“I left feeling relaxed and well-educated. This was a very organized and well-run conference. I’m looking forward to my next CME with Symposia Medicus.”
– W. Monthy, MD

“Wonderful and relevant course topics, well-presented materials that are very clinically applicable.”
– H. Kocinski, CNM

“Symposia Medicus is the greatest resource for CME. Their conferences are excellent, the staff is always helpful, and the locations of the conferences are always in great areas for fun and relaxation.”
– C.H. Griffith, MD


Our 27th Annual Winter Conference on Clinical Issues in OB/GYN is designed for physicians, certified nurse midwives, nurse practitioners, physician associates, nurses, and other allied healthcare professionals who manage preconception, pregnant, and postpartum patients.

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 OB/GYN 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…

Utilize cerclage, when indicated, to lower the risk of pregnancy loss and spontaneous preterm birth

Discuss the controversies of using menopausal hormonal agents

Recognize risk factors for obstetric hemorrhage

Help patients cope with sexual pelvic pain

Review current diabetes management for your pregnant patients


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 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.

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

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.

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 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 4.25 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 publications@symposiamedicus.org for more information.


Symposia Medicus continues to collaborate with the conference venue to ensure the safety and protection of all attendees. As the event gets closer, we will communicate details regarding safety and social distancing protocols and procedures intended to prevent the transmission of COVID-19.


We have made arrangements with the onsite tour company to provide participants with transportation to/from the Dreams Tulum Resort & Spa, as well as tour options. To reserve personalized ground transportation, please visit: https://www.amstardmc.com/symposia-medicus-2023/transfers.html.

To reserve tours, please visit: https://www.amstardmc.com/symposia-medicus-2023/tours.html.


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

James V. Fiorica, MD, FACOG
Conference Co-Chair

Clinical Professor of Obstetrics
& Gynecology
Florida State University School of Medicine
Director, Gynecologic Oncology Research
Vice-President & Chief Medical Officer
Sarasota Memorial Health Care System
Sarasota, Florida

Karrie Francois, MD
Conference Co-Chair

Clinical Assistant Professor
University of Arizona
Tucson, Arizona
Scottsdale Prenatal Associates, PLLC
AMOMI Pregnancy Wellness ~ Spa
Scottsdale, Arizona

Ronald Iverson, Jr., MD, MPH, FACOG
Associate Professor
Boston University School of Medicine
Vice-Chair of Obstetrics
Department of Obstetrics & Gynecology
Boston Medical Center
Boston, Massachusetts

Jessica Shepherd, MD, MBA, FACOG
Gynecologist & Women’s Health
Chief Medical Officer
Verywell Health
Founder & CEO
Sanctum Med + Wellness
Baylor University Medical Center
Dallas, 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 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, February 15

7:00am Registration & Check-In
8:00 Welcome & Introduction
James V. Fiorica, MD & Karrie Francois, MD
8:15 Prediction & Prevention of Preterm Birth in 2023
(Rx = 15 minutes)
Mark Alanis, MD, MSCR
9:00 Substance Use Disorder in Pregnancy
(Rx = 25 minutes)
Ronald Iverson, Jr., MD, MPH
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Evaluation of Breast Lumps & Diagnosis of Breast Cancer (Rx = 20 minutes)
James V. Fiorica, MD
11:15 Sex & Pleasure After a Diagnosis of Breast Cancer
Jessica Shepherd, MD, MBA
Noon When Her Blood Pressure Boils: Managing Hypertension in Pregnancy Rx = 15 minutes)
Karrie Francois, MD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day
5:30-7:00 Group Reception
(Faculty, Participants, and Guests)

Thursday, February 16

8:00am Sex & Pelvic Pain: Gynecologic Conditions
(Rx = 15 minutes)
Jessica Shepherd, MD, MBA
8:45 Balancing Mind & Soul: The Hormone Therapy Controversy (Rx = 30 minutes)
James V. Fiorica, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Endometriosis: Symptoms, Management, and More
(Rx = 15 minutes)
Jessica Shepherd, MD, MBA
11:00 Controversies Related to the Screening & Diagnosis of Ovarian Cancer (Rx = 20 minutes)
James V. Fiorica, MD
11:45 Focus on Fibroids: What Do Women Need for Better Care? (Rx = 15 minutes)
Jessica Shepherd, MD, MBA
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, February 17

3:00pm Smaller Group Breakouts – Session One
. Building an Obstetrics Safety Culture
Ronald Iverson, Jr., MD, MPH
. New Guidelines & Management for HPV & Cervical Cancer Screenings
James V. Fiorica, MD
. Multiple Gestations, Multiple Pitfalls
Karrie Francois, MD
. Prenatal Testing for Fetal Chromosomal Problems: Screening & Diagnostic Approaches
Mark Alanis, MD, MSCR
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, February 18

8:00am Risks of Maternal Obesity
(Rx = 15 minutes)
Mark Alanis, MD, MSCR
8:45 OB Hemorrhage
(Rx = 15 minutes)
Ronald Iverson, Jr., MD, MPH
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Diagnosis & Management of Placenta Accreta
(Rx = 15 minutes)
Mark Alanis, MD, MSCR
11:00 Managing Diabetes During Pregnancy
(Rx = 20 minutes)
Karrie Francois, MD
11:45 Management of the Second Stage of Labor
(Rx = 20 minutes)
Ronald Iverson, Jr., MD, MPH
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


Dreams Tulum Resort & Spa is an escape to a tropical paradise, perfectly situated in the history-rich town of Tulum in the Riviera Maya. A secluded stretch of sugar-white sand beach and 44 acres of lush, blossoming gardens grace this beautiful resort. The Mayan ruins of ancient Tulum and the Xel-Ha natural aqua park are nearby attractions that the whole family will enjoy. At Dreams Tulum, a AAA Four Diamond award-winning resort, luxury has never looked so good.

