Conference #1635
32nd Annual Fall Conference on Hot Topics in Primary Care

November 9 - 12, 2022
Grand Cayman, Cayman Islands

See Tuition information for pricing and attendance options.
Proof of Vaccination and Face Mask use required
(See Health & Safety tab for complete info)


Our 32rd Annual Fall Conference on Hot Topics in Primary Care is designed for physicians, nurse practitioners, physician associates, nurses, and other allied healthcare professionals involved in the primary care of their patients. Covering a wide array of topics, our expert faculty will discuss the latest evidence-based advancements in primary care, present emerging clinical data, and provide skills and strategies for application and implementation into your practice. 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 primary care 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…

  • Develop a treatment strategy for specific clinical syndromes causing shoulder pain
  • Identify which new drugs in the past year play an important role in primary care practice
  • Select the proper osteoporosis medication for different patient populations
  • Discuss the pros and cons of menopausal hormone therapy
  • Determine the mechanism of syncope in most patients and select the appropriate therapy

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

If postmarked by
August 31, 2022
If postmarked after
August 31, 2022
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 meeting room. Tuition includes continuing education, online access to educational session materials, and break refreshments for conference registrants. Tuition also includes a group reception for faculty, registrants, and their guests.

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 102, 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 Standards for Integrity and Independence in Accredited Continuing 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 18 AMA PRA Category 1 Credits ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This ACE activity was developed with standards to address California Assembly Bill (AB) 1195 cultural and linguistic competency (CLC) and CA AB 241 implicit bias (IB) to reduce health disparities. Please refer to the accreditation page on our website for resources.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Please check our website for updated credit information.

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

Physician Associates
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. Physician associates 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™.

Pharmacotherapeutic CEUs for Nurses
This activity is designated for a maximum of 5.75 pharmacotherapeutic credits towards meeting the requirement for nursing pharmacology 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 state to state.

Benjamin D. Levine, MD, FACC, FAHA, FACSM
Director, Institute for Exercise & Environmental Medicine; S. Finley Ewing, Jr. Chair for Wellness at Texas Health Presbyterian Dallas; Harry S. Moss Heart Chair for Cardiovascular Research; Professor of Medicine & Cardiology; Distinguished Professorship in Exercise Science The University of Texas Southwestern Medical Center; Dallas, Texas
Veronica Piziak, MD, PhD, FACP
Professor of Medicine, Emeritus Director of Endocrinology, Department of Medicine, Division of Endocrinology, Baylor Scott & White Texas A&M University, Temple, Texas
James C. Puffer, MD
Professor of Clinical Family Medicine, Emeritus; Department of Family Medicine, David Geffen School of Medicine at UCLA; Los Angeles, California
Martin Quan, MD - Conference Chairperson
Professor of Clinical Family Medicine; Director, Office of Continuing Medical Education; David Geffen School of Medicine at UCLA; Vice Chair for Academic Affairs, UCLA Department of Family Medicine; Los Angeles, California
Gerald W. Smetana, MD, MACP
Professor of Medicine; Harvard Medical School; Division of General Medicine; Beth Israel Deaconess Medical Center; Boston Massachusetts


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 24 months. Symposia Medicus will also ensure that any and all relevant financial relationships will be mitigated before the conference commences. Beyond disclosure and mitigation 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 on site.

Wednesday, November 9, 2022
8:15 AMChallenging Diagnostic Dilemmas in Primary Care
(Rx = 45 minutes)
Gerald W. Smetana, MD, MACP
9:00Approach to the Patient With Syncope
(Rx = 5 minutes)
Benjamin D. Levine, MD, FACC, FAHA, FACSM
9:45Questions & Answers / Group Discussion
Faculty Panel & Audience
10:30Case Studies in Vaginitis
(Rx = 20 minutes)
Martin Quan, MD
11:15Approach to the Patient With Knee Pain
James C. Puffer, MD
12:00 PMTop Drugs for Primary Care
(Rx = 45 minutes)
Gerald W. Smetana, MD, MACP
12:45Questions & Answers / Group Discussion
Faculty Panel & Audience
Thursday, November 10, 2022
8:00 AMNew Treatment Options for Diabetes
(Rx = 35 minutes)
Veronica Piziak, MD, PhD, FACP
8:45Contraception Update: 2022
(Rx = 45 minutes)
Martin Quan, MD
9:30Questions & Answers / Group Discussion
Faculty Panel & Audience
10:15Exercise Physiology for the Clinician: A Rational Approach to Exercise Testing
Benjamin D. Levine, MD, FACC, FAHA, FACSM
11:00Pre-Operative Evaluation for Cardiac Risk
(Rx = 45 minutes)
Gerald W. Smetana, MD, MACP
11:45Common Thyroid Disorders
(Rx = 25 minutes)
Veronica Piziak, MD, PhD, FACP
12:30 PMQuestions & Answers / Group Discussion
Faculty Panel & Audience
Friday, November 11, 2022
3:00 PMSmall Group Breakouts – Session One

● Case Studies in Hypertension

Martin Quan, MD
 ● Common Sports Medicine Challenges
James C. Puffer, MD
 ● Obesity: Surgical & Medication Options
Veronica Piziak, MD, PhD, FACP
 ● Primary Care Management of Depression
Gerald W. Smetana, MD, MACP
4:45Small Group Breakouts – Session Two

