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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Florida 
33703
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Topics in Critical Care and Pulmonary Medicine: 2019 Update

11-Night Northern & Western Europe Cruise Conference from London, United Kingdom to Stockholm, Sweden
from London, England to Stockholm, Sweden
June 11 - 22, 2019
<em>Azamara Journey</em>
Azamara Journey
14 AMA PRA Category 1 Credit(s)TM
14 Contact Hours

Course Fees:

$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$695 for Physician Assistants
$695 for Nurse Practitioners
$495 for Nurses, Residents, Students & Others

BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Target Audience

Physicians, Physician Assistants, Pharmacists, Nurses, Nurse Practitioners,

Program Purpose

Topics:
  1. Asthma
    • Recognize and Diagnose Asthma
    • Workup an asthmatic
    • Treatment according to 2017 GINA Guidelines
  2. Chronic Obstructive Pulmonary Disease (COPD)
    • Appreciate, Diagnose and treat COPD according to 2017 GOLD International Guidelines
    • Workup COPD patients
  3. Severe asthma
    • Learn the newer biologicals drugs
    • Understand Bronchial-thermoplasty
    • Understand how to prevent severe asthma
  4. Pulmonary Arterial Hypertension (PAH)
    • PAH is not a rare disease and the audience will be able to diagnose and manage the patients
  5. Idiopathic Pulmonary Fibrosis (IPF)
    • Understand IPF
    • Diagnose and treat IPF
  6. Community- Acquired Pneumonia (CAP)
    • Diagnose CAP
    • Prevent CAP
    • Treat CAP
  7. Ventilator-Associated Pneumonia
    • Prevent VAP
    • Diagnose VAP
    • Treat VAP
  8. Extracorporeal Membrane Oxygenation (ECMO)
    • New Understanding for this form of cardiorespiratory support
    • Manage the patients
  9. Vit C and S for the Treatment of Septic Shock
    • Understand the history of steroid usage in Septic Shock
    • Appreciate the treatmnet of Septic Shock
  10. Fluid Management in Septic Shock
    • After diagnosis the role of fluid resuscitation to get blood pressure up and its complications
  11. Ethics
    • Understand the role of ethics in medicine
    • Case presentation will be explained to highlight points
  12. Pulmonary Embolus
    • How to prevent
    • How to diagnose
    • How to treat PE
  13. Acute Respiratory Distress Syndrome (ARDS) initial diagnosis was 50 years ago
    • Diagnose ARDS
    • Understand the treatment and controversies
  14. Respiratory failure
    • Diagnose Respiratory failure
    • Treat Respiratory failure
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Faculty

Mark Rumbak, MD

Mark Rumbak, MD

Dr. Rumbak is a Professor of Medicine, Division of Pulmonary, Critical Care & Occupational Medicine in the Department of Internal Medicine, at the University of South Florida College of Medicine, Tampa, Florida. He is the Director of Bronchoscopy & Chief in the Clinical Research Unit, Pulmonary & Critical Care at James A. Haley Veterans' Hospital, Tampa, Florida. 

Dr. Rumbak is from Johannesburg, South Africa, where he went to medical school and did his residency and Fellowship in Pulmonary and Critical care medicine. He came to the US IN 1987, spent five years at the University of Tennessee in Memphis, and then came to the University of South Florida in Tampa. Dr Rumbak's main interest is interventional pulmonary medicine, including pulmonary arterial hypertension. He is the Governor for Florida for the American College of Chest Physicians. He is a full professor and is on staff at four hospitals including the James A Haley Hospital, Tampa General Hospital and Florida Hospital, Tampa.

Accreditation

Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.

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

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.

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 CreditsTM as needed.
Pharmacology credits are identified on individual activities.

Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea or ANCC of any commercial products displayed or used with an activity.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Cruise Itinerary

DATE PORT OF CALL ARRIVE DEPART
Tue Jun 11 London, England
- -
Wed Jun 12 London, England
(Tendered) Lectures: 1:00pm - 5:00pm
- 1:00 pm
Wed Jun 12 Amsterdam, The Netherlands
Docked
9:00 am 5:00 pm
Fri Jun 14 Keil, Germany
Lectures: 8:00 am - 12 Noon
11:00 am 8:00 pm
Sat Jun 15 Copenhagen, Denmark
8:00 am 10:00 pm
Sun Jun 16 *At Sea - Cruising
Lectures: 8:00 am -12 Noon 1:00 pm - 5:00 pm
- -
Mon Jun 17 Helsinki, Finland
9:00 am 5:00 pm
Tue Jun 18 St. Petersburg, Russia
VISA REQUIRED
8:00 am -
Wed Jun 19 St. Petersburg, Russia
Docked
- -
Thu Jun 20 St. Petersburg, Russia
Docked
- 6:00 pm
Fri Jun 21 Tallinn, Estonia
Docked
8:00 am 3:00 pm
Sat Jun 22 Stockholm, Sweden
6:30 am -
*Tentative course schedule, actual class times may differ.
Azamara Journey June 11 Map

Ports of Call

London, England -  In one of the world's great cities, take in bustling Victoria Station, the beauty of Westminster Abbey, the history of Parliament, and the pomp of Buckingham Palace. Oh, and then there are the "Elgin Marbles" at the British Museum and the Crown Jewels in the Tower of London. Or see Baker Street, where Sherlock Holmes is said to have lived. After all (or at least some) of that make what might be the most important stop of all for last, grab a pint at a corner pub.

