Tacking place over the course of three days, our 22nd Annual National Conference on Fetal Monitoring has been designed for physicians, nurses, certified nurse midwives, nurse practitioners, and PAs who are responsible for maternal-fetal assessment. During this comprehensive conference, our expert faculty will integrate emerging clinical research, current case studies, and challenging fetal heart rate tracings as well as address controversial issues in maternal-fetal medicine. This educational activity aims to increase both the competence and performance of all attendees as well as contribute to your ability to work together as part of a coordinated healthcare team.

Topics for this year’s conference have been selected based on the educational needs underlying 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 such as current clinical guidelines, research findings, literature reviews, and patient safety considerations.

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

The conference format includes didactic lectures, question and answer sessions, case studies, and small group breakouts. Following a group of lectures, the question and answer sessions allow attendees to ask the faculty critical and challenging questions about caring for patients during various maternal-fetal situations.

The breakout sessions, designed to facilitate even greater interaction between faculty and participants, offer an opportunity to engage in group 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.


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

  • Recognize common knowledge gaps in EFM
  • Describe patterns that are suspicious for maternal-fetal signal ambiguity
  • Interpret FHR tracings using two central principles that are evidence-based and reflect consensus in the literature
  • Recognize and overcome recordkeeping pitfalls

Enrollment for this conference is limited in order to provide the best possible learning environment.
Early registration is advised.

If postmarked by
July 8, 2021
If postmarked after
July 8, 2021
Physicians $795 $895
Residents, Nurses, PAs, & All Others $695 $795
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.
For this conference, we are offering the below options for attendance:
In-Person: Attend in-person in the conference hotel meeting room. Tuition includes continuing education and online access to educational session materials. Continental breakfast on in-session days and break refreshments every day will be provided for conference registrants.

You can register and receive conference lodging group rates in the following ways:

  • Online via this website (unless otherwise directed) OR:
  • Call (925) 969-1789 Monday-Friday, 8:30am-5:00pm (Pacific Time), with
      Visa, MasterCard, American Express, or Discover; OR
  • By mail; make check payable to Symposia Medicus and send along with registration form to:
    399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287

Conference registration will be confirmed via email.

Please call (925) 969-1789 for additional questions or information.


After 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, reviewing the educational session materials, and submitting the case studies test, evaluations, surveys, and verification of attendance 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 nursing continuing professional development 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.

Application has been made with the American College of Obstetricians & Gynecologists (ACOG) for cognates, Formal Learning. Please check our website for updated credit information.

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 3.00 AMA PRA Category 1 Credits™ towards Fetal Heart Rate Monitoring and Assessment Education.

Rebecca L. Cypher, MSN, PNNP
Perinatal Nurse Practitioner; President, Cypher Maternal-Fetal Solutions; Gig Harbor, Washington
Marilena DiSilvio, JD
Attorney-at-Law, Elk & Elk; Mayfield Heights, Ohio
Jay Kelley, JD
Attorney-at-Law, Elk & Elk; Mayfield Heights, Ohio
David A. Miller, MD, FACOG - Conference Co-Chairperson
Professor of Maternal-Fetal Medicine & Pediatrics, Keck School of Medicine, University of Southern California; Chief of Maternal-Fetal Medicine, Children's Hospital Los Angeles; Director, USC-CHLA Fetal Maternal Center; Los Angeles, California
Lisa Miller, CNM, JD - Conference Co-Chairperson
Founder, Perinatal Risk Management & Education Services; Certified Nurse-Midwife; Vancouver, Washington

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 educational session materials for this activity and speakers will provide a disclosure slide for each presentation which they will also disclose verbally onsite.

