“Symposia Medicus has figured out how to make CME practical, enjoyable, and worthwhile. Every conference gives you practical, up-to-date tools to implement the day you get back to practice.”
– K. Puterbaugh, MD

“Very organized, great locations, great speakers!”
– N. Sanew, CNM

“I am always pleased with the education provided by Symposia Medicus, well-organized and great speakers.”
– R. Nett, MD


Our 25th Annual Conference on High Risk & Critical Care 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.

Smaller group sessions will be held on Friday. 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.

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 High Risk & Critical Care Obstetrics while sharing ideas and experiences with colleagues from across the country in the exciting setting of San Francisco.


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

Reduce maternal and neonatal complications related to pregestational diabetes

Identify pregnancy risk factors for developing cardiopulmonary arrest

Perform a diagnostic work-up for the growth restricted fetus

Review heightened perinatal risks associated with increasing maternal age

Identify the complex issues associated with cancer in pregnancy

Determine three critical factors in obtaining correct cervical measurements


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 17 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency.

The American College of Obstetricians and Gynecologists has assigned up to 17 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 17 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 17.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 20.4 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™

Pharmacology Content for Prescriptive Authority
A maximum of 1.75 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.


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.


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.


Mark Alanis, MD, MSCR, FACOG
Assistant Clinical Professor
Maternal-Fetal Medicine
Director, Perinatal Safety & Quality
UCHealth Memorial Hospital
Colorado Springs, Colorado

John Barton, MD, FACOG
Conference Co-Chair

Associate Professor, Department of OB/GYN
University of Kentucky
Director, Maternal-Fetal Medicine
Baptist Health Lexington
Lexington, Kentucky

R. Brandon Frady, DNP, RN, ACNP-BC, CCRN-CMC
Critical Care Nurse Practitioner
Critical Care Services
Northside Hospital
Atlanta, Georgia

Cornelia R. Graves, MD, FACOG
Conference Co-Chair

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

Vanitha Mohta, MD, MPH
Chief of Maternal Fetal Medicine
Physician Lead
Kaiser Permanente
Walnut Creek Medical Center
Walnut Creek, California

Mureena A. Turnquest Wells, MD, FACOG
Maternal-Fetal Medicine
Norton Children’s Maternal-Fetal Medicine
Norton Healthcare
Louisville, Kentucky

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, May 28

7:00am Registration & Check-in During Continental Breakfast
8:00 Welcome & Introduction
Cornelia R. Graves, MD
8:15 Fetal Growth Restriction: Diagnosis & Management
(Rx = 15 minutes)
Mureena A. Turnquest Wells, MD
9:00 Pregnancy in Patients with Cancer
(Rx = 15 minutes)
Cornelia R. Graves, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Cardiopulmonary Resuscitation in Pregnancy
R. Brandon Frady, DNP, RN, ACNP-BC, CCRN-CMC
11:15 Complications of Pregestational Diabetes in Pregnancy (Rx = 15 minutes)
Mark Alanis, MD, MSCR
Noon Questions & Answers
Group Discussion

Faculty Panel & Audience
12:30pm Lunch Break (on your own)
1:45 Pregnancy in the Patient Over 35 Years Old
John Barton, MD
2:30 The Short Cervix: When to Look, How to Look, and What to Do
Vanitha Mohta, MD, MPH
3:15 Questions & Answers
Group Discussion

Faculty Panel & Audience
3:45 Adjourn for the Day

Friday, May 29

7:30am Continental Breakfast
8:00 Small Group Breakouts – Session One
. • Deep Vein Thrombosis Prevention in Pregnancy & Postpartum: What’s Old & What’s New?
Vanitha Mohta, MD, MPH
. • Prenatal Screening in Obstetrics: Current Considerations
John Barton, MD
. • Viruses in Pregnancy: CMV, Parvo, and More
Mureena A. Turnquest Wells, MD
9:30 Break
9:45 Small Group Breakouts – Session Two
(Session One Topics Repeated)
11:15 Lunch Break (on your own)
12:45pm Small Group Breakouts – Session Three
. • Maternal Obesity
Mark Alanis, MD, MSCR
. • Substance Abuse: The Changing Landscape
Cornelia R. Graves, MD
. • What Does Sepsis Look Like During Pregnancy?: Diagnosis & Management
R. Brandon Frady, DNP, RN, ACNP-BC, CCRN-CMC
2:15 Break
2:30 Small Group Breakouts – Session Four
(Session Three Topics Repeated)
4:00 Adjourn for the Day

Saturday, May 30

7:30am Continental Breakfast
8:00 Acute Respiratory Emergencies During Pregnancy
(Rx = 15 minutes)
Cornelia R. Graves, MD
8:45 Systolic Versus Diastolic Heart Failure
R. Brandon Frady, DNP, RN, ACNP-BC, CCRN-CMC
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (Hotel check-out, if applicable
10:30 Preeclampsia: Diagnosis, Management, and Prevention
(Rx = 15 minutes)
John Barton, MD
11:15 Intrahepatic Cholestasis of Pregnancy
(Rx = 15 minutes)
Mureena A. Turnquest Wells, MD
Noon Diagnosis & Management of Placenta Accreta
(Rx = 15 minutes)
Mark Alanis, MD, MSCR
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Conference Adjourns

