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Topics in Critical Care Medicine and Geriatrics

10-Night Argentina, Uruguay & Brazil
From Buenos Aires, Argentina to Rio de Janeiro, Brazil
March 28 - April 07, 2021

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You may have found this page in error or been referred to this page via an outdated link.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.

<em>Celebrity Silhouette</em> — *Celebrity Silhouette*

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
6 Hours of Pharmacology for NPs

COURSE FEES

$895.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$695.00 for Physician Assistants & Nurse Practitioners

$495.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Topics:

Osteoporosis
- Evaluate screening recommendations and apply them to everyday practice
- Utilize therapies that include bisphosphonates, PTH and inhibitors of the RANK/RANKL/OPG system
- Review the current controversies and clinical studies regarding Vitamin D
- Better advise patients on calcium supplementation
MCI and Alzheimer's Disease
- Define Mild Cognitive Impairment in both amnestic and non-amnestic disease states
- Understand the potential implications of early diagnosis of dementia for patient care outcomes
- Describe the clinical manifestations of Alzheimer's disease
- Evaluate patients for symptoms of cognitive and functional loss
- Apply appropriate drug and non-drug interventions for patients with dementia
- Counsel families and caregivers at all stages of disease
To Sleep: Perchance to Dream
- Describe the age-related changes in sleep
- Evaluate the psychiatric, medical, and neurological causes of sleep problems
- Implement office-based and objective methods for evaluating sleep disordered breathing
- Intervene with appropriate treatments for complaints of insomnia including CBTI as first line guideline directed care
Management of Constipation
- Understand the common barriers that hinder the optimal management of chronic constipation in health care settings
- Define primary as well as secondary causes of hypertension in the older adult
- Provide a rational strategy to manage constipation based on current best evidence of the drug classes currently available
Where Pain Management Meets Addiction Medicine
- Understand the pathogenesis of pain
- Apply recent guidelines in pain management including calculations for Morphine Milligram Equivalent Units
- Choose appropriate drug therapy and multimodal interventions for the relief of pain
- Consider the metabolic breakdown of different narcotics and their contribution to serotonin syndrome
- Employ newer tools to determine the potential for opioid dependence
Pulmonary Disease in the Elderly
- Evaluate current trends in pulmonary disease in the elderly
- Review current immunization guidelines and supportive therapy
- Include new therapies like LAMA/LABA combination inhalers and roflumilast in the management of COPD
- Implement the appropriate use of nebulizers, MDIs and oxygen
- Apply guideline directed care to patients with COPD
Nutritional Supplements: When East meets West
- Understand that adequate nutrition is a prerequisite for the maintenance of good health and optimum efficiency
- Find the on-line resources that provide the best evidence in support of dietary and nutritional supplements
- Identify targeted supplements for heart disease, vision, depression/mood, and urologic disorders
- Council patients on the risks of certain therapies in the presence of other disease
- Improve your working knowledge of the Mediterranean diet
Critical Review of the 2016 Surviving Sepsis Campaign
- The Surviving Sepsis Campaign was recently updated. Realize the important points that impact patient care.
Fungal Infections in the ICU
- Currently different organizations vary in their recommendations on when to use the available anti-fungal therapies.
ARDS Clinical Update
- Upon completion of this lecture, clinicians should be able understand and implement cost effective infection control measures in their practice.
Management of Embolic Stroke
- Currently different organizations vary in their recommendations on treatment of CVAs and related complications.
- Critically review the management of acute embolic strokes.
Infection control practices in the ICU: What is the evidence?
- Upon completion of this lecture, clinicians should be able understand and implement cost effective infection control measures in their practice.
Critical Care Controversies: Transfusion in the ICUs
- Identify the appropriate transfusion trigger in the critically ill and the risks associated with transfusion.
- Also discussion transfusion practices for massive transfusions.
Ethical cases in the Critically III
- Understand how to best integrate non-standard advanced directives into the care of critically ill patients.

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise through Continuing Education, Inc.. This ensures our company can provide full conference services and complimentary social amenities to all meeting participants and their guests. Note also, that participants' family and friends are welcome to book within our group to take advantage of our typically excellent cruise rates. Thank you for your cooperation.

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Daniel H. Kett, MD

ACMO for Critical Care
University of Miami Hospital
Professor of Clinical Medicine
Division of Pulmonary, Critical Care and Sleep Medicine
University of Miami Miller School of Medicine
Miami, FL

Daniel H. Kett, MD, is the Associate Chief Medical Officer for Critical Care at University of Miami Hospital and a Professor of Clinical Medicine at the Miller School of Medicine at the University of Miami in Miami, Florida. He earned his undergraduate degree at the University of Florida and his medical degree at the University of Miami Miller School of Medicine.

Dr. Kett completed his internship and residency in Internal Medicine followed by a fellowship in Critical Care Medicine at Jackson Memorial Hospital. He is the recipient of the Excellence in Teaching Award by the University of Miami Miller School of Medicine/Jackson Memorial Hospital Internal Medicine Residency Program.

