Palliative Medicine and End of Life Care, including Related Topics in Neurology, CME Cruise Conference Round-trip San Juan, Puerto Rico, December 14 - 21, 2019
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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Florida 
33703
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Palliative Medicine and End of Life Care, including Related Topics in Neurology

7-Night Southern Caribbean Cruise Conference
Round-trip San Juan, Puerto Rico
December 14 - 21, 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.

Celebrity's Classic Celebrity Summit
Celebrity Summit

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

Course Fees:
$895 for Physicians, Attorneys, Psychologists & Doctors of Pharmacy
$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, Nurses, Nurse Practitioners, Physician Assistants
Program Purpose / Objectives
Topics
  1. Palliative Care Overview: History, Range of focus and Relation to Hospice Care
    • To discover the roots of palliative medicine, its impact on traditional practice models and the relation/definition between palliative and hospice care
  2. Advanced Care Directives
    • To define the history/legalities of advanced care directives.
    • To differentiate the various formats and techniques to advance end of life discussions.
    • To examine the controversies in ACD such as surgical thirty day rules.
  3. Pain Management and Palliative Care: Pharmaceutical review and a Review of the Issues of the Opioid Crisis
    • To illustrate treatment options for critical and end of life medical conditions.
    • To examine the roots and solutions of the opioid crisis particularly as related to palliative and hospice care.
  4. COPD, CHF and ESRD in Palliative Care
    • To utilize palliative medicine skills in the planning/treatment of these common chronic conditions.
  5. Patient Driven Voluntary Cessation of Hydration and Nutrition
    • To identify the phenomena of patient's elective decision in non acutely mortal situations to terminate their lives through active decision.
    • To examine the practitioners role/obligations in such a situation
  6. End of Life Symptomology and Management
    • To summarize the common EOL symptoms.
    • To demonstrate pharmaceutical and behavioral management of these conditions.
  7. Reimbursement and Coverage Strategies
    • To examine the CMS rules of remuneration for non palliative/hospice providers in palliative/hospice patients
  8. Mental State - delirium, MCI and dementia
  9. Can the Patient Hear Me? - awareness, unresponsiveness and coma
  10. Stroke - follow-up and prognosis
  11. Gap Analysis - quality approach to practice improvement
  12. Multiple Sclerosis and Parkinson's in Palliative Care
  13. Brain Death - what is it and diagnosis
  14. The Plan for Monday - changes for ease of practice and improvement in care
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
Charles S. Mills, MD, FACP, FAAHPM, HMDBC
Assistant Professor of Medicine, University of Massachusetts Medical School, Worcester, MA
Medical Director, Palliative and Hospice Medicine, Elliot Health System, Manchester, NH
Medical Director, Manchester VNA and VNA of Southern NH Hospice
Medical Director, Inspiris/Optum Care of United Health, Massachusetts
Fellow, American College of Physicians
Fellow, American Academy of Hospice and Palliative Medicine

Dr Mills is a board certified internist and palliative care specialist with over 35 years of medical experience and practice. He practiced for many years both clinically and with administrative positions at the former Fallon Clinic/Fallon Community Health System. It was here that he built a strong interest in and knowledge of the impact of health care systems and economics on the delivery of care. In these various rolls, he became a strong advocate for physician education to assist the evolution of the care models necessary for success in the developing health care market.

Dr Mills's extensive work in geriatrics in his clinical practice led to his growth in palliative and hospice medicine. Taking on a medical directorship at a local hospice, he gained practical knowledge of this field and went on to complete additional study in this area leading to his successful completion of board certification in 2008.

He is a zealous proponent of interactive learning processes and enjoys leading/mentoring invigorated medical education forums. He has lectured and taught broadly at both a community/ lay level, medical school level , residency/fellow level and at attending level of audience.

Joel M. Kaufman, MD, FAAN
Clinical Professor of Neurology
Warren Alpert Medical School of Brown University and Department of Neurology
Rhode Island Hospital, Providence, RI.

Dr. Joel M. Kaufman is Clinical Professor of Neurology at the Warren Alpert Medical School of Brown University and a member of the Department of Neurology at Rhode Island Hospital, where he is the Medical Director of the Neurology Resident Teaching Clinic.

Dr. Kaufman graduated from Boston University, majoring in mathematics, and from Boston University School of Medicine. He completed his medical internship at Presbyterian Hospital at Pacific Medical Center in San Francisco (now California Pacific Medical Center) and his Neurology residency at Boston City Hospital (now Boston Medical Center). He then joined Fallon Clinic (now Reliant Medical Group) in Worcester, Massachusetts. From 1988 through 1996 he was Medical Director of Fallon Community Health Plan. From 1997 to early 2014 he was Executive Director of the Lifespan/Physicians Professional Services Organization.

