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Core Competency Overview

Paediatric Project ECHO Core Competency Webinars focus on fundamental aspects of caring for children with needs relating to Complex Care, Obesity Management, Pain Management and Palliative Care.

Each 1-2 hour Core Competency Webinar will allow participants to thoroughly discuss topics with specialists and other community healthcare providers.

Jump to:

Complex Care
Obesity Management
Pain Management
Palliative Care

Complex Care

Children with medical complexity have complex chronic health conditions associated with significant functional status limitations requiring increased expertise, health services, and resources1. In these Core Competency Webinars we will explore care coordination, social work considerations, feeding/nutrition considerations and overall nuances of caring for children with medical complexity.

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Overview of Children with Medical Complexity

Dr. Catherine Diskin

Learning Objectives:

  • Define the population of CMC and their unique care needs
  • Identify the challenges of care delivery for this population from the perspectives of patients, their families, and the health-care system
  • Describe a care model for CMC

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Care Coordination including Care Plans

Sherri Adams, NP
Michelle Ho, NP

Learning Objectives:

  • Discuss the utility of care plans and care maps
  • Describe members of the clinical team and the role of key clinical worker
  • Describe challenges in care coordination for children with medical complexity (CMC) and their families
  • Review an approach to transition to adult care for CMC

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Social Work and Children with Medical Complexity (I)

Kathy Netten, MSW, RSW
Ashley Edwards, MSW, RSW

Learning Objectives:

  • Introduce a trauma-informed framework to practice
  • Develop a deeper understanding of the impact of living with a child with medical complexity on families
    • Parents/Caregivers
    • Patient/Child/Youth
    • Siblings
    • Family Unit
  • Identify areas of need from a bio-psychosocial lens for families living with a child with medical complexity

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Social Work and Children with Medical Complexity (II)

Kathy Netten, MSW, RSW
Ashley Edwards, MSW, RSW

Learning Objectives:

  • Introduce a trauma-informed framework to practice
  • Develop a deeper understanding of the impact of living with a child with medical complexity on families
    • Parents/Caregivers
    • Patient/Child/Youth
    • Siblings
    • Family Unit
  • Identify areas of need from a bio-psychosocial lens for families living with a child with medical complexity

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Nutritional Assessment of Children with Medical Complexity

Jordan Beaulieu, RD
Laura Vresk, MSc, RD

Learning Objectives:

  • Review who are Children with Medical Complexity (CMC)?
  • Discuss Nutritional Assessment, including:
    • Anthropometric
    • Feeding disorders
    • Nutritional requirements
    • Biochemical assessment
    • Bone health

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Nutritional Management of Children with Medical Complexity

Jordan Beaulieu, RD

Learning Objectives:

  • Describe Children with Medical Complexity (CMC)
  • Briefly review the nutritional assessment of CMC
  • Discuss common interventions for the nutritional management of CMC
    • Growth and Anthropometrics
    • Gastrointestinal Issues
    • Enteral feeding
    • Blenderized Tube Feeding (BTF)
    • Micronutrient deficiencies
  • Review guidelines for monitoring and follow-up

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Sialorrhea in Children with Medical Complexity

Dr. David D’Arienzo, MD

Learning Objectives:

  • Describe the types of sialorrhea and common etiologies​
  • Assess and evaluate the severity and impact of sialorrhea​
  • Understand common sialorrhea treatment options​

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Pain and its Causes in Children with Neurodisability

Obesity Management

There are a number of factors considered when caring for children living with obesity. In these Core Competency Webinars we will explore metabolic comorbidities in relation to obesity while considering weight biases and stigma in healthcare. We will also discuss how to work with patients to start implementing lifestyle changes, once the appropriate strategies are identified.

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Weight Bias & Stigma

Dr. Sarah Nutter

Learning Objectives:

  • Describe weight stigma and related weight-based sociocultural discourses
  • Describe the impact of weight stigma on health and healthcare of patients with higher weights
  • Identify strategies for reducing the impact of weight stigma on practice

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Tools for Assessment and Management

Dr. Stasia Hadjiyannakis, Children’s Hospital of Eastern Ontario

Learning Objectives:

  • Introduce the 5As of Pediatric Obesity Management ​
  • Review the 4Ms Framework for the assessment of obesity-related complications , root causes of obesity, drivers of weight gain, and barriers to weight management​
  • Apply the Edmonton Obesity Staging System for Pediatrics to better determine health risks and health-care needs in pediatric obesity assessment and management

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Metabolic Comorbidities: Medical Screening & Review

Dr. Jill Hamilton, Hospital for Sick Children

Mental Health & Obesity

Dr. Alene Toulany
Dr. Elizabeth Dettmer

Learning Objectives:

  • Discuss common mental health conditions associated with obesity in children and youth​
  • Review implications of mental health diagnoses on obesity management​
  • Highlight practical treatment approaches and communication strategies​

Helpful Resources:

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Nutrition: Assessment & Treatment

Alisa Bar-Dayan, RD

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Physical Activity: Assessment & Treatment

Allie Lougheed

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Pharmacotherapy & Bariatric Surgery: Additional treatment tools for obesity management

Dr. Jill Hamilton, MD

Motivational Interviewing

Dr. Andrea Regina, C. Psych

Dr. Elizabeth Dettmer, C. Psych

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Pain Management

The 3P approach will anchor these Core Competency Webinars. These webinars will give us an opportunity to look deeper into the methodology of physical, psychological and pharmacological strategies when managing pain in children and youth. These webinars will also explore pain conditions and motivational interviewing.

