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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Florida 
33703
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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.
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Prescribing Practices and Management of Chronic Pain and Substance Use Disorder

7-Night Mexican Riviera
Round-trip San Diego, California
March 24 - 31, 2019
Holland America's <em> Nieuw Amsterdam</em>
Holland America's Nieuw Amsterdam
21 AMA PRA Category 1 Credit(s)TM
21 Contact Hours

Course Fees:

$1549.00
10% Early Course Registration Discount!

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, Attorneys, Nurses, Physician Assistants, Nurse Practitioners, Psychologists,

Program Purpose

COURSE OBJECTIVES:

At the conclusion of the course, attendees should be able to:
  1. Identify and prevent the common causes of prescribing-related patient injury.
  2. Integrate satisfaction of patients and families with medication treatment.
  3. Recognize and protect patients' legal rights such as informed consent relating to medications.
  4. Recognize and comply with clinicians' legal responsibilities relating to medications.
  5. Integrate supervision by physicians of mid-level practitioners who prescribe or monitor medication therapy.
  6. Illustrate cooperation among members of the health care team relating to medications.

Prescribing Practices and Management of Chronic Pain and Substance Use Disorder

Course Overview:

This course on prescribing practices and management of chronic pain and substance use disorder is an intensive 2½ day course designed for physicians, dentists, nurse practitioners, physician assistants, and other clinicians in all specialties, who need or wish to increase their knowledge and ability to effectively prescribe and control medications while reducing the risk for abuse. This course is approved by the California Medical Board as meeting the coursework requirements of physician probation.

Research indicates that up to one third of the disciplinary actions taken by Medical Boards are related to physician misprescribing practices. Learn proper prescribing practices and how best to document prescriptions for controlled substances. Learn to avoid common pitfalls including: inappropriate dispensing of medications from physicianapos;s offices, prescribing large amounts of narcotics at frequent intervals, or prescribing to family members, friends, or a person with a known history of substance abuse.

This course has been developed to enhance the physician's ability to effectively prescribe controlled medications, while minimizing their misuse whenever possible.

Program Content:
  1. Proper indications for prescribing.
  2. Choosing the medication.
  3. Requirement of adequate prior examination.
  4. Identifying contra-indications before prescribing.
  5. Identifying potential medication interactions before prescribing.
  6. Non-prescription (over-the-counter) drugs and nutritional supplements.
  7. Herbal remedy interactions.
  8. Food interactions.
  9. Alcohol interactions.
  10. Pharmacokinetics.
  11. Pharmacodynamics.
  12. Dosing errors.
  13. Informed consent for medications.
  14. Instructions to patients on medications.
  15. Medication warnings for patients.
  16. Safe patient monitoring, and recognizing adverse reactions and therapeutic failure.
  17. Preventing, identifying and managing medication non-compliance.
  18. Collaborative (split) treatment.
  19. Terminating care of a patient on medication.
  20. Controlled substances prescribing requirements.
  21. Treating addicted patients.
  22. Drug-seeking patients.
  23. Substance-abusing patients.
  24. Fraudulent prescriptions.
  25. Prescribing excessive quantities of medications.
  26. Clinician storage and dispensing of controlled substances.
  27. Chronic pain diagnosis.
  28. Chronic pain medication treatment.
  29. Classes of medications associated with increased risk.
  30. Medications prescribed for psychoactive effects.
  31. Prescribing function-enhancing medications.
  32. Internet medication prescribing.
  33. Internet medication purchases by patients.
  34. Aiding and abetting of unlicensed practice.
  35. Prescribing by supervised nurse practitioners, naturopaths and physician assistants.
  36. Formulary conflicts.
  37. Acceptable off-label medication prescribing.
  38. Deviations from pharmaceutical manufacturers' recommendations.
  39. Sources of information for prescribing medications.
  40. Illegible, ambiguous and contradictory medication orders.
  41. Verbal orders, standing orders, PRN orders.
  42. Self-prescribing by clinicians.
  43. Prescribing for family members or friends.
  44. Common bases for actions by regulatory agencies relating to medications.
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

S. Sandy Sanbar, MD, PhD, JD, FCLM

S. Sandy Sanbar, MD, PhD, JD, FCLM

Dr. Sanbar was born in Haifa, and received his MD at the American University of Beirut in Lebanon. He did a residency in Internal Medicine at the Oklahoma University Health Sciences Center, and earned a Ph.D. at the Universities of Oklahoma and Michigan Medical Centers, and a Cardiovascular fellowship at the Michigan Heart Association. His JD is from Oklahoma City University.