Dr. Kaufman is a Fellow of the American Academy of Neurology and active with the Academy, currently chairing the Payment Alternatives Team. He is also serving or has served on many other professional boards and committees.

Dr. Kaufman's interests include physician advocacy, quality improvement in medical practice, provide-payer interaction, and clinical teaching.
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 Accreditation This activity has been registered to offer 14 ( Part II) MOC Points in the ABA MOC program.


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
Sat Dec 14 San Juan, Puerto Rico
- 8:30 pm
Sun Dec 15 Charlotte Amalie, St. Thomas
8:00 am 5:00 pm
Mon Dec 16 Basseterre, St Kitts & Nevis
8:00 am 5:00 pm
Tue Dec 17 St John's Antigua
8:00 am 5:00 pm
Wed Dec 18 Castries, St. Lucia
8:00 am 5:00 pm
Thu Dec 19 Bridgetown, Barbados
8:00 am 5:00 pm
Fri Dec 20 At Sea
- -
Sat Dec 21 San Juan, Puerto Rico
7:00 am -
*Tentative course schedule, actual class times may differ.
Ports of Call
San Juan, Puerto Rico (Embark and Debark) - In days of yore, the waters near Puerto Rico teemed with pirate ships commanded by the likes of Sir Francis Drake. Aye, they are long gone, but in their wake they have left an island of national treasures: La Casa Blanca, built in 1501 for the island's first governor, Ponce de Leon; the cobblestone streets of Old San Juan; the tropical rain forests of El Yunque. Port tips from our blog
Basseterre, St. Kitts - The island England zealously defended from Brimstone Hill, the "Gibraltar of the West Indies." In Basseterre, a mini-London, there's Piccadilly Circus to shop and a gingerbread version of Big Ben by which to check the hour.
Bridgetown, Barbados - An island some say is more British than Britain. Here, cricket is the national sport and afternoon tea goes without saying. But Barbados is true blue Caribbean as well, with classic sand beaches, and wild monkeys in the jungle.
Castries, St. Lucia - Watch natives fashion boats from gum trees, write postcards in a Creole cafe. Shop for black coral carvings and exquisite silk-screened fabrics.
Charlotte Amalie, St. Thomas, U.S.V.I. - Named after a Danish Queen, Charlotte Amalie has one of the most breathtaking deepwater harbors in the world. The key sights of Charlotte Amalie are located within the town centre, making it easy to combine sightseeing with St. Thomas’ fantastic shopping opportunities. Eighteenth century architecture provides the perfect backdrop for walking tours and shopping here in the "Duty Free Capital of the World." For a dose of history, visit Emancipation Park, the American-Caribbean History Museum, or Bluebeard the pirate's castle at Magen’s Bay. If tropical bliss is what you're after, head to any of Charlotte Amalie’s pristine beaches, where the warm water, white sands and palm trees will lull you into deep relaxation!

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.

Celebrity Summit

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

STATEROOMS DETAILS
PRICING
PER PERSON

Royal Suite (RS) - When you stay in a Royal Suite, you'll enjoy the luxury of European-style butler service. This includes assistance with unpacking and packing. In-suite lunch and dinner service. Afternoon tea. Evening hors d'oeuvres and complimentary in-suite espresso and cappuccino from Cafe© al Bacio. Separate living room and dining area and a veranda with whirlpool and luxurious lounge seating.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, Twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Services: European-trained butler service to help you pack/unpack, make your spa appointments, dinner reservations, shore excursions and so much more, priority check-in, priority debarkation, reserved theatre seating (on formal nights only), full in-suite breakfast, lunch & dinner service, afternoon canapés and tea service, complimentary daily in-suite espresso and cappuccino, priority tender service, shoeshine service.
Amenities: Luxury bath amenities, plush bathrobe, slippers, Extra handheld hair dryer, additional custom bath products, nail kit, shower gel, mending kit, pillow menu, dual iPod/iPad docking station, welcome Blanc de Blancs sparkling wine with a commemorative label featuring exclusive art work from the ArtCenter/South Florida artists, daily fresh fruit platter.
Special amenities for Royal Suite include: Separate whirlpool bathtub, whirlpool on private veranda, Stateroom setup of one bottle of vodka and one bottle of scotch with accompanying mixers, floor-to-ceiling sliding glass doors, separate living room with dining and sitting area, two entertainment centers with televisions, walk-in closet.
Stateroom:538 sq. ft.Veranda:195 sq. ft.

