Lead Investigators

 
  Hal Siden (Principal Investigator)   Phone: 604 875 3200  E-mail:  hsiden@cw.bc.ca    Location    Dr. Siden is a Clinical Professor in the Department of Pediatrics at the University of British Columbia. He is also the Medical Director for Canuck Place Children's Hospice, and Medical Director, Palliative Medicine at BC Children’s Hospital, both located in Vancouver, British Columbia.   Experience with our target population   Dr. Siden has expertise in pediatric palliative care and pain management. He has worked for 20 years with children living with complex conditions and life-threatening diseases. Many of the children Dr. Siden sees battle uncomfortable and painful symptoms as a result of their condition, some of them difficult to explain.   Interest in pain management   Dr. Siden has a particular interest in pain assessment and pain management. Pain is not well understood in children who are cognitively normal, and is very poorly understood in children with neurological conditions; finding new treatments and tools for assessing pain is therefore important. Apart from testing the feasibility of the PIUO Pathway, Dr. Siden is interested in new and emerging treatments for pain, and in biological markers of pain in children.

Hal Siden (Principal Investigator)

Phone: 604 875 3200

E-mail: hsiden@cw.bc.ca

Location

Dr. Siden is a Clinical Professor in the Department of Pediatrics at the University of British Columbia. He is also the Medical Director for Canuck Place Children's Hospice, and Medical Director, Palliative Medicine at BC Children’s Hospital, both located in Vancouver, British Columbia.

Experience with our target population

Dr. Siden has expertise in pediatric palliative care and pain management. He has worked for 20 years with children living with complex conditions and life-threatening diseases. Many of the children Dr. Siden sees battle uncomfortable and painful symptoms as a result of their condition, some of them difficult to explain.

Interest in pain management

Dr. Siden has a particular interest in pain assessment and pain management. Pain is not well understood in children who are cognitively normal, and is very poorly understood in children with neurological conditions; finding new treatments and tools for assessing pain is therefore important. Apart from testing the feasibility of the PIUO Pathway, Dr. Siden is interested in new and emerging treatments for pain, and in biological markers of pain in children.

  Tim Oberlander (Co-Principal Investigator)   Phone: 604 875 2776  E-mail:  toberlander@cfri.ca    Location   Dr. Tim Oberlander is a physician-scientist whose work “bridges” developmental neurosciences and community child health.  He is a Professor in the Department of Pediatrics at the University of British Columbia. As a clinician he works as a Developmental Pediatrician and the Medical Director for the Complex Pain Service at BC Children’s Hospital. He has particular expertise in managing pain in children with developmental disabilities.   Experience with our target population   Dr. Oberlander has particular expertise in managing pain in children across a wide range of developmental ages and abilities. His work seeks to advance care using an integrated approach to managing pain that incorporates a developmental perspective and enables a holistic approach to pain management and prevention.     His work is shaped by his formative experiences during his pediatrics residency and fellowship training that laid the foundation for his 25-year career as a clinician-scientist in Child Development and Pain Medicine.   Interest in Pain Management   Dr. Oberlander has a passionate drive to reduce suffering from chronic pain in infants, children and youth.   As a researcher, his work focuses on understanding how early life experiences contribute to the early origins of self-regulation, as reflected in stress and pain reactivity. As a clinician, his work is guided by a drive to find ways to determine why some children do well and others do not, and identify novel ways to alleviate pain in all children. This perspective has shaped and sustained his approach to clinical practice and research that combines a child developmental perspective with pain treatment for children and youth.

Tim Oberlander (Co-Principal Investigator)

Phone: 604 875 2776

E-mail: toberlander@cfri.ca

Location

Dr. Tim Oberlander is a physician-scientist whose work “bridges” developmental neurosciences and community child health.  He is a Professor in the Department of Pediatrics at the University of British Columbia. As a clinician he works as a Developmental Pediatrician and the Medical Director for the Complex Pain Service at BC Children’s Hospital. He has particular expertise in managing pain in children with developmental disabilities.

Experience with our target population

Dr. Oberlander has particular expertise in managing pain in children across a wide range of developmental ages and abilities. His work seeks to advance care using an integrated approach to managing pain that incorporates a developmental perspective and enables a holistic approach to pain management and prevention.

His work is shaped by his formative experiences during his pediatrics residency and fellowship training that laid the foundation for his 25-year career as a clinician-scientist in Child Development and Pain Medicine.

