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Continuing Education, Inc.
University at Sea^™
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St Petersburg, Florida 33703

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Topics in Pulmonary and Sleep Medicine,
Primary Care, and Obesity

7-Night Eastern Caribbean Cruise Conference
Round-trip Ft. Lauderdale, Florida
December 07 - 14, 2019

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Celebrity Equinox</em> — *Celebrity Equinox*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
4½ Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Topics:

Obesity Management: Update on Latest Guidelines and Evidence, and Practical Tips
- Synthesize the current guidelines on obesity management in a clinically relevant fashion.
- Use evidence based medicine to debunk popular myths related to diet, activity and behavior as they relate to the treatment of obesity.
- Synthesize the effectiveness and risks of each weight loss method for patients
- Manage obesity in a 15-minute outpatient visit
Pain management: guidelines for opioid risk mitigation and overdose resuscitation
- Identify recent trends in use of opioids and deaths from overdose.
- Describe recently published clinical guidelines on the use of opioids from the Center for Disease Control, the American Heart Association, and the Substance Abuse and Mental Health Services Administration, including risk mitigation strategies and the steps of opioid overdose resuscitation.
- Apply the knowledge gained to an evolving case involving opioid prescription.
Update on evidence-based recommendations for lifestyle management of common diseases
- Synthesize current evidence and recommendations for lifestyle management of common primary care chronic diseases
- Apply lifestyle medicine principles to clinical case management
Prevention of medical errors by performing an appropriate written and verbal handoff of care
- Summarize the components of optimal verbal and written handoffs
- Synthesize the roles of effective handoffs and the relationship with medical errors
- Describe the characteristics, content and sequence of effective handoffs
- Apply effective handoffs strategies to improve a clinical handoff scenario
Health promotion: What are the recommendations and evidence? How to motivate patients for behavior change?
- Synthesize the updated recommendations and evidence for health promotion
- Demonstrate techniques for motivating patients for behavior change
- Apply the knowledge gained to a clinical scenario
Current guidelines for screening patients at risk for type 1 and 2 diabetes
- Summarize current guidelines for screening patients for type 1 and 2 diabetes
- Apply the knowledge gained to relevant clinical scenarios
Update on USPTFS recommendations for screening in primary care
- Synthesize current US PTFS guidelines for screening in primary care
- Apply the knowledge gained to relevant clinical scenarios
Restless Leg Syndrome
- Participants should be able to diagnose restless leg syndrome and identify treatment options.
Insomnia
- Participants should be able to select appropriate therapy for insomnia.
Narcolepsy
- Participants should be able to identify narcolepsy in patient with hypersomnia.
Obstructive Sleep Apnea
- Participants should be able to describe obstructive sleep apnea and list treatment options.
Cough
- Participants should be able to summarize common causes of cough and classify between acute and chronic cough.
Asthma
- Participants should be able to select between various asthma treatment options.
COPD
- Participants should be able to devise pharmacologic treatment plan for patient with COPD.

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

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

Faculty

Magdalena Pasarica MD, PhD

Associate Professor of Medicine
Family Medicine Chair of Education
University of Central Florida, College of Medicine
Orlando, Florida

Dr. Pasarica is a physician educator, board certified in Family Medicine with a PhD in Nutrition and Obesity. She serves as Associate Professor of Medicine at University of Central Florida College of Medicine, where she serves as Medical Director for the Student-run free clinic, Editor for the UCF Flagship Medical Journal and Family Medicine Chair of Education.

Dr. Pasarica is actively seeing patients in primary care clinic and performs quality improvement projects for delivery of optimal evidence-based primary care. Through her 10+ years of translational and clinical research in nutrition and obesity, Dr Pasarica is translating her expertise in evidence based medicine and lifestyle medicine into medical education and education research.

Dr Pasarica has been invited by numerous organizations to give CME talks on Primary Care Topics and has published extensively in this field. Her work was recognized by awards from national organizations, including the American Association of Medical Colleges and Bipartisan Policy Center.

Stephan Alkins, MD, FCCP, FACP, FAASM

Medical Director, Internal Medicine, Crouse Medical Practice, Syracuse, New York
Voluntary Clinical Assistant Professor, Department of Medicine, Upstate Medical University, Syracuse, NY

Dr. Alkins received his BA degree from Dickinson College in 1989 and his medical degree from the State University of New York Health Science Center at Syracuse in 1993. He completed his internship and residency in lntenal Medicine at Walter Reed Army Medical Center in Washington D.C. in 1996. He completed his fellowship in Pulmonary and Critical Care at Walter Reed Army Medical Center in 1999.
Dr. Alkins served as an active-duty U.S. Army physician until 2004 with duty stations at Landstuhl Regional Medical Center in Landstuhl Germany and at the National Naval Medical Center in Bethesda Maryland.
Dr. Alkins is in clinical practice specializing in pulmonary and sleep medicine and is the Medical Director of Internal Medicine for Crouse Medical Practice. He is board certified by the American Board of Internal Medicine in Pulmonary and Sleep Medicine and is a Fellow in the American College of Physicians, American College of Chest Physicians, and the American Academy of Sleep Medicine.