Rx = Pharmacology Content
for Prescriptive Authority will be
granted for these sessions



San Francisco is a unique and breathtaking city. From the iconic Golden Gate Bridge, to the exquisite art galleries at the Legion of Honor or San Francisco Museum of Modern Art (SFMOMA), the city takes pride in its unrivaled attractions, renowned museums, and unique neighborhoods. Discover the variety of sites, shops, and restaurants that reflect the city’s great ethnic and cultural diversity. Surrounded by the tranquil waters of the bay, the enchanting city of San Francisco sits amid the peaks and valleys of dozens of landmarks, including Fisherman’s Wharf, Alcatraz, Golden Gate Park, Coit Tower, Lombard Street, Ghirardelli Square, and its historic cable cars.

World-renowned, The Fairmont San Francisco presents an awe-inspiring picture of historic San Francisco. The grandeur of the luxury hotel atop Nob Hill, coupled with its reputation for impeccable service, promises a truly memorable experience during your stay. Each of the hotel’s spacious guestrooms and suites have been elegantly updated, including flat screen TVs, Frette linen ensembles, pillow top beds, and MP3 docking stations.

Centrally located, the luxurious Fairmont San Francisco is a short cable car ride from the bustling downtown, Financial District, Union Square, Chinatown, and Fisherman’s Wharf. In fact, this hotel is the only spot in San Francisco where each of the city’s cable car lines meet! A visit to The Fairmont San Francisco is not complete without experiencing the Tonga Room & Hurricane Bar. Consistently awarded for serving “San Francisco’s Best Happy Hour”, the Tonga Room offers exceptional Pacific Rim Asian Cuisine in a tropical setting that includes thunder and rain storms. It is the perfect escape after a busy day of shopping along Union Square.

Whatever your pleasure, you’ll be sure to find it in San Francisco, at our 25th Annual Conference on High Risk & Critical Care Obstetrics.


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
March 19, 2020
If postmarked after
March 19, 2020
Physicians $695 $795
Residents, Nurses, PAs, & All Others $595 $695

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 email


Symposia Medicus has conference group rates at The Fairmont San Francisco.

These special rates will only be available until Tuesday, April 28, 2020 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 Fairmont San Francisco
950 Mason Street
San Francisco, California 94108
Direct: (415) 772-5000

To make your hotel reservations, please call (800) 441-1414
You must refer to the group code SYM0520 to receive conference group rates.

To make your reservations online, please visit https://book.passkey.com/go/symposiamedicus1533

The conference group rates will also be available three days before and three days after the conference (based on availability) if you wish to extend your stay in San Francisco.

Type of Room Group Rates
Fairmont Queen $345/night Rooms are approximately 325 sq. ft., with an interior courtyard view, and feature one queen bed, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
(King or Two Queens)
$365/night Rooms are approximately 425 sq. ft., with city views, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Deluxe Tower
(King or Two Queens)
$399/night Rooms are approximately 370 sq. ft., with views of the San Francisco skyline, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.
Signature Tower
(King or Two Queens)
$419/night Rooms are approximately 370 sq. ft., with views of the San Francisco bay, from Alcatraz to Coit Tower, and feature one king bed or two queen beds, flat screen TV, Keurig coffee maker, in-room safe, bathroom amenities, pillow top mattress with down pillows and blankets, work desk, phone, and alarm clock.

If you reserve your room with the Symposia Medicus group code, you will receive complimentary high speed wireless internet access in your guest room.

Also, access to the fitness center, daily newspaper, and local phone calls are complimentary for Le Club Accor members. Sign up for free at www.accorhotels.com. Guests must sign up prior to arrival in order to receive these complimentary items.


Hotel Policies

A deposit equal to one night’s room & tax is due to the hotel with major credit card upon making your reservation

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.195% Occupancy Tax
- 2.25% Business District Assessment
- 0.195% Tourism Improvement District Assessment

Maximum guestroom occupancy is four (4), regardless of age. Please note: Two bed accommodations are limited.

Mandatory additional third and fourth adult charge (19 years and over) is $35 per person, per night

Children 18 years and under are complimentary – not to exceed stated maximum occupancy

Rollaway beds are available at an additional cost of $35 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. A late check-out can only be confirmed on the date of departure by the front desk. Late check-outs are based on availability and additional charges may apply.

Early Departure Fee: An early departure fee of $50 will be assessed to guests who depart before their confirmed departure date. Departure dates will be reconfirmed at check-in, and changes can be made at that time, without penalty.

A 30-minute break has been allotted in our conference schedule on the last day, for those who need to check-out

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: The Fairmont San Francisco parking garage is located on the corner of Powell and California Streets. For overnight guests the rate is $70.68/night, including tax, with in and out privileges. For non-hotel guests the rate is $6.00 every 15 minutes or $24.00/hour. Rates are subject to change.

Hotel cancellations must be made directly with the hotel at least 48 hours prior to your confirmed arrival date or you will be charged a cancellation fee equal to 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 April 23, 2020; 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 refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


You will fly into San Francisco International Airport (SFO), which is approximately 30 minutes from The Fairmont San Francisco. 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 ECMC696 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, 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 NMT7R 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 ZH4W711859 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.


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