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Critical Care and Pulmonology:
Clinical and Pharmacological Principles and Practices

10 Night Ireland & Iceland Cruise
Round-trip Dublin (Dun Laoghaire), Ireland
May 18 - 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.

<em>Celebrity Reflection</em> — *Celebrity Reflection*

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ANCC Contact Hours
11 ½ Hours of Pharmacology for NPs

COURSE FEES

$995.00 for Physicians

$750.00

$595.00

TARGET AUDIENCE

Physicians, Nurse Practitioners, Physician Assistants, Nurses

PROGRAM TOPICS

The purpose of these lectures is to update clinicians/prescribers on pharmacological principles and practices that can be applied during Critical Care and Pulmonology interventions. The desired outcome is that attendees will adopt the stated learning objectives to improve their professional practice. A series of Pulmonary Diseases from COPD and Asthma to Sarcoid and Immunodeficiency will be presented. There are new guidelines for both Asthma and COPD. Sarcoid and Immunodeficiency are not uncommon but are missed frequently. The Critical Care lectures will be on Community-acquired Pneumonia which is one of the most common infections in humans. New guidelines came out late last year. Attendees will be able to treat these using the most up to date guidelines. Ethics will be taught in the manner of case reports. Both on the treatment of patients, their families and our colleagues. Ventilator Associated Pneumonia also has quite recent guidelines. Attendees will know how to prevent, treat and for how long to treat the pneumonia. The controversies surrounding Vitamin C and steroids in Septic Shock and Fluid resuscitation in Septic Shock will be discussed. Attendees will have a better idea of these.

Review of the 2019 Beers list and highlights of changes made since 2015
Drug interactions; a primer and refresher for all areas of clinical practice
Navigating FDA black box warnings
Addressing mental health comorbidity in patients with medical illness

Topics:

Update clinicians on pharmacological principles and practices: Review of the 2019 Beers list and highlights of changes made since 2015
- List potentially inappropriate medications (PIMS) that have been identified by the 2019 Beers criteria
- Identify the challenges of applying the changes recommended on the 2019 updated Beers list
- Apply clinical pearls to improve medication medication safety in this population
Update clinicians on pharmacological principles and practices: Drug interactions; a primer and refresher for all areas of clinical practice
- Describe key principles involved in identifying and mitigating potential adverse outcomes associated with drug interactions
- Identify the challenges of conducting risk assessments and developing a strategy to address these issues
- Apply clinical pearls to improve medication medication safety when navigating drug interactions
Update clinicians on pharmacological principles and practices: Navigating FDA black box warnings
- Describe key principles involved in identifying and mitigating potential adverse outcomes associated with black box warnings
- Identify the challenges of conducting risk assessments and developing a strategy to address these issues
- Apply clinical pearls to improve medication medication safety when navigating FDA black box warnings
Update clinicians on pharmacological principles and practices: Addressing mental health comorbidity in patients with medical illness
- Describe the challenges associated with managing patients with psychiatric and medical comorbid illness
- Identify the key pharmacologic principles involved in concomitant medication therapy
- Apply clinical pearls to improve medication medication safety in this population
Asthma
- Be up to date with 2019 Guidelines including the treatment of Severe Asthma and Uncontrolled Asthma
Chronic Obstructive Pulmonary Disease (COPD)
- Be up to date with the new 2020 guidelines in the diagnosis and treatment of COPD
Sarcoid
- Attendees will have a new approach to the diagnosis, Treatment of Sarcoid and know the Multiple drugs for Sarcoid
Immunodeficiency (ID)
- Attendees will be able to treat Primary ID, Common ID and Variable ID. Learn diagnosis, treatment and asses cases.
Ventilator Associated Pneumonia (VAP)
- Attendees will be able to prevent , diagnose and treat VAP according to new guidelines
Ethics
- The Attendees will hear cases and I will ask their opinions. They may also present their own cases.
Vit C, Steroids Fluid Resuscitation in Septic Shock.
- Attendees will be aware of Septic Shock controversies surrounding the use of Vit C and Steroids and fluid resuscitation
Community-acquiredPneumonia (CAP)
- Attendees will learn to diagnose, treat according to new guidelines. Also who to admit to hospital or even the ICU.

