Designed for physicians, nurse practitioners, PAs, nurses, and other allied healthcare professionals involved in the care of pediatric patients, our conference on Hot Topics in Pediatric Emergencies takes place over the course of three days. Covering a wide array of topics such as medical child abuse, head injuries, infectious causes of acute abdominal pain, and uterine bleeding in adolescents, our expert faculty will discuss the latest evidence-based advancements in pediatric emergency medicine, present emerging clinical data, and provide skills and strategies for application and implementation into your practice. This educational activity aims to increase both the competence and performance of all attendees, as well as contribute to your ability to work together as part of a coordinated healthcare team.

Topics for this year’s conference have been selected based on the educational needs underlying 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 such as current clinical guidelines, research findings, literature reviews, and patient safety considerations.
An outstanding faculty has been assembled for this conference. Each faculty member was selected based on their individual area of expertise and ability to communicate current, evidence-based, and practical information to participants.

The conference format includes didactic lectures, question and answer sessions, and case studies. Following a group of lectures, the question and answer sessions allow attendees to ask the faculty critical and challenging questions about caring for patients during various pediatric situations.


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

Develop a plan for a safe return to school after a head injury

Identify several acute clinical syndromes associated with COVID-19 infection in children

Recognize when a child is at risk for medical child abuse (MCA)

Recognize the difference between inflammatory and noninflammatory gastroenteritis and develop an appropriate evaluation for a patient with a likely foodborne illness

Discuss the pathogenesis and etiologies of abnormal uterine bleeding in an adolescent patient


After 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, reviewing the educational session materials, and submitting the case studies test, evaluations, surveys, and verification of attendance 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 nursing continuing professional development 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.

This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 12 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

Approved by the American College of Emergency Physicians for a maximum of 12 hour(s) of ACEP Category I credit.

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.

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.

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™

Pharmacotherapeutic CEUs for Nurses
This activity is designated for a maximum of 1.25 pharmacotherapeutic credits towards meeting the requirement for nursing pharmacology continuing education. Sessions awarding pharmacotherapeutic credits are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as they may vary state to state.


Each registrant will have online access to educational session materials. The educational session materials will be available for download approximately one week prior to the conference (you’ll receive an email with instructions).

If you are unable to attend this conference, you may purchase an electronic copy of the educational session materials one week after the conference. Please email for more information.


Symposia Medicus will make every effort to protect our conference attendees, faculty, and staff from COVID-19. We are collaborating extensively with the conference venue to ensure that precautions will be in place for this in-person meeting. As the event gets closer, we will communicate details regarding all safety and social distancing protocols and procedures intended to prevent the transmission of COVID-19.



All cruise rates quoted are per person, based on double occupancy (U.S. dollars, cruise only). The price of your cruise includes ship accommodations, taxes, fine dining with all meals included onboard, coffee, tea, iced tea, milk, juices, and sparkling wine with breakfast, unlimited red and white wines from Europe’s great wine regions, beer, and soft drinks with every lunch and dinner aboard the ship, bottled waters daily in staterooms, Included Tours in every port (see “Tours”), on-demand entertainment in all staterooms featuring free high-speed Wi-Fi internet access, hit Hollywood movies, extensive music library, English language TV stations, and bicycles to explore on your own or on guided bicycle tours (availability based on first come, first served).

A deposit for all stateroom occupants is due to Symposia Medicus at the time of registration ($1,000 per person). Final payments are due to Symposia Medicus by Friday, July 9, 2021. Payments not received by the due date are subject to cabin cancellation with no refunds.

Final cruise documents and information will be sent via electronic documents. You will receive them via email within the four weeks prior to the cruise. Please provide your best email address on the registration form.


