“Learning in paradise! A great balance of classroom and play time. Symposia Medicus always has the most beautiful locations with the nicest staff. The lectures are relevant and informative.”
- Marta Santos, MD
“I always enjoy Symposia Medicus conferences. They provide an excellent level of continuing education with interesting speakers and topics. Having the opportunity to learn and unwind in lovely locations is wonderful. I have been coming to these conferences for more than 25 years and have introduced them to my young colleagues.”
- Linda Griffiths, CNM
“I would recommend Symposia Medicus to my colleagues. The conferences are very well-organized and well-run, from booking accommodations to the conference presentations.”
- Brock McMillen, MD


Our 20th Annual Fall Conference on Challenges in Taking Care of the High Risk Pregnancy is designed to provide the most current clinical information to perinatologists, obstetricians, certified nurse midwives, obstetrical nurses, and all other healthcare professionals who take care of high-risk pregnant women. 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 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, smaller group breakout sessions, 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 20th Annual Fall Conference on Challenges in Taking Care of the High Risk Pregnancy while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Marco Island.


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

Cite the benefits of progesterone supplementation to prevent preterm birth

Manage the patient with pre-gestational diabetes and recognize early complications

Identify areas of legal vulnerability in high risk obstetrics

Provide appropriate management for bleeding emergencies in pregnancy

Recognize the hazards during second stage of labor on perinatal outcomes


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
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 18 hours of Category 1 credit for completing this program.

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 2.25 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 participate in discussions on 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.


Mark Alanis, MD, MSCR, FACOG
Colorado Health Medical Group
Department of Maternal-Fetal Medicine
Memorial Hospital
University of Colorado Health
Colorado Springs, Colorado

Donna Dizon-Townson, MD, FACOG
Conference Co-Chairperson

Associate Professor
Department of Obstetrics & Gynecology
University of Utah Health Sciences
Salt Lake City, Utah
Co-Director, Maternal-Fetal Medicine
Utah Valley Regional Medical Center
Provo, Utah

Kenneth J. Moise, Jr., MD
Conference Co-Chairperson

Professor of Pediatric Surgery
University of Texas Health
School of Medicine
Co-Director, Texas Fetal Center
Children's Memorial Hermann Hospital
Houston, Texas

Thomas H. Strong, Jr., MD
Associate Clinical Professor
University of Arizona School of Medicine
Tucson, Arizona
Co-Director, Phoenix Perinatal Associates
Phoenix, Arizona

Patricia M. Witcher, RNC-OB, MSN
Clinical Specialist
Labor & Delivery
Northside Hospital
Atlanta, Georgia

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, November 13

7:00am Registration & Check-in
During Continental Breakfast
8:00 Welcome & Introduction
Donna Dizon-Townson, MD & Kenneth Moise, Jr., MD
8:15 Preterm Labor: Are We Ready for Progesterone?
(Rx = 15 minutes)
Donna Dizon-Townson, MD
9:00 Stabilizing the Fetus During Obstetric Emergencies: Observation Versus Intervention (Rx= 15 minutes)
Patricia Witcher, RNC-OB, MSN
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Second Stage of Labor: A Time for Concern
Thomas Strong, Jr., MD
11:15 Hemorrhage in Pregnancy: What Every Clinician Should Know
Kenneth Moise, Jr., MD
Noon Case Studies in High Risk Obstetrics: Litigation Hot Spots
Patricia Witcher, RNC-OB, MSN
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, November 14

7:30am Continental Breakfast
8:00 Intrauterine Resuscitation: What's the Evidence?
(Rx = 20 minutes)
Patricia Witcher, RNC-OB, MSN
8:45 Up-to-Date Management of Isoimmunization During Pregnancy
(Rx = 15 minutes)
Kenneth Moise, Jr., MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Ultrasound Diagnosis of Placenta Accreta & Previa
(Rx = 10 minutes)
Mark Alanis, MD, MSCR
11:00 Complications of Monochorionic Twins
Kenneth Moise, Jr., MD
11:45 Case Studies of Catastrophic Outcomes in Women with Preeclampsia
(Rx = 30 minutes)
Patricia Witcher, RNC-OB, MSN
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, November 15

3:00pm Smaller Group Breakouts – Session One
. A. Recurrent Pregnancy Loss
Donna Dizon-Townson, MD
. B. VBAC in 2013
Mark Alanis, MD, MSCR
. C. The Good & The Bad of Cord Blood Collection
Kenneth Moise, Jr., MD
. D. Shoulder Dystocia & Brachial Plexus Palsy: The Obstetrical Nightmare
Thomas Strong, Jr., MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, November 16

