“Symposia Medicus always delivers a great product. The conferences are informative and I always come away with pearls!”
- Patricia Jutt, MD
“The best of both worlds – education that is relevant in environments that are relaxing and beautiful!”
- Nora Hardy, CNM
“I seek out Symposia Medicus conferences because I know I will never be disappointed. I always have great expectations and they are always met.”
- Anita Jimenez Belinoski, MD


Our 31st Annual Fall Conference on Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, physician assistants, nurses, and other health care professionals who face ever increasing challenges in Obstetrics. 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, smaller group breakout sessions, 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 31st Annual Fall Conference on Obstetrics while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Hawaii.


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

Diagnose and manage hypertensive crisis during pregnancy

Describe management options for viral infections in pregnancy

Plan for upcoming dilemmas for pre-gestational diabetes patients

Understand the short and long term effects of preeclampsia

Apply a standardized approach to fetal heart rate monitoring terminology, interpretation, and management


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 for 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 18 AMA PRA Category 1 Credits™. 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 completion of this conference are 18.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 21.6 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 4 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.


Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide an opportunity for greater participant/faculty interaction, and will give you an opportunity to discuss subjects relating to your particular area of interest. Please indicate your breakout session topic choice on the conference registration form in this brochure. Space is limited so please reserve early.


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 publications@symposiamedicus.org.


Tours are planned for participants and guests throughout the conference breaks. Additional information regarding activities, hotel, location and ground transportation will be sent to registrants.


Karrie Francois, MD
Conference Co-Chairperson
Perinatal Medical Director
Scottsdale Healthcare
Scottsdale Prenatal Associates, PLLC
AMOMI Pregnancy Wellness ~ Spa
Scottsdale, Arizona
Clinical Assistant Professor
University of Arizona
Tucson, Arizona

Sarah Kilpatrick, MD, PhD
Helping Hand of Los Angeles Endowed Chair
Department of Obstetrics and Gynecology
Cedars-Sinai Medical Center
Los Angeles, California

Lisa Miller, CNM, JD
Founder, Perinatal Risk Management
& Education Services
Certified Nurse-Midwife
Portland, Oregon

Joseph Ouzounian, MD
Chief, Division of Maternal-Fetal Medicine
Director of Obstetrics
LAC + USC Medical Center
Associate Professor
Keck School of Medicine
University of Southern California
Los Angeles, California

Shailen Shah, MD
Conference Co-Chairperson

Medical Director of the Maternal Fetal
Medicine Unit
Voorhees, New Jersey
Assistant Professor
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania

Stephen Thung, MD, MSCI
Associate Professor
Chief of Obstetrics
Director of Diabetes Management
During Pregnancy Program
Interim Director of Maternal Fetal Medicine
The Ohio State University
Columbus, Ohio

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.


Wednesday, October 16

7:00am Registration & Check-in
8:00 Welcome & Introduction
Shailen Shah, MD
8:15 Nurse-Physician Communication & Medical Error
Lisa Miller, CNM, JD
9:00 Thrombophilias in Pregnancy: To Treat or Not to Treat (Rx = 30 minutes)
Shailen Shah, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Hypertensive Crisis in Pregnancy: This Can Make Your Blood Boil! (Rx = 15 minutes)
Shailen Shah, MD
11:15 Pre-Gestational Diabetes: The Approaching Tsunami (Rx = 40 minutes)
Stephen Thung, MD, MSCI
Noon Management of Thyroid Disease in Pregnancy (Rx = 20 minutes)
Sarah Kilpatrick, MD, PhD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day
5:30-7:00pm Group Reception
(Faculty, Participants & Their Guests)

Thursday, October 17

8:00am Too Much Consumption: Managing Consumptive Coagulopathy in Pregnancy (Rx = 20 minutes)
Karrie Francois, MD
8:45 The Tachysystole Myth: Have You Bought It? (Rx = 20 minutes)
Lisa Miller, CNM, JD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Electronic Fetal Monitoring Made Easy: An Interactive Tutorial
Joseph Ouzounian, MD
11:45 Isoimmunizations in Pregnancy: A True Mismatch (Rx = 20 minutes)
Karrie Francois, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day

Friday, October 18

3:00pm Smaller Group Breakouts – Session One
. A. Multiple Gestations, Multiple Pitfalls
Karrie Francois, MD
. B. Selective VBAC: Why It Is Still Appropriate
Sarah Kilpatrick, MD, PhD
. C. Case Studies in Cardiac Disease During Pregnancy
Shailen Shah, MD
. D. Gestational Diabetes: How Sweet Is Too Sweet?
Stephen Thung, MD, MSCI
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, October 19

8:00am Preeclampsia: Short & Long Term Effects
(Rx = 20 minutes)
Joseph Ouzounian, MD
8:45 ACOG Update 2013: What’s New?
Sarah Kilpatrick, MD, PhD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (Hotel check-out, if applicable)
10:15 Viral Infections in Pregnancy (Rx = 30 minutes)
Stephen Thung, MD, MSCI
11:00 Postpartum Hemorrhage: A Practical Approach to a Persistent Problem (Rx = 25 minutes)
Karrie Francois, MD
11:45 Practical Tips for Litigation Survival
Lisa Miller, CNM, JD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


Aloha! Hawaii’s Big Island isn’t just big, it’s still growing. The Big Island of Hawaii is the youngest island in the Hawaiian chain and is also by far the biggest, providing a vast canvas of environments to discover a variety of unrivaled natural wonders. This is the home of one of the world’s most active volcanoes (Kilauea), the tallest sea mountain in the world at more than 30,000 feet (Mauna Kea), the largest by volume volcano in the world (Mauna Loa) and the largest park in the state (Hawaii Volcanoes National Park). All but two of the world’s climate zones generate everything from lush rain forests to volcanic deserts, snow-capped mountaintops to beautiful black sand beaches.