Conference Tuition See “Conference Registration Information”
Port Charges $196 per person
(for the entire crew and cruise director)
$157 per person
Air Transportation See “Airline Travel Information”
Ground Transportation See “Ground Transportation”

Cruise rates also do not include: airline tickets, other trips, optional tours, meals ashore, alcoholic and certain beverages (not during breakfast, lunch or dinner), telephone calls, passport and visa fees; airport baggage fees; travel, health, accident, or other insurance; vaccinations; laundry; or other items or services of a personal nature.


A full refund will be made for written (via email) cruise cancellations received by Symposia Medicus on or before Friday, July 9, 2021. After July 9, 2021, no refunds will be made.

Name changes require the prior approval of AmaWaterways™ and can be made with no fee. Cruise tickets are non-transferable. For security reasons, no name changes are allowed by AmaWaterways™ after Monday, October 4, 2021.


If a pregnant guest has entered or will be entering their 24th week before or during the cruise, they are NOT ALLOWED to cruise.

If a pregnant guest is less than 24 weeks, a physician’s “Fit to Travel” note stating that they are in good health, not a high-risk pregnancy, and not entering the 24th week must be presented at check-in and carried onboard.


All guests under the age of 18 are to be in a stateroom with an adult, must remain supervised at all times, and their safety is the responsibility of the accompanying adult(s). Children must be at least 8 years old by September 26, 2021, to go on the cruise. Denial of boarding for children who do not satisfy this minimum age requirement may also result in the denial of boarding for one or more guests sailing with that child. No refunds will be given as a result of the denial of boarding to an underage child or other accompanying guests. AmaWaterways™ does not provide child-specific programs or child-minding facilities.

Children 8-10 years old at the time of embarkation may share a cabin at a rate of 25% of the cabin rate with 2 adults provided the child is able to share the bed with the adults – no additional or rollaway bed will be provided. Children 11-17 years old will be charged the full rate and can share a room with adults in a triple occupancy stateroom (limited). For rates and availability, please contact Symposia Medicus.


Passports are REQUIRED for every passenger. If you do not have a passport, please allow a minimum of 4-6 weeks to receive it after you complete and mail the application. Your passport cannot expire before May 2, 2022 (or 6 months after your final date of travel).

It is the sole responsibility of the guest to identify and obtain all required travel documents and have them available when necessary. These appropriate valid travel documents such as passports, visas, inoculation certificates, and/or family legal documents are required for ship boarding and country entry and/or re-entry into the United States and other countries. Based on citizenship, many countries require an entry visa. Obtaining required visas and any other required travel documentation, and assuring these are complete and correct in all ways, is the sole responsibility of each traveler. AmaWaterways™ and Symposia Medicus are not in a position to obtain or verify the accuracy or completeness of any participant’s visa or other required documentation and shall not be responsible or liable for delay or missed portion of any part of the itinerary or other problems resulting from the participant lacking the appropriate travel documentation.

Guests who do not possess the proper documentation may be prevented from boarding their flight or ship, or from entering a country, and may be subject to fines.

Note: No refunds will be given to individuals who fail to bring proper documentation.

For additional passport and visa requirements, visit the U.S. Department of State’s website at or Embassies (Consular Service Office) of each country on the sailing itinerary.


ARRIVAL FLIGHT: Luxembourg Airport (Airport code – LUX) is the closest airport, which is approximately 30 minutes to the cruise port.

It is recommended you allow a minimum of five hours from the time your flight arrives into Luxembourg to the time you can board the ship at 3:00pm.

DEPARTURE FLIGHT: Basel, Switzerland (Euro Airport Basel Mulhouse-Freiburg airport code – BSL) is the closest airport, which is approximately 20 minutes from the cruise port in Basel.


AmaWaterways™ allows you to purchase airline tickets through them. After you are registered and receive a reservation number, we will send an email with the contact information to make these arrangements. AmaWaterways™ will send a verification email to confirm proper spelling and date of birth for travelers prior to making airline reservations. Any changes or cancellations may be subject to non-refundable service charges and additional airfare costs.


