“The presenters were very knowledgeable and passionate about their specialties. I would recommend Symposia Medicus to colleagues.”
– D. Dubyna, MD

“My first conference was very well planned and organized. The speakers were outstanding. The information presented was very pertinent to my practice. I will definitely attend more conferences by Symposia Medicus.”
– M. Krueger, CNM

“Always a quality and fun conference through your organization.”
– J. Lawrence, MD


Our 26th Annual Spring Conference on High Risk Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, PAs, nurses, and other healthcare professionals who face challenges in the care of the high risk pregnant patient. The goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will be placed on practical application of the evidence-based topics presented.

Topics for this year’s conference have been selected based on the educational needs determined from the 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.

Conference format will include didactic lectures, smaller group breakout and interactive sessions, case studies, and question and answer sessions.

An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based, and practical information to participants.

You are sure to enjoy our 26th Annual Spring Conference on High Risk Obstetrics while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Tulum, Riviera Maya, Mexico.


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

Screen a pregnant patient for substance abuse during pregnancy

Manage respiratory failure in the pregnant patient

Assess risks and management strategies associated with the short cervix

Manage patients with placenta accreta

Order appropriate testing to assess possible infection


At the conclusion of 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, review of the educational session materials, and submission of the case studies test, evaluations, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity.


This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education 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.

The American College of Obstetricians and Gynecologists has assigned up to 18 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.

NCCPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 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.

Pharmacology Content for Prescriptive Authority
A maximum of 4 hours in pharmacology content for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology content for prescriptive authority are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as requirements may vary state to state.


Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide greater participant/faculty interaction, and will give you an opportunity to participate in 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.


Each registrant will have online access to session materials. The session materials will be available for download approximately two weeks prior to the conference (you’ll receive an email with instructions). If you wish to receive a hard copy of the session materials, please check the box on the registration form in this brochure.

If you are unable to attend this conference, extra
copies of the session materials (either paper or
digital copy) will be available one week after the conference. The cost is $60 for a hard copy and
$25 for the digital copy. To place your order,please email publications@symposiamedicus.org.


We have arranged with Amstar DMC, the onsite
tour company at the resort, to provide Symposia
Medicus participants with transportation to/from
the Dreams Tulum Resort & Spa, as well as tour options. To reserve personalized ground
transportation and/or tours, please visit

For more information, please visit our website at www.symposiamedicus.org.


Maged Costantine, MD, FACOG
Associate Professor
Maternal Fetal Medicine
Department of Obstetrics & Gynecology
University of Texas Medical Branch
Galveston, Texas

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

Associate Professor
Department of Obstetrics & Gynecology
University of Utah Health Sciences
Salt Lake City, Utah
Co-Director, Maternal-Fetal Medicine
Utah Valley Regional Medical Center
Provo, Utah

Cornelia (Connie) R. Graves, MD, FACOG
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

Jeffrey C. King, MD, FACOG
Professor & Director
Division of Maternal-Fetal Medicine
Medical Director
Obstetrical Services, University Hospital
Department of Obstetrics, Gynecology, and Women’s Health
University of Louisville
Louisville, Kentucky

Shailen Shah, MD
Conference Co-Chair

Medical Director
Virtua Maternal Fetal Medicine
Voorhees, New Jersey

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.


Wednesday, March 6

7:00am Registration & Check-in
8:00 Welcome & Introduction
Donna Dizon-Townson, MD
8:15 Respiratory Failure & Pulmonary Edema: How to Keep Your Head Above Water (Rx = 20 minutes)
Shailen Shah, MD
9:00 Viruses That Bite: Zika, CMV, and Parvo
(Rx = 15 minutes)
Jeffrey C. King, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Opioid Use, Abuse, and Dependency During Pregnancy (Rx = 30 minutes)
Donna Dizon-Townson, MD
11:15 The High Risk Pregnant Teen: The Perils & Pitfalls
(Rx = 40 minutes)
Connie R. Graves, MD
Noon Hypertensive Crisis in Pregnancy: This Can Make Your Blood Boil! (Rx = 15 minutes)
Shailen Shah, 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, March 7

8:00am The Short Cervix: The Myth & the Evidence
Connie R. Graves, MD
8:45 Management of Obstetrical Hemorrhage & Placenta Accreta
Maged Costantine, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Cholestasis of Pregnancy: The Loch Ness Monster
(Rx = 15 minutes)
Shailen Shah, MD


