“Great speakers who are up-to-date on important subjects, with a wealth of knowledge accumulated.”
– W. Sugai, MD

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

“Symposia Medicus has always had wonderful speakers in beautiful settings. They have successfully balanced learning with fun, which make the conferences desirable.”
– B. Butcher, MD


Our 34th Annual Spring Conference on Pediatrics is designed for physicians, nurse practitioners, physician associates, nurses, and other allied healthcare professionals involved in the care of pediatric patients. 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…

Discuss the difference between insulin hypersecretion and insulin resistance and explain how each alters the treatment of obesity

Differentiate between developmentally appropriate and clinical behavioral symptoms

Apply your knowledge of risk factors and indicators of abuse and neglect to inform a medical work-up and differential diagnosis

Formulate a differential diagnosis for chest pain in children

Review the basics of physical examination of the
adolescent spine


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.

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 1 pharmacotherapeutic credit 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.


There are detailed requirements and instructions for all visitors to the Bahamas, which may include pre-travel testing and/or proof of vaccination.

Please visit https://www.bahamas.com/travelupdates for current information about these requirements (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.


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


Robert H. Lustig, MD, MSL
Conference Co-Chair

Professor of Pediatrics
Division of Pediatric Endocrinology
University of California, San Francisco
San Francisco, California

Stephanie Marcy, PhD, ABPP
Clinical Psychologist
Clinical Associate Professor of Pediatrics
Medical Director, Integrated Behavioral Health
in Primary Care
Children’s Hospital Los Angeles
Keck School of Medicine of USC
Los Angeles, California

Maria D. McColgan, MD, MSEd, FAAP
Associate Professor of Pediatrics
Rowan University SOM & Cooper
Medical School Rowan University
Child Abuse Pediatrics Fellowship Director
The Child Abuse Research Education Service
(CARES) Institute & Cooper University
Health Center
Stratford, New Jersey

Jordan D. Metzl, MD, FAAP
Clinical Associate Professor of Pediatrics
Cornell Medical School
Sports Medicine Division
Hospital for Special Surgery
New York City, New York

Conference Co-Chair

Director for Pre-Health Undergraduate Studies
Director of the Minor in Health Care Studies
Keck School of Medicine of USC
Associate Professor of Clinical
Emergency Medicine
Department of Emergency Medicine
LA County + USC 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



Wednesday, April 19

7:00am Registration & Check-In
Continental Breakfast
8:00 Welcome & Introduction
Robert H. Lustig, MD, MSL & Emily Rose, MD
8:15 Targeting Insulin in Obesity (Rx = 20 minutes)
Robert H. Lustig, MD, MSL
9:00 Identifying & Responding to Child Sex Trafficking
Maria D. McColgan, MD, MSEd
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Trauma in the “Little Adult” (Rx = 5 minutes)
Emily Rose, MD
11:15 Demystifying the Medical Evaluation of Child Sexual Abuse
Maria D. McColgan, MD, MSEd
Noon Screening for Adverse Childhood Experiences (ACEs) in Pediatric Primary Care: What You Don’t Know May Hurt Them
Stephanie Marcy, PhD
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, April 20

7:30am Continental Breakfast
8:00 Is Ultraprocessed Food, “Food?”
(Rx = 5 minutes)
Robert H. Lustig, MD, MSL
8:45 Making the Diagnosis: Child Physical Abuse & Neglect
Maria D. McColgan, MD, MSEd
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Sports Specialization in the Young Athlete: A Dilemma for the Pediatric Healthcare Provider
Jordan D. Metzl, MD
11:00 The Hateful or Grateful 8: The Subcellular Pathologies That Belie Chronic Disease
(Rx = 5 minutes)
Robert H. Lustig, MD, MSL
11:45 Diet, Exercise, and the Pursuit of Preventive Health: What Should I Tell My Patients?
Robert H. Lustig, MD, MSL & Jordan D. Metzl, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, April 21

3:00pm Smaller Group Breakouts – Session One
. Back Pain in the Athlete: Case-Based Discussion With Video
Jordan D. Metzl, MD
. Big Problems in Little People: Pediatric Stroke, Myocardial Infarction, and Venous Thromboembolism
Emily Rose, MD
. Case Studies in Puberty
Robert H. Lustig, MD, MSL
. Pediatric Screening: Eating Disorders, Anxiety, Depression, and Suicidality and Non-Suicidal Self-Injury
Stephanie Marcy, PhD


4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, April 22

7:30am Continental Breakfast
8:00 Toxic Shock Syndrome
(Rx = 10 minutes)
Emily Rose, MD
8:45 Behavioral Health Management: Disruptive Behavior
Stephanie Marcy, PhD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Cardiac Disease in Children
(Rx = 15 minutes)
Emily Rose, MD
11:00 Childhood Anxiety: Avoidance Is Not an Option
Stephanie Marcy, PhD
11:45 Case-Based Sports Medicine: Real Live Cases From the Sports Medicine Office
Jordan D. Metzl, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


Paradise Island, Bahamas, is located in one of the most beautiful areas in the world, blessed with enchanting beaches and a tropical climate.