Dr. Kett has strong clinical and research interests in severe ICU related infections, including invasive candidiasis and healthcare associated pneumonia,and infection control practices in the ICU.

Dr. Kett is an investigator for the Mycoses Study Group, a large multidisciplinary group of researchers with a primary focus on studying serious infections, and is active in several projects related to fungal infections in critically ill patients.

Results of his research have been published in the New England Journal of Medicine, JAMA, Annals of Internal Medicine, Lancet Infectious Diseases, Critical Care Medicine, Chest, and the Journal of Intensive Care Medicine. Additionally, Dr. Kett has presented at numerous scientific meetings and has been an invited lecturer at national and international conferences.

Eric G. Tangalos, MD, FACP, AGSF, CMD

Dr. Eric Tangalos is Professor of Medicine at the Mayo Clinic in Rochester, Minnesota. He was Chair of Primary Care Internal Medicine from 1997 to 2006. Dr. Tangalos received his undergraduate training from the University of Michigan, is a graduate of the Loyola University Stritch School of Medicine in Chicago, and was a resident and fellow in Internal Medicine at Mayo.

He is a past president of the American Medical Directors Association (AMDA) and is a fellow and past governor of the American College of Physicians. He is a past director of the American Geriatrics Society and served on their Foundation for Health in Aging. He was also on the national board of the Alzheimer’s Association for eight years and was a member of their executive committee. He continues with NCQA on their Geriatric Measurement Advisory Panel and reviews NIH STTR-SBIR grants on a regular basis.

Dr. Tangalos has been continuously funded with the Mayo Clinic Alzheimer’s Disease Research Center since 1987. He was responsible for the recruitment of volunteers that first defined Mild Cognitive Impairment and was an author on those seminal publications. He is an Internist and Geriatrician, teaches on the Mayo campus and lectures both nationally and internationally.

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). 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 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.
	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 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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sun Mar 28	Buenos Aires, Argentina	-	-
Mon Mar 29	Buenos Aires, Argentina	-	6:45 pm
Tue Mar 30	Montevideo, Uruguay	8:45 am	7:00 pm
Wed Mar 31	Punta del Este, Uruguay	8:00 am	8:00 pm
Thu Apr 01	At Sea - Cruising	-	-
Fri Apr 02	At Sea - Cruising	-	-
Sat Apr 03	Sao Paulo (Santos), Brazil	8:00 am	7:00 pm
Sun Apr 04	Ilhabela, Brazil	8:00 am	5:00 pm
Mon Apr 05	Buzios, Brazil	8:00 am	5:00 pm
Tue Apr 06	Rio de Janeiro, Brazil	5:00 am	-
Wed Apr 07	Rio de Janeiro, Brazil	-	-

PORTS OF CALL

Buenos Aires, Argentina - The capital of Argentina is overflowing with creative energy. In this melting pot of cultures—native American, Spanish colonial, Italian, French, British, and more—the local Porteños greet you warmly with a kiss. Connoisseurs of culture find 300 theaters and 160 museums. Explore the French neoclassical Museo Nacional de Arte Decorativo, near the port, or Teatro Colón, an opera house with interiors as beautiful as the acoustics, in the Centro. You'll shop till you drop in Buenos Aires, a leader in design. Find clothing, jewelry, and art at lavish Galerías Pacifico, near the port, or browse the fashionable Recoleta quarter for exclusive boutiques. Shop elegant Calle Florida, bustling with bustling with office workers by day and street performers at night. Look for native leather, antiques, and crafts. Eat and drink like a king on your cruise to Argentina, from elegant 19th-century bars to contemporary cafés and restaurants. Discover maté, the local tea, and don't miss the renowned steaks and excellent Malbec wines. Find pizza, pasta, and ice cream on every corner. For dessert, try alfajores, chocolate-covered double-decker cookies filled with dulce de leche.

Montevideo, Uruguay - Montevideo is a thoroughly modern city with a rich artistic tradition - the reach of the rural estancias is all around you. If ever there were a time you were inclined to indulge, delicious steaks are the specialty of the house in virtually every restaurant.

Punta del Este, Uruguay - The Saint-Tropez of Latin America is a favorite summer playground of southernmost South America. Sail the calmer waters or lounge on the beach along a 20-mile shoreline, and witness the big waves breaking at la Brava.

At Sea - Cruising - Cruising

Sao Paulo (Santos), Brazil - Though Rio de Janeiro gets the credit as the cultural heart of Brazil, São Paulo won’t disappoint travelers looking for a buzzy, cosmopolitan, and simultaneously artsy city. São Paulo is more than Brazil’s financial district, though its bustling industries certainly deserve their soaring skyscrapers. It’s also a foodie paradise that offers nearly every kind of cuisine. The romantic, colonial-style historic district and some of the best art and cultural institutions in the world are traveler favorites.