AmaWaterways™ offers pre/post cruise packages for an additional cost. After you are registered and receive a reservation number, we will send you an email with the contact information to make these arrangements.

2-Night Pre-Cruise Package –offers 2 nights (with breakfast included) in Paris to include hotel stay, city tour, evening Montmartre and illumination tour, high-speed train transfer to Luxembourg, and city tour in Luxembourg prior to embarkation

3-Night Post-Cruise Package –offers 3 nights (with breakfast included), to start in Basel with a city tour, then transfer to Lucerne, which includes hotel stay, walking tour of Lion Mountain and Medieval City Walls, scenic Lake Lucerne cruise to Vitznau, then off to a scenic drive to Zurich, which includes hotel stay, along with a “Little Big City” tour


Whether you choose to make your own air travel arrangements or you booked your air through AmaWaterways™, you can purchase transfers to/from the ship (from Luxembourg airport or to Basel airport) from AmaWaterways™. Please note rates listed below are subject to change.

Arrival transfers from the Luxembourg airport to the ship on October 26, 2021 are $45 per person with transfers leaving at 11:30am and 3:15pm

Departure transfers to the airport in Basel on November 2, 2021 are $60 per person and run throughout the morning and early afternoon

After you are registered and receive a reservation number, we will send you an email with the contact information to make these arrangements.

Ground transportation reservations must be made through AmaWaterways™ by Friday, September 24, 2021. Your flight itinerary must be provided in order to confirm your transfers.


During the cruise, you are offered complimentary sparkling wine with breakfast, unlimited complimentary beer, wine, and soft drinks with lunch, Sip n’ Sail cocktail hour (prior to dinner), and dinner. Any additional drinks (cocktails) not during dining times are available at the bar for an additional fee per drink and charged to your stateroom.


AmaWaterways™ expert chefs craft menus that feature exquisite, locally-inspired cuisine as well as traditional Western offerings. All meals will be served. At breakfast, sip sparkling wine as you partake in fresh pastries or made-to-order from the menu. For lunch, head to the restaurant for full menu service and high-quality regional wine or beer. Dinner is a multi-course affair with wine recommendations that accompany visually stunning, delicious dishes.

Special dietary requests must be provided to Symposia Medicus at time of reservation. An effort will be made to meet the request, but AmaWaterways™ cannot assure the request can be accommodated. AmaWaterways is unable to accommodate kosher requests.

For additional information, please visit:


A sightseeing tour is included in each city or town you visit, along with free time to explore the city according to your own interests. AmaWaterways™ offers the below:

Included Tours – Standard tours offered in each port. These are included in the price of the cruise. Pre-registration is not required, but it is recommended. Included tour registration is available online approximately 60 days prior to embarkation once online check-in is completed.

Special Interest Tours –Tours offered in place of the standard tours in each port. These are included in the price of the cruise. Pre-registration is not required, but it is recommended (approximately 60 days prior to embarkation once online check-in completed), with the exception of bike tours. Bike tours are only available to book once onboard, on a first come, first served basis.

Optional Tours – Tours offered as an option for an additional cost. These are in addition to the standard tours offered at each port and can only be booked once onboard, on a first come, first served basis.

During all the tours, AmaWaterways™ provides a sophisticated audio headset system that allows guests to comfortably listen to the tour guide while taking photos and admiring some of Europe’s hidden gems.


For more information about clothing to pack and more, please visit:

For information on the AmaPrima ship, please visit:

For more information on health, safely, and COVID-19 procedures, please visit:

Medical Services: Onboard medical professionals are not available on any vessel. If medical services are required, efforts to contact local medical providers will be made. A participant requiring such assistance is solely responsible for all related charges.

Smoking: Smoking is only permitted on the ship’s Sun Deck in the designated smoking area.

Disabled Travelers: Facilities are not available onboard or in many places visited on the cruises and cruise tours AmaWaterways™ offer.