Located on the sunny Kohala Coast, the Hapuna Beach Prince Hotel defines Big Island luxury. Perfectly nestled into the bluffs above the #1-rated Hapuna Beach, the hotel features a contemporary Hawaiian style where guests experience the true essence of Hawaii. The Hapuna Beach Prince Hotel is adjacent to its sister property, the Mauna Kea Beach Hotel. Guests at Hapuna Beach Prince Hotel are able to use and charge to their room the services and amenities at Mauna Kea.

Each guest room at the Hapuna Beach Prince Hotel has a private, furnished lanai, with picturesque views of lush gardens, partial ocean, or full ocean views. Superb breakfast buffets are served in an indoor-outdoor area, while lunch and dinner options include a seafood grill, a steakhouse and sushi bar, and a poolside bar. Our group room rates include full buffet breakfast for two, as well as complimentary internet, self-parking, and admission to the fitness center for each day of your stay. Water activities are plentiful at the Hapuna Beach Prince Hotel, from swimming, snorkeling, and scuba diving, to sailing, or deep-sea fishing. Pamper yourself at the Paul Brown Salon and Spa or spend an afternoon golfing on the 18-hole golf course designed by Arnold Palmer and Ed Seay. Enjoy dining at the many varied restaurants located near the hotel.

The Hapuna Beach Prince Hotel’s beautiful and relaxing setting, combined with our exciting 31st Annual Fall Conference on Obstetrics, makes this an opportunity not to be missed.


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

If postmarked by August 7, 2013
If postmarked after August 7, 2013
Physicians $610 $710
Residents, Nurses, PAs & All Others $510 $610

Tuition includes continuing education certification, extensive conference syllabus, break refreshments, and group reception. The group reception is for faculty, registrants and their guests.

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, hotel, and activities 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 Hapuna Beach Prince Hotel. 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.

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
Terrace View
Rooms at this rate are very limited, reserve early.
$199/night Views of the manicured grounds and tropical landscaping.
Partial Ocean View $229/night Views of the manicured grounds, tropical landscaping, and expansive pool, with partial ocean view.
Ocean View $249/night Views of the manicured grounds, tropical landscaping, and expansive pool, with ocean view.
Premium Ocean View $269/night Highest floors in main building with panoramic view of the beach and ocean. Also, view of the manicured grounds, tropical landscaping, and expansive pool.
Ocean Front $309/night In the building closer to the beach, with views of the beach and ocean.
All guestrooms are approximately 630 sq. ft. and feature a private lanai, mini-refrigerator, coffee maker with Kona blend coffee (replenished daily), two Japanese robes, two pairs of indoor slippers, complimentary shampoo/conditioner/body lotion, hair dryer, television, safe, and nightly turn down service.
If you book your hotel reservation through Symposia Medicus, complimentary high speed internet access, self-parking, and admission to the Fitness Center are also included in the Group Rates.


Hotel Policies

Group rates do not include the following, subject to change:
- State and local taxes of 13.416% per room, per night
- Mandatory porterage charge of $8.00 plus 4.166% tax per person, round trip (18 years and older)

Housekeeping gratuity is optional. However, $3.00 per room, per day is suggested.

Maximum room occupancy is three adults or two adults and two children or three adults and one child (children are 17 years and under)

Below additional person charges (over two people in room) include daily buffet breakfast, tax & gratuity:
- Children ages 5 and under are free
- Children ages 6-12 are $15 each, per night
- Persons 13 years and older are $25 each, per night

Rollaway beds are $35 per night and cribs are free (both subject to availability)

Check-in time is 3:00pm and check-out time is noon. Requests for a late check-out should be directed to the front desk the evening prior to departure, and are subject to availability, late check-out fees and taxes.

Group rates may be available at the Hapuna’s sister hotel, the historic Mauna Kea Beach Hotel. Please call us for more information.

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 September 11, 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 August 14, 2013. Between August 15, 2013 and September 11, 2013, one night’s deposit is forfeited. After September 11, 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.  


You will be flying into Kona Airport, which is approximately 27 miles to the Hapuna Beach Prince Hotel. Information on ground transportation will be sent to registrants and available online at our website.

Symposia Medicus has arranged for discount fares with Alaska, American, Delta, Hawaiian, 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 here.

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

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and
insert ECMU401 into the e-certificate code box. For questions, please call the Alaska
Airlines Convention Desk at (800) 445-4435.
American Airlines For discounts on American Airlines flights, please book online at www.aa.com and
insert 67H3BI 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 Even Code" and insert NME7E. For questions, please call the Delta
Airlines Convention Desk at (800) 328-1111.
Hawaiian Airlines For discounts on Hawaiian Airlines flights, please book online at
https://www.hawaiianair.com/affiliate/affiliate.aspx?affcode=SYMPOSIA MED
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.


Symposia Medicus has arranged conference discounts 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