“Symposia Medicus continuously offers conferences that provide practical information that is easily applicable to clinical practice. The staff is extraordinarily friendly and the speakers are always approachable.”
– V. Thornton, MD

“Symposia Medicus is by far the best in continuing education. Their organization is outstanding, the presenters are top-notch, and the locations are in places where you can actually enjoy your free time when not attending the conference!”
– M. Keehn, CNM

“Overall, a great conference. The speakers were engaging and covered a lot of the most important topics in critical care OB. The information was presented in a way that was easy to understand. The case studies added to clinical perspective and application.”
– K. Churchill, MD


Designed for physicians, certified nurse midwives, nurse practitioners, physician associates, nurses, and other allied healthcare professionals who face challenges in the care of the high-risk pregnant patient, our 27th Annual Conference on High Risk & Critical Care Obstetrics takes place over the course of three days. Covering an array of topics including obesity, trauma, EFM, healthcare disparities, hypertension, and gestational diabetes, our expert faculty will discuss the latest evidence-based advancements in obstetric care, 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 obstetric 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…

Recognize factors contributing to disparities in maternal mortality

Distinguish between the three elements of EFM standardization

Review evidence on the evaluation and management of minor and major trauma in pregnancy

Apply medical and surgical strategies to reduce the risk of preterm birth

Improve diagnostic accuracy for placenta accreta spectrum and develop an appropriate care plan for your patient

Recognize the maternal-fetal risks associated with gestational diabetes


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 17 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 and linguistic competency (CLC) and CA AB 241 implicit bias (IB) to reduce health disparities. Please refer to the accreditation page on our website for resources.

The American College of Obstetricians and Gynecologists has assigned up to 17 cognate credits to this program.

Certified Nurse Midwives
The American Midwifery Certification Board (AMCB) accepts Category 1 CME approval from organizations accredited by the ACCME.

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 17 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 17.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 20.4 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 2 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 (boosters are recommended). 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.


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


Mark Alanis, MD, MSCR, FACOG
Assistant Clinical Professor
Maternal-Fetal Medicine
UCHealth Memorial Hospital
Colorado Springs, Colorado

Rebecca L. Cypher, MSN, PNNP
Perinatal Nurse Practitioner
Perinatal Consultant & Educator
President, Cypher Maternal-Fetal Solutions
Gig Harbor, Washington

Donna Dizon-Townson, MD, FACOG, CPHQ
Conference Co-Chair

Intermountain Healthcare
Associate Medical Director for Quality & Process Improvement in Obstetrics & Maternal-Fetal Medicine
Associate Professor
Department of Obstetrics & Gynecology
University of Utah Health Sciences Center
Salt Lake City, Utah

Karin A. Fox, MD, MEd., FACOG, FAIUM
Associate Professor
Fellowship Director
Clinical Director
Placenta Accreta Spectrum Care Team
Division of Maternal-Fetal Medicine
Department of OB/GYN
Baylor College of Medicine
Medical Director of Maternal Transport
Kangaroo Crew
Texas Children’s Hospital Pavilion for Women
Houston, Texas

Cornelia R. Graves, MD, FACOG
Conference Co-Chair

Professor, University of Tennessee
Medical Director
Tennessee Maternal-Fetal Medicine
Director of Perinatal Services
St. Thomas Health Systems
Clinical Professor, Vanderbilt University
Adjunct Professor, Meharry Medical College
Nashville, Tennessee

Melissa Wong, MD, MHDS
Assistant Clinical Professor
Maternal-Fetal Medicine
Cedars-Sinai Medical Center
Los Angeles, California

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 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



Thursday, May 19

7:00am Registration & Check-In
During Continental Breakfast
8:00 Welcome & Introduction
Donna Dizon-Townson, MD & Cornelia R. Graves, MD
8:15 Substance Abuse: The Changing Landscape
(Rx = 30 minutes)
Cornelia R. Graves, MD
9:00 Placenta Accreta: Latest Updates
(Rx = 15 minutes)
Karin Fox, MD, MEd
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Act FAST: An Evidence-Based Approach to Trauma in Pregnancy
Melissa Wong, MD, MHDS
11:15 Prediction & Prevention of Preterm Birth
(Rx = 15 minutes)
Mark Alanis, MD, MSCR
Noon Questions & Answers
Group Discussion

Faculty Panel & Audience
12:30pm Lunch Break (on your own)
1:45 EFM: A Standardized Approach
Rebecca L. Cypher, MSN, PNNP
2:30 Gestational Diabetes: An Update
(Rx = 20 minutes)
Donna Dizon-Townson, MD
3:15 Questions & Answers
Group Discussion

Faculty Panel & Audience
3:45 Adjourn for the Day

Friday, May 20

7:30am Continental Breakfast
8:00 Small Group Breakouts – Session One
. Documentation for the Savvy Clinician
Rebecca L. Cypher, MSN, PNNP
. Tranexamic Acid, Tamponade, and Thromboprophylaxis: New Considerations for Postpartum Hemorrhage
Melissa Wong, MD, MHDS
. Pulmonary Hypertension: Maternal & Fetal Consequences
Karin Fox, MD, MEd
9:30 Break
9:45 Small Group Breakouts – Session Two
(Session One Topics Repeated)
11:15 Lunch Break (on your own)
12:45pm Small Group Breakouts – Session Three
. Maternal Obesity
Mark Alanis, MD, MSCR
. Pregnancy in Patients With Cancer
Cornelia R. Graves, MD
. Recurrent Pregnancy Loss: Understanding the Issues
Donna Dizon-Townson, MD
2:15 Break
2:30 Small Group Breakouts – Session Four
(Session Three Topics Repeated)
4:00 Adjourn for the Day