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

Mark Rumbak, MD

Dr. Rumbak is a Professor of Medicine, Division of Pulmonary, Critical Care & Occupational Medicine in the Department of Internal Medicine, at the University of South Florida College of Medicine, Tampa, Florida. He is the Director of Bronchoscopy & Chief in the Clinical Research Unit, Pulmonary & Critical Care at James A. Haley Veterans' Hospital, Tampa, Florida.

Dr. Rumbak is from Johannesburg, South Africa, where he went to medical school and did his residency and Fellowship in Pulmonary and Critical care medicine. He came to the US IN 1987, spent five years at the University of Tennessee in Memphis, and then came to the University of South Florida in Tampa. Dr Rumbak's main interest is interventional pulmonary medicine, including pulmonary arterial hypertension. He is the Governor for Florida for the American College of Chest Physicians. He is a full professor and is on staff at four hospitals including the James A Haley Hospital, Tampa General Hospital and Florida Hospital, Tampa.

Tammie Lee Demler, PharmD, BS Pharm, MBA, RPh, BCGP, BCPP

Recipient of the "2019 Teacher of the Year Award" State University of New York at Buffalo - School of Pharmacy and Pharmaceutical Sciences
Winner of the "2019 Niagara Education Award of the YWCA of the Niagara Frontier".
Clinical Associate Professor
The State University of New York at Buffalo School of Pharmacy and Pharmaceutical Sciences
Clinical Assistant Professor
University at Buffalo School of Medicine, Department of Psychiatry
D'Youville College School of Pharmacy
University of Florida College of Pharmacy
Clinical Pharmacist and Pharmacy Practice Residency Program Director
New York State Office of Mental Health
Buffalo, New York

Tammie Lee Demler received her Doctor of Pharmacy, Master of Business Administration, and Bachelor of Science degrees at the State University of New York (SUNY) at Buffalo.

Dr Demler is a dually Board-Certified Specialist in both Psychiatric and Geriatric Pharmacy and is currently the Director of Pharmacy Services and Pharmacy residency training at the New York State Office of Mental Health (OMH) at the Buffalo Psychiatric Center.

She holds numerous academic appointments, including Clinical Associate Professor for SUNY Buffalo School of Pharmacy and Pharmaceutical Sciences, Clinical Assistant Professor at SUNY School of Medicine Department of Psychiatry, D'Youville College School of Pharmacy, University of Florida School of Pharmacy, and Clinical Instructor for the Erie County Community College Pharmacy Technician Certification Program.

She collaborates with both the National Association of the Boards of Pharmacy (NABP) and the Board of Pharmaceutical Specialties (BPS) to develop board examinations that establish the minimum competencies expected for new practitioners for practice in an ever changing clinical environment. Prior to embarking on her academic and institutional career, Dr. Demler's clinical practice focused on ambulatory care in community pharmacy.

Dr. Demler has authored and co-authored numerous original research articles and expert reviews for print media. She is a regular contributor to U.S. Pharmacist and reviewer for Pharmacist's Letter.

Prior to launching Pharmacotherapeutics for Advanced Nursing Practice, Dr. Demler authored a chapter on insomnia in the American College of Clinical Pharmacy's (ACCP's) Ambulatory Care Self-Assessment. She also has provided expert pharmacotherapeutic consultation for other books such as the Side Effects of Drugs: Annual Volume 36 and Clinical Consult to Psychiatric Nursing for Advanced Practice . She has presented medication continuing education programs internationally and nationally, and is an Academic Educator for the New York State Medicaid Prescriber Education program sponsored by the New York Department of Health.

