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Page 1: 20TH CONFERENCE ON HIGH RISK & CRITICAL CARE · PDF fileContinuing Medical & Nursing Education 1 ... Our 20th Conference on High Risk & Critical Care Obstetrics is designed for

Page 3 Conference Brochure #1335, 20th Conference on High Risk & Critical Care Obstetrics Symposia MedicusA Non-Profit Corporation for

Continuing Medical & Nursing Education

1

SPONSORED BY

A Non-Profit Corporation forContinuing Medical & Nursing Education

“Symposia Medicus always has an outstanding group of speakers.They are very effective communicators and do a great job covering their topics in a practical fashion. I not only learn specific facts, but also an

overall way of looking at various problems.” - Earnest Ertmoed, MD

“I’ve been in practice for 40 years and have never attended aSymposia Medicus conference where I failed to learn

something new or refresh an ‘old’ memory.” - Charlyn Coleman, CNM

“Symposia Medicus’ speakers are so genuinely interested in their topics.Their energy makes the conference not only informative, but also fun.”

- Liese K. Vito, MD

Register On-Line... for this conference or view other educational conferences at

www.sympos iamed icus .org

20TH CONFERENCE ON

HIGH RISK &CRITICAL CARE OBSTETRICS

Including topics on:Cardiac Disease in Pregnancy, Respiratory Failure & Pulmonary Edema,

Obesity, Obstetric Emergencies, Sepsis, and much more...

The Fairmont San Francisco

San Francisco, CaliforniaMAY 28-30, 2015

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Page 3 Conference Brochure #1335, 20th Conference on High Risk & Critical Care Obstetrics Symposia MedicusA Non-Profit Corporation for

Continuing Medical & Nursing Education

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CONFERENCE DESCRIPTION

Our 20th Conference on High Risk & Critical Care Obstetrics is designed for physicians, certified nurse midwives, nurse practitioners, physician assistants, nurses, and other healthcare professionals who face challenges in the care of the high risk pregnant patient. Increasing technological advances are changing the dynamic and challenging role of High Risk and Critical Care Obstetrics. These fields have expanded with unparalleled speed in the past few years and the care of the critically ill or injured obstetric patient must include the newest instrumentation and techniques. The goal of this conference is to provide you with the most current and vital clinical information on caring for the high risk or critically ill pregnant patient. Current data on key issues in the management and care of the high risk pregnant patient will be presented in a format and atmosphere in which treatment options will be generated to face some of these challenges.

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 20th Conference on High Risk & Critical Care Obstetrics while sharing ideas and experiences with colleagues from across the country in the beautiful city of San Francisco.

CONFERENCE OBJECTIVES

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

• Manage respiratory failure and pulmonary edema

• Implement strategies to reduce pregnancy-related deaths

• Insure hemodynamic stability based upon an understanding of maternal and fetal physiology

• Manage the severely obese pregnant patient

• Recognize and treat hypertensive disorders in pregnancy

ACCREDITATION

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.

Each participant should only claim credit commensurate with the extent of their participation in the activity.

Certificates of credit will be given to participants on-site at the conclusion of the conference.

CONTINUING EDUCATION CREDIT

PhysiciansSymposia 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.

ACOGThe American College of Obstetricians and Gynecologists has assigned 16 cognate credits to this program.

Certified Nurse MidwivesThe American College of Nurse Midwives accepts Category 1 CME approval from organizations accredited by the ACCME.

Physician AssistantsAAPA 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 assistants may receive a maximum of 16 hours of Category 1 credit for completing this program.

Nurse Practitioners/NursesThe 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.

Pharmacology Credit for Prescriptive AuthorityA maximum of 1.5 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.

CALIFORNIA ASSEMBLY BILL 1195

California Assembly Bill 1195 requires continuing medical education activities with patient cared components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California, and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners, speakers, and authors of this Symposia Medicus activity have been encouraged to address issues relevant in their topic area. In addition, a variety of resources are available that address cultural and linguistic competency, some of which are included in your syllabus or handout materials.

EDUCATIONAL RESOURCES

Each registrant will receive an extensive conference syllabus that includes materials on each topic presented. The full color digital syllabus 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 paper syllabus (black and white), please check the box on the registration form in this brochure.