Gretchen Lentz, MD
Professor & Division
Director of Urogynecology
Department of Obstetrics & Gynecology
Adjunct Professor of Urology
University of Washington
Medical Center
Seattle, Washington

Joan E. Shook, MD, MBA,
Conference Chairperson

Professor & Executive Vice Chair
Department of Pediatrics
Baylor College of Medicine
Chief Safety Officer &
Deputy Chief Quality Officer
Texas Children’s Hospital
Houston, Texas

Jeffrey Starke, MD, FAAP
Professor of Pediatrics
Baylor College of Medicine
Texas Children’s Hospital
Houston, Texas

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 educational session materials for this activity and speakers will provide a disclosure slide for each presentation which they will also disclose verbally onsite.




6:00pm Conference Check-In
Welcome Reception & Faculty Introductions
Wasserbillig, Mertert, Luxembourg


Wasserbillig, Mertert, Luxembourg 3:00am
Schweich, Rhineland-Palatinate, Germany 8:00am 9:00am
Piesport, Rhineland-Palatinate, Germany 12:30pm 1:00pm
Bernkastel, Rhineland-Palatinate, Germany 4:30pm 11:30pm


Cochem, Rhineland-Palatinate, Germany 8:00am 11:30am
1:00pm Medical Child Abuse: Untangling the Web
Joan E. Shook, MD, MBA
2:00 COVID-19 in Children: Where We Have Been & Where We Are Going  
Jeffrey Starke, MD
3:00 Head Injuries in Children: Updated Diagnostics & Management (Rx = 25 minutes)
Joan E. Shook, MD, MBA
4:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
5:00 Adjourn for Day
Lahnstein, Rhineland-Palatinate, Germany 6:30pm


Lahnstein, Rhineland-Palatinate, German 8:00am
8:00am Infectious Causes of Acute Abdominal Pain in Children
Jeffrey Starke, MD
9:00 Burnout & Stress During the Pandemic
Joan E. Shook, MD, MBA
10:00 Presentation & Management of Common Food & Waterborne Illnesses (Rx = 25 minutes)
Jeffrey Starke, MD
11:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
Noon Adjourn for Day
Rüdesheim, Rhine Valley, Germany 2:00pm


Rüdesheim, Rhine Valley, Germany 2:00am
7:00am Abnormal Uterine Bleeding in the Adolescent Patient
Gretchen Lentz, MD
8:00 Fever & Rash in Children: Approach to Diagnosis & Management (Rx = 25 minutes)
Jeffrey Starke, MD
9:00 BRUE: Is It Really the Same as ALTE (or SIDS)?
Joan E. Shook, MD, MBA
10:00 Questions & Answers
Group Discussion

Faculty Panel & Audience
11:00 Conference Adjourns
Ludwigshafen, Rhineland-Palatinate, Germany Noon 6:30pm


Strasbourg, Grand Est, France 8:30am 6:30pm


Breisach, Rhine Valley, Germany 8:00am 1:30pm
Basel, St. Johann, Switzerland 10:00pm


Basel, St. Johann, Switzerland DISEMBARK at 9:00am

Rx = Pharmacotherapeutic CEUs for nurses will be granted for these sessions



The AmaPrima is the luxurious vessel that will take you on this enchanted river cruise along the Rhine and Moselle Rivers. You’ll enjoy gourmet dining with free-flowing fine wines at multiple onboard dining venues; a heated sun deck swimming pool; fitness center and spa; complimentary ship-wide Wi-Fi; in-room internet and on-demand entertainment. Also, look for a fleet of bicycles onboard for passengers to enjoy on their own or on guided bike tours when in port.

Enjoy stunning views and step into the storybook wonder of real-life castles and cathedrals. Expand your imagination in fairytale villages like enchanting Cochem where folklore and history come alive on every street and well-preserved Bernkastel with its medieval market square and half-timbered houses. Whimsical fantasies abound at Siegfried’s Mechanical Musical Instrument Museum and at the Palace Gardens of Schwetzingen, a cultural heritage site of European significance with more than 100 sculptures scattered throughout its surprising landscape. Blend German heritage with Italian influence in Trier, with its Roman Imperial Baths and the Porta Nigra city gate, and note the French flavors in Strasbourg. You will have the most splendid journey meandering through historic sites and learning more about various European cultures.

