Selected Topics in Geriatrics and Nephrology Alaska CME Cruise Conference, round-trip Seattle, Washington, May 19 - 26, 2019
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Selected Topics in Geriatrics and Nephrology

7-Night Alaskan Explorer Cruise Conference
Round-trip Seattle, Washington
May 19 - 26, 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.

Holland America Line's Majestic  Oosterdam
Holland America's Oosterdam

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
Up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

Course Fees:
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$695 for Physician Assistants, Nurse Practitioners
$495 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, Nurse Practitioners, Nurses
Program Purpose / Objectives
Providing care to older patients can be challenging and complex. The goals of this activity are to help you recognize and treat common geriatric conditions like dementia, delirium, depression, and incontinence; identify physical findings to sort out normal from abnormal; help patients (and yourself) "stay sharp" despite aging, utilize "de-prescribing" to lessen drug interactions and improve compliance; implement new adult immunization guidelines; and enable patients to lessen fall risk.

The purpose of the nephrology lectures are to equip the attendees with the necessary clinical skills and strategies to identify, evaluate and manage either individually or as part of an interprofessional team, common clinical problems in Nephrology to overall improve patient care.

Topics:
  1. Urinalysis - A Window into the Body
    •  Describe methods of urine collection.
    •  Interpret physical and dipstick examination of urine.
    •  Identify microscopic elements in urine sediment.
    • Solve clinical cases with abnormal urinalyses
  2. Understanding Diuretics
    • Describe classification and mechanism of action of diuretics
    • Review clinical uses and adverse effects
    • Define diuretic adaptation and resistance
  3. Acute Kidney Injury
    •  Review definition, epidemiology, course and burden of AKI
    •  Recognize common causes of AKI and identify risk factors
    •  Discuss the medical management of AKI in the hospitalized patient
    •  Illustrate with case presentation
  4. Poisonings in Nephrology
    •  Discuss different medications and poisonings seen in clinical practice
    •  Review the clinical presentation of these poisonings
    •  Describe the management of these poisonings
  5. Disorders of Water Balance
    •  Define osmolality and tonicity
    •  Describe approach to hypo and hypernatremia with case presentations
    •  Review steps and pitfalls in management of hyponatremia
  6. Renovascular Hypertension
    •  Review the pathophysiology of renovascular hypertension
    •  Describe patients at risk for developing ischemic nephropathy
    •  Describe diagnostic evaluation of renal artery stenosis
    •  Discuss management of patients with atherosclerotic renal artery stenosis
  7. Chronic kidney Disease - A Call to Action
    •  Facilitate timely testing and intervention in patients at risk for CKD.
    •  Apply appropriate clinical measures to manage risk and increase patient safety in CKD.
    •  Comanage and refer to nephrologists, when appropriate, to improve outcomes in CKD.
  8. Dementia vs. Depression (diagnosis/management)
    • Distinguish between dementia and depression.
    • Identify the main causes of dementia and apply appropriate diagnostic and treatment strategies.
    • Utilize the Alzheimer's Association Pocketcard App for an updated easily accessible resource in primary care settings.
    • Recognize and manage depression in older patients.
  9. Delirium (Prevention, diagnosis, and management)
    • Apply the Confusion Assessment Method to diagnose delirium
    • Identify and treat underlying causes of delirium
    • Maximize use of non-pharmachologic approaches to delirium.
  10. Wet and Worried: How you can help Patients with Urinary Incontinence
    • Identify the types of urinary incontinence.
    • Select practical appropriate treatment strategies for patients with urinary incontinence.
  11. Geriatric Physical Assessment: What is Normal and What is Not
    • Recognize the challenges to a quality geriatric physical examination.
    • Distinguish between clinical signs of normal aging and pathological findings in physical examination through a photographic review.
  12. Successful Aging-How to Stay Sharp and Fit as the Birthdays fly by
    • Discover top tips for keeping a sharp mind and body for yourself and your aging patients.
  13. Polypharmacy: More is not Better
    • Recognize polypharmacy and prioritize treatment medications
    • Select practical regimens for improved medication compliance.
    • Employ geriatric prescribing prinicples such as "start low and go slow" to lessen adverse outcomes.
  14. Preventative Care for Older Patients: Get your shots and don't fall!
    • Implement current adult immunization schedule for older patients
    • Analyze the root cause of falls and implement appropriate preventative strategies.
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
Allison Batchelor, MD, CMD, FAMWA
Associate Professor of Geriatrics
Ohio University Heritage College of Osteopathic Medicine
Athens, OH
Clinical Geriatrics Practice
Muntean Healthcare
Athens, OH

Allison J. Batchelor is a fellowship-trained geriatrician with more than 30 years of clinical experience in the primary care of older people. Presently, she serves an attending physician at Muntean Health Care in Athens, Ohio providing geriatric primary care. She has served as an Associate Professor of Geriatric Medicine at Ohio University for 15 years teaching medical students and residents in addition to prior academic appointments.

