“After attending over six conferences organized by Symposia Medicus, I can state that they are uniformly informative and organized. The presenters are always available and personable, not to mention knowledgeable about updated recommendations.”
– B. Atkins, MD

“Great topics and speakers. I will be booking another Symposia Medicus conference.”
– K. Capusan, PNP

“Always have excellent speakers, covering appropriate topics, in very desirable locations.”
– M. Sowa, MD


Designed for physicians, nurse practitioners, physician associates, nurses, and other allied healthcare professionals involved in the care of pediatric patients, our 33rd Annual Spring Conference on Pediatrics takes place over the course of four days. Covering a wide array of pediatric topics, our expert faculty will discuss the latest evidence-based advancements in pediatrics, 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, case studies, and small group breakouts. 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.

The breakout sessions, designed to facilitate even greater interaction between faculty and participants, offer an opportunity to engage in group 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.


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

Perform appropriate testing for the obese child with elevated transaminases

Recognize clinical and radiographic injury patterns that are characteristic of physical abuse

Discuss the clinical features of common causes of fever of unknown origin

Describe the features of urticaria that distinguish it
from other “rashes”

Recognize the clinical presentations of the different types of pediatric bowel obstructions


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 Standards for Integrity and Independence in Accredited Continuing 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 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This ACE activity was developed with standards to address California Assembly Bill (AB) 1195, cultural & linguistic competency (CLC) and CA AB 241 implicit bias (IB) to reduce health disparities.

This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 18 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.

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.

Physician Associates
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. Physician associates 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™

Pharmacotherapeutic CEUs for Nurses
This activity is designated for a maximum of 3.75 hours 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 publications@symposiamedicus.org for more information.


Due to the prolonged nature of the pandemic, Symposia Medicus has implemented several new policies. In the interest of the health and safety of our faculty, staff, and attendees, Symposia Medicus now requires that all conference participants be fully vaccinated. Facemasks, which will be provided at the Registration Desk, will also be required for this conference. We have established these policies and procedures with the intention of mitigating risk and preventing the transmission of COVID-19. We thank you for your understanding and cooperation as we strive to provide a quality continuing education experience that is safe for all involved.

Alohilani Resort Waikiki Beach requires proof of full COVID-19 vaccination for all guests, visitors, and patrons ages 12 and older (subject to change–please refer to the link below for updates). All registered guests and occupants must present proof of full COVID-19 vaccination (that you have finished your vaccine, whether that’s one dose or two, and two weeks have passed) upon check-in.

Continue to check the hotel’s website for updated information regarding COVID-19 policies, health, and safety at the hotel. Please visit: https://www.alohilaniresort.com/health-safety/


There are detailed requirements and instructions for all visitors to Hawaii, which may include mandated quarantine, pre-travel testing, and/or proof of vaccination. Visit the Hawaii Tourism Authority or State of Hawaii websites for current information about these requirements and please note that these mandates are subject to change. Visitors are encouraged to stay up to date on the latest restrictions, advisories, and travel alerts that are in place leading up to your planned stay.

For more information please visit:


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


John M. Kelso, MD
Division of Allergy, Asthma and Immunology
Scripps Clinic, San Diego, California
Clinical Professor of Pediatrics &
Internal Medicine
University of California San Diego
School of Medicine
San Diego, California

Niraj C. Patel, MD, MS, FAAP
Associate Professor of Pediatrics
Emory University School of Medicine
Division of Allergy & Immunology
Children’s Healthcare of Atlanta
Atlanta, Georgia

Michelle Pietzak, MD
Assistant Professor of Clinical Pediatrics
University of Southern California
Keck School of Medicine
Attending, Gastroenterology
Children’s Hospital Los Angeles &
Los Angeles County + University of Southern California
Los Angeles, California

Binita R. Shah, MD, FAAP
Conference Co-Chair
Distinguished Professor Emerita of Emergency Medicine & Pediatrics
SUNY Downstate Medical Center
Director Emerita
Pediatric Emergency Medicine
Kings County Hospital Center
Brooklyn, New York

Loren Yamamoto, MD, MPH, MBA, FAAP, FACEP
Conference Co-Chair
Professor & Associate Chair of Pediatrics
John A. Burns School of Medicine
University of Hawaii
Past Chief of Staff & Pediatric Emergency Medicine Attending Physician
Kapiolani Medical Center for
Women & Children
Honolulu, Hawaii

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 24 months. Symposia Medicus will also ensure that any and all relevant financial relationships will be mitigated before the conference commences. Beyond disclosure and mitigation 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 on site.

