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Palliative Medicine and End of Life Care,
Including Related Topics in Neurology

8-Night Spain & Portugal Cruise
Round-trip Southampton (London), England
June 20 - 28, 2020

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.

PLEASE NOTE: THIS IS NOT A CURRENTLY ACTIVE PROGRAM.

You may have found this page in error or been referred to this page via an outdated link. If you did come to this page from a link posted on another website, you may wish to alert the person responsible for the link that the program is labeled as inactive on our site. You are also welcome to e-mail us and report this message.

Royal Caribbean's <em>Anthem of the Seas</em> — Royal Caribbean's *Anthem of the Seas*

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
Up to 14 MOC (Part II) points in the American Board of Anesthesiology® (ABA) Maintenance of Certification (MOC) program
3½ Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

The lectures will cover neurologic aspects of palliative care with a focus on disorders of consciousness, stroke, Parkinson's Disease, Multiple Sclerosis and brain death.

These topics were selected as examples of conditions where clinicians should be thinking of patient values and goal and the discussion they and the entire clinical team should be having with their patient. The desired outcome fo the lecture series is that those attending will have the awareness to initiate a discussion about care goals, be able to identify the course and associated symptoms of neurologic illness, have the tools to have a meaningful and comfortable discussion with a patient and family, and leave with a plan to implement change on their return home.

Topics

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
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.
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.
COPD, CHF and ESRD in Palliative Care
- To utilize palliative medicine skills in the planning/treatment of these common chronic conditions.
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
End of Life Symptomology and Management
- To summarize the common EOL symptoms.
- To demonstrate pharmaceutical and behavioral management of these conditions.
Issues in Palliative Care: The Opioid Epidemic/ Legalized Cannabis use
- To examine the impact of the opioid epidemic on palliative care.
- To examine the use of cannaboids in palliative therapeutics
Mental Status - delirium, MCI, dementia
- Generally determine the mental status of patients with varying degree of impairment
Can the Patient Hear Me? - awareness, unresponsiveness and coma
- Describe an approach to patients with altered mental status
Stroke - follow-up and prognosis
- Explain to a patient or family member the post-stroke prognosis and treatment plan
Gap Analysis - quality approach to practice improvement
- Describe quality improvement approaches to improve their practice
Multiple Sclerosis and Parkinson's in Palliative Care
- Assess the need and issues for a Palliative Care plan for patients with MS and PD
Brain Death - what is it and diagnosis
- Assess Brain Death
The Plan for Monday - changes for ease of practice and improvement in care
- Successfully implement something that they have learned and found of value during the course
Voluntary elimination/cessation of fluids and nutrition (Patient initiated cessation of sustenance)

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

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.

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

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.

MOC Accreditation This activity has been registered to offer 14 ( Part II) MOC Points in the ABA MOC program.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Jun 20	Southampton (London), England	-	4:30 pm
Sun Jun 21	At Sea - Cruising	-	-
Mon Jun 22	Lisbon, Portugal	3:00 pm	-
Tue Jun 23	Lisbon, Portugal	-	5:00 pm
Wed Jun 24	Vigo, Spain	10:00 am	8:00 pm
Thu Jun 25	La Coruna, Spain	8:00 am	5:00 pm
Fri Jun 26	Bilbao, Spain	9:00 am	6:00 pm
Sat Jun 27	At Sea - Cruising	-	-
Sun Jun 28	Southampton (London), England	5:30 am	-

PORTS OF CALL

Southampton (London), England

Why not begin your magnificent cruise adventure with an unforgettable overture in one of the world's most exhilarating cities? Arriving a day or two early transforms your embarkation from a simple logistical step into a rich, cultural experience, allowing you to decompress from your travels and immerse yourself in the vibrant tapestry of London. As Samuel Johnson famously declared, "when a man is tired of London, he is tired of life," and his words ring as true today as ever.

**A Perfect Pre-Cruise Itinerary**

Imagine arriving at Heathrow or Gatwick, whisked into the city center via the swift Express trains, and settling into your hotel. For ultimate convenience, consider accommodations near Waterloo Station. Not only is it a major hub on the Underground (“the Tube”), making exploration effortless, but it is also the direct departure point for your stress-free train journey to the Southampton cruise terminal.

