“I have always been very happy with the quality of the continuing medical education at Symposia Medicus conferences. You get useful clinical pearls and time to enjoy the location. Perfect!”
– S. Bennett, MD

“The intrapartum FHR tracing practice is an invaluable experience for all OB providers and the medical-legal component to EFM provided priceless information.”
– C. Mannion, CNM

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


This comprehensive conference on Fetal Monitoring has been designed for physicians, nurses, nurse midwives, nurse practitioners, and PAs who are responsible for maternal-fetal assessment. Our conference will integrate current clinical research with case studies and fetal heart tracings for content reinforcement. The conference is comprehensive and dynamic, and will include controversial issues relating to maternal-fetal assessment. The goal of this conference is to increase knowledge and enhance the competence of attendees.

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 20th Annual National Conference on Fetal Monitoring while sharing ideas and experiences with colleagues from across the country in the exciting setting of New Orleans.


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

Recognize common knowledge gaps in Electronic Fetal Monitoring

Describe an organized, systematic ABCD approach to Fetal Heart Rate management that is simple, clear, and understandable, focusing on management of persistent Category II fetal monitor tracings

Identify the essential elements of effective documentation

Review top litigation issues in Electronic Fetal Monitoring

Counsel patients on antepartum test performance


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 16 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 16 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 16 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 16.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 19.2 contact hours.

Fetal Heart Rate Monitoring
The approved credits include 16.00 AMA PRA Category 1 Credits™ towards Fetal Heart Rate Monitoring and Assessment Education.


Smaller group sessions will be held Thursday 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, flash drive, or digital copy) will be available one week after the conference. The cost is $60 for a hard copy, $30 for a flash drive, and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


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


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

James Ferguson II, MD, MBA
W. Norman Thornton, Jr. Professor & Chair
Department of Obstetrics & Gynecology
University of Virginia School of Medicine
Charlottesville, Virginia

Jay Kelley, JD
Elk & Elk
Mayfield Heights, Ohio

David A. Miller, MD, FACOG
Conference Co-Chair

Professor of Obstetrics, Gynecology, and Pediatrics
Keck School of Medicine
University of Southern California
Chief of Maternal-Fetal Medicine
Children’s Hospital Los Angeles
CHLA-USC Institute for Maternal & Fetal Health
Los Angeles, California

Lisa A. Miller, CNM, JD
Conference Co-Chair

Founder, Perinatal Risk Management & Education Services
Certified Nurse-Midwife
Portland, Oregon

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.


Thursday, April 4

7:00am Registration & Check-in
During Continental Breakfast
8:00 Welcome & Introduction
David A. Miller, MD & Lisa A. Miller, CNM, JD
8:15 Whaddya Know? The Interactive EFM Quiz
Lisa A. Miller, CNM, JD
9:00 A Shared Mental Model: Standardized EFM Interpretation & Management
David A. Miller, MD
10:30 Break
10:45 Oxygen Use: What Does the Evidence Show?
Rebecca L. Cypher, MSN, PNNP
11:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
Noon Lunch Break (on your own)
1:30pm Smaller Group Breakouts – Session One
. A. Myth-Busting 101: Separating Fact from Fiction
in EFM

David A. Miller, MD
. B. Intrapartum FHR Tracings Practicum
Lisa A. Miller, CNM, JD
. C. Case Studies in Fetal Growth Restriction
James Ferguson II, MD, MBA
3:00 Break
3:15 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
4:45 Adjourn for the Day

Friday, April 5

7:30am Continental Breakfast
8:00 Overview of Antepartum Testing
James Ferguson II, MD, MBA
8:45 Documentation for the Savvy Clinician
Rebecca L. Cypher, MSN, PNNP
9:30 Break
9:45 Risk Management Tips Straight from the Plaintiff Attorney’s Mouth
Jay Kelley, JD


Questions & Answers
Group Discussion

Faculty Panel & Audience
12:45pm Adjourn for the Day

Saturday, April 6

7:30am Continental Breakfast
8:00 The Three P’s Are Not “Push Pit, Please”: Evaluation of Uterine Activity
Lisa A. Miller, CNM, JD
8:45 Induction, Oxytocin, and the ARRIVE Trial
Rebecca L. Cypher, MSN, PNNP
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:30 Change Management: EFM Certification
James Ferguson II, MD, MBA
11:15 Interactive EFM Case Study
David A. Miller, MD
Noon EFM Jeopardy Quiz
Faculty Panel
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Conference Adjourns


