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Exciting News…our hotel room rates include daily buffet breakfast!

Please look inside this brochure for more details.

19th Annual Fall Conference on

EMERGENCY
MEDICINE
Including topics on: Antibiotic Update, Difficult Airway, Ultrasound,
Medical-Legal Pitfalls, Cardiac Arrest, Ear, Nose, and Throat, and much more…

Fairmont Orchid
BIG ISLAND, HAWAII
NOVEMBER 14-17, 2018
SPONSORED BY

“All the presenters were superb and the information provided was
practical and useful. Kudos to Symposia Medicus.” – D. Levinson, MD

“Outstanding faculty with great planning/timing of the sessions to not


only allow for true learning experiences, but also to allow time to
enjoy the beautiful surroundings.” – M. Shortle, PA-C

“As a seasoned Emergency Physician, I know the basics, but want


updates in treatments/new thoughts/new research. I find all of these
A Non-Profit Corporation for things in Symposia Medicus conferences; many very valuable updates.”
Continuing Medical & Nursing Education – B. Ellzey, MD

for this conference or view other educational conferences at


Register On-Line... w w w. s y m p o s i a m e d i c u s . o r g
Page 13 Conference Brochure #1474, 19th Annual Fall Conference on Emergency Medicine Symposia Medicus
A Non-Profit Corporation for
Continuing Medical & Nursing Education
CONFERENCE DESCRIPTION CONTINUING EDUCATION CREDIT
Our 19th Annual Fall Conference on Emergency Medicine is Physicians
designed to provide emergency physicians, PAs, nurse practitioners, Symposia Medicus designates this live activity for a maximum of 18 AMA PRA
nurses, as well as out-of-hospital providers, with state-of-the-art Category 1 Credits™. Physicians should claim only the credit commensurate with
information on a wide variety of topics in emergency medicine. the extent of their participation in the activity.
The goal of this conference is to increase knowledge and enhance
the competence of attendees. Emphasis will be placed on practical ACEP
application of the evidence-based topics presented. Approved by the American College of Emergency Physicians for a maximum of 18
hour(s) of ACEP Category I credit.
Topics for this year’s conference have been selected based on the
educational needs determined from the identified professional practice AAFP
gaps. The gaps were derived from a variety of sources including This Live activity, 19th Annual Fall Conference on Emergency Medicine, with a
evaluations and outcomes data from past participants; clinical expert beginning date of 11/14/2018, has been reviewed and is acceptable for up to 18.00
input; Symposia Medicus’ online survey; and other medical and Prescribed credit(s) by the American Academy of Family Physicians. Physicians
nursing data. should claim only the credit commensurate with the extent of their participation in
the activity.
Conference format will include didactic lectures, smaller group
breakout and interactive sessions, case studies, and question and PAs
answer sessions. NCCPA accepts certificates of participation for educational activities certified for AMA
PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized
An outstanding faculty has been assembled for this conference. Each state medical society. PAs may receive a maximum of 18 hours of Category 1 credit
member was selected based on their individual area of expertise for completing this program.
and ability to communicate current, evidence-based, and practical
information to participants. Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 18.
You are sure to enjoy our 19th Annual Fall Conference on Emergency
Medicine while sharing ideas and experiences with colleagues from Provider is also approved by the California Board of Registered Nursing, Provider
across the country in the beautiful setting of Hawaii. #CEP2335, for 21.6 contact hours.

Pharmacology Credit for Prescriptive Authority


CONFERENCE OBJECTIVES A maximum of 4 hours in pharmacology credit for prescriptive authority may be
As a result of participating in this conference, you should have earned by attending this educational conference. Sessions awarding pharmacology
increased knowledge and enhanced competence to… credit for prescriptive authority are denoted with an Rx in the schedule.

• Describe the latest advances and limitations of


point-of-care ultrasound SMALLER GROUP BREAKOUT SESSIONS
Smaller group sessions will be held Friday afternoon. These breakout sessions are
• Outline evidence-based recommendations from the organized to provide greater participant/faculty interaction, and will give you an
Surviving Sepsis Campaign opportunity to participate in discussions on subjects relating to your particular area
of interest. Please indicate your breakout session topic choices on the conference
• Identify tricks to help improve intubation success rates registration form in this brochure. Space is limited so please reserve early.

