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Continuing Education, Inc.
University at Sea^™
5700 4th St. N.
St Petersburg, Florida 33703

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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.

Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Topics in Primary Care, Palliative Care, Impaired Healthcare Professionals, Emergency Medicine, and Leadership

7-Night Western Caribbean Cruise
Round-trip Galveston, TX
March 19 - 26, 2023

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.

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

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
Up to 16 MOC (Part II) points in the American Board of Anesthesiology® (ABA) Maintenance of Certification (MOC) program
16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
1.5 Hours of Pharmacology for Nurse Practitioners

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

March 19, 2023	Meet and Greet – 6:30pm – 7:30pm Boleros, 5^th Floor
March 20, 2023 Educational Sessions Conference Center 3^rd Floor	Time	Topic
	9:00am – 10:00am	Choosing Wisely® – Dr. Kagan
	10:00am – 11:00am	Osteoporosis – Dr. Kagan
	1 1:00am – 12 Noon	ENT Tricks of the Trade – Dr. Sanson
	12 Noon – 1:00pm	Lunch on your own
	1:00pm - 2:00pm	Dementia – Dr. Kagan
	2:00pm – 3:00pm	Combative, Convulsing, Agitated Patient – Dr. Sanson
	3:00pm – 4:00pm	Sore Throats That Kill and Other Nightmare ENT Emergencies – Dr. Sanson
March 21, 2023 Educational Sessions Conference Center 3^rd Floor	Time	Topic
	8:30am – 9:30am	Violence in the Medical Setting – Dr. Sanson
	9:30am – 10:30am	Litigation Stress - Dr. Sanson
	10:30am – 11:30am	Palliative Care – Dr. Kagan
	11:30am – 12:30pm	Hospice Care – Dr. Kagan
March 22, 2023	5:30pm – 6:30pm	Networking and Case Discussions – Vintages, 8 ^th Floor
March 23, 2023	5:30pm – 6:30pm	Networking and Case Discussions – Vintages, 8 ^th Floor
March 24, 2023	5:30pm – 6:30pm	Networking and Case Discussions – Vintages, 8 ^th Floor
March 25, 2023 Educational Sessions Conference Center 3^rd Floor	Time	Topic
	9:00am – 10:00am	Common Outpatient Presentations in Primary Care – Dr. Kagan
	10:00am – 11:00am	Impaired Healthcare Providers – Dr. Kagan
	11:00am – 12 Noon	Communication and Conflict – Dr. Sanson
	12 Noon – 1:00pm	Lunch on your own
	1:00pm - 2:00pm	Case Studies in Primary Care – Dr. Kagan
	2:00pm – 3:00pm	Medical Errors – Dr. Sanson
	3:00pm – 4:00pm	Wellness for the Clinician – Dr. Sanson
March 26, 2022	Have a Safe Trip Home

Preliminary Agenda: dates, times and order are subject to change.

Medical Errors
- Describe the types of sentinel events the Joint Commission has identified
- Discuss what factors must be included in a root cause analysis in order for the Joint Commission to consider it “thorough” and “credible”
- Evaluate the most common misdiagnoses
- Describe the prevalence of medical errors and factors that contribute to an increased risk that such errors will occur
Litigation Stress
- Discuss the typical physical and emotional reactions
- Discuss prevention strategies, including effective communication and documentation
- Learn to develop support systems and utilize privileged communications
- Discuss methods to cope with the pressure of a claim, develop a sense of perspective, and transform this into a growth experience
Effective Communication and Conflict Management
- List principles of negotiation and communication
- Identify effective communication skills and techniques
Sore Throats That Can Kill and Other Nightmare Emergencies
- Discuss the common, subtle, and key clinical findings of life-threatening ENT emergencies
- Interpret imaging studies required for prompt diagnosis
- Describe life-saving treatments and avoid pitfalls to help you to end the nightmare
ENT Tricks of the Trade
- Review head and neck emergencies along with high-yield procedures
- Discuss treatment options for these emergencies
- Describe procedures to treat head and neck complaints
Violence in the Medical Setting
- Evaluate and Learn to deal with your own stress, anxieties, and emotions when confronted with these challenging situations
- Develop strategies to promote safety, security, and dignity for all involved
- Identify how we influence whether a crisis is prevented or escalates and how to respond properly and professionally during crisis moments
- Implement practical skills and techniques to protect yourself and your staff
Combative, Convulsing, Agitated Patient
- Discuss the key high-risk presentations and documentation that is essential when caring for these patients
- Describe disease states that can cause patients to present to the ED in a combative, agitated state or seizing
- Discuss the appropriate use of sedation in the initial stabilization of combative patients
- Discuss the indications for, and pitfalls of, patient restraints
Wellness for the Clinician
- Discuss characteristics of resilience
- Discuss actionable items to developing a less hostile environment
- Discuss what Medicine can do to support our clinicians
Osteoporosis
- Treat Osteoporosis with current medications to prevent patient morbidity
Dementia
- Be familiar with the work up, how to distinguish the various causes of Dementia, and current treatment options
Choosing Wisely
- Become familiar with the concept of judicious ordering of tests and procedures, as is relevant to different specialties
Case Studies in Primary Care
- Participate in an interactive session to try and diagnose some common diseases with atypical presentations
Palliative Care
- List the tenets of Palliative Care
- Identify how palliative care can be helpful to patients, caregivers, and providers
Hospice Care
- Identify which patients are appropriate for hospice care
- Discuss management of hospice care and relevant US Federal regulations
Common Outpatient Presentations in Primary Care
- Evaluate and treat some common outpatient presentations without having to consult a specialist
Impaired Health Care Providers
- Identify Impaired Health Care Providers and facilitate getting them the help they need, confidentially