On this cruise, you will enjoy an extensive lineup of included tours. In many cases, you will have a choice of excursions, such as standard tours, bike tours, hikes, and optional special interest tours. A large variety of activities are at your disposal for you to choose how you want to explore. No matter your preference, your days will be full of discovery and wonder. The Wellness Program has professionally trained Wellness Hosts that will lead a variety of fitness classes, including core strengthening and circuit training, as well as occasional health and wellness-related lectures and discussions through AmaWaterways’ Wellness Program.

We cordially invite you to come aboard the AmaWaterways™ AmaPrima for this conference on Hot Topics in Pediatric Emergencies and the exceptional cruise of a lifetime.

Alaska Cruise



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 group rates in the following ways:

Call (925) 969-1789 Monday-Friday, 8:30am-5:00pm (Pacific Time), with Visa, MasterCard, American Express, or Discover; OR

By mail; make check payable to Symposia Medicus and send along with registration form to: 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287

Please visit or call (925) 969-1789 for additional questions or information.


If postmarked by
August 17, 2021
If postmarked after
August 17, 2021
Physicians $795 $895
Residents, Nurses, PAs & All Others $695 $795

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 educational session materials, and break refreshments

Conference registration and cruise reservations (if applicable) will be confirmed via email


We have arranged conference group rates through AmaWaterways™. We have a limited number of staterooms in the categories and at the rates listed below. Staterooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as staterooms may sell out and/or rates may increase.

Rates are (U.S. dollars, cruise only) PER PERSON, based on double occupancy, and DO NOT include conference tuition, cruise fees (port charges) of $196.00 per person, gratuities of $157.00 per person, air transportation, or ground transfers.

The stateroom categories below differ by location on each deck, size, and balconies.

Stateroom categories E and Suites are very limited, please reserve early.

Category E
Piano Deck - Fixed Windows
$3,499.00 160
Category D
Piano Deck - Fixed Windows
$3,798.00 160
Category C
Violin & Cello Deck - French Balcony
$4,498.00 170
Category BB
Cello Deck - French Balcony & Outside Balcony
$4,898.00 210
Category BA
Violin Deck - French Balcony & Outside Balcony
$5,098.00 210
Category AB
Cello Deck - French Balcony & Outside Balcony
$5,398.00 235
Category AA
Violin Deck - French Balcony & Outside Balcony
$5,498.00 235

Category Suite
Violin Deck - French Balcony & Outside Balcony

$6,998.00 300

If you need accommodations for 3rd/4th persons, the ship has less than 8 staterooms to accommodate.

Single occupancy staterooms can be requested; however, the rate for single occupancy is double the cruise fare and port charges for the selected stateroom category.

Please call us at (925) 969-1789 or email for rates and availability.

Detailed stateroom descriptions and amenities are available at:


Cruise Policies

Deposit due at time of booking is $1,000 per person

Final payment is due to Symposia Medicus by Friday, July 9, 2021

If booking after Friday, July 9, 2021 full cabin payment is due

You will receive electronic documents via email within the four weeks prior to the cruise. Please provide your best email address on the registration form.

Third and fourth occupant (11 years and older) staterooms are very limited. The stateroom rates above do not reflect availability for 3rd/4th person(s). These are limited and on a first come, first served basis. Please contact us for pricing and availability.

Cruise cancellations must be made in writing (via email) to Symposia Medicus for a full refund on or before July 9, 2021. After July 9, 2021, no refunds will be made.


Conference cancellations must be made in writing (via email) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after Friday, July 9, 2021; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, stateroom payment refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.