Disclosure PolicyHarvard Medical School (HMS) adheres to 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 any 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.

Wednesday November 13 7:30 a.m. – 3:30 p.m.

Sheraton Colonial Boston North Hotel & Conference Center1 Audubon RoadWakefield, MA

2013Advances in Pediatric Health Care

Boston Children’s Hospital presents the continuing education course

Course ObjectivesUpon completion of this activity, participants will be able to:

• Discuss emerging avian influenza strains and their potential to cause widespread disease

• Summarize benefits and challenges related to quadrivalent seasonal influenza vaccines for 2013-14

• Review new technologies for influenza vaccine production

• Explicate the physical, psychosocial and spiritual needs of children with serious illness, including at the end of life, as well as their families, and develop strategies to support the families as a team

• Identify hospital and community-based resources with whom the primary care team may collaborate to provide such care

• Review the key components of a successful apology program and the impact on the physician and patient when apology is not used

• Discuss why apology may reduce litigation or awards

• Analyze why communication after an adverse event or outcome is important to the patient and their families

• Practice how to correctly obtain manual blood pressures in neonates

• Incorporate rigorous improvement methods to implement evidence-based practices and innovations in health care delivery and determine when to refer to specialists

• Discuss how age, disease states and genomics influence safe and effective opioid prescribing for acute pain

• Review controversies, clinical recommendations and regulatory issues around long-term opioid prescribing for treatment of chronic pain

• Summarize outcomes research on new treatment approaches for chronic pain, including web- and group-based cognitive behavioral therapy, acceptance-and-commitment therapy, mirror box therapy, graded motor imagery, virtual reality and multidisciplinary rehabilitation P

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Course registrationThere is a $100 registration fee (nonrefundable) for this seminar. Please register online at bchadvances.eventbrite.com

For more information, please contact Anne Vaccaro at 617-355-5186 or anne.vaccaro@harvard.edu

We hope to see you there.

Target audience• physicians

• nurses

• nurse practitioners

• physician assistants

These clinicians may be in private practice, in group practices or within an academic medical setting in the New England region.

Plenary Session II: New Ideas and Controversies in Pediatric Health Care

Moderator: Alan Woolf, MD, MPH

10:20 to 10:45 a.m. Pharmacogenomics and Office Practice Shannon Manzi, PharmD

10:45 to 10:50 a.m. Q&A

10:50 to 11:20 a.m. Influenza: Avian Strains and New Vaccines Tom Sandora, MD

11:20 to 11:25 a.m. Q&A

11:25 to 11:50 a.m. Neonatal Hypertension: Tips on Diagnosis & Management Namrata Jain, MD

11:50 a.m. to noon Q&A

Noon to 1:30 p.m. Buffet luncheon and keynote address: “Developing Evidence for What Works in the Real World of Pediatric Care” Don Goldmann, MD, Senior Vice President & Director of Research, Institute for Healthcare Improvement

1:45 to 3:20 p.m. Afternoon workshops (You will choose one)

A.) New Directions in Office Practice: MOC, Medical Homes, ACO, Oh My! Richard Antonelli, MD

B.) Efficiencies in Well-Child Care: A New Paradigm CoFacilitators: Louis Vernacchio, MD & TBA

C.) Hospice Principles and End-Of-Life Care in Pediatrics Christina Ullrich, MD

D.) Malpractice, Apologies and Niceness Gus Papadakis, MD

Program changes/substitutions may be made without notice

Schedule of Events | November 13, 2013 7:30 to 8:20 a.m. Sign-in and reception

8:20 to 8:30 a.m. Welcome and Overview - Alan D. Woolf, MD, MPH

Plenary Session I: The Science and Art of Pain Relief in Children Moderator: Charles Berde, MD, PhD

8:30 to 8:55 a.m. Opiates in Pediatric Pain Control Christine Greco, MD

8:55 to 9 a.m. Q&A

9 to 9:25 a.m. Update on Novel Pain-Relief Modalities Charles Berde, MD, PhD

9:25 to 9:30 a.m. Q&A

9:30 to 9:55 a.m. An Update on Acupuncture for Child Pain Syndromes Chi Lin, MD

9:55 to 10 a.m. Q&A

10 to 10:20 a.m. Break

About this coursePediatric care is changing and improving all the time, and it can be difficult for doctors, nurses and others to stay on top of newest practices, treatments and approaches. Professionals are challenged to stay current on the innovations and advances that can lead to better outcomes and improve the quality of care for children. What’s more, it can be hard to find time to truly explore important issues such as medical ethics, office practice, medical homes and well care.

This course addresses these challenges. Presenting a wide range of information and thought on advances in pediatric health care, this course will:

• Explore common issues seen by pediatricians, nurse practitioners and other medical professionals during their daily practice

• Provide the enhanced knowledge and updated skills clinicians need to better care for patients with common pediatric problems

- Gain a deeper understanding of practices concerning pain relief in children

- Explore new ideas and controversies surrounding issues such as pharmacogenomics and office practice, influenza and vaccination and the diagnosis and management of neonatal hypertension

- Attend workshops on topics such as office practice, well- child care, hospice principles and end-of-life care and malpractice

ACGME CompetenciesThis course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education (ACGME) competencies: patient care, medical knowledge, Interpersonal Communication, Systems-Based Care, Practice-Based Learning & Improvement and Professionalism.

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

The Harvard Medical School designates this live activity for the maximum of 5.75 AMA PRA Category 1 Credits™. Physicians should claim only the credits commensurate with the extent of their participation in the activity.

Advances in Pediatric Health Care