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About Sickkids
About SickKids

Jeremy Friedman, MB. ChB FRCPC

The Hospital for Sick Children
Interim Paediatrican-in-Chief and Associate Chair (Clinical)

University of Toronto
Interim Department Chair, Professor and Associate Chair (Clinical)

Phone: 416-813-6122
Fax: 416-813-7479
Email: jeremy.friedman@sickkids.ca
Alternate Contact: Meagan Cameira
Alternate Phone: 416-813-5792
Alternate Fax: 416-813-7479
Alternate Email: meagan.cameira@sickkids.ca

Brief Biography

Dr. Jeremy Friedman graduated from the University of Cape Town in 1985. After completing his internship in South Africa he worked as a family doctor in rural Saskatchewan for 3 years. He began his residency at Sickkids in Toronto in 1990 and finished as chief paediatric resident in 1994. Since then he has worked as fulltime faculty at Sickkids as a general paediatric hospitalist, including as Division Head of Paediatric Medicine from 2004-2014. In 2012 he was appointed Associate Paediatrician-in-Chief at Sickkids and Professor and Associate Chair in the Department of Paediatrics at the University of Toronto. He has previously served as MSA President and is currently co-chair of the hospital MAC as well as interim Paediatrician-in-Chief at Sickkids and Chair of the Department of Paediatrics at the University of Toronto.

Dr Friedman’s academic interests relate to the care provided to the hospitalized child. He is an academic leader in the rapidly growing field of Hospitalist Paediatrics, and introduced the highly regarded Sickkids ‘complex care’ program which has developed into a world leader in care for the medically complex child. A current area of focus relates to resource stewardship and overuse of tests and therapies, where he leads the Sickkids Choosing Wisely initiative. He has consulted broadly to childrens hospitals in Canada and around the world related to models of clinical care.

Dr. Friedman was appointed to the examination board of the Royal College of Physicians and Surgeons for Paediatrics in 2006. He chaired the Canadian Paediatric Society’s Annual Conference 2009-15, and represented hospitalists on the Canadian Paediatric Society’s Acute Care Committee authoring many national clinical guidelines. He has published over 100 manuscripts and book chapters, and has edited two Paediatric handbooks and seven best-selling books for parents sold around the world.

Dr Friedman has been recognized with many awards for his outstanding contributions to clinical care and teaching. He currently acts as the national medical advisor for the Children's Wish Foundation and as a director for the Jacobs Ladder Foundation.  

Clinical Care Activities

Inpatient General Paediatrics
Complex Care Program

Areas of Specialty:

General Paediatrics
Hospitalist Paediatrics
Complex Care Paediatrics

Academic Background

The Hospital for Sick Children, 1990-07-01 - 1994-06-30

University of Cape Town, 1979-08-01 - 1985-05-01

Research Interests

  • Quality of in-patient care (complex care, hospitalist medicine, morbidity and mortality)
  • Enterostomy tube feeding
  • In-patient sickle cell disease management
  • Dehydration



1993 - Humanitarian Award, The Hospital for Sick Children, Toronto, ON

1998, 1999 - Clerkship Teaching Award, Runner-up, Department of Pediatrics, University of Toronto, Toronto, ON

2000, 2001, 2003 - Harry Bain Award for Excellence in Clinical Teaching, Runner-up, Department of Pediatrics, University of Toronto, Toronto, ON

2001 - Award for Clinical Excellence in Paediatric Medical Care, Department of Pediatrics, University of Toronto, Toronto, ON

2001 - Humanitarian Family Advisory Committee Award Nominee, The Hospital for Sick Children, Toronto, ON

2002, 2005, 2010 - Harry Bain Award for Excellence in Clinical Teaching, Department of Pediatrics, University of Toronto, Toronto, ON

2011- Richard Rowe Award for Clinical Excellence, Department of Pediatrics, University of Toronto, Toronto, ON

2013 – Power Teaching Award for Outstanding Teaching, Department of Pediatrics, University of Toronto, Toronto, ON

2014 - Lionel Weinstein Clerkship Teaching Award, Runner-up, Department of Pediatrics, University of Toronto, Toronto, ON   

2016 - MSA Citizenship Award, The Hospital for Sick Children, Toronto, ON

2017 - Paediatric Academic Leadership - Clinician Practitioner Award, Paediatrics Chairs of Canada National Leadership Awards, Montreal, QC

2018 - Medical Award of Excellence, Sickle Cell Awareness Group of Ontario (SCAGO), Toronto, ON

2018 - President's Award for Championing the Evolution of Health (Complex Care Program), The Hospital for Sick Children, Toronto, ON



