Founded by brigham and women's hospital and massachusetts general hospital

Office of Continuing Professional Development

Pediatric End of Life Issues

Pediatric End of Life Issues:
Palliative Care and Advance Care Planning



This one hour activity will discuss the role of pediatric palliative care and who is eligible. Specific tools are provided to empower the clinician to initiate end of life care discussions with patients and their families, aid the family in advance care planning, and support the family after the death of their child. Concepts will be illustrated through real interviews depicting families' struggles with end of life care. Videos were produced by the courageous parents network.

This online interactive educational activity is designed to meet the criteria for risk management study in Massachusetts,including credit for end of life care while providing clinicians with practical knowledge which can be applied to their day to day practice. Information is geared specifically towards the treatment of pediatric patients and their families.

Learning Objectives

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

1. Describe the role of pediatric palliative care
2. Select patients who would benefit from pediatric palliative care services and describe resources available to families
3. Demonstrate an increased ability to initiate and discuss end of life issues with patients and their families

Target Audience

This activity is intended for pediatric practitioners.


Ben Nelson, MD, Course Director
Massachusetts General Hospital for Children
Dr. Nelson received his medical degree from Georgetown University. He completed his pediatric residency and pulmonary fellowship at MGH. He is currently a board certified pediatric pulmonologist. In addition to his clinical responsibilities, he is the program director for the pediatric pulmonary fellowship at MGHfC and the associate director for continuing medical education.

Pat O'Malley, MD
Massachusetts General Hospital for Children
Dr. O'Malley is board certified in pediatrics, pediatric emergency medicine, and pediatric palliative care. She is the pediatric emergency department unit chief emerita at MGH, and now serves as the medical director for pediatric palliative care services at MGHfC.

Registration Information

Registration Fee: $15

For questions regarding registration, please contact Partners Office of Continuing Professional Development at

Provided by:

MassGeneral for Children and Partners HealthCare

CME Information

Release Date: December 2, 2015
Expiration Date:
December 1, 2017
Review Date: November 17, 2016
1 hour

Partners HealthCare System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Partners HealthCare System designates this enduring material activity for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is designed to meet the criteria for risk management study in Massachusetts, including credit for end of life care.


In accord with the disclosure policy of Partners HealthCare System as well as guidelines of the Accreditation Council for Continuing Medical Education (ACCME), planners, speakers and anyone who may have an influence on the content of the activity have been asked to disclose any relationship they or their spouse/partner have to companies producing pharmaceuticals, medical equipment, devices, etc. that may be germane to the content of their presentation. Such disclosure is not intended to suggest or condone bias, but provides participants with information that might be of potential importance to their evaluation of a given presentation.

Partners HealthCare System has implemented a process to resolve potential COIs for this CME activity to help ensure content objectivity, independence, fair balance and ensure that the content is aligned with the interest of the public.

The following planner, reviewierand content developer and/or their spouse/partner have reported no relevant financial relationship with a commercial interest:
Benjamin Nelson, MD

The following content reviewers and/or their spouse/partner have reported no relevant financial relationships with a commercial interest:
Sandra Clancy
Blyth Lord
Patricia O'Malley, MD

The following speakers and/or their spouse/partner have reported no relevant financial relationships with a commercial interest:
Patricia O'Malley, MD

This internet-based CME activity is best experienced Microsoft Internet Explorer 9.0 or later, Mozilla Firefox 13 or later, Chrome 16 or later, Safari (version 5 or later)

Hardware/Software Specifications:
This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, and Microsoft PowerPoint.

Optimal System Configuration:
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 13+, Internet Explorer 9.0+, Safari 13+, or Google Chrome 16+
Operating System: Windows Vista,7,8 or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements:
Windows PC:
Intel Pentium 4 or equivalent with 2.33 GHz processor; Windows XP; 512 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 3+, Internet Explorer 7.0+, Safari 4+, Google Chrome, or Opera
Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 128MB of video memory; Sound Card: at least 16-bit

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