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Pain Science & How to Explain Pain

Mike Sangster, PT,  Founder of Project Next Mile.

Learning Objectives

Upon completion of this presentation the audience will be able to:
  • Understand the importance of a pain neuroscience education approach to the treatment of children andadolescents with pain
  • Initiate the application and implementation of the age appropriate therapeutic pain neuroscience education to children and adolescents with pain, using best evidence principles
  • Understand the role of clinician language in creating positive patient expectancy to foster improved outcome
  • Understand the key curricular elements of a pain neurophysiology education intervention.

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Physiotherapy Treatment for Chronic Pain

Anne Ayling Campos, PT

Karen Chiu, PT

Learning Objectives

Upon completion of this presentation the audience will be able to:
  • Explain the theory of using physical strategies in the management of chronic pain​
  • Identify and list options for physical strategies in the management of paediatric chronic pain​
  • Generate a practical toolkit of strategies that is suitable for the child’s or youth’s pain presentation ​

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Pharmacological Treatment for Paediatric Chronic Pain

Dr. Naiyi Sun, MD

Learning Objectives

Upon completion of this presentation the audience will be able to:
  • To summarize the evidence regarding commonly used analgesics in children and adolescents. ​
  • To outline analgesic indications for pediatric chronic pain. ​
  • To review the use and limitations of analgesics for common types of chronic pain. 

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Psychological Treatment for Paediatric Chronic Pain

Dr. Lauren Harrison, PhD

Learning Objectives

Upon completion of this presentation the audience will be able to:
  • To describe the conceptualization of chronic pain from a biopsychosocial framework
  • Identify cognitive and behavioural interventions for chronic pain
  • To review the levels of care for pain psychology services

Resources mentioned in webinar:

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  • View Presentation Slides

Acute Pain Management

Dr Naveen Poonai

Procedural Pain

Dr. Anna Taddio

Learning Objectives

Upon completion of this presentation the audience will be able to:
  • Identify the consequences of poorly managed needle pain​
  • Describe evidence-based strategies to reduce needle pain​
  • Apply evidence-based strategies to reduce needle pain

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Headache

Dr. Marissa Lagman

Dr. Rebecca Barmherzig, MD, FRCPC ​

Learning Objectives

  • ​Recognize the scope, distribution, and burden of diagnosed and undiagnosed headache disorders and migraine in children and youth​
  • Review updates on acute and preventive therapies in the treatment of pediatric migraine​
  • Apply evidence-based strategies for managing and preventing disability related to migraine in children and adolescents

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Abdominal Pain

Learning Objectives

  • Assess and identify functional abdominal pain disorder using a biopsychosocial lens​
  • Support patients with functional abdominal pain disorder in your office​
  • Identify 3 evidence-based treatments for functional abdominal pain disorder (if referral is needed)

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Neuropathic Pain

Dr. Naiyi Sun

Motivational Interviewing

Dr. Andrea Regina, C. Psych

Dr. Elizabeth Dettmer, C. Psych

Palliative Care

You don’t often hear about pediatric palliative care because it may be difficult to talk about death, especially with children. Death, however, is not all of what makes up palliative care, nor should we avoid talking about death. Death is the heart-breaking reality that is part of medicine. In these Core Competency Webinars, we talk about it all: paediatric palliative care, symptom management, helping families and end-of-life care.

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Note: To explore these paediatric palliative care topics effectively, we will be limiting the number of attendees. Access will be granted on a first-come, first-serve basis and as such we encourage you register as soon as you can.

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What is Paediatric Palliative Care?

Dr. Chris Vadeboncoeur, MD

Learning Objectives:

  • Define pediatric palliative care (PPC)
  • Identify predictable opportunities for palliative care intervention
  • Describe when and how to utilize a subspecialty palliative care team
  • Evaluate myths and assumptions about PPC

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From goals of care to resuscitation: Helping families with difficult decisions

Dr. Adam Rapoport, MD

Learning Objectives:

  • Review the medical evidence supporting the potential benefits of GOC and ACP discussions in pediatrics
  • Explore real and perceived challenges of having these discussions with our patients/families
  • Provide practical suggestions to overcome these challenges and facilitate these crucial discussions

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Symptom Management

Dr. Natalie Jewitt, MD
Dr. Kevin Weingarten, MD

Learning Objectives:

  • Explain how goals of care impact symptom management strategies
  • Describe symptom management strategies for:
    • Seizures
    • Feeding intolerance
    • Sialorrhea
    • Neuroirritability
    • Dyspnea
  • Access resources specific to symptom management in pediatric palliative care

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End-of-Life Care

Dr. Stephanie van Zanten, MD

Learning Objectives:

  • Identify and communicate when end of life is approaching
  • Anticipate and have a plan for care at end of life including the location of care
  • Develop an approach to pain and emergencies at end of life how goals of care impact symptom management strategies

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