Dr. Demler served as President of both the Pharmacists Society of the State of New York and the Pharmacists Association of Western New York. Dr. Demler is also a local media personality, hosting her own weekly TV talk show as well as a weekly community affairs radio segment. She has won a number of prestigious national, state, and local awards acknowledging both her professional and community-based contributions.

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 16 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). US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.
	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 16 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.
	College of Family Physicians of Canada (CFPC) The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits. Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.
	Credit Designation for Pharmacists: This knowledge-based activity is approved for 16 hours of pharmacy continuing education credit.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 (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.

Joint 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 16 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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

The American Board of Internal Medicine (ABIM) accepts certificates of participation for self-assessment purposes in its Maintenance of Certification (MOC) program.

Credit Designation for Nurses: Continuing Education, Inc. designates this continuing nursing education activity for 16 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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Monday, May 18	Dublin (Dun Laoghaire), Ireland	-	9:45 pm
Tuesday, May 19	Belfast, Northern Ireland	10:00 am	6:00 pm
Wednesday, May 20	At Sea - Cruising	-	-
Thursday, May 21	Reykjavik, Iceland	2:00 pm	-
Friday, May 22	Reykjavik, Iceland	-	3:00 pm
Saturday, May 23	Akureyri, Iceland	10:30 am	6:30 pm
Sunday, May 24	At Sea - Cruising	-	-
Monday, May 25	At Sea - Cruising	-	-
Tuesday, May 26	Liverpool, England	8:00 am	5:00 pm
Wednesday, May 27	Dublin (Dun Laoghaire), Ireland	4:45 am	-
Thursday, May 28	Dublin (Dun Laoghaire), Ireland	-	-

PORTS OF CALL

Dublin (Dun Laoghaire), Ireland

Your port of arrival, Dún Laoghaire, is a charming Victorian seaside town, but the main event is Dublin, a short and scenic DART train ride away. Dublin is a city that wears its immense history and literary soul with a casual, welcoming grace. It’s a capital that feels more like a collection of villages, eminently walkable and filled with discoveries.

The essential first stop for many is Trinity College, an oasis of cobblestone squares and scholarly calm in the city center. The main draw is the 9th-century Book of Kells, a masterpiece of medieval art. However, the true spectacle is the Long Room library that houses it—a breathtaking, two-story cathedral of books that seems to hold the collective memory of the nation.

From there, Dublin unfolds. You can trace the country’s turbulent path to independence at sites like Dublin Castle and the GPO on O’Connell Street, the headquarters of the 1916 Easter Rising. For a taste of modern Dublin, the energy of Grafton Street, with its high-end shops and talented buskers, is infectious. While the Temple Bar district is famous, its pubs can be crowded; we recommend wandering a few blocks away to find more traditional pubs where conversation and live music flow as freely as the stout.

No visit is complete without acknowledging the city’s most famous export. The Guinness Storehouse is less a brewery tour and more a multi-story, interactive museum dedicated to the 'black stuff.' The experience culminates in the Gravity Bar, offering a complimentary pint and what is arguably the best panoramic view of the Dublin skyline. Given the limited time in port, it’s wise to choose two or three key interests and explore them well rather than rushing to see everything. The city’s true character is found not just in its landmarks, but in the warmth and wit of its people.

Belfast, Northern Ireland

Belfast presents a compelling duality: a city reborn from a complex past and the gateway to one of the world's most dramatic coastlines. The choice of how to spend your day here is the most significant one you'll make. The city itself is anchored by the Titanic Quarter, home to the stunning, architecturally significant Titanic Belfast. This is not a dusty museum, but an immersive experience that tells the story of the legendary ship from its conception and construction to its tragic end. Nearby, you can board the SS Nomadic, the last remaining White Star Line vessel.