Saturday, May 21

7:30am Continental Breakfast
8:00 Maternal Mortality: Why Is There Such a Disparity in the U.S.? (Rx = 15 minutes)
Cornelia R. Graves, MD
8:45 Operative Vaginal Delivery: Quo Vadis
Melissa Wong, MD, MHDS
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:30 Prenatal Testing for Fetal Chromosomal Problems: Screening & Diagnostic Approaches
Mark Alanis, MD, MSCR
11:15 The Thrombophilias: Testing & Clinical Care
(Rx = 15 minutes)
Donna Dizon-Townson, MD
Noon Periviability: Key Concepts in Labor & Delivery
(Rx = 10 minutes)
Rebecca L. Cypher, MSN, PNNP
12:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Conference Adjourns

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


San Francisco is a unique and breathtaking city. From the iconic Golden Gate Bridge, to the exquisite art galleries at the Legion of Honor or San Francisco Museum of Modern Art (SFMOMA), the city takes pride in its unrivaled attractions, renowned museums, and unique neighborhoods. Discover the variety of sites, shops, and restaurants that reflect the city’s great ethnic and cultural diversity. Surrounded by the tranquil waters of the bay, the enchanting city of San Francisco sits amid the peaks and valleys of dozens of landmarks, including Fisherman’s Wharf, Alcatraz, Golden Gate Park, Coit Tower, Lombard Street, Ghirardelli Square, and its historic cable cars.

World-renowned, The Fairmont San Francisco presents an awe-inspiring picture of historic San Francisco. The grandeur of the luxury hotel atop Nob Hill, coupled with its reputation for impeccable service, promises a truly memorable experience during your stay. Each of the hotel’s spacious guestrooms and suites have been elegantly updated, including flat screen TVs, Frette linen ensembles, pillow top beds, and MP3 docking stations.

Centrally located, the luxurious Fairmont San Francisco is a short cable car ride from the bustling downtown, Financial District, Union Square, Chinatown, and Fisherman’s Wharf. In fact, this hotel is the only spot in San Francisco where each of the city’s cable car lines meet! A visit to The Fairmont San Francisco is not complete without experiencing the Tonga Room & Hurricane Bar. Consistently awarded for serving “San Francisco’s Best Happy Hour”, the Tonga Room offers exceptional Pacific Rim Asian Cuisine in a tropical setting that includes thunder and rain storms. It is the perfect escape after a busy day of shopping along Union Square.

Whatever your pleasure, you’ll be sure to find it in San Francisco, at our 27th Annual Conference on High Risk & Critical Care Obstetrics.


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:

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
March 10, 2022
If postmarked after
March 10, 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, continental breakfast on Thursday, Friday, and Saturday mornings, and break refreshments for conference registrants

Conference registration will be confirmed via email


Symposia Medicus has conference group rates at The Fairmont San Francisco.

These special rates will only be available until Friday, April 22, 2022 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.

The Fairmont San Francisco
950 Mason Street
San Francisco, California 94108
Direct: (415) 772-5000

To make your reservations please call (800) 441-1414
You must refer to the group code 0522SM#1_001 to receive conference group rates.

To make your reservations online, please visit https://book.passkey.com/go/SM1615HighRisk

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 Francisco.

Type of Room Group Rates
Fairmont Queen $329/night Rooms are approximately 325 sq. ft., with an interior courtyard view, and feature one queen bed, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Fairmont King /
Fairmont Two Queens
$359/night Rooms are approximately 425 sq. ft., with city views, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Deluxe Tower King /
Deluxe Tower Two Queens
$389/night Rooms are approximately 370 sq. ft., with views of the San Francisco skyline, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Signature Tower King /
Signature Tower Two Queens
$409/night Rooms are approximately 370 sq. ft., with views of the San Francisco bay, from Alcatraz to Coit Tower, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
If you reserve your room with the Symposia Medicus group code,
you will receive complimentary wireless internet access in your guest room.

For information regarding COVID-19, health, and safety at the hotel, please visit:


Hotel Policies

A deposit equal to one night’s room & tax is due to the hotel with major credit card upon making your reservation

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.195% Occupancy Tax
- 2.25% Business District Assessment
- 0.195% Tourism Improvement District Assessment

Maximum guestroom occupancy is four (4), regardless of age

Mandatory additional third and fourth adult charge (19 years and over) is $50 per person, per night

Children 18 years and under are complimentary – not to exceed stated maximum occupancy

Rollaway beds are available at an additional cost of $50 per night (subject to availability and change)

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

Check-in time is 3:00pm and check-out time is 12:00pm. 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.

Early Departure Fee: An early departure fee of $50 will be assessed to guests who depart before their confirmed departure date. Departure dates will be confirmed at check-in, and changes can be made at that time, without penalty.

A 30-minute break has been allotted in our conference schedule on the last day, for those who need to check-out

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: The Fairmont San Francisco parking garage is located on the corner of Powell and California Streets. Please contact the hotel concierge for rates and more information.

Hotel cancellations must be made directly with the hotel at least 48 hours prior to your confirmed arrival date or you will be charged a cancellation fee equal to one night’s deposit and tax

Vaccination/Face Mask Policies

You must be fully vaccinated (boosters are recommended) in order to attend a Symposia Medicus conference in person. Proof of vaccination in the form of a vaccination record card, 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 registration desk. 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, wil be given. No refunds will be made if cancellation is received after April 14, 2022; however, tuition, less a 10% processing fee, may be applied to a future Symposia Medicus conference.

All cancellations must be emailed to registrar@symposiamedicus.org by the date stated above

In the unlikely event of conference cancellation by Symposia Medicus, full tuition refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


You will fly into San Francisco International Airport (SFO), which is approximately 30 minutes from The Fairmont San Francisco. 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.

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 ECMD914 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.
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 at the end of the page. 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