Keil, Germany - Keil (Hamburg), Germany When most people think of cities, they picture bustling streets, vibrant markets and endless entertainment. And as Germany's second-largest city, Hamburg features all these urban essentials. But with some 1,400 parks and gardens and over 2,300 bridges (more than Amsterdam and Venice combined) Hamburg mixes rural rejuvenation with metropolitan flair.

Copenhagen, Denmark - Denmark's capital is sophisticated, saucy and friendly. Stroll the fairytale world of Tivoli Gardens to take in bright lights, castles that out-Disney Disney. See the city's 200- year-old Royal Palace, the lively Old Harbor - Hans Christian Andersen lived here. Salute the Little Mermaid, symbol of this light-hearted city.

At Sea - Cruising - Cruising

Helsinki, Finland - Shaped by its bays and isles, it's one of Europe's most scenic capitals. Hear a Sibelius concert, tour across the Arctic Circle to Lapland, land of Santa Claus, reindeer and the Midnight Sun. Buy a birchbark basket.

St. Petersburg, Russia - In Peter the Great's "Window on Europe", head for the fabulous Hermitage, with its renowned art collection from Raphael to Rembrandt, Titian to Tintoretto. Take in a concert--folkloric or grandly operatic. 

*Visas are included with most shore excursions. If you wish to explore St. Petersburg on your own, however, a visa will be required; obtaining one can take some time, so please begin the visa process immediately.

Tallinn, Estonia - Medieval walls and towers still stand tall in Old Town. Stroll and shop along cobblestone streets, walk up to the Baroque palace, drop in at Alexander Nevsky Cathedral to find inspiration in the gleaming mosaics and icons.

Stockholm, Sweden - So much to see in this charming city, sprawled on 18 islands, somtimes called the "Venice of the North." Cruise the sparkling waterways. Watch the snappy changing of the guard at the Baroque Royal Palace. Navigate narrow medieval streets or visit the more modern areas with their own northern european charm. Shop for elegant gifts--glassware, stainless steel. And work up an appetite so you can do justice to the lavish smorgasbords. Age of globalization pro-tip? Sushi; the fish here is very very fresh.

Amsterdam, The Netherlands - Here in Amsterdam, you can decide whether the real masterpieces are the gabled houses that flank graceful canals, or the van Goghs, Rembrandts and Vermeers that cover the walls of the city's grand museums.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Azamara Journey

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Prices below are for the full cruise including meals and evening entertainment

STATEROOM DETAILS
PRICING PER PERSON

Suite/Deluxe

Club World Owner's Suite, CW Club World Owner's Suite (CW)
Spacious living room with a separate master bedroom. Master bedroom with one king size bed and a 40” flat-screen television. 55” flat-screen television in living room. Marble master bath with tub and shower. Dressing room with vanity and ample closet space. Floor-to-ceiling sliding glass doors in living room and master bedroom. Refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hair dryer. Stateroom: 603 sq. ft. Balcony: 233 sq. ft. 
Call
800-422-0711
for Pricing
Club Ocean Suite, CO Club Ocean Suite (CO)
Spacious living room with a separate master bedroom. Master bedroom with one king size bed and a 40” flat-screen television. 55” flat-screen television in living room. Marble master bath with tub and shower. Dressing room with vanity and ample closet space. Floor-to-ceiling sliding glass doors in living room and master bedroom. Refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hair dryer. Stateroom: 478 sq. ft. Balcony: 173 sq. ft. 
Call
800-422-0711
for Pricing
Club Continent Suite, N1 Club Continent Suite (N1)
Two lower beds convertible to one queen size bed. Spacious and comfortable sitting area. 55” flat-screen television in sitting area and roomy bathroom with shower, some also feature a tub. Floor-to-ceiling sliding glass doors and veranda. Refrigerator with mini-bar,thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hair dryer. USB ports under bedside reading lamps. Stateroom: 266 sq. ft. Balcony: 60 sq. ft. 
Call
800-422-0711
for Pricing
Club Continent Suite, N2 Suite/Deluxe Club Continent Suite (N2)
Two lower beds convertible to one queen size bed. Spacious and comfortable sitting area. 55” flat-screen television in sitting area and roomy bathroom with shower, some also feature a tub. Floor-to-ceiling sliding glass doors and veranda. Refrigerator with mini-bar,thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hair dryer. USB ports under bedside reading lamps. Stateroom: 266 sq. ft. Balcony: 60 sq. ft.
Call
800-422-0711
for Pricing
Club Spa Suite, SP Suite/Deluxe Club Spa Suite (SP)
Newly built suites in 2016 with an elegant organic décor. Two lower beds convertible to one queen size bed. Spacious glass-enclosed bathtub and separate rain shower. Comfortable sitting area with 55” flat-screen television. In-room spa music, floor-to-ceiling sliding glass doors, veranda and refrigerator with mini-bar. Thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hair dryer. Stateroom: 414 sq. ft. Balcony: 60 sq. ft.
Call
800-422-0711
for Pricing