If you bring your tablet/laptop to the conference, be aware that there are no electrical outlets at the conference tables. Make sure your tablet/laptop is fully charged each day.

If you are unable to attend this conference, extra copies of this syllabus (either paper or digital copy) will be available one week after the conference. The cost is $60 for a paper syllabus and $25 for the digital copy. To place your order, please email [email protected].

GROUND TRANSPORTATION

Additional information regarding hotel, location, and ground transportation will be sent to registrants.

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CONFERENCE FACULTY

Mark Alanis, MD, MSCR, FACOGAssistant Clinical ProfessorMaternal-Fetal MedicineDepartment of Obstetrics and GynecologyColorado Health Medical Group Part of University of Colorado HealthColorado Springs, Colorado

Gary A. Dildy III, MDProfessorVice Chairman of Quality & Patient SafetyDirector, Maternal-Fetal Medicine FellowshipDepartment of Obstetrics & GynecologyBaylor College of MedicineChief Quality Officer,Obstetrics & GynecologyTexas Children’s Hospital,Pavilion for WomenHouston, Texas

Michael R. Foley, MD, FACOGProfessorUniversity of Arizona - Phoenix CampusCollege of Medicine Chairman and Program DirectorDepartment of OB/GYNBanner Good Samaritan Regional Medical CenterPhoenix, Arizona

Suzanne McMurtry Baird, DNP, MSN, RNPresident, Clinical Conceptsin Obstetrics, Inc.Clinical Nurse SpecialistThe Woodlands, Texas

Shailen Shah, MDConference Co-ChairMedical DirectorVirtua Maternal Fetal MedicineVoorhees, NJAssistant ProfessorThomas Jefferson University HospitalPhiladelphia, Pennsylvania

Patricia Witcher, RNC-OB, MSNConference Co-ChairClinical SpecialistLabor and DeliveryNorthside HospitalAtlanta, Georgia

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, everyone who is in a position to control content (including planners, reviewers, speakers, moderators, Symposia Medicus Staff, Board of Trustees, and Planning Committee members), were asked to disclose all relevant financial relationships with any commercial interest. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the syllabus for this activity, and it will also be verbally disclosed on-site.

Thursday, May 28

7:00am Registration & Check-in During Continental Breakfast

8:00 Welcome & Introduction Shailen Shah, MD

8:15 Why Patients Still Die During Pregnancy & How to Prevent It Suzanne McMurtry Baird, DNP, MSN, RN

9:00 Cardiac Disease in Pregnancy Made Easy Michael R. Foley, MD

9:45 Questions & Answers Group Discussion Faculty Panel & Audience

10:15 Break

10:30 Respiratory Failure & Pulmonary Edema: How to Keep Your Head Above Water (Rx = 15 minutes) Shailen Shah, MD

11:15 Hypertensive Crisis in Pregnancy: A New Approach to an Old Problem Michael R. Foley, MD

Noon Questions & Answers Group Discussion Faculty Panel & Audience

12:30pm Lunch Break (on your own)

1:45 Infection Leading to Sepsis: Early Recognition & Management Bundles (Rx = 15 minutes) Suzanne McMurtry Baird, DNP, MSN, RN

2:30 Cholestasis of Pregnancy: The New Loch Ness Monster (Rx = 15 minutes) Shailen Shah, MD

3:15 Questions & Answers Group Discussion Faculty Panel & Audience

3:45 Adjourn for the Day

Friday, May 29

7:30am Continental Breakfast

8:00 Breakouts: Session One

A. Acute Renal Failure in Pregnancy Suzanne McMurtry Baird, DNP, MSN, RN

B. Diagnosis & Management of Placenta Accreta Mark Alanis, MD, MSCR

C. Cardiac Case Studies: The Good, the Bad, and the Ugly Shailen Shah, MD

9:15 Break

9:30 Breakouts: Session Two (Session One Topics Repeated)

10:45 Break

11:00 Breakouts: Session Three

D. New Concepts for Massive Transfusion in Obstetrics Gary A. Dildy III, MD

E. DKA in Pregnancy Michael R. Foley, MD

F. Case Studies in High Risk Obstetrics: Litigation Hot Spots Patricia Witcher, RNC-OB, MSN

12:15pm Lunch (on your own)