**Day 1: A Journey Through Royal & Historic London**

Once settled, begin your exploration in the heart of British power and pageantry. Start at Westminster, a UNESCO World Heritage site. Stand in awe before the Gothic splendor of Westminster Abbey, the nation’s coronation church for nearly a millennium and the final resting place of monarchs, poets, and scientists. Gaze upon the iconic Elizabeth Tower (home to Big Ben) and the Houses of Parliament. From there, enjoy a classic London stroll through St. James's Park, a beautiful green space leading directly to the gates of Buckingham Palace. Time your visit to witness the world-famous Changing of the Guard ceremony for a dose of quintessential British pomp.

In the afternoon, delve into a darker, more dramatic chapter of history at the formidable Tower of London. Here, the captivating tales of intrigue and royal drama are brought to life by the Yeoman Warders (the famous ‘Beefeaters’). The undisputed highlight is the Crown Jewels, an extraordinary collection of over 100 objects and 23,000 gemstones that must be seen to be believed. Afterward, take a walk across the iconic Tower Bridge for breathtaking views of the fortress and the modern city skyline. As evening descends, make your way to the glittering West End. Enjoy a pre-theatre dinner in the vibrant Covent Garden district before taking in a world-class musical—an experience that epitomizes London's dynamic cultural scene.

**Day 2: Culture, Cuisine, and Unforgettable Views**

Your second day offers a chance to explore London's world-class museums, many of which offer free general admission. History and archaeology buffs can lose themselves in the British Museum, home to global treasures like the Rosetta Stone and the Parthenon Marbles. For those with a passion for art and design, the Victoria and Albert (V&A) Museum in South Kensington is an unparalleled repository of decorative arts spanning centuries and continents.

For lunch, immerse yourself in the sensory delight of Borough Market. A historic food market near London Bridge, it’s a bustling haven for food lovers, brimming with artisanal cheeses, gourmet street food, fresh oysters, and specialty coffees. In the afternoon, see the city from a different perspective with a breathtaking rotation on the London Eye. The glass pods lift you high above the Thames for iconic 360-degree vistas, connecting the historic landmarks you saw on day one with the sprawling modern metropolis. Afterward, enjoy a leisurely walk along the South Bank, passing Shakespeare's Globe and the Tate Modern art gallery.

For a final, indulgent experience, treat yourself to the quintessential British tradition of afternoon tea at a classic hotel, complete with delicate sandwiches, scones with clotted cream and jam, and exquisite pastries. Or, for a more casual evening, find a traditional pub that has been welcoming patrons for centuries, enjoy a pint of ale, and savor some hearty pub fare like fish and chips or a classic Sunday roast.

On embarkation day, you’ll enjoy a relaxed morning before taking the comfortable, direct train from Waterloo to Southampton Central (a journey of about 90 minutes). A short taxi ride from the station will have you at your cruise terminal, your spirit already buzzing with the magic of London. It’s the perfect, sophisticated start to your incredible journey.

At Sea - Cruising

Lisbon, Portugal

Lisbon greets you from the water, a city of seven hills cascading down to the banks of the River Tagus. The approach itself is an event, sailing under the grand 25 de Abril Bridge with the Christ the King statue watching from the opposite shore. This is a city that rewards exploration on foot, but be prepared for its famous inclines; comfortable shoes are not a suggestion, they are essential.

From the port, many of the city’s highlights are within reach. A short taxi or tram ride takes you to the historic district of Belém, the heart of Portugal’s Age of Discovery. Here, the ornate Jerónimos Monastery and the iconic Belém Tower stand as magnificent UNESCO World Heritage monuments to a golden era. A non-negotiable experience is tasting the original custard tarts at Pastéis de Belém, where the secret recipe has been guarded for nearly two centuries.

For a journey into the city’s medieval soul, lose yourself in the Alfama district. This labyrinth of steep, narrow cobblestone streets survived the great earthquake of 1755. As you wander, you’ll catch glimpses of daily life, hear the melancholic sounds of Fado music drifting from small taverns, and can ascend to the Castelo de São Jorge for commanding views over the red-tiled rooftops.

The elegant downtown, Baixa, offers a contrast with its grand squares and grid-pattern streets. Ride the historic Santa Justa Lift for another perspective on the city's layout. For a modern taste of Lisbon’s culinary scene, the Time Out Market provides a vibrant, high-quality introduction to Portuguese food in a casual setting. Lisbon is too rich to conquer in a day, so focus on one or two neighborhoods to truly appreciate its character.