Accreditation

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians 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).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. 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. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed. Pharmacology credits are identified on individual activities.

	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

MOC ABIM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Dec 07	Ft. Lauderdale, Florida	-	3:30 pm
Sun Dec 08	At Sea - Cruising	-	-
Mon Dec 09	San Juan, Puerto Rico	3:30 pm	11:00 pm
Tue Dec 10	St. Thomas, U.S. V.I.	8:00 am	5:00 pm
Wed Dec 11	Tortola, British Virgin Islands	7:00 am	4:00 pm
Thu Dec 12	At Sea - Cruising	-	-
Fri Dec 13	Nassau, Bahamas	12:30 pm	7:00 pm
Sat Dec 14	Ft. Lauderdale, Florida	7:00 am	-

PORTS OF CALL

Ft. Lauderdale, Florida

As your ship docks and your cruise concludes, the temptation is to make a swift exit toward the airport. We’d like to suggest a different approach: Don’t let the end of your voyage be the end of your vacation. Fort Lauderdale is far more than a convenient port; it’s a destination in its own right, offering the perfect environment to decompress and savor a few more days of discovery before returning to your routine.

Think of a post-cruise stay here not as an obligation, but as a seamless transition from the structured rhythm of life at sea to the freedom of exploring on your own terms. Here’s how you can thoughtfully extend your trip for one to three days.

**Day 1: The “Venice of America” & Urban Sophistication**

After disembarking, bypass the airport shuttles and take a short ride to your hotel. Whether you choose a chic boutique hotel along the beach or a well-appointed property downtown, drop your bags and begin your exploration on Las Olas Boulevard. This is the city’s heart, a beautifully landscaped thoroughfare lined with independent art galleries, unique shops, and inviting sidewalk cafes perfect for people-watching. It’s an ideal place to reacclimate to life on land.

For lunch, find a spot like Louie Bossi’s for its vibrant atmosphere and authentic Italian fare, or El Camino for creative tacos and craft cocktails. In the afternoon, truly understand why the city earned its nickname, the “Venice of America.” Hop on the Water Taxi. This is not merely transportation; it’s a narrated sightseeing tour that glides along the Intracoastal Waterway and New River. You’ll cruise past stunning waterfront mansions, admire magnificent yachts, and gain a unique perspective on the city’s layout. You can hop on and off at various stops, including restaurants and shops, making it a relaxing and practical way to explore.

For dinner, use the Water Taxi to arrive at a waterfront restaurant like 15th Street Fisheries, a local institution where you can enjoy fresh seafood while watching boats drift by.

**Day 2: Coastal Beauty & A Glimpse of Old Florida**

Dedicate your second day to the natural beauty that defines the region. Start with Fort Lauderdale Beach itself. This is not the frenetic party scene of its southern neighbor; instead, you’ll find a wide, clean stretch of sand bordered by a beautifully designed, wave-walled promenade. It’s perfect for a long walk, renting a lounge chair to read a book, or simply enjoying the Atlantic breeze.

For a dose of accessible culture, visit the Bonnet House Museum & Gardens. This historic estate, nestled between the beach and the Intracoastal, is a true gem. The whimsical home of artists Frederic and Evelyn Bartlett, it’s preserved just as they left it, offering a fascinating look into early 20th-century artistic life in South Florida. The surrounding grounds are a lush oasis of native and tropical vegetation, complete with swans and the occasional wild monkey.

Alternatively, for a more profound natural encounter, venture west to the Everglades. Just a 30-40 minute drive from the city, this vast wetland wilderness is a world away. An airboat tour through the “River of Grass” is an essential Florida experience, offering the thrill of skimming across the water and the high probability of spotting alligators, turtles, and wading birds in their natural habitat. It’s a powerful reminder of the wildness that still exists just beyond the city’s edge.

**Day 3: Leisurely Departure**

If you have a late afternoon flight, your last morning can be spent at a relaxed pace. Consider a visit to Hugh Taylor Birch State Park, a tranquil preserve often called Fort Lauderdale’s “Central Park,” offering walking trails and a peaceful lagoon. Or, for art lovers, the NSU Art Museum Fort Lauderdale downtown features an impressive collection, including the country’s largest collection of works by American realist William Glackens.