For a deeper understanding of the city's more recent history, a Black Cab tour is essential. These tours, often led by drivers with personal connections to the era, provide a balanced and poignant narrative of 'The Troubles' as you view the political murals of the Shankill and Falls Roads and the towering Peace Wall that still divides them. Alternatively, the city center is a vibrant hub of Victorian architecture, centered around the magnificent City Hall and the lively St. George's Market.

The alternative is a full-day excursion north to the Antrim Coast. This journey showcases the UNESCO-listed Giant's Causeway, an extraordinary landscape of 40,000 interlocking basalt columns, and the scenic coastal drive is an attraction in itself. Be advised, this is an all-or-nothing trip; committing to the coast means forgoing a proper exploration of Belfast. The decision rests on your priorities: profound urban history or breathtaking natural wonder.

At Sea - Cruising

Reykjavik, Iceland

Reykjavik is a capital city that feels more like a creative, welcoming town, set against a backdrop of dramatic, raw nature. Its compact, walkable core makes it an excellent port to explore on foot, offering a fascinating blend of contemporary design, Viking history, and quirky charm.

The skyline is dominated by the magnificent Hallgrímskirkja church; ascending its tower provides a panoramic view of the city’s colorful rooftops and the surrounding bay. A short walk leads to the waterfront, where the stunning, glass-paneled Harpa Concert Hall glimmers beside the Old Harbour. This area is the departure point for whale-watching excursions and is lined with outstanding seafood restaurants. For a dose of history, the National Museum of Iceland offers a comprehensive look at the nation's past, from settlement to the present day.

With a single day, a choice must be made. You can either immerse yourself in the city's culture or venture into Iceland's legendary landscapes. The famed Golden Circle—a circuit including the tectonic plates at Þingvellir National Park, the powerful Gullfoss waterfall, and the erupting Geysir geothermal area—is a full-day commitment. It's an unforgettable experience but will consume nearly all your time ashore.

A more manageable alternative is a visit to the Blue Lagoon for a soak in its geothermal, silica-rich waters. It’s about a 50-minute drive from the port, and pre-booking is absolutely essential, often weeks or months in advance.

We recommend choosing one path for your day: either fully explore the vibrant streets, shops, and museums of Reykjavik, or dedicate your time to one of the major natural attractions. Trying to do both will likely feel rushed and incomplete.

Akureyri, Iceland

Nestled at the head of Eyjafjörður, Iceland’s longest fjord, Akureyri is a surprisingly green and vibrant town that serves as the gateway to the spectacular natural wonders of the north. While often called Iceland's 'second city,' it's best understood not as a metropolis, but as a charming and highly walkable base for profound encounters with nature.

The town itself is a pleasure to explore on foot. A short walk from the pier leads to the town center, where you can ascend the steps to the iconic Akureyrarkirkja, a Lutheran church whose commanding presence offers fine views over the fjord. Nearby, the Akureyri Botanical Garden is a peaceful oasis and one of the northernmost botanical gardens in the world, showcasing a remarkable collection of arctic and temperate flora.

However, Akureyri’s primary value for most visitors lies in the world-class excursions it enables. The most popular is a trip to Goðafoss, the ‘Waterfall of the Gods,’ a powerful and historically significant cascade that is both beautiful and easily accessible. For those with a full day, the Lake Mývatn region is an unforgettable journey into a geothermal wonderland of bubbling mud pots, surreal lava formations at Dimmuborgir, and vast volcanic craters. The Mývatn Nature Baths offer a more tranquil, less crowded alternative to the Blue Lagoon.

For a marine adventure, whale watching tours depart directly from the harbor. The calm, nutrient-rich waters of Eyjafjörður are one of the world's most reliable places to see humpback whales, often just a short boat ride from port. Akureyri provides the perfect balance: a delightful town experience combined with direct access to some of Iceland’s most essential landscapes.

Liverpool, England

Liverpool greets you directly at its historic heart. Your ship docks at Pier Head, placing you immediately before the "Three Graces," the trio of majestic buildings that define one of the world's most famous waterfronts. This exceptional access makes Liverpool an incredibly rewarding and walkable port of call.