1:30 Breakouts: Session Four (Session Three Topics Repeated)

2:45 Adjourn for the Day

Saturday, May 30

7:30am Continental Breakfast

8:00 Risks of & Antenatal Care for Extreme Maternal Obesity (Rx = 15 minutes) Mark Alanis, MD, MSCR

8:45 Stabilizing the Fetus During Obstetric Emergencies: Observation Versus Intervention (Rx = 5 minutes) Patricia Witcher, RNC-OB, MSN

9:30 Questions & Answers Group Discussion Faculty Panel & Audience

10:00 Break (Hotel check-out, if applicable)

10:30 Critical Care Complications of Preeclampsia Gary A. Dildy III, MD

11:15 Intrapartum & Postpartum Management of Extreme Maternal Obesity (Rx = 15 minutes) Mark Alanis, MD, MSCR

Noon She’s Alert & Talking; However, That Means Nothing: Recognizing Early Signs of Clinical Deterioration (Rx = 10 minutes) Patricia Witcher, RNC-OB, MSN

12:45pm Questions & Answers Group Discussion Faculty Panel & Audience

1:30 Conference Adjourns

Rx = Pharmacology Credit forPrescriptive Authority

will be granted for these sessions

CONFERENCE SCHEDULE

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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 or (800) 327-3161; OR • Fax form with Visa, MasterCard, American Express, or Discover to (925) 969-1795; 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.For additional conference or lodging information, call Symposia Medicus at (800) 327-3161 or (925) 969-1789, or visit our website at www.symposiamedicus.org. CONFERENCE REGISTRATION INFORMATION

TUITION: EARLY REGULAR If postmarked by If postmarked after March 19, 2015 March 19, 2015 Physicians $640 $740

Residents, Nurses, PAs, & All Others $540 $640

• Discounts are available for retired healthcare providers, active military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.• Tuition includes continuing education certification, extensive conference syllabus, break refreshments, and continental breakfast on Thursday, Friday, and Saturday for conference attendees.• Conference registration will be confirmed via email and more information on travel, hotel, and activities will be emailed and also available on our website• This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information

AIR TRAVEL INFORMATIONYou will fly into San Francisco International Airport (SFO), which is approximately 30 minutes from The Fairmont San Francisco. Information on ground transportation will be sent to registrants and available online at 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 insert ECMV624 into the e-certificate code box. For questions, please call the Alaska Airlines Convention Desk at (800) 445-4435.

Delta Airlines For discounts on Delta Airlines, please visit www.delta.com and click on the link “More Search Options”, 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 NMJHN 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 flights, please book online at www.ual.com and insert ZSN7150020 into the e-certificate code box. For questions, please call the United Airlines Convention Desk at (800) 426-1122.

CAR RENTAL DISCOUNTFor conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS 800-331-1600 AWD #B766625

Budget 800-772-3773 BCD #U076767

CONFERENCE LODGING INFORMATION Symposia Medicus has conference group rates at the Fairmont San Francisco. These special rates will only be available until April 29, 2015 and will 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 (800) 441-1414

PLEASE CALL THE FAIRMONT GLOBAL RESERVATION CENTER DIRECTLY AT (800) 441-1414. YOU MUST REFER TO THE HIGH RISK & CRITICAL CARE OB CONFERENCE OR

SYMPOSIA MEDICUS TO RECEIVE CONFERENCE GROUP RATES.These 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. Room Type/View Group Rates Description (Single/Double)

Run of House $299/night Located in the historical main building. Rooms have a view of the surrounding area or interior courtyard of hotel. All rooms have been updated and feature Frette linens, pillow top beds, MP3 docking station, flat panel TV, and a marble bathroom.

Tower Deluxe $329/night Located in the Tower building, with spectacular views of the San Francisco skyline. All rooms have been completely renovated and feature Frette linens, pillow top beds, MP3 docking station, flat panel TV, oversized marble bathroom with separate shower and tub, along with a large desk and sitting area.