Vigo, Spain

Vigo presents travelers with a distinct and compelling choice. It is the primary gateway to Santiago de Compostela, one of the world's most significant pilgrimage destinations. For those undertaking the 75- to 90-minute journey inland, the reward is the magnificent UNESCO-listed cathedral, the final stop on the Camino de Santiago. The city's historic center is imbued with a palpable sense of spiritual history, and witnessing the emotion of pilgrims completing their journey is a profound experience.

However, to dismiss Vigo itself would be a mistake. Staying in port reveals an authentic, energetic Galician city with a strong maritime identity and a superb culinary scene. The cruise terminal's convenient location allows for an easy walk into the Casco Vello (Old Town), a revitalized district of stone-paved streets and lively plazas. The city's gastronomic heart is the Rúa da Pescadería, or “Oyster Street,” where you can watch vendors shuck incredibly fresh oysters, served simply with a wedge of lemon. Pairing them with a glass of crisp, local Albariño wine is an essential Galician moment. For panoramic views of the city, the sprawling estuary, and the distant Cíes Islands, a walk up to the hilltop park, Monte O Castro, is highly recommended. Vigo offers a genuine taste of modern Spanish life in a region celebrated for its seafood and scenery.

La Coruna, Spain

La Coruña serves as a superb introduction to Galicia, Spain’s distinct and verdant northwestern region. The city presents a compelling choice for your day: immerse yourself in its own considerable Atlantic charms or journey inland to the world-renowned pilgrimage city of Santiago de Compostela.

If you remain in La Coruña, the undisputed highlight is the Tower of Hercules. This UNESCO World Heritage site is the world's oldest functioning Roman lighthouse, and climbing its steps rewards you with commanding views of the rugged coastline. From there, a stroll along the expansive Paseo Marítimo seaside promenade leads to the city’s historic heart. The Old Town (Ciudad Vieja) is a delightful maze of stone lanes, quiet squares, and Romanesque churches. It eventually opens onto the grand Plaza de María Pita, the city’s main square, dominated by its stately city hall. Don’t miss the iconic 'galerías'—glass-enclosed balconies that line the harbor front, earning La Coruña the nickname “The Crystal City.” Galician cuisine is a highlight; seek out a local restaurant for exceptional seafood, particularly *pulpo a feira* (market-style octopus), paired with a crisp Albariño wine.

Alternatively, a full-day excursion to Santiago de Compostela is a truly worthwhile endeavor. As the final destination of the Camino de Santiago pilgrimage, the city has a palpable spiritual and historical weight. The magnificent Cathedral, which houses the tomb of St. James, is the breathtaking centerpiece of a city built from granite and faith. La Coruña offers a genuine taste of a different Spain—one defined by its Celtic roots, Atlantic soul, and profound history.

Bilbao, Spain

Bilbao is a masterclass in urban reinvention, a city that has transformed its industrial grit into architectural grace. The undeniable centerpiece is the Guggenheim Museum, Frank Gehry’s titanium-clad marvel that appears to shimmer and shift along the Nervión River. The building itself is as much a work of art as the modern and contemporary collections it houses. Even a simple walk around its exterior, encountering iconic sculptures like Jeff Koons' floral 'Puppy' and Louise Bourgeois' towering spider, 'Maman,' is a profound experience.

Beyond the museum, Bilbao reveals its historic soul in the Casco Viejo (Old Quarter). A short walk or tram ride away, this labyrinth of the original 'Siete Calles' (Seven Streets) is a vibrant hub of shops, centuries-old buildings, and the Gothic Santiago Cathedral. This is the heart of Basque culinary culture. The essential experience here is the 'txikiteo,' a convivial crawl from one bar to the next, sampling 'pintxos'—small, artful bites that are a cornerstone of local life. Plaza Nueva is an excellent starting point for this gastronomic adventure.

It is important to note that cruise ships dock in Getxo, a coastal town about 20-30 minutes from Bilbao’s city center. Taxis, cruise line shuttles, and an efficient metro system make the journey straightforward. This separation allows for a pleasant transition from the seaside into the dynamic, culture-rich core of the Basque Country's most compelling city.