The resort goes far beyond the all-inclusive experience with Unlimited-Luxury®, where nearly everything is included. Enjoy spacious rooms and suites, reservation-free dining at nine different restaurants, the Explorer’s Club for Kids, and so much more.

Tulum is full of great restaurants, a variety of nightlife, bars, shopping, and other local attractions. Immerse yourself in a truly authentic experience and discover the Mayan culture prevalent in the area. This untouched part of the Mexican Caribbean, located a short drive south of Playa del Carmen, offers its visitors the opportunity to discover magical and uncrowded places such as the ancient ruins of Coba. Adventure-seekers will also be able to enjoy activities such as swimming in the crystal-clear waters of the underground caves called cenotes.

Whatever your pleasure, you’ll be sure to find it in Tulum, Riviera Maya, Mexico, at our 27th Annual Winter Conference on Clinical Issues in OB/GYN.


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
December 7, 2022
If postmarked after
December 7, 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. Tuition also includes a group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email

Due to strict hotel security for non-hotel guests, please contact Symposia Medicus if you are not staying at Dreams Tulum Resort & Spa.


Conference group rates have been arranged at the Dreams Tulum Resort & Spa. 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) 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.


Type of Room


Group Rates below are for TWO adults (13 years & older)


Group Rates below are for THREE adults (13 years & older)

All rooms and suites include: balcony or terrace with hammock, hair dryer, bathrobes & slippers, 42” TV, air-conditioning, workstation, in-room safe, iron & ironing board, and standard USA electrical outlets
Adult Only Section (18 years & older)
Deluxe Garden View $430/night $645/night These rooms are 451 sq. ft. with either a king bed or two double beds and have views of the lush gardens
Family Section (all ages)
Deluxe Garden View $410/night $615/night These rooms are 451 sq. ft. with either a king bed or two double beds and have views of the lush gardens
Jr. Suite Garden View
(King bed only)
$440/night $660/night These Jr. suites are 515 sq. ft. with a king bed, separate area with sofa, and have views of the lush gardens
Deluxe Ocean View $492/night $738/night These rooms are 451 sq. ft. with either a king bed or two double beds and have views of the Caribbean Sea (3rd floor rooms do not come with a hammock)

*Preferred Club Jr. Suite Ocean View
(King bed only)

(Must call Symposia Medicus for availability)

$554/night $831/night These Jr. suites are 515 sq. ft. with a king bed, separate living area with sofa, and have views of the Caribbean Sea (3rd floor rooms do not come with a hammock)
All-inclusive rates include: all taxes and gratuities for bellmen, daily maid service, and waiters, daily breakfast, lunch, dinner, and snacks, 24-hour room service, daily refreshed mini-bar including soft drinks, bottled water, and beer, nine dining options, unlimited domestic and international alcoholic beverages, unlimited natural fruit juices, soft drinks, water, tea, and coffee, wireless internet, daytime activities, nightly entertainment, theme parties, use of pool/beach chairs, umbrellas, and towels, a fully-equipped fitness center, Explorer’s Club for Kids (3-12 years) and Core Zone Teens Club (13-17 years), and much more!

*Preferred Club rooms are VERY limited.
Please call Symposia Medicus for availability at (925) 969-1789.

SINGLE RATES may be available; please call us for more information.

For information regarding COVID-19, health, and safety at the hotel, please visit:
https://info.amresorts.com/coronavirus-covid-19-status and https://info.amresorts.com/cleancomplete


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- Premium wine
- Spa and/or salon services
- Laundry & dry-cleaning services
- Airport transfers
- Telephone calls & business center

Maximum occupancy is:
- Three adults (13 years & older), or
- Three adults (13 years & older) and one child (12 years & under); or
- Two adults (13 years & older) and two children (12 years & under)

Changes to reservations, regardless of reason, made within 25 days of arrival will be charged the total original reserved stay. If changes are made before 25 days, no penalty will be assessed.

Mandatory additional child charge (normally $80 per child ages 3-12 years old) is WAIVED when booking with Symposia Medicus – not to exceed stated maximum occupancy

Children 2 years & under are complimentary – not to exceed stated maximum occupancy

Bed Type Requests: Where applicable, you can select one or two beds; however, requests cannot be guaranteed until check-in

Rollaway beds are complimentary, however, only allowed in Jr. Suites (based on availability and subject to change)

Cribs (only allowed in the family section) are available on a complimentary basis, subject to availability and change

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. 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 and will charge your full stay (even if you have pre-paid). If using a debit card, the amount may be immediately deducted from your account. Upon check-out, the hotel will charge the credit card for your incidental charges. The length of time for which the unused funds will be released back on your credit or debit account varies from bank to bank.

Parking: Self and valet parking are complimentary for conference guests

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 January 11, 2023; 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 December 14, 2022. Between December 15, 2022 and January 11, 2023, one night’s deposit is forfeited. After January 11, 2023, 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 the Cancun International Airport (CUN), which is approximately 1-½ hours from Dreams Tulum Resort & Spa. 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 ECME230 in the “Discount Code” box, located at the right hand side of the page.
Blackout Dates: February 16 - 22, 2023
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 NMVXF 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 ZMA2992670 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.