• Develop an understanding of managing necrotizing skin


and soft-tissue infections EDUCATIONAL RESOURCES
Each registrant will have online access to session materials. The session
• Identify the methods of gastrointestinal (GI) decontamination materials will be available for download approximately two weeks prior to the
conference (you’ll receive an email with instructions). If you wish to receive a
hard copy of the session materials, please check the box on the registration form in
ATTENDEE REQUIREMENTS this brochure.
At the conclusion of attending this conference, participants are entitled
to a certificate of credit which will be available online. Successful If you are unable to attend this conference, extra copies of the session materials
completion of this activity is determined by attending the live activity, (either paper or digital copy) will be available one week after the conference. The
review of the educational session materials, and submission of the cost is $60 for a hard copy and $25 for the digital copy. To place your order, please
post case study test, evaluations, and attendance verification form. email publications@symposiamedicus.org.
Each participant should only claim credit commensurate with the
extent of their participation in the activity.
GROUP TOURS / GROUND TRANSPORTATION
To receive additional information about the conference hotel, location, tours and/or
ACCREDITATION nearby attractions, and ground transportation, please visit our website at
This educational activity was planned and produced in accordance www.symposiamedicus.org.
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.

Page 23 Conference Brochure #1474, 19th Annual Fall Conference on Emergency Medicine Symposia Medicus
A Non-Profit Corporation for
Continuing Medical & Nursing Education
CONFERENCE FACULTY CONFERENCE SCHEDULE
Fredrick M. Abrahamian, DO, Wednesday, November 14 12:30pm Questions & Answers
FACEP, FIDSA Group Discussion
7:00am Registration & Check-in Faculty Panel & Audience
Conference Co-Chair
Health Sciences Clinical Professor of 1:15 Adjourn for the Day
Emergency Medicine 
8:00 Welcome & Introduction
Fredrick M. Abrahamian, DO
David Geffen School of Medicine at UCLA
Los Angeles, California 8:15 The ABC’s of Misdiagnosis: Friday, November 16
Understanding Cognitive Errors
Howard A. Greller, MD, FACEP, FACMT to Avoid the Bounce-Back 3:00pm Smaller Group Breakouts - Session One
Affiliated Medical Professor Sorabh Khandelwal, MD
A. Medical-Legal Pitfalls: Interactive
Department of Clinical Medicine
9:00 Rapid Fire: Bedside Ultrasound Case Discussion & Review
City University of New York School of Medicine Fredrick M. Abrahamian, DO
in the Critically Ill Patient
Director of Research & Medical Toxicology
Teresa S. Wu, MD
SBH Health System – St. Barnabas Hospital B. A Rational Approach to
Department of Emergency Medicine 9:45 Questions & Answers Antidote Therapy
Bronx, New York Group Discussion Howard A. Greller, MD
Faculty Panel & Audience
Sorabh Khandelwal, MD C. Taking Control of Your Life:
10:15 Break Building Skills to Prevent Personal
Samuel J. Kiehl III, MD,
& Professional Burnout
Professor in Emergency Medicine Sorabh Khandelwal, MD
10:30 Deadly Infections (Rx = 20 minutes)
Program Director
Fredrick M. Abrahamian, DO
The Ohio State University EM Residency Program D. How to Integrate Point-of-Care
Director, Patient Care Competency 11:15 Cutting-Edge Cardiac Arrest Care Ultrasound into Your Daily Practice
The Ohio State University College of Medicine (Rx = 30 minutes) Teresa S. Wu, MD
Columbus, Ohio Amandeep Singh, MD
4:30 Break
Amandeep Singh, MD Noon Gastrointestinal Decontamination:
Controversies & Techniques 4:45 Smaller Group Breakouts - Session Two
Medical Director, STEMI/Cardiac Arrest (Session One Topics Repeated)
(Rx = 35 minutes)
Receiving Program
Howard A. Greller, MD
Department of Emergency Medicine 6:15 Adjourn for the Day
Alameda Health System – Highland Hospital 12:45pm Questions & Answers
Oakland, California Group Discussion
Assistant Clinical Professor of Emergency Faculty Panel & Audience Saturday, November 17
Medicine
1:30 Adjourn for the Day 8:00am A Picture is Worth a Thousand
University of California, San Francisco
Words: Visual Diagnoses in
San Francisco, California Emergency Medicine
5:30- Group Reception
7:00 (Faculty, Participants, and Guests) Teresa S. Wu, MD
Teresa S. Wu, MD, FACEP
Conference Co-Chair 8:45 Advanced Cardiovascular Life
Associate Professor of Emergency Medicine Thursday, November 15 Support Updates: Cooling, PCI, and
Simulation Curriculum Director CPR Techniques (Rx = 30 minutes)
University of Arizona, College of Medicine-Phoenix 8:00am Heart Alert: Challenging Amandeep Singh, MD
Director, Emergency Ultrasound ECG Cases from the ED
Amandeep Singh, MD 9:30 Questions & Answers
Program & Fellowships Group Discussion
Banner University Medical Center-Phoenix Faculty Panel & Audience
8:45 Antibiotic Update: Part I
Phoenix, Arizona (Rx = 30 minutes)
Fredrick M. Abrahamian, DO 10:00 Break (hotel check-out, if applicable)

