“Symposia Medicus conferences provide excellent and practical information, but more importantly, the presentations are lively and have a dose of humor to keep us alert and involved.”
-Susan Brister, MD
“All of Symposia Medicus’ speakers are stellar! I am still learning from them even after 20 years of experience. They provide tips that make even the most complicated issues seem much more simple and understandable.”
-Michelle Cullison, CNM
“Symposia Medicus has the best conferences. The locations are great and speakers are excellent!”
-James Bruce, MD


Our 27th Annual Fall Conference on High Risk Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, physician assistants, nurses, and other healthcare professionals who face challenges in the care of the high risk pregnant patient. The primary goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will be placed on practical application of the evidence-based topics presented.

Topics for this year’s conference have been selected based on the educational needs determined from the identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus’ online survey; and other medical and nursing data.

Conference format will include didactic lectures, case studies, and question and answer sessions.

An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based and practical information to participants.

You are sure to enjoy our 27th Annual Fall Conference on High Risk Obstetrics while sharing ideas and experiences with colleagues from across the country in the relaxing environment of Hilton Head Island.


As a result of participating in this conference, you should have increased knowledge and enhanced competence to…

Manage the use of anti-depressants

Recognize the risks to both the mother and fetus associated with maternal obesity

Provide a pragmatic management approach to

Manage the pregnant patient with diabetes

Assess risks and management strategies associated with the short cervix

Manage cardiac disease in pregnancy


This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council on Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Each participant should only claim credit commensurate with the extent of their participation in the activity.

Certificates of credit will be given to participants on-site at the conclusion of the conference.


Symposia Medicus designates this live activity for a maximum of 19 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Application has been made with the American College of Obstetricians & Gynecologists (ACOG) for cognates, Formal Learning.

Certified Nurse Midwives
The American College of Nurse Midwives accepts Category 1 CME approval from organizations accredited by the ACCME.

Physician Assistants
The American Academy of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for the completion of this educational activity are 19.

Provider is also approved by the California Board of Registered Nursing, Provider # CEP2335, for 22.8 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 2.75 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule.


Each registrant will receive an extensive conference syllabus that includes materials on each topic presented. The full color digital syllabus will be available for download approximately two weeks prior to the conference (you’ll receive an email with instructions). If you wish to receive a paper syllabus (black and white type & photos), please check the box on the registration form in this brochure.

If you bring your laptop/tablet to the conference, be aware that there are no electrical outlets at the conference tables. Make sure your laptop/tablet is fully charged each day.

If you are unable to attend this conference, extra copies of this syllabus (either paper or digital copy) will be available one week after the conference. The cost is $60 for a paper syllabus and $25 for the digital copy. To place your order, please email


Julie Arafeh, MSN, RN
Obstetric Simulation Specialist
Texas Children’s Hospital
Houston, Texas

Linda Chambliss, MD, MPH
Chief of Obstetrics
Director of Maternal-Fetal Medicine
St. Joseph's Hospital and Medical Center
Professor of Obstetrics and Gynecology
Creighton University School of Medicine
Clinical Professor of Obstetrics and Gynecology
University of Arizona College of Medicine
Phoenix, Arizona

Cornelia (Connie) Graves, MD, FACOG
Conference Chairperson
Medical Director
Tennessee Maternal-Fetal Medicine
Director of Perinatal Services
Baptist Hospital
Clinical Professor, Vanderbilt University
Nashville, Tennessee

D. Michael Nelson, MD, PhD
Virginia L. Lang Professor of
Obstetrics and Gynecology
Vice Chairman, Obstetrics and Gynecology
Washington University School of Medicine
St. Louis, Missouri

Mark Newman, MD
Clinical Adjunct Professor
Louisiana State University
School of Medicine
New Orleans, Louisiana
Staff Perinatologist
Maternal-Fetal Medicine Clinic
Women’s Hospital of Baton Rouge
Baton Rouge, Louisiana

Julian Robinson, MD
Chief of Obstetrics
Staff Perinatologist
Brigham and Women's Hospital
Associate Professor of Obstetrics,
Gynecology, and Reproductive Biology
Harvard Medical School
Boston, Massachusetts

Consistent with ACCME and ANCC policy, faculty for this educational activity are asked to disclose any commercial interests that may create or may be perceived as creating a conflict related to the material they will be presenting, as well as limitations on clinical studies presented, and any “off-label” use suggestions for medical products. Additionally, Symposia Medicus Board, Planning Committee, and Staff members have disclosed that they have no significant financial relationships that could pose a conflict of interest to the planning of this conference. This information is intended to assist you in forming your own judgments about content presented. Disclosure information will be included in your syllabus and/or verbally disclosed at the conference.


