“It’s fantastic to have a mental health conference for primary care. I love it! Very practical advice and information for my everyday practice.”
– E. Bruhl, MD

“This is the second time I am attending a Symposia Medicus conference. I am very satisfied with the conference and will continue to attend for my continuing education.”
– A. DeGolier, APRN-CNP

“This was an excellent conference! Symposia Medicus planned a nice balance of lectures and group discussions.”
– J. Lemke, MD


Our 2nd Annual Conference on Challenges in Mental Healthcare for the Primary Care Provider is designed to provide practical, evidence-based care tips for treating the primary care patient with challenging psychiatric and psychosocial problems. The course has been designed for physicians, certified nurse midwives, nurse practitioners, PAs, nurses, and other healthcare professionals who care for patients of all ages. The goal of this conference is to increase knowledge and enhance the competence of attendees, emphasizing the practical application of evidence-based behavioral care.

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 2nd Annual Conference on Challenges in Mental Healthcare for the Primary Care Provider while sharing ideas and experiences with colleagues from across the country in the beautiful setting of San Diego.


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

Outline an enhanced approach to the biopsychosocial care of patients

Discuss the practical management of challenging patients with and without multiple somatic complaints

Describe managing mood, anxiety, and chronic pain disorders

Articulate the practical management of cognitive and emotional disorders in the elderly

Discuss options for managing substance abuse

Outline the practical management of behavioral issues in children and adolescents

Manage emergency interventions, office psychotherapy, and lifecycle issues in women


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, surveys, 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.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

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

Application has been made with the American College of Obstetricians & Gynecologists (ACOG) for cognates, Formal Learning. Please check our website for updated credit information.

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.

The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit™

Pharmacology Content for Prescriptive Authority
A maximum of 4 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.

Pain Management and Care
The approved credits shown above include 1 credit toward meeting the requirement under California Assembly Bill 487, Pain Management and Care.


Smaller group sessions will be held Saturday morning. 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, flash drive, or digital copy) will be available one week after the conference. The cost is $65 for a hard copy, $30 for a flash drive, and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


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


Heidi Combs, MD, MS
Associate Professor
Department of Psychiatry
& Behavioral Sciences
University of Washington
Seattle, Washington

Jesse D. Markman, MD, MBA
Assistant Professor
Department of Psychiatry
& Behavioral Sciences
University of Washington
Seattle, Washington

Edward A. Walker, MD, MHA
Conference Chairman

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



Wednesday, July 10

7:00am Registration & Check-in
8:00 Welcome & Introduction: Team Icebreaker
Faculty Panel
8:15 Making Behavioral Care Easier & More Enjoyable: A Course Overview
Faculty Panel
9:00 Oh, By the Way…: Managing the Multi-Positive Review of Symptoms (Rx = 15 minutes)
Edward A. Walker, MD, MHA
10:30 Break
10:45 Oh No, Not That One Again…: The Challenging Patient
Edward A. Walker, MD, MHA
12:30pm Wrap Up: What Did We Learn This Morning?
Questions & Answers with Group Discussion

Faculty Panel
1:00 Adjourn for the Day
5:30-6:30 Group Reception
(Faculty, Participants, and Guests)

Thursday, July 11

8:00am When Patients Sing the Blues: Mood Disorders
(Rx = 60 minutes)
Heidi Combs, MD, MS
9:30 Break
9:45 Another Note from the Teacher: Pediatric & Adolescent Patients (Rx = 15 minutes)
Heidi Combs, MD, MS
10:45 Break
11:00 I’m Worried, You Should Be Too: Anxiety Disorders
(Rx= 30 minutes)

Heidi Combs, MD, MS
12:30pm Wrap Up: What Did We Learn This Morning?
Questions & Answers with Group Discussion

Faculty Panel
1:00 Adjourn for the Day

Friday, July 12

8:00am Mom Can’t Find Her Keys: Cognitive Disorders in Older Patients (Rx = 30 minutes)
Jesse D. Markman, MD, MBA
9:00 Break
9:15 Substance Abuse Disorders: Everyone Else is Worried About My Substance Use (Rx = 60 minutes)
Jesse D. Markman, MD, MBA
10:45 Break
11:00 Do You Have Anything Stronger?: Chronic Pain Management (Rx = 30 minutes)
Jesse D. Markman, MD, MBA
12:30pm Wrap Up: What Did We Learn This Morning?
Questions & Answers with Group Discussion

Faculty Panel

Adjourn for the Day

Saturday, July 13

8:00am Smaller Group Breakouts – Session One
. A. Office Microtherapy: What You Can Do in 5 Minutes
Edward A. Walker, MD, MHA
. B. When Your Patients Make You Anxious: Emergency Interventions
Jesse D. Markman, MD, MBA
. C. The Joys of Hot Flashes & Swollen Ankles: Special Issues for Women
Heidi Combs, MD, MS
9:30 Break
9:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
11:15 Break
11:30 Smaller Group Breakouts – Session Three
(Session One Topics Repeated)
1:00pm Conference Adjourns

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


Come visit San Diego! Friendly locals create a welcoming vibe in California’s second largest city, where blue skies keep watch over 70 miles of majestic coastline and a gentle Mediterranean climate. Bordered by the Pacific Ocean to the west, the Anza-Borrego Desert and the Laguna Mountains to the east, and Mexico to the south, the diverse neighborhoods of San Diego are spread out over 4,200 square miles, offering endless opportunities for exploration and activities.

