“Always a great learning experience with Symposia Medicus!”
– M. Fuller, MD

“Symposia Medicus programs renew my clinical knowledge and keep me current in my patient care.”
– J. Moriarty, CRNP

“Very well-organized, engaging, and enlightening speakers. Excellent breakout sessions. Good variety of topics”
– E. Hurlbut, DO


Our 24th 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 OB/GYNs, family physicians, nurse midwives, nurse practitioners, PAs, nurses and all other 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 24th 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 the Cayman Islands.


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

Use appropriate clinical interventions for incontinence and bladder pain

Identify specific symptoms that may improve medication response and tolerability in depressed patients

Educate women on options for the care of pelvic organ prolapse

List the appropriate treatment for bleeding abnormalities in women

Develop a comprehensive plan for the treatment of Hypoactive Sexual Desire Disorder, which includes medical and psychological interventions


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 study 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.

This Live activity, 24th Annual Conference on Women's Health: Care of Women Over 50, with a beginning date of 11/14/2018, 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.

Pharmacology Credit for Prescriptive Authority
A maximum of 3.5 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule.


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.


Red Sail Sports, the onsite tour company at the hotel, has offered a 10% discount on tours (some exclusions apply) to all conference attendees and their guests. For advance reservations, please call 1-877-506-6368 and mention Symposia Medicus to receive the discount. You may also book tours once you arrive at the hotel. For a full list of services, please visit their website at

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


James Fiorica, MD, FACOG
Conference Co-Chair

Clinical Professor of
Obstetrics & Gynecology
Florida State University School of Medicine
Director, Gynecologic Oncology Research
Chief Medical Officer
Sarasota Memorial Hospital
Sarasota, Florida

Lisa Lepine, MD
Private Practice
Boulder Gynecology & Minimally
Invasive Surgery
Member, ASCCP International Education &
Humanitarian Outreach Committee
Boulder, Colorado

Leah Millheiser, MD, FACOG
Clinical Assistant Professor
Director, Female Sexual Medicine Program
Department of OB/GYN
Stanford University School of Medicine
Palo Alto, California

Charles Rardin, MD
Conference Co-Chair

Professor of Obstetrics & Gynecology
Program Director, Fellowship in Female Pelvic Medicine & Reconstructive Surgery
Alpert Medical School of Brown University
Director, Minimally Invasive &
Robotic Surgical Services
Women & Infants’ Hospital of Rhode Island
Providence, Rhode Island

Owen Wolkowitz, MD
Professor of Psychiatry
Director, Psychopharmacology
Assessment Clinic
Co-Director, UCSF Depression Center
University of California, San Francisco
School of Medicine
San Francisco, 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 14

7:00am Registration & Check-in
8:00 Welcome & Introduction
James Fiorica, MD
8:15 Surgical & Nonsurgical Management of Female Pelvic Floor Dysfunction in the Older Patient
(Rx = 15 minutes)
Charles Rardin, MD
9:00 Evaluation of Breast Lumps & Diagnosis of Breast Cancer (Rx = 15 minutes)
James Fiorica, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Common Psychiatric Presentations in Women: A Case-Based Approach to Depression, Bipolar, and Anxiety Disorders (Rx = 15 minutes)
Owen Wolkowitz, MD
11:15 How to Identify Female Sexual Dysfunction in 3 Easy Steps: Diagnostic Tools for the Time-Strapped Clinician
Leah Millheiser, MD
Noon Management of Abnormal Uterine Bleeding
(Rx = 15 minutes)
James Fiorica, 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, November 15

8:00am Update on Female Urinary Incontinence
(Rx = 15 minutes)
Charles Rardin, MD
8:45 Benefits & Limitations of Gynecologic Screening Tests: Routine Pelvic Exam & Pelvic Ultrasound
Lisa Lepine, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Evaluation & Management of Painful Bladder Syndrome (Rx = 15 minutes)
Charles Rardin, MD
11:00 Managing Depression in Women Part 1: Evaluating Patient Symptoms & Selecting Appropriate Antidepressants (Rx = 45 minutes)
Owen Wolkowitz, MD
11:45 Managing Depression in Women Part 2: Examining Antidepressant Side Effects & How to Avoid Them
(Rx = 45 minutes)
Owen Wolkowitz, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, November 16

3:00pm Smaller Group Breakouts – Session One
. A. Controversies in Hormone Therapy
James Fiorica, MD
. B. Everything You Wanted to Know About Taking a Psychosexual History But Were Too Afraid to Ask
Leah Millheiser, MD
. C. Individualizing Menopausal Care
Lisa Lepine, MD
. D. The Danger of Stress: Disease & Accelerated Biological Aging
Owen Wolkowitz, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, November 17

8:00am Evaluation & Conservative Management of Pelvic Organ Prolapse
Lisa Lepine, MD
8:45 Controversies Related to the Screening & Diagnosis of Ovarian Cancer
James Fiorica, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Hypoactive Sexual Desire Disorder in Women
Leah Millheiser, MD
11:00 Cervical Cytology Screening: The Role of HPV Testing (Rx = 30 minutes)
Lisa Lepine, MD
11:45 Dyspareunia Related to Genitourinary Syndrome of Menopause: Hormonal & Non-Hormonal Treatment Options
Leah Millheiser, 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


Beautiful Grand Cayman Island is the largest of the three Cayman Islands. Whether you are looking for complete relaxation, exquisite dining, exciting nightlife, or awesome underwater sights featuring accessible reefs, there is something for everyone. On the west side of Grand Cayman, you will find the famous Seven Mile Beach, the crescent-shaped natural wonder, with white sand and azure water stretching as far as the eye can see.