Royal Caribbean's Anthem of the Seas

COMPETITIVE PRICING PROMISE: We Will Beat or Match the Cruise Line’s Fares and Promotional Offers. *

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

Suite/Deluxe

Royal Loft Suite (RL)
One bedroom, two bathrooms. Two-decks-high stateroom with panoramic views. On main level, open living/dining room with dry bar and sofa that converts to double bed. Separate media room with sofa that converts to queen bed, second bedroom with closet and two twin beds that convert to Royal King and full bathroom with shower. Large private balcony with dining area. Master bedroom on second level has a King size bed with Duxiana Mattress and a private bathroom with soaking tub, shower, two sinks and bidet. Private balcony with dual whirlpool tub. Separate dressing area.
Stateroom: 1,640 sq. ft. 3 Balcony: 553 sq. ft.

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and we'll find the best value for you.

Owner's Suite 1 Bedroom with Balcony (OS)
Bedroom area with two twin beds that convert to Royal King, Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub and two sinks. Separate half bath. Marble entry, large closets, living area with dining table and sofa that converts to double bed. Private balcony with seating area and private outdoor dining. Stateroom: 541 sq. ft. Balcony: 259 sq. ft.

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and we'll find the best value for you.

Junior Suite with Balcony (J4)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa that converts to double bed. Private balcony. Semi-private vestibule can be used to connect adjacent Studio Interior Stateroom and Ocean View Balcony Stateroom.
Stateroom: 267 sq. ft. Balcony: 81 sq. ft.

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and we'll find the best value for you.

Suite/Deluxe Grand Suite with Large Balcony - 1 Bedroom (GB)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub, two sinks and second entrance that opens to living room. Living room with sofa that converts to double bed, entertainment center, and writing desk. Wrap around private balcony with seating area and private dining. Stateroom: 351 sq. ft. Balcony: 259 sq. ft.

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Suite/Deluxe Grand Loft Suite with Balcony (GL)
One bedroom, two bathrooms. Two-decks-high stateroom with panoramic views. Main level has open living/dining room with double sofa bed, bathroom and private balcony with dining area. On second level, master bedroom has a King size bed with Duxiana Mattress and bathroom. Stateroom: 696 sq. ft. Balcony: 216 sq. ft.

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Suite/Deluxe Grand Suite - 1 Bedroom (GS)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub, two sinks and second entrance that opens to living room. Living room with sofa that converts to double bed, entertainment center, and writing desk. Private balcony with seating area and private dining. Stateroom: 351 sq. ft. Balcony: 109 sq. ft.

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Suite/Deluxe Grand Suite - 2 Bedrooms (GT)
Two bedrooms, two bathrooms. Master bedroom with two twin beds that convert to Royal King. private bathroom with tub and separate dressing area. Second bedroom with two twin beds that convert to Royal King and two Pullman beds. Full second bathroom with shower. Living area with sofa that converts to a double bed, marble entry and entertainment center. Wrap around private balcony with seating area and private dining. Stateroom: 543 sq. ft., Balcony: 259 sq. ft.

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Suite/Deluxe Junior Suite with Large Balcony (J1)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa that converts to double bed. Large corner private balcony. Semi-private vestibule can be used to connect adjacent Studio Interior Stateroom and Ocean View Balcony Stateroom. Stateroom: 276 sq. ft., Balcony 161 sq. ft.

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Suite/Deluxe Junior Suite with Balcony (J3)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa that converts to double bed. Private balcony. Semi-private vestibule can be used to connect adjacent Studio Interior Stateroom and Ocean View Balcony Stateroom.
Stateroom: 267 sq. ft. Balcony: 81 sq. ft.

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Suite/Deluxe Owner's Loft Suite (OL)
One bedroom, two bathrooms. Two-decks-high stateroom with panoramic views. Main level has open living/dining room with double sofa bed, bathroom and private wrap around balcony with dining area. On second level, master bedroom has a King size bed with Duxiana Mattress, bathroom with shower and two sinks, and private balcony. Stateroom: 975 sq. ft., Balcony: 501 sq. ft.

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Suite/Deluxe Sky Loft Suite with Balcony (SL)
One bedroom, two bathrooms. Two-decks-high stateroom with panoramic views. On main level, open living/dining room with sofa that converts to double bed. Full bathroom with shower. Private balcony with dining area. On second level, master bedroom has a King size bed with Duxiana Mattress and a bathroom with shower and two sinks. Stateroom: 673 sq. ft. Balcony: 183 sq. ft.

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Balcony

Oceanview with Balcony (8D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.
Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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and we'll find the best value for you.