Balcony

Club Deluxe Veranda, VX Club Deluxe Veranda (VX)
Two lower beds convertible to one Queen size bed. Comfortable sitting area with 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 46-64 sq. ft. 
Call
800-422-0711
for Pricing
Club Veranda, V2 Club Veranda (V2)
Two lower beds convertible to one Queen size bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 40 sq. ft. 
$4,500.00
Club Veranda, V1 Balcony Club Veranda (V1)
Two lower beds convertible to one Queen size bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 40 sq. ft.
Call
800-422-0711
for Pricing
Club Veranda, V3 Balcony Club Veranda (V3)
Two lower beds convertible to one Queen size bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 40 sq. ft.
Call
800-422-0711
for Pricing

Outside

Club Oceanview Stateroom, 05 Club Oceanview Stateroom (05)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft. 
$3,500.00
Club Interior Stateroom, 10 Club Interior Stateroom (10)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft. 
$3,000.00
Club Oceanview Stateroom, 04 Outside Club Oceanview Stateroom (04)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft.
Call
800-422-0711
for Pricing
Club Oceanview Stateroom, 06 Outside Club Oceanview Stateroom (06)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft.
Call
800-422-0711
for Pricing
Club Oceanview Stateroom (Obstructed Views), 08 Outside Club Oceanview Stateroom (Obstructed Views) (08)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft.
Call
800-422-0711
for Pricing
Club Interior Stateroom, 09 Outside Club Interior Stateroom (09)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft.
Call
800-422-0711
for Pricing
Club Interior Stateroom, 11 Outside Club Interior Stateroom (11)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft.
Call
800-422-0711
for Pricing
Club Interior Stateroom, 12 Outside Club Interior Stateroom (12)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft.
Call
800-422-0711
for Pricing
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $641.11 per person
Deposit $550 per person
Automatic $100/person cancellation fee once the reservation is made.
Cancellation Policies vary by cruise line, destination and sailing date.
Please check with one of our cruise consultant for other cancellation policies applicable to this cruise.

Important Note: Not all staterooms within each category have the same furniture configuration and/or facilities. Appropriate symbols within the rooms on the deck plans describe differences from the stateroom descriptions . All information is subject to change.
* COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered by the cruise line, directly to the general public, at the time of booking. This offers includes many short-term, promotional rates. All cruise line rates can be withdrawn by the cruise line at any time and are capacity controlled.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Please click here to visit TravelSafe.com to get a quote.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.

Travel Insurance Plans

  • TravelSafe Basic Plan - A plan for those who want just the bare necessities.
  • TravelSafe Classic Plan - TravelSafe's most popular plan includes higher limits on all of the important benefits to expand your coverage. Add Cancel For Any Reason for even more coverage.

Below please find some examples of insurance coverage:

Coverage For Your Arrangements - Benefit Limits
PLAN CLASSIC BASIC
Trip Cancellation Trip Cost Trip Cost
Trip Interruption 150% of Trip Cost Trip Cost
Missed Connection $2,500 $500
Trip/Travel Delay $750 $500
Travel Delay
Per Day Maximum Limit $150 $100
Required minimum delay time 6 Hours 6 Hours
Cancel For Any Reason Not Included Not Included
Coverage For You - Benefit Limits
PLAN CLASSIC BASIC
Medical Expense / Emergency Assistance
Accident & Sickness Medical Expense $100,000 $35,000
Emergency Dental Expense $750 $750
Emergency Medical Evacuation &

Return of Remains
$1,000,000

Included
$100,000

Included
Non-Medical Emergency Evacuation $25,000 Not Included
Accidental Death & Dismemberment
24 Hour Coverage during Trip $25,000 Not Included
Coverage For Your Belongings - Benefit Limits
Plan Classic Basic
Baggage & Personal Effects $2,500 $500
Baggage Delay $250 $100
Required minimum delay time 12 Hours 12 Hours