“Great course with key points. I will recommend this to my colleagues. Great location to be during the winter season.”
– N. Georgekutty, MD
“Symposia Medicus conferences are by far the best. They are the most put-together, well-run, and organized. The speakers are always enthusiastic, friendly, and knowledgeable in their respective fields.”
– V. Tucker, FNP
“Symposia Medicus is hands down my preferred conference to attend. Content, quality, and locations are superior to all options.”
– R. White, MD


Our 21st Annual Conference on Emergencies & Challenges in Primary Care has been designed to provide physicians, nurse practitioners, PAs, nurses, and other health care professionals involved in primary care with evidence-based information on commonly encountered office dilemmas, and offers current approaches to clinical management. 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, 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 21st Annual Conference on Emergencies & Challenges in Primary Care while sharing ideas and experiences with colleagues from across the country, amidst the excitement of New York City during the holiday season.


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

Recognize fibromyalgia, in its many manifestations, mimicking systemic inflammatory connective tissue disease

Develop a structured approach to modifying the standard acetylcysteine regimen in patients with acetaminophen overdose

Initiate the evaluation of a potentially dangerous skin disease

Distinguish seizures from other paroxysmal events

Provide guidelines for exercise implementation

Recognize benefits and extended opportunities
for the use of metformin

Manage the cyanotic infant

Identify newer medications for type 2 diabetes


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 12 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Application for CME has been filed with the American Academy of Family Physicians. Determination of credit is pending. Please check our website for updated credit information.

Approved by the American College of Emergency Physicians for a maximum of 12 hours of ACEP Category 1 credit.

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 12 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 12.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 14.4 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 3.25 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.


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.


Richard M. Cantor, MD, FAAP, FACEP
Professor of Emergency Medicine & Pediatrics
Director, Fellowship Program in
Pediatric Emergency Medicine
Director, Pediatric Emergency Department
Medical Director, Central New York
Poison Control Center
Upstate Medical University
Syracuse, New York

Anders L. Carlson, MD
Medical Director
International Diabetes Center
Park Nicollet
Endocrinologist & Medical Director
of the Diabetes Program, HealthPartners
Assistant Professor, University of Minnesota
Medical School
Minneapolis, Minnesota

Libby Edwards, MD
Adjunct Associate Clinical Professor
University of North Carolina
Chapel Hill, North Carolina
Chief of Dermatology
Carolinas Medical Center
Charlotte, North Carolina

Peng T. Fan, MD, FACP
Conference Co-Chair

Clinical Professor of Medicine
Division of Rheumatology
David Geffen School of Medicine at UCLA
Los Angeles, California

Paul Graham Fisher, MD, FAAP
Professor, Neurology & Pediatrics;
By Courtesy, Neurosurgery & Human Biology
Chief, Division of Child Neurology
The Beirne Family Professor of Pediatric Neuro-Oncology
Stanford University & Lucile Packard Children’s Hospital
Palo Alto, California

Robert S. Hoffman, MD, FAACT, FACMT, FRCP Edin, FEAPCCT
Professor of Emergency Medicine & Medicine
Director, Division of Medical Toxicology
New York University School of Medicine & Bellevue Hospital Center
New York City, New York

Jordan D. Metzl, MD, FAAP
Clinical Associate Professor of Pediatrics
Cornell Medical School
Sports Medicine Division
Hospital for Special Surgery
New York City, New York

Douglas S. Paauw, MD, MACP
Conference Co-Chair

Professor of Medicine
Department of Medicine
University of Washington School of Medicine
Seattle, Washington

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.


