“Symposia is very well organized and has a perfect balance of education and time to enjoy the location as well.”
– K. Crittenden, MD

“Amazing conference. An abundance of excellent information that can be applied to practice immediately. This was my first Symposia Medicus conference but I will be back.”
– T. Cox, CNM

“Quality of speakers at Symposia Medicus is consistently excellent and conferences are well organized and a pleasure to attend.”
– M. Mastry, MD


Our 25th Annual Fall Conference on Issues in Women’s Health is designed to provide the most current clinical information about the care of the female patient to OB/GYNs, family physicians, nurse midwives, nurse practitioners, PAs, nurses and all other healthcare professionals involved with the care of women. The 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 and interactive 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 25th Annual Fall Conference on Issues in Women’s Health while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Grand Cayman.


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

Formulate a treatment plan for patients with rheumatoid arthritis

Implement the current American Cancer Society guidelines for breast cancer screening

Appropriately recommend exercise during pregnancy

State the surgical and non-surgical options for symptomatic anterior, apical, and posterior prolapse

Identify and treat common vulvar pain symptoms


At the conclusion of attending this conference, participants are entitled to a certificate of credit which will be available online. Successful completion of this activity is determined by attending the live activity, review of the educational session materials, and submission of the pre/post case study survey, evaluations, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity.


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.


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.

The American College of Obstetricians and Gynecologists has assigned up to 18 cognate credits to this program.

This Live activity, 25th Annual Fall Conference on Issues in Women's Health, with a beginning date of 11/01/2017, has been reviewed and is acceptable for up to 18.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certified Nurse Midwives
The American Midwifery Certification Board (AMCB) accepts Category 1 CME approval from organizations accredited by the ACCME.

NCCPA 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. PAs 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 3 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 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 choices on the conference registration form in this brochure. Space is limited so please reserve early.


Each registrant will have online access to session materials. The session materials 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 hard copy of the session materials, please check the box on the registration form in this brochure.

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


To receive additional information about the conference hotel, location, tours and/or nearby attractions, and ground transportation, please visit our website at www.symposiamedicus.org.


Peng T. Fan, MD, FACP
Clinical Professor of Medicine
Division of Rheumatology
David Geffen School of Medicine at UCLA
Los Angeles, California

James V. Fiorica, MD, FACOG
Conference Co-Chair

Clinical Professor of Obstetrics & Gynecology
Florida State Medical College
Director, Gynecologic Oncology
Sarasota Memorial Hospital
Sarasota, Florida

Jay Goldberg, MD, MSCP
Conference Co-Chair

Vice Chairman
Director of Philadelphia Fibroid Center
Department of OB/GYN
Einstein Medical Center Philadelphia
Philadelphia, Pennsylvania

Holly E. Richter, PhD, MD, FACOG, FACS
Professor & Director
Division of Urogynecology &
Pelvic Reconstructive Surgery
Department of Obstetrics & Gynecology
University of Alabama at Birmingham
Birmingham, Alabama

Stacy Tompkins, MD
Assistant Voluntary Clinical Professor
Department of Medicine
Division of Dermatology
University of California, San Diego Medical Center
San Diego, California
Private Practice
Encinitas, California

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.


Wednesday, November 1

7:00am Registration & Check-in
8:00 Welcome & Introduction
Jay Goldberg, MD, MSCP
8:15 Overview of Lower Urinary Tract Anatomy, Physiology, Dysfunction, Evaluation, and Treatment
(Rx = 20 minutes)
Holly E. Richter, PhD, MD
9:00 Rheumatologic Diagnosis: A Diagnostic Approach to the Patient with Multiple Aches & Pains
Peng T. Fan, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Evaluation & Treatment of Menstrual Migraines
(Rx = 30 minutes)
Jay Goldberg, MD, MSCP
11:15 Evaluation of Breast Lumps & Diagnosis of Breast Cancer (Rx = 25 minutes)
James V. Fiorica, MD
Noon Non-Surgical Treatment of Pelvic Organ Prolapse: The Role of the Pessary
Holly E. Richter, PhD, MD
12:45pm Questions & Answers
Group Discussion

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

Thursday, November 2

8:00am Therapeutic Alternatives to Hysterectomy
(Rx = 10 minutes)
Jay Goldberg, MD, MSCP
8:45 An Overview of Vulvar Dermatological Disorders
Stacy Tompkins, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Evolving Surgical Treatment Approaches for Fecal Incontinence in Women: An Evidence and Case-Based Approach (Rx = 25 minutes)
Holly E. Richter, PhD, MD
11:00 Exercising in Pregnancy: Evidence, Guidelines, and More
Jay Goldberg, MD, MSCP
11:45 Indications, Contraindications, and Complications of Synthetic Mesh Use in the Surgical Treatment of Pelvic Organ Prolapse: Where Do We Go From Here?
Holly E. Richter, PhD, MD
12:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, November 3

3:00pm Smaller Group Breakouts – Session One
. A. The Influence of HRT on GYN Malignancies
James V. Fiorica, MD
. B. Case Presentations: Rashes & More!
Stacy Tompkins, MD
. C. Managing Fibromyalgia: Case Studies
Peng T. Fan, MD
. D. Women’s Health Care Risk Management: Case Studies
Jay Goldberg, MD, MSCP
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, November 4

8:00am Difficult Rheumatologic Issues in Pregnancy: SLE, RA, APS, and HELLP
Peng T. Fan, MD
8:45 Controversies in Hormone Therapy
(Rx = 30 minutes)
James V. Fiorica, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Arthritis in Women: Treatment Options
(Rx = 25 minutes)
Peng T. Fan, MD
11:00 The Gravid Adnexal Mass: Is It Cancer?
James V. Fiorica, MD
11:45 Skin Cancers: When to Treat & When to Refer
(Rx = 15 minutes)
Stacy Tompkins, 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