Interest in Pain Management

Dr. Oberlander has a passionate drive to reduce suffering from chronic pain in infants, children and youth. As a researcher, his work focuses on understanding how early life experiences contribute to the early origins of self-regulation, as reflected in stress and pain reactivity. As a clinician, his work is guided by a drive to find ways to determine why some children do well and others do not, and identify novel ways to alleviate pain in all children. This perspective has shaped and sustained his approach to clinical practice and research that combines a child developmental perspective with pain treatment for children and youth.

  Vithya Gnanakumar (Site lead Calgary)    Location   Dr. Gnanakumar is a clinical assistant professor in the departments of clinical neurosciences and pediatrics at the Cumming school of medicine, University of Calgary.  She treats patients at the Alberta Children’s Hospital, and other sites in Calgary.   Experience with our target population   Dr. Gnanakumar has expertise in the specialty of Physical Medicine and Rehabilitation. She is from Alberta and graduated from medical school at the University of Calgary in 2006. She pursued additional medical training in Ontario and Ohio before returning to Alberta in 2012.  She focuses on the care of children with conditions such as spinal cord injury, congenital syndromes, brain injury, amputee, musculoskeletal conditions, and neuromuscular disease.   Interest in pain management   Dr. Gnanankumar has a particular interest in the care of children with severe disabilities. She is interested in holistic management of patients. She finds that pain and comfort are often central to the management of other medical conditions.

Vithya Gnanakumar (Site lead Calgary)

Location

Dr. Gnanakumar is a clinical assistant professor in the departments of clinical neurosciences and pediatrics at the Cumming school of medicine, University of Calgary.  She treats patients at the Alberta Children’s Hospital, and other sites in Calgary.

Experience with our target population

Dr. Gnanakumar has expertise in the specialty of Physical Medicine and Rehabilitation. She is from Alberta and graduated from medical school at the University of Calgary in 2006. She pursued additional medical training in Ontario and Ohio before returning to Alberta in 2012.  She focuses on the care of children with conditions such as spinal cord injury, congenital syndromes, brain injury, amputee, musculoskeletal conditions, and neuromuscular disease.

Interest in pain management

Dr. Gnanankumar has a particular interest in the care of children with severe disabilities. She is interested in holistic management of patients. She finds that pain and comfort are often central to the management of other medical conditions.

  Julia Orkin (Site Lead Toronto)    Location   Dr. Orkin is a staff paediatrician and Medical Director of the Complex Care program at the Hospital for Sick Children, Division of Paediatric Medicine. She is an Assistant Professor at the University of Toronto, and an Associate Scientist at the Center for Urban Health Solutions, Li Ka Shing, Keenan Research Institute, St. Michael’s Hospital, located in Toronto, Ontario.   Experience with our target population   Dr. Orkin has expertise in in-patient hospitalist medicine and paediatric complex care. She has worked extensively with children and families living with complex and life-threatening conditions, many of whom experience uncomfortable and painful symptoms as a result of their condition.   Interest in pain management   Working with children with medical complexity, Dr. Orkin sees first hand the challenges that uncomfortable and painful symptoms can pose for children and their families. Dr. Orkin is dedicated to researching and identifying new ways to better serve these children and families to improve their overall quality of life and support.

Julia Orkin (Site Lead Toronto)

Location

Dr. Orkin is a staff paediatrician and Medical Director of the Complex Care program at the Hospital for Sick Children, Division of Paediatric Medicine. She is an Assistant Professor at the University of Toronto, and an Associate Scientist at the Center for Urban Health Solutions, Li Ka Shing, Keenan Research Institute, St. Michael’s Hospital, located in Toronto, Ontario.

Experience with our target population

Dr. Orkin has expertise in in-patient hospitalist medicine and paediatric complex care. She has worked extensively with children and families living with complex and life-threatening conditions, many of whom experience uncomfortable and painful symptoms as a result of their condition.

Interest in pain management

Working with children with medical complexity, Dr. Orkin sees first hand the challenges that uncomfortable and painful symptoms can pose for children and their families. Dr. Orkin is dedicated to researching and identifying new ways to better serve these children and families to improve their overall quality of life and support.

  Christina Vadeboncoeur (Site Lead Ottawa)    Location   Dr. Vadeboncoeur is an Assistant Professor in the Department of Pediatrics at the University of Ottawa. She is also the Associate Medical Director for the CHEO Palliative Care Program and Roger Neilson House Hospice, both located in Ottawa, Ontario.    Experience with our target population   Dr. Vadeboncoeur has expertise in pediatric palliative care and pain management. She worked for 10 years with children diagnosed with cancer and has worked for 12 years with children living with complex conditions and life-threatening diseases. Many of the children Dr. Vadeboncoeur sees are unable to communicate the cause of their distress, and are felt by their families to be in pain or uncomfortable.       Interest in pain management   Dr. Vadeboncoeur has a particular interest in pain assessment and pain management.  In addition to providing care for children with life-limiting diagnoses, she has provided pain and symptom management and weaning expertise in children admitted to hospital who have been on very high doses of pain and sedative medications.  In this context she has become familiar with the use of many different classes of medication for management of pain and other distressing symptoms. 