She is trained as a Certified Medical Directorthrough the Society for Post-Acute and Long-Term Care Medicine and is a Fellow of the American Medical Women's Association.

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)
Clinical Associate Professor of Medicine, Texas A&M HSC COM
Director, Division of Nephrology & Hypertension
Chief, Section of Clinical Transplantation

Dr. Narayanan received his medical degree at Christian Medical College, Ludhiana, India, and completed residencies in Internal Medicine at the Post Graduate Institute of Medical Education & Research, India and at Cook County Hospital, Chicago, Illinois. He completed clinical fellowships in Nephrology at the University of Illinois College of Medicine at Chicago, Illinois, and at the University of Texas Southwestern Medical Center at Dallas, Texas. He is board certified in Internal Medicine, Nephrology, and Geriatric Medicine and is a Certified Specialist in Hypertension by the American Society of Hypertension.

Dr. Narayanan is an Associate Professor of Medicine at the Texas A&M Health Science Center-College of Medicine and Baylor Scott & White Healthcare in Temple, Texas, where he serves as Director, Division of Nephrology-Hypertension and Medical Director of the Abdominal Transplant Program.

A fellow of the National Kidney Foundation, the American Society of Nephrology, the American College of Physicians and the Royal College of Physicians and Surgeons of Canada, Dr. Narayanan&apos's clinical practice focuses on all aspects of Nephrology as well as kidney and pancreas transplantation.

A frequent lecturer, presenter, and author, Dr. Narayanan's work has been published in several peer reviewed journals including the American Journal of Kidney Disease, American Journal of Transplantation, Annals of Emergency Medicine, Hemodialysis International, Investigative Radiology, and Journal of the American Society of Nephrology , among many others. He is also the Principal Investigator for several industry sponsored clinical trials. Dr. Narayanan serves on the editorial board of the journal Advances in Chronic Kidney Disease and is a reviewer for the American Journal of Transplantation .

Accreditation

Accredited Continuing Medical Education 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.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

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

ANCC Accredited Continuing Nursing Education
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.


MOC ABIM Accreditation
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.

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 May 19 Seattle, Washington
- 4:00 pm
Mon May 20 *At Sea - Cruising
- -
Tue May 21 Scenic cruising Stephens Passage
- -
Tue May 21 Juneau, Alaska
1:00 pm 9:00 pm
Wed May 22 Hubbard Glacier - Scenic Cruising
2:00 pm 6:00 pm
Thu May 23 Sitka, Alaska, US
8:00 am 4:00 pm
Fri May 24 Ketchikan, Alaska
7:00 am 1:00 pm
Sat May 25 Victoria, Canada
6:00 pm 11:30 pm
Sun May 26 Seattle, Washington
7:00 am -
*Tentative course schedule, actual class times may differ.
Ports of Call
Seattle, Washington (Embark and Debark) - The Emerald City of the Pacific Northwest, Seattle is one of America's most vibrant cities. Stroll its bustling waterfront (including Pike Place Market), visit the Space Needle, and find a great coffee-shop to enjoy in this coffee-loving city (the home of Starbucks). One of America's tech centers (Amazon and Microsoft are both headquartered here), the city is abuzz with the interesting people attracted to the opportunities to be found there. There is more than enough to see and do here to keep you busy for a day or two. If you have a little extra time, Seattle is a great place to visit.
Hubbard Glacier - Marching to the beat of a different drum, Hubbard Glacier is advancing while the rest of Alaska's ice rivers are receding rapidly. In 1986, Hubbard galloped forward, closing off Russell Fjord to create an entirely new lake. The phenomenon quickly passed and was followed by a short retreat, but the glacier is once again on the move and Russell Fjord is headed for another spell as an inland body of water.
Juneau, Alaska - In Alaska's capital, you can pan for gold at Gold Creek and taste salmon baked on an alderwood fire, mush sleddogs, flightsee the Juneau Ice Field, and walk right up to the Mendenhall Glacier at the park. This charming small city also hosts an excellent zipline course. And for the less adventurous, the Red Dog Saloon is near the dock.
Ketchikan, Alaska - Immerse yourself in Tlingit Indian culture as you view the world's largest collection of totem poles; kayak the colorful waterfront. Port tips from our blog
Puget Sound - The Puget Sound region is a coastal area of the Pacific Northwest in the U.S. state of Washington, including Puget Sound, the Puget Sound lowlands, and the surrounding region roughly west of the Cascade Range and east of the Olympic Mountains. It is characterised by a complex array of saltwater bays, islands, and peninsulas carved out by prehistoric glaciers.
Sitka, Alaska - Step back to the days of Russian Alaska as you watch lively performances of the New Archangel Dancers and view holy paintings of the Czarists' days.
Stephens Passage - Stephens Passage is a channel in the Alexander Archipelago in the southeastern region of the U.S. state of Alaska. It runs between Admiralty Island to the west and the Alaska mainland and Douglas Island to the east, and is about 170 km (105 mi) long. Juneau, the capital of Alaska, is near the north end, on Gastineau Channel. 051119.HAL.Eurodam.051119.jpg
Victoria, British Columbia - Stroll through the charming downtown of this very British city, with its double-decker buses, turreted castles, fine British woolens, tea and china. Or, just outside the city, visit the lush flora and fauna of Butchart Gardens.