Current Concepts of Thyroid Dysfunction in Pregnancy (Rx = 15 minutes)
Jeffrey C. King, MD
11:45 Pregnancy in Patients with Cancer
(Rx = 15 minutes)
Connie R. Graves, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, March 8

3:00pm Smaller Group Breakouts – Session One
. A. Care of the Advanced Maternal Age Patient
Connie R. Graves, MD
. B. Thrombophilia Quiz Show: Who & When to Screen & How to Treat
Donna Dizon-Townson, MD
. C. Timing of Indicated & Elective Deliveries
Maged Costantine, MD
. D. Cardiac Case Studies: The Good, the Bad, and the Ugly!
Shailen Shah, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, March 9

8:00am Confronting Maternal Safety: Reducing Mortality & Morbidity (Rx = 15 minutes)
Jeffrey C. King, MD
8:45 Recurrent Pregnancy Loss: Understanding the Issues
Donna Dizon-Townson, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable
10:15 From Nausea to Hyperemesis: Options for Care
(Rx = 15 minutes)
Jeffrey C. King, MD
11:00 Preterm Labor: Are We Ready for Progesterone?
(Rx = 15 minutes)
Donna Dizon-Townson, MD
11:45 Pharmacotherapy in Pregnancy: Epidemiology, PK/PD Considerations, and Updates on Drug Labeling
(Rx = 30 minutes)
Maged Costantine, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

Rx = Pharmacology Credit for Prescriptive Authority
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 great nearby attractions that the whole family will enjoy. At Dreams Tulum, a AAA Four Diamond award-winning resort, Unlimited-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 9 different restaurants, an 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 and Tulum. 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 26th Annual Spring Conference on High Risk Obstetrics.


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 by reserving the following ways:

On-line at our website, www.symposiamedicus.org; OR

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

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

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


If postmarked by
December 26, 2018
If postmarked after
December 26, 2018
Physicians $685 $785
Residents, Nurses, PAs, & All Others $585 $685

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 session materials, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via emaill

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 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.


Group Rates below are for TWO adults (13 years and older)
Group Rates below are for THREE adults (13 years and 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, standard USA electrical outlets.
Adult Only Section (13 years & older)

Deluxe Garden View

*Limited availability, MUST CALL Symposia Medicus to reserve

$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

*Limited availability, reserve early. Once sold rate will increase

Limited rate:

(Increased rate:

Limited rate:

(Increased rate:

These rooms are 451 sq. ft. with either a king bed or two double beds and have views of the lush gardens
Deluxe Jr. Suite Garden View $470/night $705/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 $510/night $765/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)

Deluxe Jr. Suite Ocean View

*Limited availability, MUST CALL Symposia Medicus to reserve

$538/night $807/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, gratuities for Bellman, daily maid services, and waiters, daily full breakfast, lunch, dinner, and snacks, 24-hour room service, daily refreshed mini-bar including soft drinks, bottled water, juice, and beer, 9 dining options, unlimited domestic & 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!

*To reserve limited availability rooms (shown above) or if you are traveling alone and would like to inquire about single rates please call Symposia Medicus at (925) 969-1789.


Hotel Policies

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. Please notify Symposia Medicus of changes.

Above conference group rates are per room, per night and do not include the following (subject to change):
- Mandatory additional child charge (see below for details)
- Premium wine (list available at restaurants and bars)
- Spa and/or salon services
- Laundry & dry cleaning services
- Additional gratuities at your discretion

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)

Mandatory additional child charge (3-12 years old) is $66 per child, per night (all-inclusive) - 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 are available on a complimentary basis (allowed in the family section only), 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. Additional charges may apply for late check-outs and are based upon availability.

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: Self and valet parking are complimentary for conference guests

Cancellation Policies

Conference cancellations must be made in writing (via email or mail) 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 30, 2019; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus

Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and
you will receive a full refund if emailed/postmarked by January 2, 2019. Between January 3, 2019 and January 30, 2019, one night’s deposit is forfeited. After January 30, 2019, no hotel refunds can be made.

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked 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 1½ 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.

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 ECMZ739 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 and click on the link “Advanced Search,” located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NMS74 in the “Meeting Event Code” box, located at the right hand side of the page. 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 All Search Options, 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 ZFMB292493 in the “Promotions and Certificates” box.
For questions, please call the United Airlines Convention Desk at (800) 426-1122.