Playa Conchal (Guanacaste), Costa Rica

The Guanacaste region is located in the Northern Pacific region of Costa Rica, where natural beauty and lush surroundings have made it one of the most popular destinations among visitors. Here, the water of the sparkling Pacific is always at a comfortable temperature for swimming, snorkeling or surfing. North Guanacaste plays host to an abundance of stunning natural landscapes including semi-active volcanoes, savannahs and tropical dry forests. While at Playa Conchal, many of Costa Rica's wildlife refuges and national parks are within a few hours' reach. Playa Conchal's temperature averages 85°F year round.

In addition to swimming and snorkeling, visitors to Playa Conchal can enjoy deep sea fishing excursions and hiking trips to the nearby national parks or nature reserves. Indulge your adventurous side with a visit to the underground caves at Barra Honda National Park. Kayak tours through mangroves and estuaries allow for ideal nature watching. Take a float tour on the Corobicí River to view monkeys in the tree tops and iguanas on the riverbanks.

The Westin Reserva Conchal, an All-Inclusive Golf Resort & Spa

All-inclusive concept includes 7 nights accommodations, guest room internet access, select domestic and imported alcoholic beverages, all meals and snacks, mini-bar drinks (refilled once per day), 24 hour room service, exercise facilities, daytime tennis courts, table games, non-motorized water sports, scheduled stage shows, Kid's Club, Government taxes/service charge and bellman/waitstaff gratuities at the resort. (Airport transfers not included.)

The Westin Golf Resort & Spa, Playa Conchal is set on 2,400 acres and offers everything you need to revitalize and thrive. Nestled between lush forests and the sparkling azure waters of the Pacific Ocean, this hotel offers a lagoon-style pool, gardens, tennis courts, a championship golf course, the Westin Kids Club®, fine dining, WestinWORKOUT® facilities, Heavenly Spa by Westin™ and much more. Deluxe Junior Suites are approximately 538 square feet and feature 1 king or 2 double Westin Heavenly Beds® (based on hotel availability), living area with sofa sleeper and arm chairs, small dining table, LCD TV, private terrace or balcony, daily stocked minibar, coffeemaker, iron/board, sleek bathroom with Heavenly Bath® amenities, hairdryer, robes, slippers, and more.

Ground transportation is available for a fee to and from both Daniel Oduber Quirós International Airport (LIR) and Juan Santamaría International Airport (SJO), with private transfers and shuttle service offered by different companies. Transfers are not included.

If you choose to stay elsewhere you will be charged approximately $150 per person for 8am-5pm entry into the resort, even if you are only attending the seminar. This is a firm resort policy. This fee is subject to change and limited day passes may be issued without notice at the discretion of the resort management. 7-night stay required to receive group rates while they last (Arr Saturday May 18, Dept Saturday May 25, 2024).

Contact us here or call (800) 222-6927 • (509) 547-7065
Click Here to Register


This course is designed for physicians, certified registered nurse anesthetists, physician assistants, nurse practitioners, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of the anesthesia specialty or are impacted by it.


The practitioner of anesthesiology must possess the scientific background for clinical practice; maintain state-of-the-art knowledge of not only the specialty, but also of all additional related disciplines which may impact it; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, the clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting professional goals; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the healthcare provider in reviewing, updating, and/or expanding knowledge and abilities in one or more of these areas vital to the practicing professional.


At the conclusion of this activity, the participant will be able to:

Apply the pertinent physical and behavioral sciences - to include but not be limited to advanced anatomy and physiology, pathophysiology, chemistry, physics, psychology, and social sciences - as they impact and are affected by the planning, delivery, and monitoring of anesthesia and related services inherent in the anesthesia professions.

Explain the selection, dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently developed additional, related, and similar drugs.

Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic requirements, clinical setting, adverse reactions, and/or goals of care.

Apply the principles of safety and asepsis in the performance of anesthetic procedures and administrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services.

Incorporate the appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups - recognized as serving as the authority for and/or holding the responsibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical, ethical, or health care management standards.

Apply the new techniques in the clinical setting of the participant.


Topics in Anesthesia
Playa Conchal (Guanacaste), Costa Rica
May 19-24, 2024

Sunday, May 19

  0800 Registration - Mandatory Sign In
  0825 Welcome NWAS Staff
  0830 Preoperative Evaluation T.Trentman
  0930 Anesthesia and the Patient With Hepatic Disease T.Trentman
  1030 Break
  1045 Long Covid: Will This Be Another Pandemic? E.Frost
  1145 Pharmacogenomics: The Future of Individualized Medicine and Anesthesia S.Clendenen
  1245 Adjourn

Monday, May 20

  0815 Registration - Mandatory Sign In
  0830 The Opioid Crisis in America: Where Are We, How Did We Get Here, and How Do We Solve the Problem? S.Clendenen
  0930 Acute Pain Management in the Chronic Pain Patient S.Clendenen
  1030 Break
  1045 My Name Is NOT Anesthesia: Improving Communication in the OR E.Frost
  1145 Transgender: What the Anesthetic Provider Should Know E.Frost
  1245 Adjourn