Tower Signature $379/night Located on the highest floors of the Tower building, with spectacular views of the San Francisco Bay (from the Golden Gate Bridge to Alcatraz and Coit Tower). All rooms have been completely renovated and feature Frette linens, pillow top beds, MP3 docking station, flat panel TV, oversized marble bathroom with separate shower and tub, along with a large desk and sitting area.

Please note: Double bed (2 bed) accommodations are very limited

TERMS & CONDITIONS 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 do not include the following (subject to change):

- 14.065% Occupancy Tax

- 2% Tourism Improvement Tax

- 8.75 % Sales Tax

• Maximum guestroom occupancy for rooms with one bed is two. Maximum guestroom occupancy for rooms with two beds is four.

• Children 18 years & under are complimentary when sharing with their parents (not to exceed stated maximum occupancy)

• Third & fourth person in room 19 years of age or older is $30 per person, per night

• Rollaway beds are available at an additional cost of $30 per night (subject to change and availability), and may not be allowed in all room types

• Cribs are available on a complimentary basis (subject to change and availability), and may not be allowed in all room types

• Check-in time is 3:00pm and check-out time is noon. Late check-outs need to be confirmed with the front desk at check-in. Should it be possible to extend a late check-out, a late departure charge may be applicable.

• An early departure fee of $50 is in effect for guests who depart prior to their confirmed departure date. Departure dates can be changed, without penalty, up to the time of check-in.

• Credit/Debit Card Policy: Upon check-in, the hotel will require a credit card and will place a hold for any estimated incidental charges during your stay. Please be aware that if you use a debit card instead of a credit card, the funds will be immediately removed from your account (even if you have prepaid your stay). The amount will be based on the average length of your stay, plus an estimate of incidental charges. These funds will not be released back into your account for up to 10 business days after you check-out.

• Parking: Self-parking is not available at this hotel. Valet parking is $56 per night, plus 14.065% parking tax (subject to change).

• Internet and access to the fitness center are complimentary for Fairmont President’s Club members. Sign up for free at www.fairmont.com/fpc/enroll. Guests must sign up prior to arrival in order to receive these complimentary items. • A 30-minute break has been allotted in our conference schedule on the last day, for those of you who need to check-out

• Hotel cancellations must be made directly with the hotel 48 hours prior to arrival, or a cancellation fee equal to one night’s deposit will be charged

Cancellation Policies• Conference cancellations must be confirmed in writing to Symposia Medicus and a 10% of paid tuition processing fee will be assessed. No refunds will be made if cancellation is postmarked after April 23, 2015; however, tuition, less 10% processing fee may be applied to a future Symposia Medicus conference.

• Cancellations must be made in writing to Symposia Medicus (via email, fax or mail) and postmarked 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.

CONFERENCE REGISTRATION, LODGING, & TRAVEL INFORMATION

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CONFERENCE LOCATION

San Francisco is a unique and breathtaking city. From the famous icon of the Golden Gate Bridge, to the exquisite art galleries at 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 the Golden Gate Bridge, Alcatraz, Coit Tower, and its world-famous 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 trip from the bustling downtown, Financial District, Union Square, 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 20th Conference on High Risk & Critical Care Obstetrics.

For our complete calendar of conferences, please visit www.symposiamedicus.org. Brochures are available 6-8 months prior to the conference.

2014 CALENDAR OF FUTURE CONFERENCES1313 Current Issues in Women’s Health Care Caribbean Cruise (Celebrity Cruises - Reflection) Nov 1-81314 22nd Annual Fall Conference on Issues in Women’s Health Maui, Hawaii Nov 5-81318 20th Annual Conference on Women’s Health: Care of Women Over 50 Big Island, Hawaii Nov 12-151316 21st Annual Fall Conference on Challenges in Taking Care of the High Risk Pregnancy Marco Island, Florida Nov 19-221321 20th Annual Conference on Challenges in Gynecology New York City, New York Dec 19-20