Call
800-422-0711
for Pricing

Celebrity Suite (CS) - When you stay in a Celebrity Suite, you'll enjoy the luxury of European-style butler service. This includes assistance with unpacking and packing. In-suite lunch and dinner service. Afternoon tea. Evening hors d'oeuvres and complimentary in-suite espresso and cappuccino from Cafe© al Bacio.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, Twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service
Services: European-trained butler service to help you pack/unpack, make your spa appointments, dinner reservations, shore excursions and so much more, priority check-in, priority debarkation, reserved theatre seating (on formal nights only) Full in-suite breakfast, lunch & dinner service, afternoon canape©s and tea service, complimentary daily in-suite espresso and cappuccino, Priority tender service, Shoeshine service.
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Amenities: Luxury bath amenities, plush bathrobe, slippers, Extra handheld hair dryer, additional custom bath products, nail kit, shower gel, mending kit, pillow menu, dual iPod/iPad docking station, welcome Blanc de Blancs sparkling wine with a commemorative label featuring exclusive art work from the ArtCenter/South Florida artists, daily fresh fruit platter.
Stateroom: 467 sq. ft. Veranda: 85 sq. ft.

Call
800-422-0711
for Pricing
Sky Suite (S2) When you stay in a Sky Suite, you'll enjoy the luxury of European-style butler service. This includes assistance with unpacking and packing. In-suite lunch and dinner service. Afternoon tea. Evening hors d'oeuvres and complimentary in-suite espresso and cappuccino from Cafe© al Bacio.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, Twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service
Services: European-trained butler service to help you pack/unpack, make your spa appointments, dinner reservations, shore excursions and so much more, priority check-in, priority debarkation, reserved theatre seating (on formal nights only) Full in-suite breakfast, lunch & dinner service, afternoon canapés and tea service, complimentary daily in-suite espresso and cappuccino, Priority tender service, Shoeshine service.
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Amenities: Luxury bath amenities, plush bathrobe, slippers , extra handheld hair dryer, additional custom bath products: nail kit, shower gel, mending kit Pillow menu, dual iPod/iPad docking station , welcome Blanc de Blancs sparkling wine with a commemorative label featuring exclusive art work from the ArtCenter/South Florida artists, daily fresh fruit platter.
Stateroom:300 sq. ft.Veranda:79 sq. ft.
$2,024
AquaClass (A1) -These veranda staterooms offer spa elements infused into the stateroom experience and priority seating in the chic AquaClass restaurant, Blu. These spa-inspired staterooms, offer unlimited access to the AquaSpa Persian Garden as well as a host of other soothing extras. If you love the spa, there's no finer way to travel.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service, exclusive access to Blu, a specialty restaurant featuring "clean cuisine" that also serves complimentary, full-service breakfast every day, upgraded room service menu
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Services: Daily delivery of bottled water and tea, priority check-in, express luggage delivery, priority disembarkation based on travel needs, complimentary shoeshine service.
Amenities: Complimentary access to the Persian Garden and Relaxation Room, aromatherapy diffuser, Pillow menu, additional bathroom amenities, including shower gel, facial spray and lip balm, plush bathrobes, slippers, On-demand wellness programming including meditation and yoga.
Stateroom:195 sq. ft. Veranda:54 sq. ft.
Call
800-422-0711
for Pricing

Concierge Class Stateroom (C3) - Spacious accommodations complete with special privileges like priority check-in, personalized Concierge service, priority seating time preferences in the main dining room and specialty restaurants, upgraded room service menu, evening hors d'oeuvres, plush bathrobes, and veranda with lounge seating.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, Twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Services: Priority check-in, express luggage delivery, personalized Concierge service, priority disembarkation based on your travel needs, Complimentary shoeshine service, access to the exclusive Concierge Class Pre-departure Lounge
Amenities Welcome Blanc de Blancs sparkling wine with a commemorative label featuring exclusive art work from the ArtCenter/South Florida artists, pillow menu to suit your sleeping preferences, daily delivery of Afternoon Savories, plush bathrobes, fresh fruit , custom-blended bath amenities, use of binoculars and golf umbrella, extra handheld hair dryer, Celebrity tote bag.
Stateroom: 191 sq. ft. Veranda: 41 sq. ft.

$1,004
Deluxe OceanView Stateroom with Veranda (2B) - Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
$854
OceanView Stateroom (08) - Large ocean view window. Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 170 sq. ft.
$674
Inside Stateroom (10) Quad - Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 183 - 200 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom (10) - Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 183 - 200 sq. ft.
$514
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $255.10 per person
Deposit $250 per person

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.