Balcony Oceanview with Large Balcony (1C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.
Stateroom: 177 sq ft., Balcony: 81 sq. ft.

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Balcony Oceanview with Balcony (1D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Obstructed Oceanview with Balcony (1E)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Oceanview with Large Balcony (2C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.
Stateroom: 177 sq ft., Balcony: 81 sq. ft.

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Balcony Oceanview with Balcony (2D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Obstructed Oceanview with Balcony (2E)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Studio Oceanview with Balcony (2F)
Single full size bed, full bathroom and private balcony. Single occupancy stateroom, no single supplement required. Stateroom: 119 sq. ft. Balcony: 55 sq. ft. Some of these staterooms on Deck 6 have obstructed views.

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Balcony Oceanview with Balcony (3D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Oceanview with Large Balcony (4C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 177 sq ft., Balcony: 81 sq. ft.

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Balcony Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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800-422-0711
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Balcony Oceanview with Balcony (5D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Oceanview with Balcony (6D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Oceanview with Balcony (7D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Outside

Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair.
Stateroom: 182 sq. ft.

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and we'll find the best value for you.

Outside Spacious Oceanview (1M)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair. Stateroom: 214 sq. ft.

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800-422-0711
for Pricing

Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair. Stateroom: 182 sq. ft.

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800-422-0711
for Pricing

Outside Spacious Oceanview (2M)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair.
Stateroom: 214 sq. ft.

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800-422-0711
for Pricing

Outside Spacious Oceanview (4M)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair.
Stateroom: 214 sq. ft.

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800-422-0711
for Pricing

Inside

Interior Stateroom (4U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom.
Stateroom: 166 sq. ft.

Call: 800-422-0711
and we'll find the best value for you.

Inside Interior Stateroom (1U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. Stateroom: 166 sq. ft.

Call
800-422-0711
for Pricing

Inside Interior Stateroom (2U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom.
Stateroom: 166 sq. ft.

Call
800-422-0711
for Pricing

Inside Studio Interior (2W)
Full size bed and full bathroom. Enjoy Virtual Views of real-time scenery via your flat-screen television. Single occupancy stateroom, no single supplement required. Can sleep up to 1. Stateroom: 101 sq. ft.

Call
800-422-0711
for Pricing

Inside Interior Stateroom (3U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. Stateroom: 166 sq. ft.

Call
800-422-0711
for Pricing

Port Charges, Taxes & Fees of 343.16 are not included in the per person fares displayed above.

A deposit of 450.00 per person is due to reserve your stateroom.

3rd/4th in Stateroom - Please call to secure the best possible pricing

Cruise pricing is presented per person, based double occupancy of the stateroom, following industry practice. Pricing presented above is listed accordingly to allow easy comparison for the stateroom categories displayed. Our agents always provide 'total cost' pricing disclosing all particulars before you make any commitment.

COMPETITIVE PRICING PROMISE: We will match any price currently offered by the cruise line; this promise includes their short-term, promotional rates. As a value-added organizer of meetings at sea, however, we do not seek to compete with 'cruise discounters,' 'travel clubs,' or 'distressed inventory' sales operations.

PRICING SUBJECT TO CHANGE: Because this sailing is departing soon, no fares are displayed above; Call us to request a quote of current, market-rate fares. Those fares, the same as offered directly by the cruise line, are subject to change at any time until held with a deposit or full payment of the fare. Market rates are capacity and revenue controlled, do fluctuate, and can be withdrawn without notice.

CANCELLATION PENALTY POLICY WILL APPLY: We recommend Travel Insurance to protect your investment from unexpected, late cancellations.

Cruise Cancellation Policy:Late Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please congirm the policy applicable to this cruise with one of our agents.
Course Fee Cancellation Policy: 30+ days before sailing date - 75% Refund ; 7-29 days before sailing date - 50% Refund; Less than 7 days before sailing date - No Refund

FUEL SUPPLEMENT: During periods of unusual oil price volatility, cruiselines may implement a fuel surcharge at any time prior to sailing.

Protect Your Trip with Allianz Travel Insurance

Allianz Travel Insurance plans can give you flexibility and support when your trip doesn’t go quite as planned. From unexpected flight issues to covered trip cancellations, travel emergencies, and more, travel insurance can help you manage unforeseen events that may impact your trip—giving you peace of mind from the moment you book your trip through your return home.