Non-US/Canadian individuals, please Click here to determine if you'll need a visa to board this cruise which visits Canada.

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.

Oosterdam

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.
Cruise Pricing
COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered to the general public directly by the cruise line at the time of booking. In addition, we can offer the Cruise Line's lower non-refundable deposit rates.

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

STATEROOM DETAILS
PRICING
PER PERSON
Pinnacle Suite (PS) – Please C
Mariner rates and special promos may apply.

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.

Approximately 1,150 sq. ft. including verandah.
Call
800-422-0711
for Pricing
Neptune Suite (SA) –
Mariner rates and special promos may apply.

With floor-to-ceiling windows overlooking a private verandah, these spacious suites are flooded with light. They feature a large sitting area and two lower beds convertible to one king-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses. The bathroom comes with a dual-sink vanity, full-size whirlpool bath and shower, plus additional shower stall. Amenities include use of the exclusive Neptune Lounge, a private concierge and an array of complimentary services.

465‐855 sq. ft. including verandah.
Call
800-422-0711
for Pricing
Signature Suite (SS)
Mariner rates and special promos may apply.

These large, comfortable suites feature a spacious sitting area with floor-to-ceiling windows overlooking a private verandah, two lower beds convertible to one king-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, and one murphy bed for one person. The bathroom includes a dual-sink vanity, full-size whirlpool bath and shower, and an additional shower stall.

Approximately 393‐400 sq. ft. including verandah.
$1,664
OceanView Stateroom with Veranda (VA)

Filled with light from floor-to-ceiling windows overlooking a private verandah, these staterooms include a sitting area, two lower beds convertible to one queen-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, and bath tub with premium massage showerheads.

213‐379 sq. ft. including verandah.
$1,354
OceanView Stateroom with Veranda (VB)

Filled with light from floor-to-ceiling windows overlooking a private verandah, these staterooms include a sitting area, two lower beds convertible to one queen-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, and bath tub with premium massage showerheads.

213‐379 sq. ft. including verandah.
$1,324
OceanView Stateroom with Veranda (VC)

Filled with light from floor-to-ceiling windows overlooking a private verandah, these staterooms include a sitting area, two lower beds convertible to one queen-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, and bath tub with premium massage showerheads.

213‐379 sq. ft. including verandah.
$1,294
OceanView Stateroom with Veranda (VD)

Filled with light from floor-to-ceiling windows overlooking a private verandah, these staterooms include a sitting area, two lower beds convertible to one queen-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, and bath tub with premium massage showerheads.

213‐379 sq. ft. including verandah.
$1,264
OceanView Stateroom (C)

These expansive staterooms include include two lower beds convertible to one queen-size bed‐our Signature Mariner's Dream™ bed with plush Euro-Top mattresses, premium massage shower heads, a host of amenities and an ocean view.

174‐255 sq. ft..
$914
OceanView Stateroom (D)

These expansive staterooms include include two lower beds convertible to one queen-size bed‐our Signature Mariner's Dream™ bed with plush Euro-Top mattresses, premium massage shower heads, a host of amenities and an ocean view.

174‐255 sq. ft.
$884
Inside Stateroom (K)

Two lower beds convertible to one queen-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, premium massage shower heads and a host of amenities are featured in these comfortable staterooms.

151‐233 sq. ft.
$684
Inside Stateroom (L)

Two lower beds convertible to one queen-size bed‐our signature Mariner's Dream™ bed with plush Euro-Top mattresses, premium massage shower heads and a host of amenities are featured in these comfortable staterooms.

151‐233 sq. ft..
$664
Prices are Per Person, Double Occupancy, Subject to change
3rd/4th in Stateroom - Please call for pricing
Port Charges, Taxes & Fees $480 per person
Deposit $350 per person

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

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

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.