faculty photo



Wednesday, April 20

7:00am Registration & Check-in
8:00 Welcome & Introduction
Binita R. Shah, MD & Loren Yamamoto, MD, MPH, MBA
8:15 GI Complications of Obesity, Including NAFLD
(Rx = 40 minutes)
Michelle Pietzak, MD
9:00 When It’s NOT Abuse: Conditions Mistaken for Child or Sexual Abuse
Binita R. Shah, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Extremity X-Rays & Office Splinting
Loren Yamamoto, MD, MPH, MBA
11:15 Allergic Rashes: Atopic Dermatitis & Urticaria
(Rx = 15 minutes)
John M. Kelso, MD
Noon Sick Again?!: When to Suspect an Immunodeficienc
(Rx = 5 minutes)
Niraj C. Patel, MD, MS
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day

Thursday, April 21

8:00am Hot Blooded! Fever of Unknown Origin: A Case-Based Approach (Rx = 5 minutes)
Niraj C. Patel, MD, MS
8:45 Rapid Fire Visual Diagnoses: Sharpen Your Diagnostic Skills
Binita R. Shah, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Life-Threatening Dermatologic Emergencies
(Rx = 10 minutes)
Binita R. Shah, MD
11:00 How to Provide SMART Asthma Therapy
(Rx = 15 minutes)

John M. Kelso, MD
11:45 Facing Adversity: Managing Adverse Drug Reactions
(Rx = 45 minutes)
Niraj C. Patel, MD, MS
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, April 22

3:00pm Smaller Group Breakouts – Session One
. • Expanding Office Capabilities by Moving Some ED Practices Into the Office
Loren Yamamoto, MD, MPH, MBA
. • Genitourinary Emergencies: Not to Miss the Costly “Oops!”
Binita R. Shah, MD
. • Hit Me With Your Best Shot: COVID-19 Vaccine Reactions & Management
Niraj C. Patel, MD, MS
. • The Pediatric Gut Microbiome in Health & Disease
Michelle Pietzak, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, April 23

8:00am Management of Foreign Bodies in the GI Tract
(Rx = 35 minutes)
Michelle Pietzak, MD
8:45 Pediatric Bowel Obstruction
Loren Yamamoto, MD, MPH, MBA
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Celiac Disease & the Gluten-Free Diet: Fad or Fact?
(Rx = 40 minutes)
Michelle Pietzak, MD
11:00 Anaphylaxis: How to Recognize & How to React
(Rx = 15 minutes)
John M. Kelso, MD
11:45 Incredible ED & Hospital Cases Referred From Clinics & Offices
Loren Yamamoto, MD, MPH, MBA
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


The surf is up at the world-famous Waikiki Beach! This centrally-located and historic neighborhood on Oahu has everything—fine dining, lively entertainment, fascinating museums, exceptional shopping, and don’t forget all the beach and water activities! The calm waters off Waikiki Beach are ideal for a surfing or paddleboard lesson.

A fresh perspective on resorts in Waikiki, Alohilani Resort Waikiki Beach is proudly named in honor of Queen Lili’uokalani, the last reigning monarch of the Hawaiian Kingdom. Alohilani was ranked #8 by Conde Nast Traveler Readers in 2021 of Top 25 Resorts in Hawaii and was a recipient of Travel + Leisure World’s Best in 2020 award. Fresh, welcoming, and relaxing, it’s an oasis of tranquility in the heart of Waikiki.

This beachfront resort offers two restaurants conceived by internationally acclaimed Iron Chef Masaharu Morimoto. Experience the open-air lobby and captivating 280,000 gallon Oceanarium unique to Honolulu resorts. The destination pool deck with private cabanas offers a saltwater infinity pool and a pool bar that seamlessly transitions from day to night.

Whatever your pleasure, you’ll be sure to find it on Oahu, at our 33rd Annual Spring Conference on Pediatrics.


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 in the following ways:

Online via our website, www.symposiamedicus.org; OR

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 102, Pleasant Hill, CA 94523-2287

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


If postmarked by
February 9, 2022
If postmarked after
February 9, 2022
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 for conference registrants

Conference registration will be confirmed via email


Conference group rates have been arranged at the Alohilani Resort Waikiki Beach. 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.

Alohilani Resort Waikiki Beach requires proof of full COVID-19 vaccination for all guests, visitors, and patrons ages 12 and older (subject to change – please refer to the link below for updates). All registered guests and occupants must present proof of full COVID-19 vaccination (that you have finished your vaccine, whether that’s one dose or two, and two weeks have passed) upon check-in.


Type of Room View Group Rates
Standard Overlooking the city $348/night

All rooms are approximately 330 sq. ft., and have either a king bed or two queen beds.