● Case Studies in Hypertension

Martin Quan, MD
 ● Common Sports Medicine Challenges
James C. Puffer, MD
 ● Obesity: Surgical & Medication Options
Veronica Piziak, MD, PhD, FACP
 ● Primary Care Management of Depression
Gerald W. Smetana, MD, MACP
Saturday, November 12, 2022
8:00 AMUpdate on Osteoporosis: 2022
(Rx = 25 minutes)
Veronica Piziak, MD, PhD, FACP
8:45Menopausal Hormone Therapy: Where Are We Now?
(Rx = 45 minutes)
Martin Quan, MD
9:30Questions & Answers / Group Discussion
Faculty Panel & Audience
10:15Heart Failure With Preserved Ejection Fraction -The "Other" Heart Failure
(Rx = 10 minutes)
Benjamin D. Levine, MD, FACC, FAHA, FACSM
11:00Approach to the Patient With Shoulder Pain
James C. Puffer, MD
11:45Exercise & Cardiovascular Health: How Much Exercise for What Benefit?
Benjamin D. Levine, MD, FACC, FAHA, FACSM
12:30 PMQuestions & Answers / Group Discussion
Faculty Panel & Audience
Rx = Pharmacotherapeutic CEUs for nurses will be granted for these sessions

Symposia Medicus values the well-being of our attendees, faculty, and staff and collaborates with the conference venue to ensure the safety and protection of all on-site participants.

In recognition of the evolving nature of the COVID-19 pandemic, proof of vaccination and/or face mask use requirements may change from the time of conference announcement and your registration, until the conference takes place. Current policies and attendance requirements for this conference are provided here, and we encourage you to refer to this information as needed, particularly as it gets closer to your on-site date, so that you can take any action you feel appropriate to be in compliance.

At this time, the following is in effect for on-site attendance:

Proof of Full Vaccination (defined by the CDC as 14 days after the primary series of COVID vaccines) is required. This can be provided in the form of a vaccination record card, a photo of your vaccination record card, or a vaccination QR code with written administered vaccines. You can submit your proof of vaccination prior to the conference via email at or in person while on site at the conference.

Face Mask use is required in and around the meeting rooms, with face masks available at the conference registration desk for your convenience.

Visit the Cayman Islands government website ( for current information about these requirements. Visitors are encouraged to stay up to date on the latest restrictions, advisories, and travel alerts that are in place leading up to your planned stay.

Please note that these mandates are subject to change.



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.


All rooms are non-smoking and approximately 392 square feet. Rooms feature a 55” Samsung TV, Westin Heavenly® beds, hairdryer, and mini-refrigerators.

Island View (Single/Double)- $359/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. Ground floor rooms have patios and only some upper level rooms offer balconies.

Partial Ocean View (Single/Double)- $419/night
Located on the north and south sides of the hotel, offering a partial view of Seven Mile Beach. Ground floor rooms have patios and all upper level rooms have balconies.

Ocean/Pool View (Single/Double)- $449/night
Located in the interior of the hotel with views of the pool area and Seven Mile Beach. Palm trees can obstruct views in some rooms. Ground floor rooms have patios and all upper level rooms have balconies.

Deluxe Ocean Front (Single/Double)- $499/night
(Very limited availability, must call Symposia Medicus to reserve)
Located on the second floor of the hotel with an unobstructed view of Seven Mile Beach and includes a balcony.

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), use of the fitness center, clinics to include beach yoga and standup paddle boarding, use of the business center (free printing for up to 10 pages), Sunday movie night on the beach, 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, 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, and sand sculpture competition). Items listed are subject to change.

  • Above conference group rates are per room, per night and do not include the following (subject to change):
    - 13% Government Tax
    - 11% 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. Rollaway beds are available at $15/day and only allowed in rooms with one bed. Both cribs and rollaway beds are 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. Late check-outs are based on availability and additional charges may apply.
  • 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 plus estimated 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: Self-parking is complimentary for conference guests. Valet is not available at this resort.
  • 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 October 5, 2022; however, tuition, less a 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 by September 7, 2022. Between September 8, 2022 and October 5, 2022, one night’s deposit is forfeited. After October 5, 2022, no hotel refunds can be made.
  • All cancellations must be emailed to 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.

Each registrant will have online access to educational session materials. The educational session materials will be available for download approximately one week prior to the conference (you’ll receive an email with instructions).

If you are unable to attend this conference, you may purchase an electronic copy of the educational session materials one week after the conference. Please email for more information.


There are detailed requirements and instructions for all visitors to Grand Cayman, which include mandatory pre-testing and proof of vaccination (subject to change).

Visit the Cayman Islands government website below for current information about these requirements. Visitors are encouraged to stay up to date on the latest restrictions, advisories, and travel alerts that are in place leading up to your planned stay. Please note that these mandates are subject to change.

For more information, please visit:


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 airline 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.

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 NMV3E 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 ZKBQ178725 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.



Taxis can be found outside the airport terminal and the cost is approximately $45.00 each way (subject to change).


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, the island has something for everyone. On the west side of Grand Cayman, you will find the famous Seven Mile Beach. A 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 premier location for fun and relaxation. The resort has easy access to Grand Cayman’s best attractions including scuba diving, shopping, snorkeling, and golfing. Spend time at the oversized outdoor pool or enjoy luxurious private cabanas on the beach. Family and children’s activities are sure to keep everyone busy, so why not 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 in Grand Cayman, at our 32nd Annual Fall Conference on Hot Topics in Primary Care.


Red Sail Sports, the onsite tour company at the hotel, has offered a 10% discount to all conference attendees and their guests, on Red Sail Sports operated activities (some exclusions apply).

For advance reservations, please call (877) 506-6368 and mention Symposia2022 to receive the discount. You may also book tours once you arrive at the hotel, based on availability. For a full list of services, please visit their website at