Nestled on the banks of the majestic Mississippi River, New Orleans is one of the United States’ most mesmerizing cities. Its Old World European charm, rich cultural fabric, and intriguing history have made it one of the world’s top travel destinations. Visit this amazing city and experience world-class cuisine, inspired jazz, and boutique shopping in a place that is steeped in history. Whether it’s music, food, or the arts you love (or all of the above), you’ll want to join in as New Orleans lets its hair down and declares, “laissez les bons temps rouler” (let the good times roll)!

The AAA Four Diamond Award-winning Harrah’s New Orleans hotel is located in the heart of this exhilarating city. This 26-story marvel, with 450 oversized rooms and suites, provides an unparalleled escape. Spend some time at the fun, friendly casino or dine at one of their eight restaurants, including a local favorite, the Acme Oyster House. With spectacular views of the Mississippi River and New Orleans skyline, just steps from the French Quarter and a few blocks from the Superdome, there is no better place to stay in New Orleans than Harrah’s. 

Enjoy the atmosphere of Bourbon Street, walk the historic French Quarter, or shop ‘til you drop on Royal Street! Whatever your pleasure, you’ll be sure to find it in New Orleans, at our 20th Annual National Conference on Fetal Monitoring.


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:

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
January 24, 2019
If postmarked after
January 24, 2019
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, continental breakfast on Thursday, Friday, and Saturday mornings, and break refreshments for conference registrants

Conference registration will be confirmed via emaill


Symposia Medicus has conference group rates at Harrah’s New Orleans.

These special rates will only be available until Friday, March 8, 2019 and 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 conference group rates will also be available three days before and one day after the conference (based on availability) if you wish to extend your stay in New Orleans.

Harrah’s New Orleans
228 Poydras Street
New Orleans, Louisiana 70130
Direct: (504) 533-6000

To make your reservation, please call (877) 466-7847

To make your reservations online, please use the following link

Room Type Group Rates (Single/Double Occupancy) Description
Premium City View


All rooms are 430 sq. ft., differing only by view. Rooms feature a king or two beds, exclusive-to-Harrah’s pillow-top Simmons Beauty rest mattress, flat-screen TV, refrigerator, iron & ironing board, hair dryer, double vanity, separate bathtub and shower, and casual seating area.
Premium River View $235/night


Hotel Policies

A deposit equal to one night’s room & tax is due to the hotel with major credit card upon making your reservation. Each guestroom must have at least one registered guest 21 years of age or older.

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14% room tax
- $2.00 occupancy tax
- $14.99 plus 14% tax, resort fee (fee includes: unlimited local phone calls, admission to the fitness center for
two guests, and basic in-room Wi-Fi access for up to two devices per day)

Maximum guestroom occupancy is four, regardless of age

Mandatory additional occupant charge (13 years and over) is $30 per person, per night

Children 12 years and under are complimentary – not to exceed stated maximum occupancy

Rollaway beds are available at an additional cost of $30 per night (subject to availability and change)

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

Check-in time is 4:00pm and check-out time is 11:00am. Any departures after 11:00am are subject to a full day charge. 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: Valet parking is $42/night and self-parking is $34/night. Self-parking charge can be waived daily if you have a Total Rewards Card (obtained on property) and play at least 30 minutes of slot play per day (subject to change and/or cancellation). See hotel’s front desk for more information.

Hotel Cancellations must be made directly with the hotel at least 72 hours prior to scheduled arrival (check-in) date, or you will be charged a cancellation fee equal to your one night’s deposit and tax

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 February 28, 2019; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked by the date 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 Louis Armstrong New Orleans International Airport (MSY), which is approximately 30 minutes from Harrah’s New Orleans. 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 ECMZ813 in the “Discount Code” box, located at the right-hand side of the page.
Please note discount has blackout dates of April 5-7, 2019; discount will only apply to flights before or after these dates.
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.


For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made online or 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