Thursday, September 26

7:00am Conference Registration/Check-in
During Continental Breakfast
8:00 Conference & Faculty Introduction
Connie Graves, MD
8:15 Morbid Obesity in Pregnancy (Rx = 5 minutes)
Julian Robinson, MD
9:00 "I Can't Breathe": Acute Respiratory Emergencies During Pregnancy (Rx = 15 minutes)
Connie Graves, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Simulation-Based Training: Are You Ready?
Julie Arafeh, MSN, RN
11:15 Use of Anti-Depressants in Pregnancy (Rx = 30 minutes)
Mark Newman, MD
Noon Questions & Answers
Group Discussion

Faculty Panel & Audience
12:30pm Lunch Break
1:45 Diabetes in Pregnancy (Rx = 30 minutes)
Linda Chambliss, MD, MPH
2:30 Deep Venous Thrombosis: New ACOG Guidelines (Rx = 5 minutes)
Connie Graves, MD
3:15 Break
3:30 Twins: Time to Think Twice (Rx = 5 minutes)
Julian Robinson, MD
4:15 Questions & Answers
Group Discussion

Faculty Panel & Audience
5:00 Adjourn for the Day

Friday, September 27

7:30am Continental Breakfast
8:00 Preeclampsia: Blood Pressure Lability & Provider Liability (Rx = 10 minutes)
D. Michael Nelson, MD, PhD
8:45 Endocrine Emergencies in the Pregnant Patient (Rx = 15 minutes)
Julian Robinson, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 The Short Cervix: Myth & the Evidence
Connie Graves, MD
11:00 Domestic Violence: A Public Health Crisis
Linda Chambliss, MD, MPH
11:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
12:15pm Lunch Break
1:30 Perinatal Complications of Bariatric Surgery
Mark Newman, MD
2:15 Group B Beta Step Management: How to Avoid a Bad Bug for Babies & the Lawyers that Chase the Infected Cribs (Rx = 10 minutes)
D. Michael Nelson, MD, PhD
3:00 Break
3:15 Cardiac Disease in Pregnancy: Case Studies (Rx = 15 minutes)
Julie Arafeh, MSN, RN
4:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
4:45 Adjourn for the Day

Saturday, September 28

7:30am Continental Breakfast
8:00 Preconception Care: The Key to Improving Pregnancy Outcomes
D. Michael Nelson, MD, PhD
8:45 What’s New in Postpartum Hemorrhage (Rx = 15 minutes)
Linda Chambliss, MD, MPH
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (Hotel check-out, if applicable)
10:30 Hemorrhage Drills: Think Fast, Act Faster
Julie Arafeh, MSN, RN
11:15 Hemoglobinopathies in Pregnancy: Screening & Management
Mark Newman, MD
Noon The Antepartum & Intrapartum Management of Thrombophilias to Prevent an Acute Emergency Event (Rx = 10 minutes)
Connie Graves, MD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Conference Adjourns

Rx = Pharmacology Credit for Prescriptive Authority
will be granted for these sessions


Experience South Carolina, with its “lowcountry” hospitality, year-round inviting temperatures, and casually elegant setting. Hilton Head Island, located at the southernmost tip of the state, directly along the Atlantic Ocean, offers a unique blend of recreational, environmental and cultural amenities – including twelve miles of white sandy beaches, world-class golf, award-winning dining, and great shopping, all set in a nature-conscious, picturesque environment.

The Sonesta Resort sits on 11 acres of beautifully landscaped beachfront and features a spectacular swimming pool, on-site bicycle rentals, and is convenient to world-class golf and tennis.

Adjacent to the Sonesta Resort is the Van Der Meer Tennis Center and the Shipyard Golf Courses (27 holes), both of which are enjoyed year-round in the pleasant South Carolina coastal climate. Nearby
are water sports, restaurants, boutique and outlet shopping, art galleries, and luxurious day spas.

You’re sure to find these, as well as many other activities, in this spectacular setting for our 27th Annual Fall Conference on High Risk Obstetrics.


Enrollment for this conference is limited in order to provide the best possible learning environment.
Early registration is advised.