DISCLOSURE STATEMENT 9:30 Questions & Answers 10:15 Didn’t You See That Coming?:
Consistent with ACCME and ANCC guidelines, it is Group Discussion Problem Solving the Difficult Airway
the policy of Symposia Medicus to ensure balance, Faculty Panel & Audience (Rx = 10 minutes)
independence, objectivity, and scientific rigor in all Sorabh Khandelwal, MD
educational activities. Prior to the planning of this
educational activity, all individuals in a position to
10:00 Break
11:00 Ear, Nose, and Throat Nightmares:
influence and/or control the content of continuing The Good, the Bad, and the Really Ugly
education activities have been asked to disclose 10:15 Sepsis 3.0: How to Operationalize
all relevant financial relationships within the past the Surviving Sepsis Campaign (Rx = 5 minutes)
12 months. Beyond disclosure of relevant financial Recommendations (Rx = 25 minutes)        Teresa S. Wu, MD
relationships, faculty are required to disclose when Amandeep Singh, MD
they plan to discuss pharmaceuticals and/or medical 11:45 Updates in the Diagnosis &
devices that are not approved by the FDA and/ 11:00 Antibiotic Update: Part II Management of Pulmonary Embolism:
or medical or surgical procedures that involve an (Rx = 30 minutes) Case Discussions
unapproved or “off-label” use of an approved device Sorabh Khandelwal, MD
or pharmaceutical. Symposia Medicus is committed Fredrick M. Abrahamian, DO
to providing learners with commercially unbiased
continuing education activities. This information 11:45 Pediatric One Pill Killers 12:30pm Questions & Answers
is intended to assist learners in forming their own (Rx = 25 minutes) Group Discussion
judgments about the content presented. Disclosure Howard A. Greller, MD Faculty Panel & Audience
information will be included in the session materials for
this activity, and speakers will provide a slide disclosure 1:15 Conference Adjourns
for each presentation, and will also verbally disclose
on-site.
Rx = Pharmacology Credit for Prescriptive Authority will be granted for these sessions

Page 3 Conference Brochure #1474, 19th Annual Fall Conference on Emergency Medicine Symposia Medicus
A Non-Profit Corporation for
Continuing Medical & Nursing Education
CONFERENCE REGISTRATION, LODGING, & TRAVEL INFORMATION
Enrollment for this conference is limited in order to provide the best possible CONFERENCE LODGING INFORMATION
learning environment. Early registration is advised.
Conference group rates have been arranged at the Fairmont Orchid. Rooms at our group rates are limited and
You can register and receive conference lodging group rates by reserving on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase.
the following ways: If you wish to extend your stay, group rates may be available three days before and three days after the conference.
• On-line at our website, www.symposiamedicus.org; OR 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.
• Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789
with Visa, MasterCard, American Express, or Discover; OR GROUP RATES STATED BELOW INCLUDE DAILY BUFFET BREAKFAST FOR TWO PEOPLE
Room Type/View Group Rates (Single/Double) Description
• By mail, make check payable to Symposia Medicus and send with
registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA $299/night All rooms are approximately 522
94523-2287 Fairmont Garden View (Limited number of rooms available square feet and feature a patio area or
at this rate. Once sold, rate will balcony, depending on the floor. Each
Visit www.symposiamedicus.org or call (925) 969-1789 for additional questions increase to $329/night.) room includes: air-conditioning with
or information. climate control, alarm clock-
Partial Ocean View $379/night radio, bathrobes, Fairmont toiletries,
CONFERENCE REGISTRATION INFORMATION Ocean View $419/night bathroom with separate shower and
bathtub, hair dryer, iron and ironing



