“I only attend Symposia Medicus conferences because they are very well organized and have up-to-date topics delivered by excellent speakers. I always leave with one or more pearls to help my practice.”
– A. Halperin, MD

“I have been going to Symposia Medicus conferences since 2001. I have always been pleased. Great conference topics for my practice as a midwife. I will continue to attend.”
– G. McKenney, CNM

“I was very impressed with the presenters. The topics were excellent. I will recommend Symposia Medicus conferences to colleagues without reservation. All of the lecturers provided information directly applicable to clinical practice.”
– M. Pippin, MD


Our 25th Annual Spring Conference on High Risk Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, PAs, nurses, and other healthcare professionals who face challenges in the care of the high risk pregnant patient. 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 Spring Conference on High Risk Obstetrics while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Los Cabos, Mexico.


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

Effectively chart circumstances occurring during shoulder dystocia

Discuss with patients the benefits and risks of psychotropic medication during pregnancy and breastfeeding

Manage hypertension and acute emergencies in pregnancy

Conduct a diagnostic work-up for the growth-restricted fetus

Define the use of free fetal DNA in deciding when to use Rhesus immune globulin


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.

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 4.5 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.


Ground Transportation and tours are available
for participants and guests. You may visit the
following website for more information:


Stephen Brzezinski, JD
Kitch Druchtas Wagner Valitutti & Sherbrook
Detroit, Michigan

Karrie E. Francois, MD
Conference Chairman

Clinical Assistant Professor
University of Arizona
Tucson, Arizona
Honor Health
Scottsdale Prenatal Associates, PLLC
AMOMI Pregnancy Wellness ~ Spa
Scottsdale, Arizona

Ramesha Papanna, MD, MPH
Assistant Professor
Maternal-Fetal Medicine
Department of Obstetrics & Gynecology
The Fetal Center at the Children’s Memorial Hermann Hospital
The University of Texas McGovern Medical School at Houston
Houston, Texas

Mureena A. Turnquest Wells, MD, FACOG
Maternal-Fetal Medicine
Norton Children’s Maternal-Fetal Medicine
Norton Healthcare
Louisville, Kentucky

Owen Wolkowitz, MD
Professor of Psychiatry
Director, Psychopharmacology
Assessment Clinic
Co-Director, UCSF Depression Center
University of California, San Francisco
School of Medicine
San Francisco, 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, March 7

7:00am Registration & Check-in
8:00 Welcome & Introduction
Karrie E. Francois, MD
8:15 Viruses that Infect the Fetus & Do Bad Things: Cytomegalovirus & Parvovirus (Rx = 10 minutes)
Mureena A. Turnquest Wells, MD
9:00 Multiple Gestations, Multiple Pitfalls
(Rx = 20 minutes)
Karrie E. Francois, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 What Can We Fix in the Fetus: An Update on Fetal Intervention
Ramesha Papanna, MD, MPH
11:15 Psychiatric Medication Decisions During Pregnancy & Breastfeeding (Rx = 45 minutes)
Owen Wolkowitz, MD
Noon What’s New in Rhesus Prophylaxis & Management
(Rx = 5 minutes)
Ramesha Papanna, MD, MPH
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, March 8

8:00am Update on Prenatal Genetic Testing
Ramesha Papanna, MD, MPH
8:45 Update on Thyroid Disorders in Pregnancy
(Rx = 15 minutes)
Mureena A. Turnquest Wells, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Shoulder Dystocia: Predicting, Managing, and Defending
Stephen Brzezinski, JD
11:00 Recognizing & Treating Depression in the Obstetric Practice: Menarche, Pre-Menstrual, Maternity, and Menopause Part I: Maximizing Antidepressant Efficacy
(Rx = 35 minutes)
Owen Wolkowitz, MD
11:45 Recognizing & Treating Depression in the Obstetric Practice: Menarche, Pre-Menstrual, Maternity and Menopause Part II: Minimizing & Managing Common Antidepressant Side Effects (Rx = 40 minutes)
Owen Wolkowitz, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, March 9

3:00pm Smaller Group Breakouts – Session One
. A. Bloody Mess: Managing Postpartum
Karrie E. Francois, MD
. B. Effects of Intrauterine & Early Life Stress on Adult Mental & Physical Health
Owen Wolkowitz, MD
. C. What’s on the Horizon for Proper Use of Prenatal Obstetric Ultrasound
Ramesha Papanna, MD, MPH
. D. Strategies to Advance Patient Care: Your Rules & Regulations & the Law
Stephen Brzezinski, JD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, March 10

8:00am What’s New with Commonly-Used Drugs in Pregnancy: Steroids, Progesterone and MgS04
(Rx = 30 minutes)
Mureena A. Turnquest Wells, MD
8:45 Management of Hypertension in Pregnancy
(Rx = 30 minutes)
Karrie E. Francois, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Fetal Growth Restriction: Diagnosis & Management
(Rx = 10 minutes)

Mureena A. Turnquest Wells, MD
11:00 Too Much Consumption: Managing Consumptive Coagulopathy in Pregnancy (Rx = 30 minutes)
Karrie E. Francois, MD
11:45 The Law & EFM: Where Is It Going?
Stephen Brzezinski, JD
12:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


Los Cabos is a spectacular destination that takes its name from the union of two cities: San Jose del Cabo, where the San Jose Del Cabo International Airport (SJD) is located, and Cabo San Lucas, where the famous rock formation, El Arco is found. The Sheraton Grand Los Cabos Hacienda Del Mar is conveniently located at the Corredor, the area between both cities, only six miles from downtown Cabo San Lucas.