If postmarked by July 18, 2013
If postmarked after July 18, 2013
Physicians $610 $710
Residents, Nurses, PAs & All Others $510 $610

Tuition includes continuing education certification, extensive conference syllabus, break refreshments, and breakfast on Thursday, Friday, and Saturday.

Tuition may be paid by check, money order, Visa, MasterCard, American Express, or Discover.

Register on-line at www.symposiamedicus.org or by using the form in this brochure.

Telephone registrations can be made Monday-Friday, 8:30am-5:00pm (Pacific Time), by calling (925) 969-1789 or (800) 327-3161. Registrations can also be faxed to (925) 969-1795.

If paying by check, make payable and send with registration form to Symposia Medicus, 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287.

Conference registration will be confirmed via email and more information on travel and hotel will be emailed and also available on our website.

This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information.

For additional conference or lodging information, call Symposia Medicus at (800) 327-3161 or (925) 969-1789, or visit our website at www.symposiamedicus.org.

For information on air reservations and ticketing assistance, you may either call your travel agent or the airlines direct. Please see the Airline Travel Information portion of this brochure for further information.


Group Rates have been arranged at the Sonesta Resort on Hilton Head Island. These rates will also be available three days before and three days after the conference, based on availability, if you wish to extend your stay.

Two nights’ deposit (room rate only) must accompany your reservation. The balance of your lodging, hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards.

By reserving through Symposia Medicus, the Resort Fee of $16 per day is waived

You can receive these rates by reserving the following ways:

On-line at our website, www.symposiamedicus.org; OR

Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789 or (800) 327-3161; OR

Fax form with Visa, MasterCard, American Express, or Discover to (925) 969-1795; OR

By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287.

Please note that our block of rooms is limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase.

Room Type Group Rates Description
Standard Room
(View of perimeter and exterior of hotel)
$149/night All guest rooms are 450 sq. ft. and include a balcony or patio, 46 in. TV, air conditioning, hair dryer, iron and ironing board, electronic safe, in-room movie access, and a desk with one phone.
Courtyard View
(View of tropical gardens, pool or lagoon)
*Horizon View
(View of the ocean horizon)
By reserving through Symposia Medicus, the Resort Fee of $16 per day is waived: Includes in-room coffee, paper, local calls, and use of health club, pool, beach access, self-parking, and high speed internet access in meeting and guest rooms.

*Rooms are limited, please reserve early


Hotel Policies

Group Rates above are per room, per night, and do not include state & local taxes and assessments, currently 11% (subject to change)

Maximum occupancy in room is five (regardless of age - cannot exceed)

There is no additional charge for occupants over two people in room

Rollaways are $25.00 per night and cribs are free (both subject to change and availability)

Check-in time is 4:00pm and check-out time is noon

Cancellation Policies

Conference cancellations must be confirmed in writing and a 10% of paid tuition processing fee will be assessed. No refunds will be made if cancellation is postmarked after August 22, 2013; however, tuition, less 10% processing fee may be applied to a future Symposia Medicus conference.

Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if postmarked by July 25, 2013. Between July 26, 2013 and August 22, 2013, one night’s deposit is forfeited. After August 22, 2013, no hotel refunds can be made. 

All cancellations must be made in writing to Symposia Medicus (via email, fax or mail) and postmarked by the dates stated above.

In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


We recommend you fly into Savannah, Georgia (Savannah/Hilton Head International Airport), which is an approximate 48 mile drive to the Sonesta Resort Hilton Head Island. The closest airport is the Hilton Head Airport, which is an approximate 7 mile drive to the hotel; however, flights are usually more expensive. Information on ground transportation will be sent to registrants and available on our website.

Symposia Medicus has arranged for discount fares with American, Delta, and United airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below.

In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed below.

Airlines to Savannah (Conference Discounts):

American Airlines For discounts on American Airlines flights, please book online at www.aa.com and insert 9893BB into the promotion code box. For questions, please call the
American Airlines Convention Desk at (800) 433-1790.
Delta Airlines For discounts on Delta Airlines flights, please book online at www.delta.com and click the box “from Airport” and another page will appear. At the bottom of that page, click the link “Meeting Event Code” and insert NME7E. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.
United Airlines For discounts on United Airlines flights, please book online at www.ual.com and insert ZNAY347675 in the offer code box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.

Airlines to Hilton Head (No Conference Discounts):

U.S. Airways Express (800) 428-4322 www.usairways.com


For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS 800-331-1600 AWD # B766625
Budget 800-772-3773 BCD # U076767