The Atlantis Resort features Aquaventure, a 141-acre water park, including the iconic Mayan Temple’s Leap of Faith slide, Lazy River, 11 incredible pools, five miles of magnificent beaches, a Tom Weiskopf-designed 18-hole, oceanfront golf course, the Atlantis Casino, and the world’s largest open-air, marine habitat!

The resort, located on a white sand beach, also features a lagoon for snorkeling, a fitness center, and tennis courts. You can work out at the fitness center and then enjoy the saunas, massage treatment rooms, and steam baths in the Mandara Spa.

Younger resort guests (ages 3-12) are invited to choose their own adventure within themed spaces designed specifically for their Atlantis imagination at AKA Kids Club and teens (ages 13-17) can gather and hang out in their own 14,000 sq. ft. nightclub and internet lounge, CRUSH. The resort has several superb restaurants, lounges and entertainment venues, and a large shopping area with several specialty shops.

During conference breaks, you are sure to enjoy the outdoor activities of swimming with the dolphins, snorkeling, sailing, golfing, or taking an exhilarating helicopter ride over the pristine blue waters of the Caribbean. Venture out of the resort and experience duty-free shopping, local art, live music, and festivals.

Whatever your pleasure, you’ll be sure to find it in the Bahamas, at our 34th 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 8, 2023
If postmarked after
February 8, 2023
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 Wednesday, Thursday, and Saturday mornings, 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


Conference group rates have been arranged at the Atlantis Resort. 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.

Type of Room Group Rates


Both Towers are conveniently located near entertainment including the casino, full-service spa, nightclub, Dolphin Cay, pools, waterslides, and restaurants.

Coral Tower

(Terrace or water view)
$269/night Each guest room is 345 sq. ft. and features one king-size or two queen-size beds and a full balcony overlooking the lush Atlantis landscape or the sparking blue ocean waters, sitting area, flat-screen TV, shower/tub combination, safe, in-room coffee & tea, and mini bar.
Coral Tower
Water View

(Ocean view)
Royal Tower

(Terrace, harbor, or water view)
$309/night Each guest room is 400 sq. ft. and features one king-size or two queen-size beds, French balconies with terrace, harbor, or water views, sitting area, flat-screen TV, shower/tub combination, safe,
in-room coffee & tea, and mini-bar.
Royal Tower
Water View

(Ocean view)
By booking your lodging with Symposia Medicus, the Resort Fee charge of $52.95 (plus tax) per room, per night is WAIVED. The Resort Fee includes: two refillable water bottles, in-room coffee & tea, unlimited local phone calls, internet access in rooms and lobby areas (up to four devices per room), casino lessons, resort shuttle service (between the towers), access to Aquaventure water park, fitness center access for up to two people, per room (use of cardio studio, universal & free weights; all other facilities such as tennis, fitness classes, and personal trainer at an additional cost), and access to the Atlantis movie theater. Complimentary self and valet parking are also included when booking with Symposia Medicus. Items listed are subject to change.

Rooms in the Cove and Reef Towers may be available. Please call us for availability and rates.

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


Hotel Policies

Conference group rates are per room, per night and do not include the following (subject to change):
- 10% Value Added Tax (VAT)
- 11.62% tourism development levy and promotion board levy (billed as PITDA & NPIPD)
- $1.60 (per person, 12 years & older) pool, beach, and lifeguard fee
- $5.00 (per person, 12 years & older) housekeeping gratuity
- $6.00 (per person, 12 years & older) one-time bellman gratuity

Maximum guestroom occupancy is four, regardless of age (5th occupant allowed if 3 years or younger –
no exceptions)

Mandatory third and fourth additional occupant charge (12 years & over) is $50.00 per person, per night (plus taxes, fees, and gratuities as stated above)

Children 11 years & under are complimentary – not to exceed stated maximum occupancy

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

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

Check-in time is 4:00pm - Anyone arriving earlier than 4:00pm will be checked in as soon as rooms become available but are not guaranteed check-in prior to 4:00pm. Additional fees may be charged for early check-in, based on availability.

Check-out time is 11:00am - Anyone checking out after 11:00am will be charged an automatic late check-out fee of $150. An approved late check-out can only be confirmed on the date of departure by the front desk.

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 (including taxes, fees, anticipated use of facilities, and $150 per 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.

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 March 15, 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 February 15, 2023. Between February 16, 2023 and March 15, 2023, one night’s deposit is forfeited. After March 15, 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.


There are detailed requirements and instructions for all visitors to the Bahamas, which may include pre-travel testing, proof of vaccination, and/or a Travel Health Visa (subject to change). Visit the Bahamas government website below for current information about these requirements. 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. Please note that these mandates are subject to change.

For more information, please visit https://www.bahamas.com/travelupdates


You will fly into Nassau International Airport (NAS), which is approximately 10 miles from the Atlantis Resort. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with 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.

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.