“What an outstanding conference! Brilliant, friendly speakers, a fabulous venue, and Symposia Medicus staff like none other. Thanks for all the hard work.”
– B. Goldsmith, MD

“I always bring home a string of pearls of wisdom to use in my clinical practice. Thank you for education and relaxation.”
– S. Harden, CNM

“Once again, Symposia Medicus has delivered a winning formula. An appropriately-placed set of educational sessions addressing clinically relevant topics.”
– E. Dovre, MD


Our 25th Annual Conference on Women’s Health: Care of Women Over 50 is designed to provide the most current clinical information about the care of the female patient to healthcare professionals involved with the care of women. 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 25th Annual Conference on Women’s Health: Care of Women Over 50 while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Costa Rica.


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

Outline evidence-based reproductive counseling and interventions after age 50

Diagnose and manage women with chronic vulvar pain

Communicate the importance of improved nutritional choices as part of a preventative mental health plan

Differentiate between inflammatory and non-inflammatory joint pain

Manage urinary incontinence with non-surgical and surgical methods


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, surveys, 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.

This Live activity, 25th Annual Conference on Women’s Health: Care of Women Over 50, with a beginning date of 11/20/2019, has been reviewed and is acceptable for up to 18.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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.

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™

Pharmacotherapeutics CEUs for Nurses
This activity is designated for a maximum of 2.5 pharmacotherapeutic credits towards meeting the requirement for nursing pharmacology continuing education. Nurses should claim 0.1 CEUs for each contact hour of participation in designated pharmacotherapeutic 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 from 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 one week 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 $65 for a hard copy, $30 for a flash drive, and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


We have arranged with TAM Travel, our selected tour company in Costa Rica, to provide Symposia Medicus conference attendees with tour options and ground transportation for either airport. For more information and to reserve tours and/or ground transportation, please visit http://www.tamcostarica.com/symposia-medicus/.

Please note: If you are flying to/from the San Jose airport, you will need to overnight there due to the long drive between the airport and the hotel.


G. Wright Bates, Jr., MD
Conference Co-Chair

Chairman, Obstetrics & Gynecology
Baylor Scott & White Health
Temple, Texas

Libby Edwards, MD
Conference Co-Chair

Adjunct Associate Clinical Professor
University of North Carolina
Chapel Hill, North Carolina
Chief of Dermatology
Carolinas Medical Center
Charlotte, North Carolina

Edward Lally, MD
Professor of Medicine
Warren Alpert Medical School
of Brown University
Rhode Island Hospital
Providence, Rhode Island

Drew Ramsey, MD
Assistant Clinical Professor of Psychiatry
Department of Psychiatry
Columbia University
Attending Psychiatrist
The New York State Psychiatric Institute
New York, New York

Sam Siddighi, MD, MS, FACOG
Associate Professor
Department of Gynecology & Obstetrics
Loma Linda University Health
Chief, Female Pelvic Medicine & Reconstructive Surgery
Director of Research
Director of Grand Rounds
Loma Linda, 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 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, November 20

7:00am Registration & Check-in
8:00 Welcome & Introduction
Libby Edwards, MD
8:15 Menopause Update: Hot Flashes & Hormones
(Rx = 15 minutes)
G. Wright Bates, Jr., MD
9:00 Skin Cancers & Sun Damage
(Rx = 15 minutes)
Libby Edwards, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 When London Bridge is Falling Down: The Ins & Outs of Pelvic Organ Prolapse
Sam Siddighi, MD, MS
11:15 Mood Disorders & Dementia: What’s Food Got to Do with Them?
Drew Ramsey, MD
Noon Osteoporosis: Evaluation & Treatment
(Rx = 15 minutes)
Edward Lally, MD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day

Group Reception
(Faculty, Participants, and Guests)

Thursday, November 21

8:00am 50 Is the New 40: Sex & Pregnancy at Midlife
(Rx = 15 minutes)
G. Wright Bates, Jr., MD
8:45 Urinary Incontinence: How Do You Stop the Wetness? (Rx = 15 minutes)
Sam Siddighi, MD, MS
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Redefining Standard Practice: The Annual Exam After 50
G. Wright Bates, Jr., MD
11:00 Management & Work-Up of Stool Incontinence
(Rx = 15 minutes)
Sam Siddighi, MD, MS
11:45 Differential Diagnosis of Inflammatory Arthritis
(Rx = 15 minutes)
Edward Lally, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, November 22

3:00pm Smaller Group Breakouts – Session One
. A. Pelvic Masses & Pain During Peri-Menopause & Beyond
G. Wright Bates, Jr., MD
. B. Puzzling Dermatologic Vulvovaginal Cases
Libby Edwards, MD
. C. Cooking Up Health: Recipes & Tips from the “Farmacy”
Drew Ramsey, MD
. D. Mesh Controversy: Mesh or No Mesh?
Sam Siddighi, MD, MS
4:30 Break

Smaller Group Breakouts – Session Two
(Session One Topics Repeated)