Spend one day relaxing on a beach (there are dozens around the city), then the next hiking in the east San Diego County mountains. Visit the quaint and charming island town of Coronado or the picturesque village of La Jolla. You won’t want to miss favorites like the San Diego Zoo, SeaWorld, USS Midway Museum, Birch Aquarium, or LEGOLAND, all located nearby. San Diego is so diverse and unique; there are plenty of options to discover something new!

Perched on its own 15-acre peninsula, Loews Coronado Bay Resort is a private oasis of tranquility. This Coronado resort offers views of both the shimmering bay waters and the San Diego skyline. Enjoy three heated pools, a hot tub spa and dry sauna. Dine at the Mistral Restaurant, which serves a global-fusion menu showcasing exquisite Mediterranean flavors and seafood. Relax and recharge at the Sea Spa that offers luxurious treatments including island-inspired body wraps, tropical sea stone massages, energizing facials, and a relaxing Vichy Rain Shower.

Whatever your pleasure, you’ll be sure to find it in San Diego, at our 2nd Annual Conference on Challenges in Mental Healthcare for the Primary Care Provider.


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

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


If postmarked by
May 1, 2019
If postmarked after
May 1, 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 email


Symposia Medicus has conference group rates at Loews Coronado Bay Resort.

These special rates will only be available until Tuesday, June 11, 2019 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.

Loews Coronado Bay Resort
4000 Coronado Bay Road
Coronado, California 92118
Direct: (619) 424-4000

To make your reservations online, please visit

To make your reservations by phone, please call (877) 872-8559
You must refer to the group code SMP714 to receive conference group rates.

The conference 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 in San Diego.


Room Type Group Rates
(Single/Double Occupancy)
Resort View
(King Bed only,
Two beds not available)
$329/night Rooms differ by view and are approximately 430 sq. ft. and include mini-refrigerators, coffeemaker, work desk, arm chair with ottoman, bath amenities, stone-top vanity, tub and shower, hair dryer, flat-screen TV, and include a balcony or patio.
Pool View
(King Bed)
Partial Bay View
(King Bed)
Coronado Bay View
(King Bed)
If you require a room with two beds there will be an additional charge of $10 per night added to the above group room rates. To book a room with two beds (based on availability), you must call (877) 872-8559.

By booking your lodging under the Symposia Medicus group code, the Resort Fee (normally $30 per room, per night, discounted to $10 per room, per night) is included in the conference group rates.

The Resort Fee includes in-room coffee, unlimited local and toll-free telephone calls, access to fitness center and studio, airline boarding pass printing, daily newspaper, seasonal pool deck games, daily yoga and aerobics classes, 24-hour shoe shine service, turndown service upon request, use of tennis courts (based on availability), and shuttle service to Silver Strand State Beach via hotel beach shuttles. You will also receive complimentary basic in-room internet access. Items listed are subject to change.


Hotel Policies

A credit card or debit card is required upon making your reservation

Above conference group rates are per room, per night and do not include the following (subject to change):
- 10% Occupancy Tax
- 1% CTID Assessment
- 1% Environmental Protection Fee
- 0.55% CA Tourism Assessment Fee

Maximum occupancy in a room with one king bed is three, and in a room with two beds, the maximum occupancy is four, regardless of age

Mandatory additional occupant charges, listed below, include additional occupant fee, daily buffet breakfast, taxes and gratuities (not to exceed maximum occupancy stated above)
- Adult(s) 18 years & older are $50 each, per night
- Children 13-17 years old are $30 each, per night
- Children 5-12 years old are $18 each, per night
- Children 4 years & under are complimentary

Rollaways & Cribs: Rollaway beds and cribs are both complimentary (based on availability and subject to change). Only one rollaway bed is allowed in rooms with a king bed.

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.

Early Departure Fee: If you check-out prior to your confirmed departure date, you will be charged 50% of the room rate for each night you are departing early. To avoid this fee, you must confirm your departure date with the hotel at or before check-in.

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 discounted to $15 per day (normally $31 per day) for conference guests. Valet is $35 per day (subject to change).

Hotel Cancellations must be made directly with the hotel at least 72 hours prior to your confirmed arrival date or you will be charged a cancellation fee equal to one night’s room rate and tax

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 June 5, 2019; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference. 

All 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 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 Diego International Airport (SAN), which is approximately 40 minutes from the Loews Coronado Bay Resort. 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 ECMC206 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 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.
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