Thursday, September 16, 2021
7:00 AMContinental Breakfast
 Registration & Check-In
During Continental Breakfast
8:00Welcome & Introduction
David A. Miller, MD & Lisa A. Miller, CNM, JD - Conference Co-Chairs
8:15Whaddya Know? Test Your EFM Savvy
Lisa Miller, CNM, JD
9:00Standardized EFM Interpretation & Management
David A. Miller, MD, FACOG
10:45EFM Signal Ambiguity: When Signals Become Crossed
Rebecca L. Cypher, MSN, PNNP
11:30Questions & Answers / Group Discussion
Faculty Panel & Audience
12:00 PMLunch Break
On Your Own
1:30Small Group Breakouts – Session One

● Antepartum Care Examined: Fetal Surveillance in High Risk Patients

Rebecca L. Cypher, MSN, PNNP
 ● FHR Tracings Practicum
Lisa Miller, CNM, JD
 ● Myth vs. Reality in EFM
David A. Miller, MD, FACOG
3:15Small Group Breakouts – Session Two

● Antepartum Care Examined: Fetal Surveillance in High Risk Patients

Rebecca L. Cypher, MSN, PNNP
 ● FHR Tracings Practicum
Lisa Miller, CNM, JD
 ● Myth vs. Reality in EFM
David A. Miller, MD, FACOG
4:45Adjourn for the Day
Friday, September 17, 2021
7:30 AMContinental Breakfast
8:00From the Delivery Room to the Courtroom: Malpractrice Issues in Obstetrics: Part One (Faculty Panel)
Jay Kelley, JD
9:45From the Delivery Room to the Courtroom: Malpractrice Issues in Obstetrics: Part Two (Faculty Panel)
Jay Kelley, JD
11:45Questions & Answers / Group Discussion
Faculty Panel & Audience
12:45 PMAdjourn for the Day
Saturday, September 18, 2021
7:30 AMContinental Breakfast
8:00Uterine Activity & Labor Management: Making Informed Choices
Lisa Miller, CNM, JD
8:45Intravenous Fluids: Their Role in FHR & Labor Management
Rebecca L. Cypher, MSN, PNNP
9:30Questions & Answers / Group Discussion
Faculty Panel & Audience
10:30Listen Carefully: Intermittent Auscultation
Lisa Miller, CNM, JD
11:15Writing Wrong: Common Charting Mistakes in EFM
Rebecca L. Cypher, MSN, PNNP
12:00 PMThe EFM Quiz Show (Faculty Panel)
Lisa Miller, CNM, JD
12:45Questions & Answers / Group Discussion
Faculty Panel & Audience
1:30Conference Adjourns

Symposia Medicus has conference group rates at Bally’s Las Vegas, located in the center of the world- famous Las Vegas Strip.

These special rates will only be available until Friday, August 27, 2021 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.

Bally's Las Vegas
3645 S. Las Vegas Blvd.
Las Vegas, NV 89109
Direct: (702) 967-4111
To make your reservations please call (800) 358-8777
You must refer to the group code SBSYM1 to receive conference group rates.
To make your reservations online, please visit:

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

Resort Tower Run of House (Single/Double) - $89/night (Sunday-Thursday), $140/night (Friday & Saturday)
Newly renovated rooms are approximately 440 sq. ft. and include a king or two queen pillow top beds, hairdryer, iron & ironing board, clock radio, flat-screen TV with in-room movies, and marble bathrooms.

For information regarding COVID-19, health, and safety at the hotel, please visit:

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):
    - 13.38% Clark County tax
    - $25 (plus 13.38% tax) Resort Fee (includes unlimited local phone calls, admission to the Fitness Center for up to two guests daily, and in-room internet access for up to two devices per day)
  • Maximum guestroom occupancy is four, regardless of age
  • Mandatory additional occupant charge (12 years and over) is $30 per person, per night
  • Children 11 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 departure after 11:00am is subject to the full day charge.
  • Credit/Debit Card Policy: Upon check-in, the hotel requires a credit or debit card to ensure that funds are available. Holds are placed on your account for your entire stay, plus estimated incidentals; 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
  • Hotel Cancellations must be made directly with the hotel at least 72 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) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after August 12, 2021; however, tuition, less a 10% processing fee, may be applied to a future Symposia Medicus conference.
  • All cancellations must be emailed to by the dates 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.

Download Session Materials

Registered Conference attendees can access the Session Material Download from under the user profile icon after logging in, or by using the above link.