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

Tracy G. Sanson MD, FACEP, CEO

Tracy Sanson MD LLC
Emergency Physician
Public Speaker
Recipient of the 2020 Judith E. Tintinalli Award for Outstanding Contribution in Education from the American College of Emergency Physicians, and American College of Emergency Physicians Honorable Mention Outstanding Speaker of the Year for 2023
Educator, Coach, Consultant, Founder TracySansonMD, LLC
Lutz, Florida

Dr. Sanson is an Emergency Physician with more than 20 years of experience in emergency medicine education, emergency department management, and leadership. She is a consultant and educator on Leadership development and Medical education at TracySansonMD.

Dr. Sanson has served in several and varied leadership positions with the Society for Academic Emergency Medicine (SAEM), the Council of Residency Directors (CORD), and the American College of Emergency Physicians (ACEP). She is a member of the ACEP Speaker's Bureau and the 911 network. She has been a member of the ACEP faculty for many years, including the ACEP Teaching Fellowship and the Emergency Department Directors Academy.

Dr. Sanson completed her medical degree and residency training at the University of Illinois at Chicago. She has held director positions in the US Air Force, the University of South Florida and TeamHealth during the past 20 years. Dr. Sanson heads her own consulting firm, specializing in leadership training.

Jeffrey M. Kagan, MD

Assistant Professor of Clinical Medicine, University of Connecticut School of Medicine; Associate Clinical Professor of Medicine, Frank H. Netter School of Medicine at Quinnipiac University.

Dr. Kagan earned two Bachelors' Degrees: Biology, and Health Sciences, a Masters' Degree in Physiology, and his M.D. degree. Prior to medical school he was a Certified Physician Assistant. He completed his residency in Primary Care Internal Medicine. He is board certified by the American Board of Internal Medicine and previously held a second board certification in Hospice and Palliative Care Medicine. He is also a Certified Medical Director (CMD) for Long Term Care by The Society for Post-Acute and Long-Term Care (PALTC formerly known as AMDA). Dr. Kagan is an Assistant Professor of Clinical Medicine at the University of Connecticut School of Medicine and an Associate Clinical Professor of Medicine at the Frank H. Netter School of Medicine at Quinnipiac University. He currently teaches medical, physician assistant, nurse practitioner students and internal medicine residents. Dr. Kagan is frequently called upon by his peers regarding the Business Aspects and Practice Management of Medicine, and is a member of the Editorial Board of Medical Economics. He has done consulting for attorneys, insurance companies, as well as pharmaceutical and wealth management companies. In addition to his busy private primary care practice, Dr. Kagan is currently the medical director of a skilled nursing facility, some group homes, and previously a home health agency and a hospice agency. He was previously a Professional Director with HAVEN, an agency that advocates and monitors impaired health professionals. He has served as an Expert Witness for both plaintiff and defendant sides of malpractice cases. His special interests include: Diving Medicine, Business Aspects of Practice, Medical Legal Cases, Risk Management, Medical Trivia and Impaired Health Professionals. His hobbies include: Bicycling, Boating, Scuba diving, Golf and Skiing.

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.

MOC Accreditation This activity has been registered to offer 16 ( Part II) MOC Points in the ABA MOC program.

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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sun Mar 19	Galveston, TX	-	4:00 pm
Mon Mar 20	At Sea - Cruising Meeting 8:30am-11:30am; 1:00pm-4:00pm*	-	-
Tue Mar 21	At Sea - Cruising Meeting 8:30am-12:30pm*	-	-
Wed Mar 22	Roatan, Honduras	8:00 am	5:00 pm
Thu Mar 23	Puerto Costa Maya, Mexico	8:00 am	5:00 pm
Fri Mar 24	Cozumel, Mexico	7:00 am	4:30 pm
Sat Mar 25	At Sea - Cruising Meeting 8:30am-11:30am; 1:00pm-4:00pm *	-	-
Sun Mar 26	Galveston, TX	7:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Galveston, TX - When you cruise from Galveston, you’re in for big thrills before you even set foot onboard the ship. A favorite vacation stop among families, this fun-loving seaside city in Texas offers a unique blend of history, natural beauty and warm southern hospitality. Start your visit with a Texas-style breakfast in the historic Strand District, the pulsing heart of the city and a hub of antique shops, restaurants and bars. Make time for a walk along the Galveston Island Historic Pleasure Pier, home to lots of family-friendly rides, games and other attractions. Then explore Galveston’s illustrious history on a scenic stroll past well-preserved Victorian mansions and centuries-old landmark buildings. If you visit Galveston, you must dedicate a bit of time to the city’s museums, which host exhibits on all kinds of topics — from Galveston’s history with oil and railroads to the pirates and corsairs that haunt the Gulf Coast’s rich and colorful past. Houston is just an hour away by car and also has plenty to offer!