All accommodations offer a private lanai or balcony, LED television with remote control, high-speed Wi-Fi, telephone with voicemail and message light, in-room compact fridge, hair dyer, iron & ironing board, full bath amenities, and in-room safety-deposit box.

Textured wood features, custom furnishings, and well-appointed spa-like baths provide Aloha Chic.

Partial Ocean View View of the city with limited partial view of the ocean $408/night
Ocean View Views of Waikiki Beach, along with mountain or city views $418/night
Diamond Head
Ocean View
(Seascape Tower)
Views of Diamond Head and the Pacific Ocean $481/night

*Premier Ocean Front
(Beachside Tower)

(Must call Symposia Medicus for availability)

Views of the Pacific Ocean $771/night

By booking your lodging with Symposia Medicus, the Resort Fee charge of $48.00 plus 17.962% tax, per room, per night is discounted to $20.00 plus tax.

The Resort Fee includes: Beach Rental credits (from Beach Candy Waikiki) to use toward rentals (which include: Surfboards, Paddleboards, Beach Chairs, umbrellas, and beach accessories), two locally-sourced reusable bottles (per room, per stay, upon arrival) with access to purified water stations in the lobby, daily access to the “Island Club and Spa” fitness facilities, $20 credit per room, per stay at “Island Club and Spa” (reserved in advance), $10 credit on first ride with first time users with Go X Electric Scooters, cultural classes including Queen’s legacy tour, lei making, and hula lessons, Oceanarium Educational program (see event listing daily), Honolulu Museum of Art (two complimentary entries with your room key; reservations required), unlimited local (888) with 60 minutes long distance/international calls per day, in-room coffee, wireless high speed internet access, local newspaper and portable phone chargers (available at guest services), complimentary boarding pass printing, tennis courts (9th floor of hotel – equipment available at “Island Club and Spa”).

*Premier Ocean Front rooms are VERY limited. Please reserve early and you must call Symposia Medicus for availability at (925) 969-1789.

Continue to check the hotel’s website for updated information regarding COVID-19 policies,
health, and safety at the hotel. Please visit:


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 13.25% Transient Accommodation Tax
- 4.712% General Excise Tax
- $20.00 (plus 17.962% taxes) resort fee (discounted from $48.00, plus taxes)

Porterage fee (not mandatory): If customer wants to establish porterage at time of arrival, a mandatory porterage charge of $9.95 per person (including children) will be assessed

Suggested housekeeping gratuity (not mandatory): $3.50 per room, per day housekeeping gratuity is suggested

Maximum occupancy is:
- King Bed – Maximum occupancy is 3 people, regardless of age
- 2-Beds – Maximum occupancy is 4 people, regardless of age

Mandatory third (and/or fourth) additional occupant charge of $37.00 (18 years & older) or $18.50 (17 years & under) per person, per night (includes daily buffet breakfast, taxes, and gratuities as stated above)

Rollaway beds are $35.00 plus 4.712% tax with a maximum of one per room, based on availability

Cribs are available on a complimentary basis (subject to availability and change)

Check-in time is 3:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date of departure by the front desk. Late check-outs are based on availability and additional charges may apply.

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 $100/day for incidentals; 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. As you charge more to your room, the hold will increase.

Parking: Self-parking is complimentary for Symposia Medicus hotel guests. Valet parking is available at $30.00 plus tax, per day for hotel guests. Prices subject to change.

Vaccination/Face Mask Policies

You must be fully vaccinated in order to attend a Symposia Medicus conference in person. Proof can be provided in the form of vaccination record card, a photo of your vaccination card, or vaccination QR code (via paper, your smartphone or other portable electronic device). You can submit this prior to the conference via email (to info@symposiamedicus.org) or in person at the conference venue. Face masks are required in the conference room. Symposia Medicus will have disposable masks available at the registration desk. These policies are subject to change.

Cancellation Policies

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 March 16, 2022; however, tuition, less a 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 by February 23, 2022. Between February 24, 2022 and March 16, 2022, one night’s deposit is forfeited. After March 16, 2022, no hotel refunds can be made.

All cancellations must be emailed to registrar@symposiamedicus.org 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 Honolulu International Airport (HNL), which is approximately 10 miles from the Alohilani Resort Waikiki Beach. 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.

Please check directly with the airlines for updated information on their COVID-19 policies.

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 ECMD728 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, enter in your travel plans and then click on the “Advanced Search” link located below the “Passenger” box. Once you click on this link, a panel will appear and you will need to insert NMV3E in the “Meeting Code” box. 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.hawaiianairlines.com/our-services/products-and-programs/preferred-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 Advanced Search, 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 ZKBQ178725 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 www.avis.com 800-331-1600 AWD # B766625
Budget www.budget.com 800-772-3773 BCD # U076767