TUITION: EARLY REGULAR
If postmarked by If postmarked after


Deluxe Ocean View
$479/night
board, in-room safe, refrigerator, Keurig
coffee maker, three telephones, 42”
(Limited, must call Symposia LG LCD flat screen television, internet
September 5, 2018 September 5, 2018 Medicus for availability) access, writing desk, and one chair.
Physicians $675 $775
By booking your lodging with Symposia Medicus, the Resort Fee charge of $30.00 plus 4.166% tax, per room,
Residents, Nurses, PAs & All Others $575 $675 per night is DISCOUNTED to $10.00 plus 4.166% tax, per room, per night. The Resort Fee includes (subject to
change): Unlimited basic internet access in guest rooms, meeting space, and resort public areas (Fairmont Club
Members receive an upgrade to premium speed internet access), self-parking for one vehicle per room (Fairmont
• Discounts are available for retired healthcare providers, active U.S. military, Gold guests receive valet parking for one vehicle per room), local, domestic, long distance, and 1-800 access calls
and groups of three or more. For more information, please contact Symposia from guest room, in-room bottled water refreshed daily at turndown, 24-hour access to the fitness center, shuttle
Medicus prior to registering. transportation (on demand 24 hours a day, 7 days a week) within the Mauna Lani Resort, snorkel equipment (two
• Tuition includes continuing education, online access to session materials, sets per room, per day – resort use only), various cultural activities including daily arts & crafts, cultural hikes, tide
and break refreshments for conference registrants. Tuition also includes group pool and snorkel instruction (subject to space and availability), 45-minute photo shoot on the scenic grounds of the
reception for faculty, registrants, and their guests. Fairmont Orchid with Pacific Dream Photography (subject to space and availability),
and 10% discount on published pricing for the Fairmont Orchid Luau.
• Conference registration will be confirmed via email Activity Passes are available for purchase for guests of the Fairmont Orchid at the front desk,
concierge desk, the Beach Shack, and the Pool Kiosk for $75 per person (13 years and older) and
$65 per child (5 to 12 years old). Children under 5 are free.
AIR TRAVEL INFORMATION
These one-time purchase passes are good every day of your stay and include all beach rental equipment
You will fly into Kona Airport (KOA), which is approximately 30 minutes from including boogie boards, soft-top surfboards, stand-up paddle boards, personal floats,
the Fairmont Orchid. For information on ground transportation, please visit our one and two person kayaks, noodles, and more!
website. By booking your lodging with Symposia Medicus, when you buy one Activity Pass at full price,
Symposia Medicus has arranged for discount fares with Alaska, Hawaiian, Delta, you will get one (at equal or lesser value) free!
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 TERMS & CONDITIONS
numbers listed below.
Hotel Policies
In order to receive the discounted rate, you or your travel agent must refer to
the Symposia Medicus Group ID number listed here. • Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.416 % state & local taxes
For discounts on Alaska Airlines flights, please book online at - $10.00 plus 4.166% tax Resort Fee (discounted from $30.00)
www.alaskaair.com and click on the link “Use Discount
Alaska Code” located at the bottom of the “Book Flights” box. Once you • Maximum guestroom occupancy is four, regardless of age.
Airlines click on this link, another page will appear. On this page, you will • Mandatory additional person charges (below) include additional lodging fee, daily buffet breakfast, taxes,
need to insert ECMZ414 in the “Discount Code” box, and gratuities:
located at the right hand side of the page. - Children 5 years and under are FREE (and eat free from the children’s menus, excluding in-room dining,
For discounts on Delta Airlines, please visit www.delta.com Brown’s Deli, and Beach & Pool)
and click on the link “Advanced Search,” located at the bottom - Children 6 to 12 years old are $15/person, per night (and receive 50% off published menus, excluding in-room
Delta of the “Book a Trip” box. Once you click on this link, another dining, Brown’s Deli, and Beach & Pool)
Airlines page will appear. On this page, you will need to insert NMQC4 - Children 13 to 17 years are $30/person, per night
in the “Meeting Event Code” box, located at the right hand side - Adults 18 years and older are $115/person, per night
of the page. For questions, please call the Delta Airlines • Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in
Convention Desk at (800) 328-1111. • Rollaway beds are available at an additional cost of $75 per night (subject to availability and change). This fee will
For discounts on Hawaiian Airlines flights, please book online at be waived if guest is paying additional third and fourth adult fee. Only one rollaway bed is allowed in a room or
Hawaiian https://www.hawaiianair.com/affiliate and insert suite with a king bed. Rooms with two beds cannot accommodate a rollaway.
Airlines SYMPOSIA MED into the “Preferred Affiliate Program Code” • Cribs are available on a complimentary basis (subject to availability and change)
box, located at the right hand side of page.
• Check-in time is 4:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date
For discounts on United Airlines, please visit www.united.com of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability.
and click on All Search Options, located on the bottom left corner
United of the “Book Travel” box. Once you click on this link, another • Early Departure Fee: Please notify Symposia Medicus before, or the hotel at, check-in, if there are changes to your
Airlines page will appear. At the bottom of this page, you will insert scheduled departure date, as the full original length of stay will be charged to any guest who checks out prior to
ZE2C279455 in the “Promotions and Certificates” box. their confirmed departure date.
For questions, please call the United Airlines • Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are
Convention Desk at (800) 426-1122. 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.
CAR RENTAL DISCOUNT
• Parking: Self-parking is complimentary for conference guests and valet is $5 per night with unlimited access for
For conference discounts, Symposia Medicus has made arrangements with AVIS hotel guests and $22 per day for non-hotel guests (subject to change).
and Budget Car Rentals. Reservations can be made by phone; please refer Cancellation Policies
to the conference code and the conference/airport location when making your
reservations. Please see below: • Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a refund, less
a 10% processing fee, will be given. No refunds will be made if cancellation is received after October 10, 2018;
AVIS 800-331-1600 AWD # B766625 however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference. 
Budget 800-772-3773 BCD # U076767 • Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and
you will receive a full refund if emailed/postmarked by September 12, 2018. Between September 13, 2018
and October 10, 2018, one night’s deposit is forfeited. After October 10, 2018, no hotel refunds can be made. 
• All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus.
If mailed, it must be postmarked by the dates stated above.
• In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with
Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding
travel or any other expenses.