Since 1970's, he has practiced in Oklahoma City both as an Attorney at Law and Internal Medicine and Cardiology. Dr. Sanbar is a Past President of the American College of Legal Medicine and he has received numerous awards from the American College of Legal Medicine. He was the Chairman of the American Board of Legal Medicine (ABLM); and is Adjunct Professor of Medical Jurisprudence, Touro University Nevada College of Osteopathic Medicine. 

Sanbar authored over 200 articles, and serves as editor of several books in his specialties. He publishes a monthly article for the LAW AND MEDICINE section of the Oklahoma County Medical Society. He is a member of the Oklahoma Bar, the Oklahoma County Bar, the Oklahoma State Medical Association and the Oklahoma County Medical Society. He is a State, National and International Lecturer on Legal Medicine and Medical Malpractice.

Marvin Firestone, MD, JD, FCLM

Marvin Firestone, MD, JD, FCLM

Dr. Firestone is a Past President of the American College of Legal Medicine and a certified specialist in Legal Medicine/Medical Jurisprudence by the American Board of Law in Medicine. He is a frequent lecturer at national legal medicine and medical law conferences. Dr. Firestone holds a medical degree from Temple University (1964) and a law degree from the University of Colorado (1980). 

He was the Editor-in-Chief of Medical Legal Lessons, is Editor-in-Chief Emeritus of Legal Medicine Questions and Answers, and is on the Editorial Board of the Journal of Legal Medicine and Textbook of Legal Medicine, publications of the American College of Legal Medicine. He formerly held the Hirsh Chair at the George Washington University in Washington, D.C. where he was professor at its Medical and Law Schools and School of Health Services Administration, teaching Legal Medicine, Psychiatry and the Law, and Legal Aspects of Hospital Administration.

Dr. Firestone provides medical-legal consultation and practices medical law. His legal practice primarily involves representation of physicians in cases involving hospital staff privileges, licensure, medical practice disputes and other complex medicolegal issues.

Accreditation

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Legal Medicine and the Western Institute of Legal Medicine. The American College of Legal Medicine is accredited by the ACCME to sponsor continuing medical education for physicians.

The American College of Legal Medicine designates this live and enduring materials activity for a maximum of 21.00 AMA PRA Category 1 Credit(s)™ . Physicians should claim only credit commensurate with the extent of their participation in the activity.

This course is approved by the California Medical Board as meeting the coursework requirements of physician probation. 
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
Sun Mar 24 San Diego, California
- 5:00 pm
Mon Mar 25 *At Sea - Cruising
- -
Tue Mar 26 Cabo San Lucas
10:00 am 6:00 pm
Wed Mar 27 Mazatlan, Mexico
8:00 am 6:00 pm
Thu Mar 28 Puerto Vallarta, Mexico
8:00 am 11:00 pm
Fri Mar 29 *At Sea - Cruising
- -
Sat Mar 30 *At Sea - Cruising
- -
Sun Mar 31 San Diego, California
7:00 am -
*Tentative course schedule, actual class times may differ.
Mexican Riviera

Ports of Call

San Diego, California - Sunshine and fun are business as usual in San Diego. Walk on Coronado Island's sandy beach, take in the elegant streetscapes of the historic district, have a wild time at the famous San Diego Zoo or a whale of a good time at Sea World.

At Sea - Cruising - Cruising

Cabo San Lucas - Championship golf courses, world-class deep sea fishing and incredible diving opportunities have transformed Cabo San Lucas, a once sleepy fishing town located on the southern tip of the Baja California Peninsula, into one of the most popular resort destinations in Mexico. Rolling sand dunes and hidden coves dot a countryside ringed by some of the most famous and often-photographed rock formations in the world.