We encourage you to load the session materials on your laptop, tablet or other electronic device for use during the conference, or for review prior to arriving. As a suggestion, some attendees are now bringing iPads and other devices to the conference and using programs like Adobe Acrobat Reader to take and save notes right on top of the presentation.

Paper copies of the session materials WILL NOT be available. So, please download the session materials prior to the conference.

Updated session materials, with any changes from the conference, will also be available for download within a week after the conference end.

Note: Due to conference facility bandwidth limitations, session materials MUST be downloaded PRIOR to the conference start date and will not be available during the conference.

For more information on downloading the session materials, view our Frequently Asked Questions.

If you have any questions or comments, please do not hesitate to email us at


You will fly into Las Vegas McCarren International Airport (LAS), which is approximately 15 minutes from Bally’s Las Vegas. 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.

Please check directly with the airlines for updated information on their COVID-19 policies.

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 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 ECMD521 in the “Discount Code” box, located at the right hand side of the page.

Delta Airlines
For discounts on Delta Airlines, please visit, 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 NY34X 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 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 ZJVS420980 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.


OPTION 1 - Taxis

Taxis can be found outside the airport terminal and the cost is approximately $35.00 each way (subject to change).



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 below and the conference/airport location when making your reservations. Please see below:

AWD # B766625

BCD # U076767

For driving directions from the Las Vegas McCarran International Airport to Bally’s Las Vegas, click on the link below:

Driving directions from Las Vegas McCarran International Airport (LAS) to Bally’s Las Vegas


By booking your lodging under the Symposia Medicus group code, you will receive complimentary valet and self-parking over the dates of Friday, September 17 to Friday, September 24, 2021.


Monorail Service

  • The Las Vegas Monorail is a quick and easy way to get from one end of the Strip to the other in about 15 minutes
  • There are a total of seven stops: MGM Grand, Bally’s/Paris, Flamingo/Caesar’s Palace, Harrah’s/The Linq Hotel & Casino, Las Vegas Convention Center, Westgate, and SLS.
  • For more information, route maps, train schedules, and to purchase tickets in advance, please visit

Bus Service

  • The Deuce runs up and down the Vegas strip, 24 hours a day from the Fremont Street Experience in Downtown Las Vegas all the way to the Mandalay Bay, while stopping at virtually every hotel and casino along the Las Vegas Strip
  • For more information please visit

Bally’s Las Vegas is ideal for those who appreciate an exciting hotel right in the center of the famous Las Vegas Strip. While it captures the feel of old Vegas, rooms have upgraded amenities like flat-screen TVs, docking stations and pillow-top beds. Stay in the stylish, renovated hotel rooms featuring accent walls and rich woods. Located across the street from the Caesar’s Palace Forum Shops and the fountains, gardens, and galleries of the Bellagio Hotel & Casino, Bally’s Las Vegas is right in the center of all of the action. Visit Las Vegas’ new night life center, The LINQ—a trendy shopping, activity, and dining area, including Las Vegas’ exciting attraction, the “High Roller,” the world’s tallest Ferris Wheel – all just a block away!

Guests at Bally’s are offered numerous restaurants, an abundance of casino options, and non-stop entertainment. Wade your cares away in the Blu Pool, the oversized, outdoor swimming pool, that is lush with palm trees and luxuriously attended to by poolside servers. This is the perfect place to lose track of the day! If you are feeling active, Bally’s Las Vegas is the home of the Strip’s biggest tennis complex, with eight lit courts.

Whether you seek rest and relaxation or crave entertainment and excitement, Las Vegas has it all. Stretch your legs walking the famous Las Vegas Strip, stimulate your taste buds in one of the city’s world-class restaurants, or extend your conference stay and take a day trip to Hoover Dam or the Grand Canyon and witness the grandeur of the Colorado River. Explore the city’s casinos or enjoy great entertainment in the showplaces and lounges. Las Vegas is truly the city that never sleeps!

Whatever your pleasure, you’ll be sure to find it in Las Vegas, at our 22nd Annual National Conference on Fetal Monitoring.