Friday, December 15

7:00am Registration & Check-in
During Continental Breakfast
8:00 Welcome & Introduction
Douglas S. Paauw, MD, MACP
8:15 Things Are Seldom What They Seem: Mimickers in Rheumatology (Rx = 10 minutes)
Peng T. Fan, MD
9:00 Toxicology Update: The Most Important Research That Will Affect Your Practice (Rx = 30 minutes)
Robert S. Hoffman, MD
9:45 Break
10:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:30 Diabetes: Challenging Cases (Rx = 25 minutes)
Anders L. Carlson, MD
11:15 Dermatologic Emergencies & Dangerous Skin Findings
Libby Edwards, MD
Noon Questions & Answers
Group Discussion

Faculty Panel & Audience
12:30pm Lunch Break (on your own)
2:00 Headaches from A to Z in Kids & Young Adults
(Rx = 20 minutes)
Paul Graham Fisher, MD
2:45 Practical Pearls for Dilemmas in Primary Care
(Rx = 15 minutes)
Douglas S. Paauw, MD, MACP
3:30 New Onset Seizures & New Antiepileptics: What Every Practitioner Should Know (Rx = 20 minutes)
Paul Graham Fisher, MD
4:15 Questions & Answers
Group Discussion

Faculty Panel & Audience
5:00 Adjourn for the Day

Saturday, December 16

7:30am Continental Breakfast
8:00 Medical Mythology: Debunking Common Medical Myths (Rx = 25 minutes)
Douglas S. Paauw, MD, MACP
8:45 Should Physicians Prescribe Exercise?
Jordan D. Metzl, MD
9:30 Break (hotel check-out, if applicable)
10:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:30 Systemic Lupus Erythematosus: A Primary Care Perspective (Rx = 25 minutes)
Peng T. Fan, MD
11:15 Difficult Treatment Decisions in Osteoporosis
(Rx = 25 minutes)
Anders L. Carlson, MD
Noon Classic Teaching Cases in Pediatric Emergency Medicine
Richard M. Cantor, 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




Manhattan is exciting at any time of the year, but in December, when the holiday season activities are at their peak, it is an experience you won’t want to miss.

Few places in the world have the magnetism and thrilling pace of New York City, and our conference will be held right in the heart of it all. Conveniently located in midtown Manhattan (1335 Avenue of the Americas – 6th Avenue, between West 53rd & West 54th Streets), the New York Hilton Midtown is just a short walk away from Broadway theaters; Radio City Music Hall; Rockefeller Center; the Museum of Modern Art; the Metropolitan Museum of Art; the Diamond District; Times Square; and Central Park.

Our beautiful hotel makes this weekend in New York appealing, and the outstanding theater, opera, and other live performances this holiday season make it even more enticing.

You’re sure to enjoy our exciting 21st Annual Conference on Emergencies & Challenges in Primary Care in the exhilarating surroundings of New York City.


Enrollment for this conference is limited in order to provide the best possible learning environment. This conference typically sells out prior to the early tuition deadline. Early registration is advised.

You can register 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
October 6, 2017
If postmarked after
October 6, 2017
Physicians $530 $630
Residents, Nurses, PAs, & All Others $460 $560

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, continental breakfast on Friday and Saturday mornings, and break refreshments for conference registrants

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


Symposia Medicus has conference group rates at the New York Hilton Midtown.

These special rates will only be available until Tuesday, November 14, 2017 and will only be available after that date on a space and rate available basis. We recommend you reserve your lodging as soon as possible, as rooms at the conference group rates are limited and on a first come, first served basis. Rooms may sell out and/or room rates may increase prior to the release date.

1335 Avenue of the Americas
New York, NY 10019-6078
(Located on 6th Avenue between West 53rd and West 54th Streets)
Phone: 1-800-HILTONS (1-800-445-8667)

Hotel accommodations are in high demand in New York City during the holiday season

To make your reservation, please call (800) 445-8667. YOU MUST REFER TO SYMPOSIA MEDICUS or group code SYM17 TO RECEIVE CONFERENCE GROUP RATES.

You may also use this link to make a reservation: https://aws.passkey.com/go/Symposia2017

These group rates will also be available three days before and three days after the conference (based on availability) if you wish to extend your stay.



Premier Room $349/night Features a single king or queen, or two double beds, 37-inch television, on-demand entertainment, spacious work area, two telephones with voicemail, and in-room WiFi capabilities.