Mazatlan, Mexico - If you're ready to experience some of the finest sailing and sport fishing available, then you're ready for Mazatlan. This is an exquisite seaside resort by anyone's standards. Of course, you don't have to partake in world-class water sports to enjoy Mazatlan. You can relax on one of its soft-sand beaches caressed by trade winds that are even softer. Or shop for silver jewelry and Mexican crafts in the shops of "The Golden Zone", where you can also celebrate your purchases at one of the area's lively cantinas.

Puerto Vallarta, Mexico - Puerto Vallarta has all the amenities of a classic beach resort ‐ surf, sand and sun‐ but it also offers so much more. Perfect for honeymooners, families and seniors alike, Puerto Vallarta offers sport fishing, golfing, horseback riding, hiking and whale watching. Boasting mountains, jungles, beaches, rivers, and waterfalls, this port is completely different from any other destination in Mexico. Puerto Vallarta is a modern destination that remains loyal to its traditional Mexican roots. And that's just scratching the surface.

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.

Holland America's Nieuw Amsterdam

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

Pinnacle Suites, (PS) Pinnacle Suites ((PS))
Bedroom with 1 king-size bed, oversize whirlpool bath & shower & additional shower stall, living room, dining room, dressing room, private verandah with whirlpool, pantry, 1 sofa bed for 2 persons, microwave, refrigerator, guest toilet, private stereo system, floor-to-ceiling windows. 
Include all the suite amenities, plus:
  • NEW: In-suite coffee and espresso machine
  • NEW: Bose® SoundDock®
  • NEW: Expanded line of Elemis bath amenities
  • NEW: Complimentary mimosas with in-suite breakfast
  • NEW: Premium duvet, and soft, cotton bathrobes and slippers
  • A very special amenity exclusively for guests cruising in a Neptune or Pinnacle Suite, the industry-leading Neptune Lounge features a private place to relax, socialize with other suite guests and enjoy the personalized service of a concierge. The fleet-wide lounges provide worktables, large screen television, library, sofas and chairs, refreshments throughout the day and wi-fi for a small charge. One-Touch 24-hour Concierge Service is available when the Neptune Lounge is closed.
Approximately 1,357 Sq. Ft. including verandah.  
Call
800-422-0711
for Pricing
Neptune Suite, SA Neptune Suite (SA)
2 lower beds convertible to 1 king-size bed, bathroom with dual sink vanity, full-size whirlpool bath, shower and additional shower stall, large sitting area, dressing room, private verandah, 1 sofa bed for 2 persons, floor-to-ceiling windows.
  • NEW: In-suite coffee and espresso machine
  • NEW: Bose® SoundDock®
  • NEW: Expanded line of Elemis bath amenities
  • NEW: Complimentary mimosas with in-suite breakfast
  • NEW: Premium duvet, and soft, cotton bathrobes and slippers
Complimentary laundry, pressing and dry cleaning throughout your cruise, gorgeous corsages and boutonnieres for the first formal night, hors d'oeuvres served before dinner each evening on request, binoculars and umbrellas for your use on the cruise , cocktail party with ship officers, priority boarding for tender ports of cal, special disembarkation service, priority dining and seating requests, exclusive daily breakfast service for suite guests only, high tea service in suite on request, a special Suite guest lunch event on cruises over 7 days in length, a very special amenity exclusively for guests cruising in a Neptune or Pinnacle Suite, the industry-leading Neptune Lounge features a private place to relax, socialize with other suite guests and enjoy the personalized service of a concierge. The fleet-wide lounges provide worktables, large screen television, library, sofas and chairs, refreshments throughout the day and wi-fi for a small charge. One-Touch 24-hour Concierge Service is available when the Neptune Lounge is closed. 
Approximately 506‐590 Sq. Ft. including verandah 
Call
800-422-0711
for Pricing
Signature Suite, SS Signature Suite (SS)
2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirlpool bath, shower and additional shower stall, large sitting area, private verandah, 1 sofa bed for 1 person, floor-to-ceiling windows.
Include all the stateroom amenities, plus:
  • NEW: Premium duvet, and soft, cotton bathrobes and slippers
  • NEW: Binoculars for use during voyage
  • A variety of firm, medium and soft pillows
  • No-host mini-bar for easy entertaining
  • Personalized cruise stationery
  • Oversized bath towels
  • One-touch telephone concierge service
  • Fresh flowers
  • Complimentary DVD library
Approximately 273‐456 Sq. Ft. including verandah. 
$1,729.00