For an instant quote:

Simply provide a few short details about your trip
Review the available protection plans
Enjoy the peace of mind you deserve

Get your free quote now>>

Why Protect your Trip?

Whether you’re planning your next trip or you recently booked one, travel insurance can help smooth over many unexpected travel glitches—while putting your mind at ease, knowing you’re off the hook for covered expenses that could arise from them.

Allianz Travel Insurance plans can provide you benefits and professional support when a covered situation comes up before or during your trip. The following examples may qualify for benefits:

Cancelling your trip after unexpectedly becoming too sick to travel
Taking care of a sick or injured traveling companion
Having to end your trip early due to a family emergency
Dealing with a flight delay or cancellation
Needing to buy personal items if your luggage is lost or stolen
Missing your cruise departure after a covered flight delay

You also can contact our travel protection partner Allianz Global Assistance’s 24/7, award-winning customer service for on-the-go assistance with issues like a medical emergency, replacing your lost passport, or making reservations around the world. To be eligible for a time-sensitive waiver of pre-existing medical condition exclusions, purchase your travel insurance plan within 14 days of initial trip deposit (other purchase requirements and conditions apply). Specific plan benefits may vary. Please review your plan details for more information.

What Can Travel Insurance Help Protect?

Allianz Travel Insurance plans can protect you before and during your trip—keeping you, your loved ones, and your travel budget safer. Benefits vary by plan, and these are brief descriptions. Please read your plan documents for details.

TRIP CANCELLATION

Reimburses your prepaid, non-refundable travel expenses if you need to cancel your trip due to a covered reason, such as you, a family member, or traveling companion experiencing a covered illness or injury. Examples include:

A doctor says you or a traveling companion is too sick to fly
Your parent or child requires hospitalization
You need to attend the birth of a family member’s child
You have a traffic accident (not breakdown) on the way to the airport
A storm shuts down your airport for 24 hours or more

TRIP INTERRUPTION

Reimburses your unused, non-refundable travel expenses and increased transportation costs during your trip if you have to return home early due to a covered reason, for instance when a family member has a qualifying medical emergency and needs your care. Examples include:

You have a covered illness or injury and a doctor says you must return home
A family member has a qualifying injury and needs your care
A covered emergency, like a fire or flood, makes your home uninhabitable

TRAVEL DELAY

If you have a covered delay while traveling, travel insurance can reimburse you for meals, accommodations, and transportation expenses when your trip is delayed for a minimum number of consecutive hours for a covered reason. Minimum number of hours varies by plan.

EMERGENCY MEDICAL AND DENTAL CARE

Reimburses your expenses related to covered medical and dental emergencies* that might occur on your trip. This benefit can be especially helpful if you have a covered emergency outside the United States, as most health insurance policies won’t cover you outside the country. Examples include:

You slip and break your ankle while sightseeing
You get food poisoning while sampling the local cuisine
You lose a filling and need immediate dental treatment*

*A sublimit and maximum apply for this benefit. Check your plan documents for details.

EMERGENCY MEDICAL TRANSPORTATION

Arranges and pays for medically necessary transportation following a covered injury or illness to the nearest appropriate medical facility to receive care and get you home after treatment.

BAGGAGE LOSS, DAMAGE, or THEFT

Reimburses the replacement of your lost, damaged, or stolen luggage and personal items while traveling.

BAGGAGE DELAY

Reimburses essential items purchased during your trip if your baggage is delayed for a minimum number of hours (varies by plan).

CHANGE FEE

Reimburses fees if you need to change your flight itinerary due to a covered reason.

24-HOUR ASSISTANCE

Provides around-the-clock support during your trip. Allianz Global Assistance’s staff of multilingual problem solvers can help you with medical, legal, and travel-related emergencies whenever they happen. Medical assistance may include, but is not limited to:

Medical triage with referrals to local prescreened medical providers
Ongoing medical monitoring
Payment guarantee
Emergency medical transportation

Additional services for travel-related emergencies can help with:

Missed connecting flights
Lost/stolen travel documents
Pre-trip information
Prescription replacements

I want to protect my trip>>

Our Promise to You

When you purchase any Allianz Travel Insurance plan, you automatically get 15 days (or more, depending on your state of residence) to review your policy documents. Within that period, you can cancel your plan for a full refund if you’re not satisfied, as long as you haven’t filed a claim or departed on your trip.

Need Help Along the Way?