7:30am Continental Breakfast
8:00 Thrombophilia: Who to Screen, When to Screen & How to Treat
(Rx = 15 minutes)
Donna Dizon-Townson, MD
8:45 Complications of Pregestational Diabetes
Mark Alanis, MD, MSCR
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (Hotel check-out, if applicable)
10:15 The Severely Obese Gravida: Antepartum, Intrapartum & Postpartum Management
Mark Alanis, MD, MSCR
11:00 Cerebral Palsy: What We All Should Know
Donna Dizon-Townson, MD
11:45 Induction & Augmentation of Labor: The Agent Worth the Risk
(Rx = 15 minutes)
Thomas Strong, Jr., MD
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


Marco Island, the largest of Florida’s famous 10,000 islands on the southeast coast of the Gulf of Mexico, is graced with miles of white-sand beaches, beautiful weather, sumptuous restaurants, and fine shopping, dining, and entertainment. Recreational activities, ranging from boating and fishing, to golf and tennis, are set amid the stunning subtropical beauty that is unique to southwest Florida’s Gulf coast.

The Hilton Marco Island Beach Resort is in the premiere location for fun and relaxation. Guest rooms at the Hilton feature private furnished balconies overlooking lush tropical landscaping or the beautiful Gulf of Mexico. The Hilton Marco Island is host to a multitude of recreational activities; whether you want to relax by the pool or on the white sand beach, or take part in sailing, parasailing, kayaking, or even experience unique Eco Tour and shelling excursions. Enjoy an invigorating game of tennis, volleyball, or golf, or visit The Spa at Marco Island, offering serenity and wellness inspired by the exotic cultures of the Mediterranean.

Tempting options for dining include the Paradise Café, which offers the area’s most spectacular views of the gulf, or the Beach Club Bar and Grill, offering casual dining and tropical drinks poolside. Elegant meals and local delicacies can be enjoyed in the Sandcastles Dining Room, and nights come alive with entertainment at the Sandcastles Lounge. The Marco Walk Plaza is directly across from the resort, featuring a great variety of shops and restaurants, plus a movie theater. Just a short drive away is Everglades National Park, the largest subtropical wilderness in the United States – a place where you can tour the park with a ranger, photograph birds, take an afternoon hike, spot alligators bathing in the sun, or canoe through the marshes.

Whatever your pleasure, you’ll be sure to find it in Marco Island, at our 20th Annual Fall Conference on Challenges in Taking Care of the High Risk Pregnancy.


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

If postmarked before
September 4, 2013
If postmarked after
September 4, 2013
Physicians $610 $710
Residents, Nurses, PAs & All Others $510 $610

Tuition includes continuing education certification, extensive conference syllabus, breakfast on Wednesday, Thursday and Saturday mornings, 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 Hilton Marco Island Beach Resort. 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/View Group Rates (Single/Double) Description
Garden View $185/night Rooms vary only by view and are all considered junior suites. They feature private furnished balconies overlooking either the gardens or the Gulf of Mexico. Amenities in each room include: sleeper sofa, room safe, refrigerator, coffee/tea service, 32-inch LCD television with HBO, robes, bathroom with double vanity, telephone, and hair dryer.
Gulf View $205/night
Deluxe Gulf View $225/night
Group rates include unlimited fitness center admission, complimentary high speed internet,
complimentary newspaper (Monday-Friday), and unlimited in-room coffee and tea.


Hotel Policies

Group rates are per night and do not include 10% room tax (subject to change)

Maximum number of people in room is four (regardless of age)

Children 18 and under are free in room with adults (not to exceed maximum occupancy)

Third & fourth adult, 19 years and older, are an additional $25 each, per night

Cribs are complimentary. Rollaways are $25 per room, per night (subject to change & availability).

Check-in time is 4:00pm and check-out time is 11:00am. Late check-outs are subject to availability.

Self-parking rate for all guests is $10 per day, or $14 per day for valet

An early check-out fee of $50 is applicable to any guest who checks out before their stated departure date. Departure date must be confirmed at check-in.

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 October 9, 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 September 11, 2013. Between September 12, 2013 and October 9, 2013, one night’s deposit is forfeited. After October 9, 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.


The Hilton Marco Island Beach Resort is located 30 minutes from Naples Airport and 45 minutes from Southwest Florida International Airport (just south of Ft. Meyers) and is served by most major airlines. Miami and Ft. Lauderdale International airports are 90 minutes away. Information on ground transportation will be sent to registrants and available online at 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 here.

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

American Airlines For discounts on American Airlines flights, please book online at www.aa.com and insert 39N3BE 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, please visit www.delta.com and click on the link “More Search Options”, located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NME7E in the “Meeting Event Code” box, located on the right hand side of the page. 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.


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