Beautiful Grand Cayman Island is the largest of the three Cayman Islands. Whether you are looking for complete relaxation, exquisite dining, exciting nightlife, or awesome underwater sights featuring accessible reefs, there is something for everyone. On the west side of Grand Cayman, you will find the famous Seven Mile Beach, the crescent-shaped natural wonder, with white sand and azure water stretching as far as the eye can see. Seven Mile Beach is often rated as one of the most beautiful beaches in the world. Take a trip into the North Sound and visit Stingray City, where you and your family have the rare opportunity to swim and learn about Southern Stingrays. When you’re looking to get off the beach, get lost in the luxury of George Town, with colorful traditional Caribbean-style buildings and endless duty-free shopping.

The newly-renovated Westin Grand Cayman Seven Mile Beach Resort & Spa is in the premiere location for fun and relaxation. The resort has easy access to Grand Cayman’s best attractions, including scuba diving, shopping, snorkeling, and golf. Spend time at the oversized outdoor pool or enjoy luxurious private cabanas on the beach. Family and children’s activities are sure to keep you busy, or visit the rejuvenating Hibiscus Spa. With world-class treatments, you will leave more refreshed than you ever imagined.

Whatever your pleasure, you’ll be sure to find it in Grand Cayman, at our 25th Annual Fall Conference on Issues in Women’s Health.


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

You can register and receive conference lodging group 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 with Visa, MasterCard, American Express, or Discover; 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.

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


If postmarked by
August 23, 2017
If postmarked after
August 23, 2017
Physicians $660 $760
Residents, Nurses, PAs, & All Others $560 $660

Discounts are available for retired healthcare providers, active U.S. military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.

Tuition includes continuing education, online access to session materials, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email

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


Conference group rates have been arranged at The Westin Grand Cayman Seven Mile Beach Resort & Spa. Rooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. If you wish to extend your stay, group rates may be available three days before and three days after the conference.

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.


Room Type/View Group Rates (Single/Double) Description
(All rooms have been newly renovated and are non-smoking and approximately 390 square feet)
Island View $251/night View of the famous Seven Mile Beach Road on the island side of the hotel. These rooms also look out onto the main entrance of the resort. Rooms on higher floors offer a view of the Safe Haven Golf Course. All ground floor rooms have patios and only some of the upper level rooms offer balconies.
Partial Ocean View $274/night Located on the north and south sides of the hotel. They offer a partial view of Seven Mile Beach. All ground rooms have patios and the upper level rooms all have balconies.
Ocean/Pool View $314/night View of the pool area, as well as of Seven Mile Beach. Some rooms also have views of property palm trees. All ground floor rooms have patios and all upper level rooms have balconies.
By reserving through Symposia Medicus, the Resort Fee is included in the group rates stated above.
The Resort Fee includes: Internet access; in-room coffee; in-room safe; mini-refrigerators; unlimited use of the fitness center; pool/beach chairs & towels; sauna; hot tub & steam room access in Hibiscus Spa (based on availability); daily bottled water; unlimited local phone calls; use of the business center; Concierge Run Program; and resort activities such as beach or aquatic yoga, volleyball, and stand-up paddleboard clinics.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 13% Government Tax
- 10% Service Charge (includes round-trip bellman & daily housekeeping gratuities)

Maximum guestroom occupancy is:
- Three adults, or
- Two adults & two children (or three if 3rd child is 3 years or younger)

Mandatory additional person charges, listed below, include daily buffet breakfast and taxes (not to exceed maximum occupancy)
- Third adult (18 years & older) is $55 per night
- Children 13-17 years old are $18 per person, per night
- Children 5-12 years old are $10 per person, per night
- Children 4 years & under are complimentary

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in

Rollaway beds are available at an additional cost of $15 per night (subject to availability and change). Rollaway beds are only permitted in rooms with a king bed.

Cribs are available on a complimentary basis (subject to availability and change).

Check-in time is 3:00pm and check-out time is noon. A late check-out can only be confirmed on the date of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability.

Early Departure Fee: Please notify the hotel at check-in if there are any changes to your scheduled departure, as an early departure fee equal to one night’s room rate and tax will be charged to any guest who checks out prior to their confirmed departure date.

Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are available. Holds are placed on your account for your entire stay; however, the amount may be immediately deducted from your account. The length of time for which these holds remain on your credit or debit account varies from bank to bank.

Parking: Self-parking is complimentary for conference guests. Valet is not available at this resort.

Cancellation Policies

Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a refund,
less a 10% processing fee, will be given. No refunds will be made if cancellation is received after
September 27, 2017; 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 emailed/postmarked by August 30, 2017. Between August 31, 2017 and
September 27, 2017, one night’s deposit is forfeited. After September 27, 2017, no hotel refunds can be made.

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be 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 fly into Owen Roberts International Airport (GCM), which is approximately 15 minutes from The Westin Grand Cayman Seven Mile Beach Resort & Spa. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with 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 here.

Delta Airlines For discounts on Delta Airlines, please visit www.delta.com and click on the link “Advanced Search,” 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 NMNP8 in the “Meeting Event Code” box, located at 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, please visit www.united.com and click on All Search Options, located on the bottom left corner of the “Book Travel” box. Once you click on this link, another page will appear. At the bottom of this page, you will insert ZX32764574 in the “Promotions and Certificates” box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.