Page 43 Conference Brochure #1474, 19th Annual Fall Conference on Emergency Medicine Symposia Medicus
A Non-Profit Corporation for
Continuing Medical & Nursing Education
CONFERENCE LOCATION

Home to two of the world’s greatest mountains, one of the world’s most active volcanoes, 11 of the world’s 13 climate
zones, and some of Hawaii’s top beaches, the Big Island of Hawaii has much to offer the spirited traveler. The sunny
Kohala Coast, 20 minutes from the Kona International Airport, boasts dramatic black lava fields, beautiful beaches,
world-renowned golf, and spectacular sunsets.

Inspired by culture, well-being, and genuine Aloha, Fairmont Orchid is a Four Diamond resort and features an award-
winning spa, 10,000 square foot oceanside pool, six restaurants, a beach club, year-round children’s program, golf,
fitness center, and a tennis pavilion. Immerse yourself in an authentic Hawaiian vacation experience, surrounded by
32 oceanfront acres of lush tropical gardens, cascading waterfalls, and a tranquil white sand beach lagoon. You can
celebrate the sunset with exquisite oceanfront dining and also enjoy live entertainment at the lounge.

The best shopping in Hawaii is just around the corner! Located just a quick complimentary shuttle ride away, you will find
the Shops at Mauna Lani. Tommy Bahama Restaurant and retail store, Ruth’s Chris Steak House, Foodland Farms Market,
and several boutiques, galleries, and other restaurants can be found at this “has it all” plaza. The Shops at Mauna Lani
also features amazing weekly Polynesian hula shows – complete with fire dancing, along with a variety of other cultural
activities throughout the week.

Whatever your pleasure, you’ll be sure to find it on the Big Island, at our 19 th Annual Fall Conference on
Emergency Medicine.

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

2018 CALENDAR OF FUTURE CONFERENCES


1450 22nd Annual Spring Conference on Pediatric Emergencies St. Kitts, Caribbean Apr 11-14
1457 Challenges in Mental Healthcare for the Primary Care Provider Napa, California Jul 11-14
1459 Hot Topics in Pediatric Emergencies Alaska Cruise (Celebrity Cruises – Solstice) Jul 27-Aug 3
1467 Challenges in Obstetrics & Gynecology Mediterranean/Adriatic Cruise (Celebrity Cruises – Constellation) Sep 18-27
1470 34th Annual Fall Conference on Pediatric Emergencies Oahu, Hawaii Oct 24-27
1468 Current Issues in Women’s Health Rhine River Cruise (AMA Waterways – AmaStella) Oct 29-Nov 5
1473 Hot Topics in Pediatric Emergencies Rhine River Cruise (AMA Waterways – AmaStella) Oct 29-Nov 5
1472 29th Annual Fall Conference on Hot Topics in Primary Care Grand Cayman, Cayman Islands Oct 31-Nov 3
1478 10th Annual Conference on Emergencies & Challenges in Pediatrics New York City, New York Dec 14-15
1479 24th Annual Conference on Challenges in Gynecology New York City, New York Dec 14-15
1480 22nd Annual Conference on Emergencies & Challenges in Primary Care New York City, New York Dec 14-15