Seven Mile Beach is often rated as one of the most beautiful beaches in the world. Take a trip into the North Sound and visit Stingray City, where you and your family have the rare opportunity to swim and learn about Southern Stingrays. When you’re looking to get off the beach, get lost in the luxury of George Town, with colorful traditional Caribbean-style buildings and endless duty-free shopping.

The newly-renovated Westin Grand Cayman Seven Mile Beach Resort & Spa is in the premiere location for fun and relaxation. The resort has easy access to Grand Cayman’s best attractions, including scuba diving, shopping, snorkeling, and golf. Spend time at the oversized outdoor pool or enjoy luxurious private cabanas on the beach. Family and children’s activities are sure to keep you busy, or visit the rejuvenating Hibiscus Spa. With world-class treatments, you will leave more refreshed than you ever imagined.

Whatever your pleasure, you’ll be sure to find it on Grand Cayman, at our 24th Annual Conference on Women’s Health: Care of Women Over 50.


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 5, 2018
If postmarked after
September 5, 2018
Physicians $675 $775
Residents, Nurses, PAs, & All Others $575 $675

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 Westin Grand Cayman Seven Mile Beach 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
(All rooms have been recently renovated, are non-smoking, and approximately 380-400 square feet. Rooms feature a 55” Samsung TV, Westin Heavenly® beds, hairdryer, coffee/tea maker, and mini-fridge)
Island View $265/night View of the famous Seven Mile Beach Road on the island side of the hotel. These rooms also look out onto the main entrance of the resort. Rooms on higher floors offer a view of the Safe Haven Golf Course. All ground floor rooms have patios and only some of the upper level rooms offer balconies.
Partial Ocean View $290/night Located on the north and south sides of the hotel. They offer a partial view of Seven Mile Beach. All ground rooms have patios and all upper level rooms have balconies.

Ocean/Pool View

$332/night View of the pool area, as well as of Seven Mile Beach. Some rooms also have views of property palm trees. All ground floor rooms have patios and all upper level rooms have balconies.

Deluxe Ocean Front

(Limited availability, must call Symposia Medicus to reserve)

$442/night Rooms are located directly on Seven Mile Beach with an unobstructed view of the ocean. Rooms are on the first or second floors and have direct access to the beach. All ground floor rooms have patios and all upper level rooms have balconies.

By reserving through Symposia Medicus, the Resort Fee (normally $65/day) is included in the group rates stated above.

The Resort Fee includes: Internet access in guest rooms and public spaces, two bottles of water (replenished daily), mini-refrigerators, self-parking, beach chairs, umbrellas, and towels, pool and beach ambassadors, use of sauna, hot tub, and steam room at the Hibiscus Spa (based on availability), clinics to include beach yoga and standup paddle board, use of the business center (free printing for up to 10 pages), Sunday movie night on the beach, non-alcoholic welcome drink, complimentary bite-size appetizers at Catboat Bar, poolside treats (some for a fee), Director of Lifestyle to execute daily/weekly events and activities, S’mores/Marshmallow Madness Night, Beach Bonfire Night, Imagination Playground including kids play blocks, board games, beach and lawn games, giant chess/checkers, scheduled firework display last Friday of the month, and complimentary weekly activities (soccer, corn hole, nature scavenger hunt, character tattoos for kids, beach ball rally, water balloon toss, water drop relay, bocce ball tourney, trivia night, sand sculpture competition).


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 13% Government Tax
- 10% Service Charge (includes round-trip bellman & daily housekeeping gratuities)

Maximum guestroom occupancy is:
- Three adults, or
- Two adults and two children (or three if 3rd child is 3 years old or younger)

Mandatory additional person charges, listed below, include daily buffet breakfast and taxes (not to exceed maximum occupancy)
- Third adult (18 years & older) is $55 per night
- Children 13-17 years old are $18 per person, per night
- Children 5-12 years old are $10 per person, per night
- Children 4 years & under are complimentary

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in. All king bedded rooms come with sleeper sofas.

Cribs 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. Additional charges may apply for late check-outs and are based upon availability.

Early Departure Fee: Please notify the hotel at check-in if there are any changes to your scheduled departure, as an early departure fee equal to one night’s room rate and tax will be charged to any guest who checks out prior to their confirmed departure date.

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-parking is complimentary for hotel and conference guests. Valet is not available at this resort.

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 10, 2018; 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 12, 2018. Between September 13, 2018 and October 10, 2018, one night’s deposit is forfeited. After October 10, 2018, 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 Owen Roberts International Airport (GCM), which is approximately 15 minutes from The Westin Grand Cayman Seven Mile Beach Resort & Spa. 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.

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 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 NMQC4 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 ZE2C279455 in the “Promotions and Certificates” box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.