**Practicalities & Departure**

When it’s finally time to leave, Fort Lauderdale-Hollywood International Airport (FLL) is exceptionally convenient, located just a few miles from the cruise port and downtown (a 10-15 minute ride). Miami International Airport (MIA) is also an option, though it requires a longer 45-60 minute drive. Taxis and rideshare services are readily available from any hotel. By giving yourself these extra days, you transform a simple disembarkation port into a memorable final chapter of your journey.

At Sea - Cruising

San Juan, Puerto Rico

San Juan is one of the most rewarding and historically significant ports in the Caribbean, and its greatest asset is proximity. Your ship docks at the edge of Old San Juan, a 500-year-old walled city that is a destination in its own right. Forget the organized bus tours; this is a port best explored on foot.

Step off the ship and you are immediately immersed in the atmosphere of blue cobblestone streets and pastel-hued colonial architecture. Your primary objective should be exploring the two massive Spanish citadels that bookend the old city. Start with Castillo San Cristóbal, the largest Spanish fort in the Americas, then enjoy the scenic one-mile walk along the city wall to the iconic Castillo San Felipe del Morro, which has guarded the harbor entrance for centuries. The scale and preservation of these UNESCO World Heritage sites are genuinely impressive.

Beyond the forts, the joy of San Juan is in the wandering. Discover shaded plazas, artisan shops on Calle del Cristo, and the famous Fortaleza Street. For a taste of authentic Puerto Rican cuisine, find a local spot for *mofongo* (a savory dish of mashed plantains) or enjoy a classic piña colada at Barrachina, one of the bars that claims to have invented it. While the famous beaches of Condado and Isla Verde are an option, they require a taxi and can consume valuable time. For a port day, the tangible history, vibrant culture, and culinary delights within the city walls offer a more than fulfilling experience.

St. Thomas, U.S. V.I.

Tortola, British Virgin Islands

Tortola is the lush, mountainous heart of the British Virgin Islands, offering a more subdued and nature-focused experience than many of its Caribbean neighbors. The port at Road Town is primarily a gateway, and the island’s true appeal is found by exploring its winding roads and hidden coves.

A short taxi ride leads to Cane Garden Bay, a classic Caribbean crescent of white sand and calm, turquoise water, lined with casual beach bars. For a more secluded experience, Smuggler’s Cove offers excellent snorkeling in a protected bay. For panoramic views, a trip to Sage Mountain National Park reveals a canopy of tropical forest and trails overlooking the surrounding archipelago.

A visit to the Callwood Rum Distillery in Cane Garden Bay provides a rustic glimpse into the island's past. This centuries-old, family-run operation still uses original equipment, offering a truly authentic taste of local history. Tortola is best suited for travelers seeking stunning scenery and a relaxed pace, rather than extensive shopping or numerous historical landmarks.

Nassau, Bahamas

Nassau is a bustling hub, and your best day here requires a plan to navigate beyond the immediate, often-crowded port area. While it has its share of tourist traps, genuine Bahamian character is well within reach for those who know where to look.

For a dose of history, a short walk leads to the Queen's Staircase, a remarkable 66-step passage carved from solid limestone by enslaved people in the 18th century. It ascends to Fort Fincastle, which offers commanding views of the island. For a more refined local taste, the John Watling's Distillery on the historic Buena Vista Estate offers tours and tastings in a setting far removed from the downtown hustle.

If a classic beach day is your priority, we advise looking beyond the nearest options. A taxi to the quieter sands of Cable Beach or, for a more curated experience, a day pass to one of the major resorts on Paradise Island will provide the tranquil, turquoise-water escape you envision. These passes grant access to pristine private beaches and high-quality amenities, turning a potentially hectic port day into a truly relaxing one.

For the most authentic local flavor, take a taxi to Arawak Cay (known as 'The Fish Fry'). This is where Bahamians go for fresh conch salad, fried snapper, and a vibrant, casual atmosphere. It’s a world away from the port-side buffets and offers a true taste of the islands.

Celebrity Equinox

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Balcony Prime AquaClass Stateroom (A1)
Prime staterooms are located in the most desirable locations on the ship. Two twin beds that are convertible to queen-size (unless stated otherwise) and sitting area, private mini-bar, interactive Samsung flat-screen television system to view and select shore excursions, order room service, and watch movies, private safe, and dual voltage 110/220AC outlets. Stateroom: 194 square feet, Veranda 54 sq. ft.