2005 - The Hospital for Sick Children Atlas of Pediatrics (Current Medicine, 2005)

2006 - Caring for Kids: the Complete Canadian Guide to Children’s Health (Key Porter, 2006)

2007 - Canada’s Baby Care Book (Robert Rose, 2007)

2009 - The Hospital for Sick Children Handbook of Pediatrics, 11th edition (Elsevier, 2009)

2009 - Canada’s Toddler Care Book (Robert Rose, 2009)

2013 - The A to Z of Children’s Health (Robert Rose, 2013)

2015 - Baby Care Basics (Robert Rose, 2015)

Selected Publications

Friedman JN, Beck C, DeGroot J, Geary D, Sklansky D, Freedman S.   Maintenance iv fluid in hospitalized children: a randomized, double blind, controlled trial of 0.9% NaCI/D5W vs. 0.45%        NaCI/D5W. JAMA Pediatr. 2015;169(5):445-451. doi:10.1001/jamapediatrics.2014.3809.

Savlov D, Beck C, DeGroot J, Odame I, Friedman JN: Predictors of bacteremia among children with sickle cell disease presenting with fever. Journal of Pediatric Hematology and Oncology July 2014 (36)5: 384-388.  

Goldman R, Mounstephen W, Kirby-Allen M, Friedman JN: Intravenous magnesium sulfate for vaso-occlusive episodes in sickle cell disease. Pediatrics December 2013. 132(6): e1634-1641.

Ratnapalan S, Athina M, Martimianakis MA, Cohen-Silver JH, Minnes B, MacGregor D, Allen U, Richardson S, Friedman JN, Bruce-Barrett C, Haj-Assaad L, Noordermeer J, Daneman D: Pandemic management in a pediatric hospital: The impact of H1N1 on the emergency department.  Clinical Pediatrics.  April 2013: 52(4): 322-328.

Friedman JN and Canadian Paediatric Society Acute Care Committee: Risk of acute hyponatremia in hospitalized children and youth receiving maintenance intravenous fluids.  Paediatrics and Child Health Feb 2013: 18(2):102-107. 

Adams S, Cohen E, Mahant S, Friedman JN, MacCulloch R, Nicholas D:  Exploring the usefulness of comprehensive care plans for children with medical complexity (CMC): a qualitative study. DOI:10.1186/1471-2431-13-10. BMC Pediatrics, Jan 2013

Cohen E, Lacombe-Duncan A, Spalding K, MacKinnis J, Nicholas D, Narayanan U, Gordon M, Margolis I, Friedman JN:  Integrated complex care coordination for children with medical complexity: A mixed-methods evaluation of tertiary care-community collaboration.  BMC Health Services Research Oct 2012: 12:366.

Vijenthira A, Stinson J , Friedman JN, Palozzi L, Taddio A, Scolnik D, Victor C, Kirby-Allen M, Campbell F.  Benchmarking pain outcomes for children with sickle cell disease hospitalized in a tertiary referral pediatric hospital.  Pain Research & Management. July/Aug 2012: 17(4):291-296.

Cohen E, Friedman JN:  Caring for children with medical complexity: Definitions, challenges and solutions.  Current Pediatric Reviews.  May 2012 8(2): 92-102.

Daneman D, Friedman JN:: Children who are medically fragile.  Current Pediatric Reviews. May 2012: 8(2): 87-92.

Rogovik AL, Persaud J, Friedman JN, Kirby MA, Goldman RD: Pediatric vasocclusive crisis and weather conditions.  Journal of Emerg Med Nov 2011:41(5):559-565.

Soscia J, Friedman JN: A guide to the management of common gastrostomy and gastrojejunostomy tube problems.   Paediatrics and Child Health. May 2011: 16(5): 281-287.

Friedman JN and Canadian Paediatric Society Acute Care Committee: Emergency management of the paediatric patient with generalized convulsive status epilepticus.  Paediatrics and Child Health Feb 2011: 16(2): 91-104. 

Friedman JN: The hospitalist movement in General Pediatrics.  Current Opinion in Pediatrics Dec 2010: 22(6): 785-790. 

Cohen E, Friedman JN, Mahant S, Adams S, Jovcevska V, Rosenbaum P: The impact of a complex care clinic in a children's hospital.  Child: Care, Health & Development July 2010: 36(4): 574-82. 

Bailey B, Gravelle J, Goldman R, Friedman JN, Parkin P: External validation of the clinical dehydration scale for children with acute gastroenteritis.  Academic Emergency Medicine June 2010: 17(6): 583-588.

Rogovik A, Friedman JN, Persaud J, Goldman R: Bacterial blood cultures in children with sickle cell disease.  American Journal of Emergency Medicine May 2010: 28(4): 511-514.

