Pediatric Palliative Care and End-of-Life Treatment

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Course Credit

The following credits are available for this course:

AMA PRA Category 1 Credits™ (MD, DO, NP, PA)3.5 hours
Contact Hours (Nurse)3.5 hours
CPE Credits (Pharmacist)3.5 hours
Risk Management Credits3.5 hours

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see for more information.

The Pediatric Palliative Care and End-of-Life Treatment course is designed to provide information to practitioners who treat pediatric patients in primary care with a subspecialty setting about palliative care for pediatric patients. The course content covers palliative care delivered by designated healthcare teams, primary palliative care delivery, end-of-life symptom treatment, and orders for life-sustaining therapies.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Describe the differences between primary and subspecialty palliative care and how they complement one another.
  2. Describe the potential limitations of end-of-life decisions.
  3. Review how to identify patient wishes related to comfort, support, and remembrance at the end-of-life by family and friends.
  4. Identify routine health care interactions as an opportunity for long-term goals discussion.
  5. Clarify the family’s understanding of the patient’s illness, identify worries and fears and discuss trade-offs between clinical choices including conditions that would be desirable or unacceptable. 
  6. Conduct a complete pain assessment appropriate for the age of the child.
  7. Describe the neurobiological mechanisms of normal pain perception.
  8. Describe the clinical implications of the neurobiological mechanisms of pain perception for treating and preventing pain.
  9. Design a pain treatment strategy for a child at the end-of-life.
  10. Describe the different palliative care outcomes.
  11. Identify concerns regarding current state of advance care planning (ACP) for children with life-threatening diseases.
  12. Describe the barriers to the use of MOLST.

David Casavant, MD: Course Director/Author/Speaker

Associate in Perioperative Anesthesia, Pain Medicine and Critical Care Medicine, Boston Children’s Hospital
Instructor of Anesthesia, Harvard Medical School

Headshot of Richard Goldstein

Richard Goldstein, MD: Author/Speaker

Program Director, Robert’s Program on Sudden Unexpected Death in Pediatrics, Boston Children’s Hospital
Attending Physician, Pediatric Advanced Care Team (PACT), Boston Children’s Hospital
Assistant Professor of Pediatrics, Harvard Medical School

Emma Jones, MD: Author/Speaker

Attending Physician, Pediatric Advanced Care Team (PACT), Boston Children’s Hospital
Instructor in Medicine, Harvard Medical School

Amy Sanderson, MD: Author/Speaker

Assistant in Critical Care Medicine, Boston Children’s Hospital
Instructor in Anesthesia, Harvard Medical School

Joanne Wolfe, MD, MPH: Author/Speaker

Chair of Pediatrics and Physician-in-Chief, MassGeneral for Children
Chair of Pediatrics, Brigham and Women’s Hospital

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Boston Children’s Hospital designates this activity for 3.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

This activity carries a maximum of 3.5 contact hours. Pharmacists should only claim credit commensurate with the extent of their participation in the activity.

Boston Children’s Hospital designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Risk Management
This activity meets the requirements for 3.50 Risk Management Credits as proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I. Please check your individual state licensing board requirements before claiming these credits.


Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’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 Boston Children’s 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.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Course Directors
David Casavant, MDNone
David Casavant, MDNone
Richard Goldstein, MDNone
Emma Jones, MDNone
Amy Sanderson, MDNone
Joanne Wolfe, MDNone
Course Planners/Reviewers
Dennis Daniel, MDNone
Jenna Freitas, CPNPNone
Crystal Tom, PharmDNone
Traci Wolbrink, MD, MPHLa Fondation – Dassault Systemes: Grant

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Course Content

Expand All
Lesson 1: Pediatric Primary Palliative Care
Lesson 2: Palliative Care - Clinical Vignette
Lesson 3: Palliative Pain and Symptom Management
Lesson 4: Pediatric Palliative and End-of-Life Care
Lesson 5: Massachusetts Medical Orders for Life-Sustaining Treatment (MOLST)
Course Evaluation