“As usual, this Symposia Medicus conference was clear, concise, and informative, given by experts in the field who can clearly explain the subject.”
– E. Takacs-di Lorenzo, MD

“I attend Symposia Medicus conferences expecting to leave with valuable, updated information to enhance my practice.”
– C. Thomas, CNM

“I love Symposia Medicus conferences. You provide great updates to keep me current in this ever-changing world!”
– A. Willey, MD


Our 26th Annual Spring Conference on 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 26th Annual Spring Conference on Women’s Health while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Kauai.


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

Define major depression and distinguish it from other mood disorders

Recognize and manage common dermatologic problems

Discuss management options for each category of Female Sexual Dysfunction

Review epidemiology and proposed pathophysiology of vulvovaginal pain

State the current indications for ordering a Magnetic Resonance Image (MRI) to evaluate for high risk breast cancer


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 case studies test, 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, 26th Annual Spring Conference on WOMEN’S HEALTH, with a beginning date of 03/20/2019, 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 Content for Prescriptive Authority
A maximum of 4.25 hours in pharmacology content for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology content for prescriptive authority are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as requirements may vary state to state.


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.


The resort provides complimentary airport shuttle service, 24 hours a day, to/from the Lihue Airport. To receive additional information on ground transportation, the conference hotel, location, tours and/or nearby attractions, please visit our website at www.symposiamedicus.org.


James Fiorica, MD, FACOG
Clinical Professor of Obstetrics & Gynecology
Florida State University School of Medicine
Director, Gynecologic Oncology Research
Chief Medical Officer
Sarasota Memorial Hospital
Sarasota, Florida

Zena Gabriel, MD
Department of Dermatology
Medical, Surgical, and Aesthetic
Hoag Hospital
Newport Beach, California

Jan Shepherd, MD, FACOG
Conference Co-Chair

Associate Clinical Professor
Department of Obstetrics & Gynecology
University of Colorado School of Medicine
Medical Director
Women’s Wellness Connection
Colorado Department of
Public Health & Environment
Denver, Colorado

Edward Walker, MD, MHA
Conference Co-Chair

Professor, Departments of Psychiatry & Behavioral Sciences and Health Services
University of Washington
Seattle, Washington

Kathryn Witzeman, MD, FACOG
Associate Professor
University of Colorado School of Medicine
Department of Obstetrics & Gynecology
Associate Director, Women’s Health, Ambulatory Care
Director, Women’s Integrative Pelvic
Health Program
Denver Health Medical Center
Denver, Colorado

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 20

7:00am Registration & Check-in
8:00 Welcome & Introduction
Jan Shepherd, MD
8:15 Common Dermatologic Issues in Women
(Rx = 15 minutes)
Zena Gabriel, MD
9:00 Reproductive Endocrinology & Infertility Update
(Rx = 20 minutes)
Jan Shepherd, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Management of Breast Lumps & Breast Cancer Screening Controversies
James Fiorica, MD
11:15 Practical Management of Depression in Women
(Rx = 30 minutes)
Edward Walker, MD, MHA
12:15pm Vulvodynia: Impact, Evaluation, and Treatment
(Rx = 15 minutes)
Kathryn Witzeman, MD
1:00 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 21

8:00am Hot Topics in Dermatology
(Rx = 15 minutes)
Zena Gabriel, MD
8:45 A Practical Approach to Polycystic Ovary Syndrome
(Rx = 25 minutes)
Jan Shepherd, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 An Evidence-Based Approach to Dyspareunia (aka What to Do When Sex Hurts)
Kathryn Witzeman, MD


Female Sexual Dysfunction Dilemmas
(Rx = 20 minutes)
Jan Shepherd, MD
11:45 Painful Bladder Syndrome: Diagnosis & Treatment
(Rx = 20 minutes)
Kathryn Witzeman, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, March 22

3:00pm Smaller Group Breakouts – Session One
. A. Controversies in Hormone Therapy
James Fiorica, MD
. B. Contraception Update 2019
Jan Shepherd, MD
. C. Office Microtherapy: What You Can Do in 5 Minutes
Edward Walker, MD, MHA
. D. Myofascial Pain of the Abdomen & Pelvis: A Common Contributor to Pelvic Pain
Kathryn Witzeman, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, March 23

8:00am Medically Unexplained Physical Symptoms
(Rx = 15 minutes)
Edward Walker, MD, MHA
8:45 New Guidelines & Management for HPV & Cervical Cancer Screenings (Rx = 25 minutes)
James Fiorica, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable
10:15 Evaluation & Treatment of Challenging Patients: Interactive Problem Solving (Rx = 30 minutes)
Edward Walker, MD, MHA
11:00 What’s New in Cosmetic Dermatology?
Zena Gabriel, MD
11:45 Management of Abnormal Uterine Bleeding
(Rx = 25 minutes)

James Fiorica, 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


Aloha! Kauai, known as Hawaii’s “Garden Island,” offers scenic splendor along its 90 miles of coastline. Kauai is famous for its breathtaking botanical beauty and spectacular white-sand beaches. The island offers a wealth of diverse ecosystems that can be explored with a rental car. You can head to the north shore, where you will find the legendary Napali coast, with its rich green cliffs and breathtaking waterfalls; or, head into the heart of Kauai to discover Waimea Canyon, the “Grand Canyon of the Pacific,” with its unforgettable views of crested buttes and deep valley gorges.