Higher Floor
Premier Room

(Very limited, please reserve early)

$399/night Higher Floor Premier Rooms are on higher floors of the hotel and include the same features as the Premier rooms as well as upgraded bath amenities, bottled water, robes, and access to the Executive Lounge, located on the lobby level. The lounge features daily continental breakfast, hors d’oeuvres in the afternoon and evening, and continuous coffee and tea service. These rooms also offer separate ground floor check-in.
By booking your lodging using the Symposia Medicus group rates, the following items are included:
Complimentary guest room internet; complimentary access to the fitness center; a 15% discount on all restaurants, bars, and lounges in the hotel; and double HHonors points for all HHonors members.


Hotel Policies

A deposit equal to one night’s room & tax is due to the hotel with major credit card upon making your reservation

Group rates above are per night and do not include the following (subject to change):
- New York State & City taxes, currently 14.75% per room, per night
- $2.00 per room, per night occupancy tax
- $1.50 per room, per night tertiary tax

Maximum guest room capacity is four, regardless of age

Children 18 years old & younger stay free in room with an adult

Third and fourth guests (19 years & older) are an additional $20 each, per night

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

Rollaway beds are an additional $35 each, for the entire length of stay (subject to availability and change). Rollaways are only available in king bedded rooms.

Cribs are complimentary (subject to availability and change)

Check-in time is 3:00pm and check-out time is noon. Guests arriving prior to 3:00pm will be accommodated as rooms become available.

A 30-minute break has been allotted in our conference schedule on the last day, for those of you who need to check out

Early Departure Fee: Please confirm your scheduled departure date with the hotel at check-in. An early departure fee equal to one night’s room and tax will be charged to any guest who checks-out of the hotel before their confirmed departure date.

Credit/Debit Card Policy:Upon check-in, the hotel will require a credit card and will place a hold for your total estimated stay and incidental charges (approximately $50/day). Please be aware that if you use a debit card instead of a credit card, the funds will be immediately removed from your account (even if you have prepaid your stay). These funds will not be released back into your account for 10 or more business days after you check-out.

Parking: The hotel only offers valet parking at $60 per day with same day in/out privileges. There are other parking garages within walking distance of the hotel (prices may vary). Note: Valet parking is $75 per day for oversized vehicles. All rates subject to change.

Cancellation Policies

Hotel cancellation policy: Hotel cancellations must be made directly with the hotel by November 15, 2017. After this date, the deposit of one night plus tax will be forfeited.

Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a 10% of paid tuition processing fee will be assessed. No refunds will be made if cancellation is postmarked after November 10, 2017; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

All conference cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked by the date stated above.

In the unlikely event of conference cancellation by Symposia Medicus, full tuition refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.  


During this busy holiday time in New York City, it can be difficult to get theater tickets, so we have purchased a variety of theater tickets for some popular performances on Friday and Saturday evenings only (see below). We have a limited number of tickets for each performance and anticipate they will all sell out, so we recommend you call as soon as possible. The seats are in the Orchestra or Mezzanine sections.

To order tickets, please call Symposia Medicus with Visa, MasterCard, American Express, or Discover at (925) 969-1789. No ticket refunds or exchanges can be made.

Friday and/or Saturday Night Shows
Book of Mormon
Come From Away
Dear Evan Hansen
Radio City Music Hall Christmas Spectacular
More shows to come, please contact Symposia Medicus.
We strongly recommend you call for theater tickets as soon as possible, as these popular performances sell out early!


You can fly into LaGuardia Airport (LGA), which is approximately 25 minutes from the hotel; John F. Kennedy Airport (JFK), which is approximately 45 minutes from the hotel; or Newark Liberty International Airport (EWR), which is approximately one hour from the hotel. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, 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.

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and click on the link “Use Discount Code,” located at the bottom of the “Book
Airlines Flights” box. Once you click on this link, another page will appear. On this page,
you will need to insert ECMX613 in the “Discount Code” box, located at the right-hand side of the page.
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 flights, please book online at www.united.com
United 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.


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