Page 53 Conference Brochure #1474, 19th Annual Fall Conference on Emergency Medicine Symposia Medicus
A Non-Profit Corporation for
Continuing Medical & Nursing Education
CONFERENCE & LODGING REGISTRATION FORM SYMPOSIA MEDICUS
19th Annual Fall Conference on
Register on-line at www.symposiamedicus.org
OR COMPLETE THIS FORM AND MAIL WITH APPROPRIATE PAYMENT TO: EMERGENCY
Symposia Medicus
399 Taylor Blvd., Suite 201
MEDICINE
Pleasant Hill, CA 94523-2287 Fairmont Orchid
Phone: (925) 969-1789 BIG ISLAND, HAWAII
PLEASE PRINT LEGIBLY: (Show name and one degree as you would like it printed on your conference materials) NOVEMBER 14-17, 2018
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 The session materials will be available (for all participants) to download
Specialty: ______________________________________________ from our website approximately two weeks before the conference.
If you prefer to also receive a hard copy of the session materials please check here

FRIDAY BREAKOUT PREFERENCE (Please refer to schedule and select one breakout for each session):
Session One: ____ A ____ B ____ C ____ D Session Two: ____ A ____ B ____ C ____ D #1474

LODGING RESERVATIONS Please reserve accommodations at the Fairmont Orchid for:


Arrival: _____________________/__________________/________________ Departure: _____________________/__________________/________________
Month Day Year Month Day Year

GROUP RATES are for single/double occupancy and


INCLUDE DAILY BUFFET BREAKFAST: • Conference group rates are per room, per night and • Rollaway beds are available at an
do not include the following (subject to change): additional cost of $75 per night (subject
TYPE OF ROOM GROUP RATES - 14.416 % state & local taxes to availability and change). This fee will
- $10.00 plus 4.166% tax Resort Fee (discounted be waived if guest is paying additional
$299/night from $30.00) third and fourth adult fee. Only one
Fairmont (Limited number of rooms available rollaway bed is allowed in a room or
Garden View at this rate. Once sold, rate will • Maximum guestroom occupancy is four, regardless of age. suite with a king bed. Rooms with
increase to $329/night.) • Mandatory additional person charges (below) two beds cannot accommodate a
include additional lodging fee, daily buffet rollaway.
Partial Ocean View $379/night breakfast, taxes, and gratuities: • Cribs are available on a complimentary
- Children 5 years and under are FREE
Ocean View $419/night - Children 6 to 12 years old are $15/person, per night
basis (subject to availability and
change)
- Children 13 to 17 years are $30/person, per night
N/A *Deluxe Ocean View $479/night - Adults 18 years and older are $115/person, per night
*Limited, must call Symposia Medicus at (925) 969-1789 for availability

Preferred Bed Type (cannot guarantee): One Bed__________ Two Beds__________


Names of Room Occupants (and ages, if children):_______________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________
Please circle names of the room occupants (other than you) who are registered for this conference

Other Comments/Requests (cannot guarantee): _________________________________________________________________________________


TWO NIGHTS’ LODGING DEPOSIT - ADDITIONAL LODGING DEPOSIT
TUITION AMOUNT DUE ROOM RATE ONLY (If you wish to include an additional TOTAL
(Balance of hotel charges will be due to the hotel) amount for lodging, please state here)

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

Cardholder Name: _________________________________________________________ Signature: _________________________________________________________________


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

Card Number Expiration Date Security #


Month/Year (on front or back of card)

/
By registering, you agree to the Terms & Conditions as stated in this brochure.
Please note that all information contained in this brochure is subject to change without notice.
ALL INFORMATION PROVIDED BY REGISTRANTS WILL REMAIN CONFIDENTIAL TO SYMPOSIA MEDICUS.

Page 63 Conference Brochure #1474, 19th Annual Fall Conference on Emergency Medicine Symposia Medicus
A Non-Profit Corporation for
Continuing Medical & Nursing Education

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