2015 CALENDAR OF FUTURE CONFERENCES1323 22nd Annual Conference on Office GYN & Women’s Health for the Primary Care Provider Aruba, Dutch Caribbean Jan 21-241324 19th Annual Winter Conference on Clinical Issues in OB/GYN Atlantis, Bahamas Feb 11-141328 22nd Annual Spring Conference on Women’s Health Big Island, Hawaii Mar 4-71329 22nd Annual Spring Conference on High Risk Obstetrics Aruba, Dutch Caribbean Mar 11-141333 16th Annual National Conference on Fetal Monitoring Las Vegas, Nevada Apr 16-181334 Spring Conference on Integrative Medicine in Women’s Health Maui, Hawaii Apr 29-May 21339 22nd Annual Summer Conference on Obstetrics and Gynecology Napa, California Jul 8-111342 Current Issues in Women’s Health Care Alaska Cruise (Celebrity Cruises - Solstice) Jul 17-241344 16th annual Summer Conference on Women’s Health Atlantis, Bahamas Jul 29-Aug 11343 11th Annual Summer Conference on Emergency Medicine Alaska Cruise (Celebrity Cruises - Solstice) Jul 31-Aug 71345 16th Annual Fall Conference on Integrative Medicine in Women’s Health Napa, California Sep 9-121347 26th Annual National Conference on Women’s Health Care Las Vegas, Nevada Sep 17-191350 Current Issues in OB/GYN Eastern Mediterranean Cruise (Celebrity Cruises - Reflection) Sep 21-Oct 21351 33rd Annual Fall Conference on Obstetrics Maui, Hawaii Oct 21-241353 23rd Annual Fall Conference on Issues in Women’s Health St. Maarten, Caribbean Oct 21-241356 Emergencies & Challenges in Pediatrics Eastern Caribbean Cruise (Celebrity Cruises - Reflection) Nov 14-211359 22nd Annual Fall Conference on Challenges in Taking Care of the High Risk Pregnancy Hilton Head, South Carolina Nov 18-211360 21st Annual Conference on Women’s Health: Care of Women Over 50 Guanacaste, Costa Rica Nov 18-211362 21st Annual Conference on Challenges in Gynecology New York City, New York Dec 18-19

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CONFERENCE REGISTRATION FORM

OR COMPLETE THIS FORM AND MAIL OR FAX WITH APPROPRIATE PAYMENT TO:

Symposia Medicus 399 Taylor Blvd., Suite 201 Pleasant Hill, CA 94523-2287 Phone: (800) 327-3161 OR (925) 969-1789 FAX: (925) 969-1795

Register on-line at www.symposiamedicus.org

#1335

SYMPOSIA MEDICUS

PLEASE PRINT LEGIBLY: (Show name and one degree as you would like it printed on your conference materials):

Registrant’s Name: _____________________________________________________________________________ Degree: __________________ First Last

Registrant Email Address (required): _________________________________________________________________________________________________________

All registrants must provide their individual email address in order to register for this conference. Confirmation/receipt will be emailed to this address.

Email an additional copy of my confirmation/receipt to: ________________________________________________________________________ (Provide additional email address)

Mailing Address: _______________________________________________________________________________________________________ Street City State Zip

Check if above address is: Work____ Home____ Provide office/workplace name here: ______________________________________________

Primary Work: (__________) ___________________________________ Home: (__________) ________________________________________

Cell: (__________) __________________________________________ Fax: (__________) __________________________________________

Professional Specialty: __________________________________________________

The digital conference syllabus will be available for download on our website approximately two weeks before the conference. If you prefer a paper syllabus please check here

Payment Type: _____ Check (Please Enclose) _____ _____ _____ _____

Cardholder Name: _________________________________________________________ Signature: _________________________________________________________________

Billing Address: ________________________________________________________________________________________________________________________________________(If different from above) Street City State Zip

By registering, you agree to the Terms & Conditions as stated in this brochure. ALL INFORMATION STATED ABOVE WILL REMAIN CONFIDENTIAL TO SYMPOSIA MEDICUS

Card Number Expiration DateMonth/Year

Security #(on front or back of card)

/

20th Conference on

HIGH RISK & CRITICAL CARE

OBSTETRICSThe Fairmont San Francisco

San Francisco, CaliforniaMay 28-30, 2015

FRIDAY BREAKOUT PREFERENCE (Please refer to schedule and select one breakout for each session):

Session One: _____ A _____ B _____ C Session Two: _____ A _____ B _____ C

Session Three: _____ D _____ E _____ F Session Four: _____ D _____ E _____ F

TUITION AMOUNT DUE

$