Contact Allianz Global Assistance’s award-winning team of travel experts. Call anytime for assistance navigating travel mishaps overseas or in the U.S.—or help with everything from reporting lost baggage to locating emergency medical treatment. They can also help you replace passports, refer you to legal assistance, secure cash from home in case of emergency, and guarantee payment when you need to be admitted to a hospital, in some instances.

Contact Allianz Global Assistance

Phone (24/7):
1-800-284-8300 (within the U.S., Canada, Puerto Rico, and the U.S. Virgin Islands)
1-804-281-5700 (outside of the U.S., call collect)

File or Track a Claim

It’s easy and convenient to file and track a claim, upload documents, and more online. Start your claim using your email address or policy number.

File a Claim

If you need help filing a claim or understanding the claims process, visit the Allianz Global Assistance Claims Center.

Update Your Plan

If you need to update your travel insurance plan, such as adjusting the dates of your plan to reflect itinerary changes, please contact us or manage your plan online so your plan reflects your entire itinerary and provides the right amount of protection for your travels.

Manage My Plan

About Allianz Global Assistance

Allianz Global Assistance is a world leader in travel insurance and assistance, helping millions of travelers across the globe every year. Allianz Global Assistance is owned by Allianz SE, the world’s largest diversified insurance company. For over 100 years, Allianz SE has helped protect important milestones in American history, insuring the Wright Brothers’ first flight and Golden Gate Bridge construction.

Terms, conditions, and exclusions apply including for pre-existing medical conditions. Insurance benefits underwritten by BCS Insurance Company (OH, Administrative Office: 2 Mid America Plaza, Suite 200, Oakbrook Terrace, IL 60181), rated “A” (Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series, or Jefferson Insurance Company (NY, Administrative Office: 9950 Mayland Drive, Richmond, VA 23233), rated “A+” (Superior) by A.M. Best Co., under Jefferson Form No. 101-C series or 101-P series, depending on your state of residence and plan chosen. A+ (Superior) and A (Excellent) are the 2nd and 3rd highest, respectively, of A.M. Best’s 13 Financial Strength Ratings. Plans only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are marks of AGA Service Company dba Allianz Global Assistance or its affiliates. Allianz Travel Insurance products are distributed by Allianz Global Assistance, the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between AGA Service Company and Jefferson Insurance Company. Plans include insurance benefits and assistance services. Any Non-Insurance Assistance services purchased are provided through AGA Service Company. Except as expressly provided under your plan, you are responsible for charges you incur from third parties. Contact AGA Service Company at 800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or customerservice@allianzassistance.com.

File a Claim Manage My Plan

http://www.shoreexcursionsgroup.com/v/a/continuingeducation/?page=%2Fv%2Fcruises%2Fresults.asp%3FshipId%3D2718%26arrival%3D2020-06-20%26nights%3D8

Before and After your cruise

Your Distinguished Chauffeur Tour of Great Britain

Tour available May - September 2020

Date	Description
Day 1	London-Cotswolds: Today's first destination is Oxford to have a chance to visit the world-famous university. Most of the colleges and university buildings are in the centre of Oxford, within easy walking distance of each other. Visit the Bodleian Library, which has its own shop, and the nearby Radcliffe Camera, which is not open to the public, but is well worth a view from the outside. Nearby, in Broad Street, is the Sheldonian Theatre, a venue for official university functions as well as a variety of concerts, the Ashmolean Museum on Beaumont Street, Britain's oldest public museum and if you climb the stairs you are treated to a view from Carfax Tower. You may wish to take a stroll in the Oxford Botanic Gardens or visit one of the other numerous Oxford Museums. Leaving Oxford, you will travel a short distance to St. Martin's Church in Bladon near Woodstock. It is also the mother church of St. Mary Magdalene at Woodstock, which was originally a chapel of ease and is best known for the grave of Sir Winston Churchill in its churchyard. Continue north to Blenheim Palace, home to the 11th Duke and Duchess of Marlborough and the birthplace of Sir Winston Churchill. Set in 2100 acres of beautiful parkland landscaped by "Capability" Brown, the magnificent Palace is surrounded by sweeping lawns, award-winning formal gardens and the great Lake. Overnight Lygon Arms Broadway.
Day 2	Cotswolds-Bath: This morning we continue exploring the Cotswold's. We continue through the English countryside on your way to Bath. The Spa town of Bath is regarded as the best-preserved Georgian city in Britain built among the trees and hillsides of the Avon Valley. A UNESCO world heritage site, Bath is home to endless rows and terraces of grand Georgian architecture such as the Royal Crescent overlooking open garden squares. The impressive 13th century Abbey lies at the heart of the city's cobbled streets and fashionable shops and arcades whilst Baths crowning glory is the must-see, marvelously preserved Roman Temple, Baths and Pump Room. Overnight Francis Hotel.
Day 3	Bath, Stonehenge & Salisbury-Bath: We depart and head to Stonehenge. 5,000 years ago, these huge 40-ton rocks were dragged to the lonely, windy plain of Salisbury hill. You'll get time to learn more about this iconic monument steeped in mystery and legend! Then i''s on to Salisbury where we'll visit the finest medieval Cathedral in Britain. In the Chapter House you will see the Magna Carta, the famous agreement made between King John and his barons in 1215. It is then bath to Bath Overnight Francis Hotel
Day 4	Bath-Southampton: Morning transfer from Bath to Southampton to arrive by noon.