The city's cultural gravity is undeniable, and while the legacy of The Beatles is a primary draw, it's just one layer of a complex and compelling destination. A short stroll leads to the Royal Albert Dock, a stunning example of Victorian industrial architecture masterfully repurposed into a cultural hub. Here you can explore The Beatles Story museum, but don't miss the outstanding national museums also housed in these brick warehouses. The Maritime Museum chronicles the city's seafaring past, while the powerful International Slavery Museum offers a sobering and essential perspective on the history that built much of that wealth. For modern art enthusiasts, the Tate Liverpool is also conveniently located here.

Beyond the docks, the city's spirit unfolds. Music fans can make the pilgrimage to Mathew Street and the legendary Cavern Club. For a grander sense of scale, consider a taxi or a longer walk to the city's two astonishingly different cathedrals: the soaring, traditional Anglican Cathedral and the strikingly modern, circular Metropolitan Cathedral. Liverpool is not a city of quaint English charm; it is a proud, resilient, and deeply creative place with a story to tell on every corner.

Celebrity Reflection

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

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

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

Suite/Deluxe

Sky Suite (S1) The Retreat â€” Sky Suite
The perfectly designed Sky Suite offers a blend of expansive views and intimate luxury. These large suites feature a king-sized* bed with our signature eXhale® bedding and a spacious, private veranda. Be welcomed with a bottle of sparkling wine and enjoy the luxury of your butler throughout your stay. Plus, enjoy access to Luminae and The Retreat Lounge, exclusive for guests of The Retreat. So much more than a suite, The Retreat® isn’t a place. It isn’t an amenity. It isn’t a service. It’s all of this and more. The Retreat includes stunning accommodations, a private restaurant, and exclusive lounge and sundeck* that rival any high-end resort. Your dedicated team of attendants, concierges, and your Personal Retreat Host will do everything to ensure you never have to lift a finger on vacation. These suites feature a king-sized bed that faces the floor-to-ceiling window and sliding glass door that leads to a private veranda.

Butler service
Onboard Destination Concierge
Access to The Retreat (Sundeck, Lounge & Luminae)
Luminae room service breakfast menu
Complimentary 24-hour in-room dining
Afternoon tea in The Retreat Lounge
Daily delivery of delectable delights
Priority check-in, departure & port tendering
Reserved theater seating on Evening Chic nights
Complimentary in-suite specialty coffee
Welcome bottle of sparkling wine
Premium Drinks package
Premium Wi-Fi

Decks Resort

3,634.00
per person

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

Suite/Deluxe Penthouse Suite (PS) The Retreat â€” Premier Suite
Unwind in modern spaces that will make you feel on top of the world. Relax in ultimate luxury on your private veranda. Lounge in the king-size mattress in your bedroom. Enjoy VIP treatment with your butler, expansive lounge areas and much more. So much more than a suite, The Retreat® isn’t a place. It isn’t an amenity. It isn’t a service. It’s all of this and more. The Retreat includes stunning accommodations, a private restaurant, and exclusive lounge and sundeck* that rival any high-end resort. Your dedicated team of attendants, concierges, and your Personal Retreat Host will do everything to ensure you never have to lift a finger on vacation. Escape to this spacious suite with living and dining areas and a private terrace with a hot tub.

Butler service
Dedicated pre-cruise & onboard Retreat Concierge
Exclusive access to Luminae at The Retreat
Retreat Lounge & Sundeck
Unlimited lunch & dinner in all specialty restaurants
Two complimentary bottles of premium spirits
VIP canapÃ©s
Complimentary laundry service
Priority check-in, departure & port tendering
Reserved theater seating on Evening Chic nights
Complimentary in-suite specialty coffees & fresh fruit
Premium Drinks package
Premium Wi-Fi

Decks Penthouse