Warm island hospitality meets the idyllic location of the Garden Isle at the Kauai Marriott Resort. Uniquely situated on Kalapaki Bay, this Kauai beach resort invites you to soak up island adventures with a variety of recreational activities, including one of the largest family-friendly pools in Hawaii and a Jack Nicklaus-designed championship golf course at the adjacent Hokuala Golf Course. Indulge in some tropical tranquility at the full-service spa or escape to your elegantly appointed guest room, many of which offer spectacular views and balconies. Learn surfing, kayaking, scuba diving, and stand-up paddling or visit beautiful Wailua Falls, just five minutes away from the resort. You can also enjoy the Hawaii Alive! Luau at the Kauai Marriott Resort and be immersed in the Hawaii of yesterday and today. Now in its 55th year, it is one of the longest continually running shows in Hawaii.

Whatever your pleasure, you’ll be sure to find it on Kauai, at our 26th Annual Spring Conference on 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.

Visit www.symposiamedicus.org or call (925) 969-1789 for additional questions or information.


If postmarked by
January 9, 2019
If postmarked after
January 9, 2019
Physicians $685 $785
Residents, Nurses, PAs, & All Others $585 $685

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 emaill


Conference group rates have been arranged at the Kauai Marriott Resort. 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.


All rooms are approximately 425-450 sq. ft., and have a king or two double beds (two bedded rooms are very limited), pillow top mattress and duvet, iron/ironing board, hair dryer, coffee/tea maker, mini-refrigerator, in-room safe, and tub/shower combination.

Room Type Group Rates (Single/Double) View Description
Garden View


Lush tropical garden view with a balcony
Pool View $369/night Overlooking the inviting 26,000 sq. ft. pool, with a balcony

Partial Ocean View

$399/night Combination of garden and ocean views with a balcony
Ocean View $429/night Overlooking the white sand beach of Kalapaki with a balcony

Deluxe Ocean View

(Limited availability, reserve early)

$439/night Overlooking the crystal blue waters of the Pacific Ocean, with some rooms including a balcony
By booking your lodging with Symposia Medicus, the resort fee charge of $30.00 per room, per night is discounted to $10.00. The Resort Fee includes (subject to change) self-parking, enhanced internet service, choice of 2 Mai Tais or 2 - 16 oz. Kauai coffees or 2 breakfast pastries at Aupaka Terrace (per room, per stay), 800 local/long distance calls, 60 minutes of international calls, cultural classes, fitness classes, bottled water (one liter) per day, and professional photo session with one complimentary digital photo and 10% off professional photo session (55 images) with Bali Hai Photo (appointments required).
The resort also provides complimentary airport shuttle service, 24 hours a day, to/from the Lihue Airport.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.962% state & local taxes
- $10.00 resort fee (discounted from $30.00)

Maximum guestroom occupancy is four, regardless of age

Mandatory additional occupant charge (13 years and older) is $50.00 per person, per night (includes additional occupant lodging fee, daily buffet breakfast, taxes, and gratuities)

Children 12 years and under are complimentary (includes daily buffet breakfast) – not to exceed stated maximum occupancy

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in. PLEASE NOTE THAT TWO BEDDED ROOMS ARE VERY LIMITED. THE RESORT WILL TRY TO ACCOMMODATE YOUR REQUEST, HOWEVER, IT IS NOT GUARANTEED.

Rollaway beds are available at an additional cost of $35.00 per night and cribs are available on a complimentary basis (subject to availability and change). Only one rollaway bed OR one crib is allowed per room.

Check-in time is 4:00pm 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.

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, plus $25/day for incidental charges; 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 and valet is available for $10.00 per day (subject to change)

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
February 13, 2019; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus

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 16, 2019. Between January 17, 2019 and
February 13, 2019, one night’s deposit is forfeited. After February 13, 2019, 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 Lihue Airport (LIH), which is approximately 10 minutes from the Kauai Marriott Resort. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, 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 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 ECMZ747 in the “Discount Code” box, located at the right-hand side of the page.
Please note discount has blackout dates of March 22-24, 2019; discount will only apply to flights before or after these dates.
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 NMS74 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.
Hawaiian Airlines For discounts on Hawaiian Airlines flights, please book online at https://www.hawaiianair.com/affiliate and insert SYMPOSIA MED into the “Preferred Affiliate Program Code” box, located at the right-hand side of page.
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 ZFMB292493 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 online or by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS www.avis.com 800-331-1600 AWD # B766625
Budget www.budget.com 800-772-3773 BCD # U076767