Tuesday, May 21

  0815 Registration - Mandatory Sign In
  0830 Medicolegal System: How to Stay Out of the Minefield E.Frost
  0930 Anesthetic Cases From the Legal System E.Frost
  1030 Break
  1045 New Anticoagulants and Regional Anesthesia S.Clendenen
  1145 Aging and Anesthesia Providers T.Trentman
  1245 Adjourn

Wednesday, May 22– Day Open


Thursday May 23

  0815 Registration - Mandatory Sign In
  0830 Drug Diversion: Coming to a Practice Near You T.Trentman
  0930 Anesthesia and Disruptive Providers T.Trentman
  1030 Break
  1045 Any Questions for Me? Helping Patients and Family Better Understand Anesthesia E.Frost
  1145 Complications in the PACU: Preventing and Treating Them E.Frost
  1245 Adjourn

Friday, May 24

  0815 Registration - Mandatory Sign In
  0830 Obstructive Sleep Apnea and Anesthesia S.Clendenen
  0930 Ambulatory Surgery: Are We Pushing the Envelope of Patient Safety? S.Clendenen
  1030 Break
  1045 Cardiometabolic Disease, Anesthesia and Outcome T.Trentman
  1145 Anesthesia, Burnout and Resilience T.Trentman
  1245 Adjourn  

20 CME

20 Class A CE

6.2 Pharmacology Hours†

Breakfast is not served at the meeting - plan to eat prior to attending.
Rev. 12/30/23


Steven R. Clendenen, MD
Department of Anesthesiology and Pain Medicine
Professor of Anesthesiology
Mayo Clinic
Jacksonville, Florida

Elizabeth Frost, MD
Clinical Professor of Anesthesia
Icahn Medical Center at Mount Sinai
New York, New York

Terrence L. Trentman, MD
Chair Emeritus, Mayo Clinic Arizona
Professor of Anesthesiology
Mayo Clinic College Medicine
Phoenix, Arizona


Northwest Anesthesia Seminars / Northwest Seminars is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Northwest Anesthesia Seminars / Northwest Seminars designates this live activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website,, for a list of all MOCA 2.0® requirements.

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program. Participants must log into MAINPORT to claim this activity.

Certified Registered Nurse Anesthetists: This program has been prior approved by the American Association of Nurse Anesthesiology for 20 Class A CE credits; AANA approval number 1043296; Expiration Date 05/24/2024.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Board (AANPCB) and the American Nurses Credentialing Center (ANCC) accept CME from organizations accredited by the ACCME.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Physician Assistants: The American Academy of Physician Assistants (AAPA) 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 20 hours of Category I credit for completing this program.

Registered Nurses: NWAS/NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480).

The AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, Northwest Seminars, Pasco, Washington


Factors beyond our control sometimes necessitate changes in the schedule and faculty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.


We reserve the right to cancel a course for any reason. In such case, a minimum of days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS/NWS and NWWT will not be responsible for any non-refundable airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.


No penalty if canceled by March 19, 2024. Cancellations between March 20, 2024, and April 19, 2024, incur a $100 fee. Cancellations after April 19, 2024, are not eligible for a refund. However, 50% of the tuition paid can be applied toward tuition for another NWS/NWAS program within the next 12 months. Cancellation must be made in writing. No tuition credit or refund will be issued for attendees that are no-shows for the program.

FAP (Frequent Attendee Points)

We value your patronage and have a simple program to reward you. Our Frequent Attendee Points (FAP) program gives you an added bonus for money spent on our seminars, as well as cruise cabins booked through our in-house travel agency, Northwest Worldwide Travel.

You are automatically enrolled in this program with your paid registration. Click here for more information.

*Effective January 1, 2023, net hotel stays for 2023 and beyond will no longer be included in FAP calculations.

Lecture notes will be provided via download in PDF format.

You must sign-in every day you attend to receive credit.

While we strive for accuracy at all times with our published information, we cannot be responsible for typographical and other errors.

Please note that children and non-registered guests are not allowed to attend the lectures. The concierge can provide you with childcare information.

Travel at your own risk.


We recommend that you register early to assure your spot. We reserve the right to close registrations to a course at any time without notice. We may not be able to accommodate onsite registrations.

Click Here to Register
For flights starting in 2024:

Delta Air Lines is pleased to offer special discounts for Northwest Anesthesia Seminars / Northwest Seminars.

Please click here to book your flights.

You may also call Delta Meeting Network® at 1-800-328-1111* Monday-Friday, 8:00 a.m. - 6:30 p.m. (EST) and refer to Meeting Event Code NM36A

*Please note there is not a service fee for reservations booked and ticketed via the Delta Meeting Network® reservation 800 number.