Christina Vadeboncoeur (Site Lead Ottawa)

Location

Dr. Vadeboncoeur is an Assistant Professor in the Department of Pediatrics at the University of Ottawa. She is also the Associate Medical Director for the CHEO Palliative Care Program and Roger Neilson House Hospice, both located in Ottawa, Ontario. 

Experience with our target population

Dr. Vadeboncoeur has expertise in pediatric palliative care and pain management. She worked for 10 years with children diagnosed with cancer and has worked for 12 years with children living with complex conditions and life-threatening diseases. Many of the children Dr. Vadeboncoeur sees are unable to communicate the cause of their distress, and are felt by their families to be in pain or uncomfortable.    

Interest in pain management

Dr. Vadeboncoeur has a particular interest in pain assessment and pain management.  In addition to providing care for children with life-limiting diagnoses, she has provided pain and symptom management and weaning expertise in children admitted to hospital who have been on very high doses of pain and sedative medications.  In this context she has become familiar with the use of many different classes of medication for management of pain and other distressing symptoms. 

  Tammie Dewan (Site lead Vancouver)    Location   Dr. Dewan is a Clinical Assistant Professor in the Department of Pediatrics at the University of British Columbia. She is also the Medical Director of the Complex Care Program at BC Children's Hospital, a clinical team dedicated to the care of children with complex, chronic conditions.   Experience with the target population   Through her role in development of the Complex Care Program, Dr. Dewan has increased the institutional and provincial recognition of children with complex, chronic conditions as a distinct and vulnerable clinical population. She continues to research, investigate and develop innovative models of care to better serve this population.   Interest in pain management   Children with complex, chronic conditions frequently present with pain and irritability. Assessment of these complaints is complicated by neurodevelopmental delays that occur frequently in this population as well as numerous medical comorbidities. Dr. Dewan has collaborated with colleagues across institutions and disciplines to develop a robust approach to the evaluation and treatment of these patients.

Tammie Dewan (Site lead Vancouver)

Location

Dr. Dewan is a Clinical Assistant Professor in the Department of Pediatrics at the University of British Columbia. She is also the Medical Director of the Complex Care Program at BC Children's Hospital, a clinical team dedicated to the care of children with complex, chronic conditions.

Experience with the target population

Through her role in development of the Complex Care Program, Dr. Dewan has increased the institutional and provincial recognition of children with complex, chronic conditions as a distinct and vulnerable clinical population. She continues to research, investigate and develop innovative models of care to better serve this population.

Interest in pain management

Children with complex, chronic conditions frequently present with pain and irritability. Assessment of these complaints is complicated by neurodevelopmental delays that occur frequently in this population as well as numerous medical comorbidities. Dr. Dewan has collaborated with colleagues across institutions and disciplines to develop a robust approach to the evaluation and treatment of these patients.

 

Collaborators

Bruce Carleton

Department of Pediatrics, University of British Columbia

Child & Family Research Institute

BC Children’s Hospital

 

Liisa Holsti

Department of Pediatrics, University of British Columbia

Occupational Therapy, BC Children’s’ Hospital

Child & Family Research Institute

 

Eyal Cohen

Department of Pediatrics, University of Toronto

Complex Care, Hospital for Sick Children

 

Dean Elbe

Faculty of Pharmaceutical Sciences, University of British Columbia

 

Julie Hauer

Department of Pediatrics, Harvard Medical School

General Pediatrics, Palliative Care, Complex Care, Boston Children’s Hospital

 

Maria Marano

Department of Pediatrics, University of Toronto

Complex Care Stream, SickKids

 

Adam Rapoport

Department of Pediatrics, University of Toronto

Palliative Medicine and Complex Care, Hospital for Sick Children

 

Marli Robertson

Department of Pediatrics, University of Calgary

Palliative Medicine, Alberta Children's Hospital

Rotary Flames House

 

Scott Schwantes

Department of Pediatrics, University of Minnesota

Gillette Children's Specialty Healthcare

 

Joel Singer    

School of Population and Public Health

University of British Columbia

 

Jen Stinson                            

University of Toronto

Chronic Pain Program, Hospital for Sick Children