The Conference Center at Waltham Woods is ideally located in the Boston metro area and just minutes from over 1600 hotel rooms. Whether you require full service, select service or extended stay accommodations, we have negotiated special conference rates with several nearby properties that include complimentary shuttle transportation to the Conference Center. Our staff will be glad to assist you in locating a hotel option that best meets the needs of your meeting attendees. Just send an email ( or give us a phone call at 781-434-7499 and ask your sales representative for more specific information. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration For airfare reservations contact the HMS Travel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday - Friday 9 AM - 8 PM (EST). From outside the U.S., Canada and Virgin Islands, please call (617) 559-3764.

Course #3424556

Offered by

Department of
Orthopaedic Surgery, Division of Pediatric Orthopaedics

Course Directors
Brian Grottkau, MD
Jeffrey Kreher, MD

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Maurice Albright, MD
is the Program Director of Pediatric Orthopaedics Fellowship Program, Pediatric Orthopaedic Surgeon, Instructor in Orthopaedic Surgery, Harvard Medical School.

Brian Edward Grottkau, MD
is Chief of Pediatric Orthopedic Service, Pediatric Orthopaedic Surgeon, Assistant Professor of Orthopaedic Surgery, Harvard Medical School.

Jeffrey B. Kreher, MD
is a Pediatric Musculoskeletal and Sports Medicine Specialist, Assistant, Division of Pediatric Orthopaedics, Assistant Professor, Department of Pediatrics, Instructor in Orthopaedic Surgery, Harvard Medical School.

Gleeson N. Rebello, MBBS
is a Pediatric Orthopaedic Surgeon, Instructor in Orthopaedic Surgery, Harvard Medical School.

Chirag Berry, MD
is a Fellow in Pediatric Orthopaedics

Saechin Kim, MD, PhD
is a Pediatric Orthopaedic Surgeon, Instructor in Orthopaedic Surgery, Harvard Medical School

Kunal Kalra, MD
is a Orthopaedic Surgeon, DMC Children's Hospital of Michigan and Receiving Hospital, Detroit, Michigan

Alice Newton, MD
is a Pediatric Medical Services, Child Protection Team

Kevin Raskin, MD
Musculoskeletal Tumor Surgery, Department of Orthopaedic Surgery, Assistant Professor of Orthopaedic Surgery, Harvard Medical School Program Director, Fellowship in Orthopaedic Surgery

Erik Shank, MD
Anesthesia, Critical Care and Pain Management

  Copyright © 2014, Harvard Medical School, Department of Continuing Education
    Last update 2.27.2014