Your Distinguished Chauffeur Tour Includes:

Professional English Driver Guides from Day 1 depart London or Southampton until Day 4 arrive Southampton in Deluxe Vehicles
Accommodations as follows or similar for 3 Nights

Hotels

Cotswolds-Lygon Arms Hotel Broadway-1 Night****
Bath-Francis Hotel-2 Nights ****

Breakfast Daily (Except arrival day)
Fully escorted sightseeing as per itinerary
All Driver's Expenses (Except Tip to Driver Guide)
Hotel Taxes

Not Included:

Any items of a personal nature.
Dinners and suggested optional sightseeing that is mentioned in itinerary. All admissions suggested in the itinerary are not included in the rate are paid directly to sightseeing venues unless otherwise requested prior to departure. As a Chauffeur- or Self-Drive Tour is meant to be flexible it is our concern that you would pay for a venue that you would then decide not to visit.

BRITAIN CHAUFFEUR-DRIVE RATES :

# PAX	Rate
2 PAX	Per Person Sharing: $3,795.00 Per Person sharing one room
4 PAX	Per Person Sharing: $2,595.00 Per Person sharing two rooms
6 PAX	Per Person Sharing: $2,295.00 Per Person sharing three rooms

All Hotel Rooms Quoted are Standard, up graded rooms may be available at additional cost.
Most Admissions are suggested and paid directly to vendor)

Ask your CEI agent for details and availability.

Questions?
Call us at 800.422.0711 (US & Canada)
Or +1-727-526-1571
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.

Contact Our Travel Agents to Book Now.

800.422.0711 Email Us

Program last modified: August 17, 2025

800.422.0711 1.727.526.1571

Charitable Giving

Palliative Medicine and End of Life Care, Including Related Topics in Neurology

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.

PLEASE NOTE: THIS IS NOT A CURRENTLY ACTIVE PROGRAM.

COURSE CREDITS & HOURS

COURSE FEES

TARGET AUDIENCE

PROGRAM PURPOSE

IMPORTANT INFORMATION

Faculty

Joel M. Kaufman, MD, FAAN

Charles S. Mills, MD, FACP, FAAHPM, HMDBC

Accreditation

ITINERARY

PORTS OF CALL

Royal Caribbean's Anthem of the Seas

Suite/Deluxe

Balcony

Outside

Inside

Protect Your Trip with Allianz Travel Insurance

For an instant quote:

Why Protect your Trip?

What Can Travel Insurance Help Protect?

TRIP CANCELLATION

TRIP INTERRUPTION

TRAVEL DELAY

EMERGENCY MEDICAL AND DENTAL CARE

EMERGENCY MEDICAL TRANSPORTATION

BAGGAGE LOSS, DAMAGE, or THEFT

BAGGAGE DELAY

CHANGE FEE

24-HOUR ASSISTANCE

Our Promise to You

Need Help Along the Way?

Contact Allianz Global Assistance

File or Track a Claim

Update Your Plan

About Allianz Global Assistance

Before and After your cruise

Your Distinguished Chauffeur Tour of Great Britain

Tour available May - September 2020

BRITAIN CHAUFFEUR-DRIVE RATES :

Contact Our Travel Agents to Book Now.

800.422.0711
1.727.526.1571

Palliative Medicine and End of Life Care,
Including Related Topics in Neurology