Parkin P, Macarthur C, Khambalia A, Goldman R,Friedman JN: Clinical and laboratory assessment of dehydration severity in children with acute gastroenteritis.  Clinical Pediatrics May 2010: 49(3): 235-239.

Matlow A, Moody L, Laxer R, Stevens P, Goia C, Friedman JN: Disclosure of medical error to parents and pediatric patients.  Archives of Disease in Childhood Apr 2010: 95(4): 286-290. 

Cohen E, Mahant S, Adams S, Nicholas D,Friedman JN, Rosenbaum P: The needs of medically complex and fragile children and their parents.  The Journal of Pediatric Health Care Sept 2009: 23(5), e31-32. 

Mahant S, Friedman JN, Connolly B, Macarthur C: Tube feeding and quality of life in children with severe neurologic impairment.  Archives of Disease in Childhood 2009: 94(9): pp 668-73.

Rogovik A, Li Y, Friedman JN, Goldman R: Admission and length of stay due to painful vaso-occlusive crisis in children.  American Journal of Emergency Medicine 2009: 27(7): pp 797-801.  

Lieberman L, Kirby M, Ozolins L, Mosko J, Friedman JN: Initial presentation of unscreened children with sickle cell disease:  The Toronto experience.  Pediatric Blood & Cancer 2009: 53(3): pp 397-400.  

Berger E, Saunders N, Wang L, Friedman JN: Sickle cell disease in children: Differentiating Osteomyelitis from Vaso-Occlusive Crises? Archives of Pediatric and Adolescent Medicine 2009: 163(3): pp 251-255.  

Goldman R, Friedman JN, Parkin PC: Validation of the clinical dehydration scale for children with acute gastroentereitis.  Pediatrics 2008: 122(3): pp 545-549.  

Beck C, Parkin P, Friedman JN: Pediatric hospitalist medicine: an overview and a perspective from Toronto, Canada.  Clinical Paediatrics 2008: 47(6): pp 546-8. 

Cohen E, Friedman JN, Nicholas DB, Adams S, Rosenbaum P: A home for medically complex children: The role of hospital programs.  Journal for Healthcare Quality 2008: 30(3): pp 7-15.  

Mahant S, Peterson R, Campbell M, MacGregor DL, Friedman JN: Reducing inappropriate hospital days on a general paediatric inpatient unit.  Pediatrics 2008: 121(5): pp e106B.  

Sy K, Mahant S, Taback N, Vajsar J, Chait PG, Friedman JN: Enterostomy tube placement in children with spinal muscular atrophy type 1.  Journal of Pediatrics 2006: 149(6): pp 837-9.  

MacDonald, NE, Ford-Jones L, Friedman JN, Hall, J: Preparing a manuscript for publication: A user-friendly guide.  Paediatrics and Child Health 2006: 11(6): pp 339-344.  

Friedman JN: The case for...writing case reports.  Paediatrics and Child Health 2006: 11(6): pp 343-344.  

Friedman JN, Pinard MS, Laxer RM: The morbidity and mortality conference in university-affiliated pediatric departments in Canada. The Journal of Pediatrics 2005: 146(1): p 1-2. PA

Dwight P, Macarthur C, Friedman JN, Parkin PC: Evaluation of a Staff Only Hospitalist System in a Tertiary Care, Academic Children's Hospital. Pediatrics 2004: 114(6): pp 1545-1549. C

Friedman J: Enterostomy Tube Feeding: The Ins and Outs. Paediatrics & Child Health 2004: 9 (10): pp 695-699. PA

Friedman J, Goldman R, Srivastava R, Parkin PC: Development of a clinical dehydration scale for use in children between 1 and 36 months of age. Journal of Pediatrics 2004: 145: 99201-207.

Friedman J, Ahmed S, Connolly B, Chait P, Mahant S: Complications associated with image guided gastrostomy and gastrojejunostomy tubes in children. Pediatrics 2004: 114(2).

Chow L, Friedman J, Restrepo R, Temple M, Chait P, Connolly B: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. Journal of Pediatrics 2003: 142: pp 141-4.

Mahant S, Friedman J, Macarthur C: Renal ultrasound findings and vesicoureteral reflux in children with urinary tract infection. Arch Dis Child 2002: 86: pp 419-421.

Mahant S, To T, Friedman J: Timing of voiding cystourethrogram in the investigation of urinary tract infection in children. Journal of Pediatrics 2001: 139: pp 568-71.

Friedman J, Laxer R: Providing after hours on-call clinical coverage in the academic health sciences centres: the HSC experience. Canadian Medical Association Journal 2000: 163 (3): pp 298-299.