Don’t miss museums like the Pinacoteca or the Museu de Arte de São Paulo, both of which embody the city’s art scene. Stop to peer at Edifício Copan, one of the city’s oldest and most beloved buildings. Sports lovers have to check out the Museu do Futebol, a museum completely devoted to soccer and the way the sport has shaped Brazilian culture. Stand in awe of Brazilian soccer prodigy Pelé at a dedicated exhibit, or take a guided tour to learn more about the sport than ever before. Coffee enthusiasts have to tour the Museu do Cafe, which even includes barista classes and samples of the area’s signature espresso.

For those who want to simply walk off the ship and explore, Santos is the lovely city where your ship will dock near São Paulo. Santos can fill a pleasant day with a museums devoted to coffee (the Museo de Cafe) and the original Braziliian soccer legend, Pele.

Ilhabela, Brazil - Ilhabela literally means 'beautiful island' and indeed it is, with its volcanic peaks, beautiful beaches, tropical jungle and a staggering 360 waterfalls. The UNESCO-protected biosphere is home to toucans and capuchin monkeys, shipwrecks and mountains, making it a favorite destination for divers, hikers, surfers and beach-bums alike.

Buzios, Brazil - This peninsula beach resort, made popular in the 1960s by Brigitte Bardot, boasts more than 20 beaches, with those to the west experiencing calmer water than the east-facing Praia's, which are ideal for surfers and windsurfers. Boating, scuba diving and surfing are the most popular activities here, with excellent schools for novices wishing to learn. When the sun dips, enjoy delicious, fresh seafood at one of the popular pay-by-the-kilo restaurants before drinking and dancing the night away at one of the town's popular bars or nightclubs.

Rio de Janeiro, Brazil - Christ the Redeemer, one of the modern Seven Wonders of the World, stands atop the Corcovado peak. Survey the city from a platform below the 125-foot statue or hop on a cable car to the top of Sugarloaf Mountain and get a different perspective of Rio and the Christ. Feel a rush to your senses from the awesome activity on world-famous beaches Ipanema and Copacabana. If the quiet side of Rio is what you seek, a visit to the lush botanical garden—home to some 8,000 species—will delight you!

Celebrity Silhouette

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

Balcony

Sunset Veranda Stateroom (SV)
In a Sunset Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea. These aft-facing rooms offer breathtaking panoramic views from the rear of the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

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Balcony Prime AquaClass Stateroom (A1)
AquaClass Staterooms are balcony staterooms which have the additional benefits of the well-being inspired AquaClass. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. This is a Prime stateroom as well, meaning it's located in a desirable location and high deck on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony AquaClass Stateroom (A2)
AquaClass Staterooms are balcony staterooms which have the additional benefits of the well-being inspired AquaClass. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class Stateroom (C1)
Concierge Class Staterooms are balcony staterooms which have the additional benefits of Concierge Class. Concierge class benefits include: Priority Embarkation and Debarkation, sparkling wine and canapes on request, an exclusive Concierge Class lunch on the first day of sailing, as well as access to personalized Concierge Service and more. This is a Prime stateroom as well, meaning it's located in a desirable location on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Concierge Class Stateroom (C2)
Concierge Class Staterooms are balcony staterooms which have the additional benefits of Concierge Class. Concierge class benefits include: Priority Embarkation and Debarkation, sparkling wine and canapes on request, an exclusive Concierge Class lunch on the first day of sailing, as well as access to personalized Concierge Service and more. The stateroom has a sliding glass door out to an angled veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 204 sqft, and the veranda is 42 sqft.

Call
800-422-0711
for Pricing

Balcony Deluxe Veranda Stateroom (DV)
In a Deluxe Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea.The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. This is a Deluxe Veranda, meaning it has an angled balcony offering a better view than regular Veranda staterooms. The room is 204 sqft, and the veranda is 42 sqft.

Call
800-422-0711
for Pricing

Balcony Sunset Concierge Class Stateroom (SC)
Sunset Concierge Class Staterooms are aft-facing balcony staterooms which have the additional benefits of Concierge Class. Concierge class benefits include: Priority Embarkation and Debarkation, sparkling wine and canapes on request, an exclusive Concierge Class lunch on the first day of sailing, as well as access to personalized Concierge Service and more. The stateroom has a sliding glass door out to a veranda offering mesmerizing aft-facing views, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Prime Veranda Stateroom (V1)
In a Prime Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea. Prime Staterooms are located in the most desirable locations on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Veranda Stateroom (V2)
In a Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Suite/Deluxe Aqua Sky Suite AS.The Aqua Sky Suite combines the well-being inspired AquaClass experience with the exclusive spaces, services, and amenities of The Retreat to leave you more renewed than ever. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. This is in addition to The Retreat benefits like exclusive access to The Retreat Lounge and Luminae Restaurant. The Aqua Sky Suite is a studio with 1 bathroom. 319 sqft stateroom with 79 sqft veranda.