6:15 Adjourn for the Day

Saturday, November 23

8:00am Office Management of Common Rashes & Bumps
(Rx = 15 minutes)
Libby Edwards, MD
8:45 Complementary & Alternative Therapies for Depression & Anxiety in Women
Drew Ramsey, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Management of Chronic Vulvar Symptoms
(Rx = 15 minutes)
Libby Edwards, MD
11:00 Osteoarthritis: Pathogenesis, Clinical Features, and Management (Rx = 15 minutes)
Edward Lally, MD
11:45 Prescription Brain Food: Integrating Brain-Focused Nutritional Therapies into Practice
Drew Ramsey, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

Rx = Pharmacotherapeutics CEUs for Nurses will be granted for these sessions


Beautiful Costa Rica (bordered by the Caribbean to the east, the Pacific Ocean to the west, and Panama to the south) is a democratic country where peace is the most precious possession of its people. Costa Rica is known for its white sand beaches, beautiful sunsets, mountainous plains, numerous national parks, tropical forests, and wildlife reserves, all protected through renowned conservation efforts. It is a country with modern goods and services, combined with exotic charm.

Our conference resort, the JW Marriott Guanacaste Resort & Spa, is within driving distance to tourist attractions such as Arenal Volcano National Park (80 miles northwest of San Jose) and Monteverde Cloud Forest Reserve (110 miles north of San Jose).

Located on Mansita Beach in Hacienda Pinilla, the JW Marriott Guanacaste Resort & Spa is on the northwest coast of Costa Rica in the province of Guanacaste. With five beaches, a championship golf course, an equestrian center, world-class spa and more, your experience will be unforgettable.

During conference breaks, you can also venture out of the resort and experience various activities such as horseback riding, fishing, national park tours, river floating, canoeing, snorkeling, ATV tours, scuba diving, and a zip line canopy excursion through the rain forest.

Costa Rica is truly a paradise for those who are in search of a combination of beauty, history, culture, and both land and water sports. Costa Rica’s exotic setting, combined with our 25th Annual Conference on Women’s Health: Care of Women Over 50, make this an opportunity you won’t want to miss.


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
September 11, 2019
If postmarked after
September 11, 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, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email


Conference group rates have been arranged at the JW Marriott Guanacaste 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.


Room Type/View Group Rates (Single/Double) Description
Garden View $185/night All rooms are 556 sq. ft. and have either a king or two double beds. Each room offers a closet, flat screen TV, iPod docking station, Marriott’s luxury bedding, mini bar, iron & ironing board, in-room safe, work desk, hair dryer, coffee maker, and terrace or balcony. Rooms only differ by the view and floor they are on within the hotel.
Ocean View $235/night
Ocean Front $275/night

By booking your lodging with Symposia Medicus, you will receive the following on a complimentary basis: in-room and resort-wide internet access, self and valet parking, use of the fitness center, and nightly turn down service.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 13% sales tax
- $7.00 mandatory housekeeping fee

Maximum guestroom occupancy is four, regardless of age (no exceptions)

Mandatory additional occupant charge (13 years and over) is $45.00 per person, per night (includes daily buffet breakfast and taxes)

Children 12 years and under are complimentary (includes daily buffet breakfast and taxes)

Rollaways & Cribs: Rollaway beds and cribs are both complimentary (based on availability and subject to change)

Check-in time is 3:00pm 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, plus $50/day for incidental charges; 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 and self-parking are complimentary when booking with Symposia Medicus

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 October 16, 2019; however, tuition, less 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/postmarked by September 18, 2019. Between September 19, 2019 and October 16, 2019, one night’s deposit is forfeited. After October 16, 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.


The JW Marriott Guanacaste Resort & Spa is located in Guanacaste, in the northwest area of Costa Rica. You can fly into Daniel Oduber Quirós International Airport (LIR - known as Liberia International Airport), which is an approximate 1-¼ hour drive to the hotel; however, lower fares can often be found by flying into Juan Santamaria International Airport (SJO), located in Costa Rica’s capital city of San Jose, which is an approximate 4-5 hour drive to the hotel.

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 website or Convention Desk numbers listed below.

Airlines that fly into Daniel Oduber Quirós International Airport (LIR - Guanacaste) and Juan Santamaria International Airport (SJO - San Jose):

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 ECMC244
in the “Discount Code” box, located at the right hand side of the page. Please note blackout dates of November 22-24, 2019.
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.

Other airlines that fly into Daniel Oduber Quirós International Airport (Guanacaste) and Juan Santamaria International Airport (San Jose) - No conference discounts available:

American Airlines (800) 433-7300 www.aa.com
Jet Blue Airlines (800) 538-2583 www.jetblue.com


Transportation is available for either airport through TAM Travel. For more information, please visit: http://www.tamcostarica.com/symposia-medicus/.

Please note: If you are flying to/from the San Jose airport, you will need to overnight there due to the long drive between the airport and the hotel.