Balcony

Verandah, VA Verandah (VA)
Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, no-host mini-bar, floor-to-ceiling windows. Includes all the stateroom amenities, plus signature Mariner’s Dream™ bed featuring plush Sealy Posturepedic® Euro-Top mattress and finely woven cotton linens, luxurious bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerhead, 5x magnifying lighted make-up mirror and salon-quality hair dryer, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service. 
Approximately 213‐379 Sq. Ft. including verandah. 
$1,119.00
Verandah, VB Verandah (VB)
Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, no-host mini-bar, floor-to-ceiling windows. Includes all the stateroom amenities, plus signature Mariner’s Dream™ bed featuring plush Sealy Posturepedic® Euro-Top mattress and finely woven cotton linens, luxurious bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerhead, 5x magnifying lighted make-up mirror and salon-quality hair dryer, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service. 
Approximately 213‐379 Sq. Ft. including verandah. 
$1,089.00
Verandah, VC Verandah (VC)
Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, no-host mini-bar, floor-to-ceiling windows. Includes all the stateroom amenities, plus signature Mariner’s Dream™ bed featuring plush Sealy Posturepedic® Euro-Top mattress and finely woven cotton linens, luxurious bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerhead, 5x magnifying lighted make-up mirror and salon-quality hair dryer, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service. 
Approximately 213‐379 Sq. Ft. including verandah. 
$1,059.00
Verandah, VD Verandah (VD)
Floor-to-ceiling window/sliding glass door leading to your personal veranda, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, no-host mini-bar, floor-to-ceiling windows. Includes all the stateroom amenities, plus signature Mariner’s Dream™ bed featuring plush Sealy Posturepedic® Euro-Top mattress and finely woven cotton linens, luxurious bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerhead, 5x magnifying lighted make-up mirror and salon-quality hair dryer, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service. 
Approximately 213‐379 Sq. Ft. including verandah. 
$1,029.00

Outside

OceanView Stateroom, C OceanView Stateroom (C)
Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.
Approximately 169‐267 Sq. Ft. 
$829.00
OceanView Stateroom, D OceanView Stateroom (D)
Picture window, 2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.
Approximately 169‐267 Sq. Ft. 
$809.00

Inside

Inside Stateroom, J Inside Stateroom (J)
2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.
141‐284 Sq. Ft. 
$669.00
Inside Stateroom, K Inside Stateroom (K)
2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.
141‐284 Sq. Ft. 
$649.00
Inside Stateroom, L Inside Stateroom (L)
2 lower beds convertible to 1 queen-size bed, bathtub and shower, luxurious beds featuring Sealy® Premium Euro-Top mattresses and finely woven cotton linens, deluxe waffle weave and terry cloth bathrobes for use during your voyage, 100% Egyptian cotton towels, premium massage showerheads, 5X magnifying make-up mirrors and salon-quality hair dryers, fragrant soaps, lotions, shampoo and other bath amenities from Elemis Aromapure, complimentary fresh fruit on request, flat-panel TV and DVD player, ice service, shoeshine service and nightly turndown service.
141‐284 Sq. Ft. 
$629.00

Prices are Per Person, Double Occupancy, Subject to change.
3rd/4th in Stateroom - Call for Pricing

Port Charges, Taxes & Fees $315.00 per person.
Deposit $350.00 per person

Course Fee Cancellation Policy: 30 days from sailing-None; 7-29 days-50%; Less than 7 days-100%

Cancellation Policies vary by cruise line, destination and sailing date. Please check with one of our cruise consultant for policies applicable to this cruise.

* 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