The fun begins at Sheraton Grand Los Cabos Hacienda Del Mar’s five unique pools that include a children’s pool, a swim-up bar, and an infinity pool that seems to melt into the Sea of Cortez. The hotel sits on Tortuga Beach with activities ranging from beach volleyball to bonfires and seaside dinners. Keeping the kids entertained has never been easier, thanks to the Sheraton Adventure Kids Club.

Treat yourself to some personal pampering at Cactus Spa, or keep up with your fitness routine at the state-of-the-art fitness center. The hotel also offers daily activities that appeal to all age groups, from tequila tastings to Spanish lessons.

Experience the natural splendor of the area with a sunset cruise along the coastline, an ATV excursion, or a canopy adventure. There are even camel rides available for those looking for an exotic method of sightseeing. Golfing, world-class fishing, and horseback riding are also available.

Guests looking for a memorable night on the town can hit the colorful streets of Cabo San Lucas for dinner, drinks, and dancing. Shop at the boutiques, or head over to Luxury Avenue at Puerto Paraiso Mall for designer brands. If a romantic dinner followed by a stroll through a historic plaza lined with art galleries and shops is more your speed, head over to the quiet town of San Jose del Cabo.

No matter what your interests may be, the lively, sun-filled city of Los Cabos promises unforgettable memories at our 25th Annual Spring Conference on High Risk Obstetrics.


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
December 27, 2017
If postmarked after
December 27, 2017
Physicians $675 $775
Residents, Nurses, PAs, & All Others $575 $675

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 Sheraton Grand Los Cabos Hacienda Del Mar. 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
(Double Occupancy)
Deluxe Garden View $301/night
(Limited number of rooms available at this rate. Once sold, rate will increase to $347/night)
All rooms are approx. 470 sq. ft. and differ by view. Rooms offer a king or two queen Sheraton Signature Beds, private terrace with patio furniture, spacious bathroom with separate walk-in shower and Jacuzzi tub, double vanity/sinks, hair dryer, iron & ironing board, and coffee maker.
Deluxe Ocean View $362/night
Deluxe Ocean Front
(limited availability,
reserve early)

If you are traveling on your own and would like to inquire about
single occupancy rates, please call us at (925) 969-1789


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 3% Hotel Lodging Tax
- 4% Service Charge (includes maid gratuities, in-room coffee, internet, two bottles of water per day, and access to the fitness center)
- 16% Value Added Tax (VAT)
(The Mexican Government is currently offering those who qualify a 16% VAT Tax refund. This refund is subject to change and/or cancellation by the government at any time. Hotel will allow conference attendees to photocopy their passports and tourist cards (indicate business trip) for VAT refund at the front desk at no charge - refundable if criteria met)
- $6.50 per person (round-trip) mandatory bellman fee (13 years and older)

Maximum guestroom occupancy is:
- Three adults, or
- Three adults and one child (17 years and under), or
- Two adults and two children (or three if all under 12 years old)

Mandatory additional person charges (below) include daily buffet breakfast, taxes, VAT, and gratuities:
- Children 4 years and under are FREE
- Children 5 to 12 years old are $16.50/person, per night
- Children 13 to 17 years old are $33.00/person, per night
- Third adult 18 years or older is $94.00 per night

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

Rollaways & Cribs: Rollaway beds and cribs are both complimentary (based on availability and subject to change). Rollaway beds are ONLY allowed in a room with a king-sized bed.

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: Departure dates will be re-confirmed at check-in. Guests who depart prior to their confirmed departure date will be charged the original confirmed length of stay, plus an additional $50 fee.

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.

Foreign Exchange Rates change on a daily basis and Foreign Transaction Fees may apply

Parking: Self-parking is complimentary. Valet parking 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 January 31, 2018; 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 January 3, 2018.  Between January 4, 2018 and January 31, 2018, one night’s deposit is forfeited. After January 31, 2018, 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 San Jose Del Cabo International Airport (SJD), which is approximately 40 minutes from the Sheraton Grand Los Cabos Hacienda Del Mar. 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 Flights” box. Once you click on this link, another page will appear. On this page, you will need to insert
ECMX911 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, 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 ZE2C279455 in the “Promotions and Certificates” box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.