At Sea - Cruising - Cruising

Roatan, Honduras - The island of Roatan is known for its glittering bays and colorful coral reefs perfect for outdoor adventures like snorkeling and scuba diving. Discover your inner pirate in Roatan, where you can taste local rum, swim among starfish at Starfish Alley, or sample fresh seafood at local restaurants.

The 40-mile-long island borders the second-longest barrier reef on the globe, which attracts many divers each year. Go horseback riding at Little French Cay or unwind in paradise at West Bay. Don’t forget to try conch fritters and rum cake during your visit.

Puerto Costa Maya, Mexico - Past meets present in Costa Maya. Cruise to Costa Maya and find ancient Maya ruins and mysterious jungles just begging to be explored, as well as private beach clubs and trendy restaurants— all in one place. It’s 250 square miles of paradise packed with entertainment and history, all just 30 miles south of Cancun. The Great Maya Reef just off the coast is the second largest in the world— it’s a must-snorkel spot. Or you can kick back at the port village of Mahahual with an ice-cold michelada— a spicy beer cocktail— in hand. For a culture fix, head to the Kohunlick ruins to see the famous Temple of the Masks.

Cozumel, Mexico - With its lively tropical reefs, crystal-clear waters and ancient ruins, Cozumel is ripe for one-of-a-kind adventures. Cruise to Cozumel and head to Chankanaab National Park, where you can snorkel among the colorful reefs and schools of tropical fish that give this island its premier diving status. Or travel back in time on an adventure through the towering Maya ruins of Tulum. When you’re done exploring, unwind with a beachside massage at Playa Mia. From culture savoring to soaking up sunshine, you’ll find a world of adventure waiting for you in Cozumel.

Royal Caribbean's Allure 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

Balcony

Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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and we'll find the best value for you.

Balcony Ultra Spacious Oceanview with Large Balcony (1A)
Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 271 sq. ft. Balcony: 82 sq. ft.

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Balcony Oceanview with Large Balcony (1C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 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: 182 sq. ft. Balcony: 50 sq. ft.

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Balcony Boardwalk View with Balcony (1I)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom.

Stateroom: 182 sq. ft. Balcony: 52 sq. ft.

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Balcony Central Park View with Balcony (1J)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 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: 182 sq. ft. Balcony: 50 sq. ft.

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Balcony Oceanview with Balcony - Accessible (2D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 272 sq. ft. Balcony: 80 sq. ft.

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Balcony Boardwalk View with Balcony (2I)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.

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800-422-0711
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Balcony Central Park View with Balcony (2J)
Two twin beds that convert to Royal King, Central Park view balcony, sitting area, and a private bathroom. (274 sq. ft. Balcony 86 sq. ft.)

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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: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
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Balcony Boardwalk View with Balcony (4I)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.

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800-422-0711
for Pricing

Balcony Oceanview with Balcony (5D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 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: 182 sq. ft. Balcony: 50 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: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
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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: 182 sq. ft. Balcony: 50 sq. ft.

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Outside

Oceanview Stateroom (4N)
Two twin beds that convert to Royal King, private bathroom and sitting area. 179 sq. ft.

NOTE: Most 4N Staterooms are front-facing and have an angled window (not pictured), though some do have the porthole window pictured.

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

Outside Ultra Spacious Oceanview (1K)
The Ultra Spacious Oceanview is a high-deck large Ocean View room which is great for families. Curtained nook with bunk bed, sitting area with sofa bed, walk-in closet, and bathroom. 271 sq. ft.

Most Category 1K Staterooms have two porthole windows, but some are front-facing and have an angled window instead (not pictured).

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Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, private bathroom and sitting area. 179 sq. ft.

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Outside Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, private bathroom and sitting area. 179 sq. ft.

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Outside Oceanview Stateroom (6N)
Two twin beds that convert to Royal King, private bathroom and sitting area. 179 sq. ft.

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Inside

Interior Stateroom (4V)
Two twin beds that convert to Royal King, private bathroom and sitting area with twin sofa bed. Stateroom: 140 sq. ft.

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and we'll find the best value for you.

Inside Spacious Interior (1R)
Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Up to 6 guests. Stateroom: 260 sq. ft.

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Inside Central Park View Interior (1S)
Two twin beds that convert to Royal King, boardwalk view, sitting area, and a private bathroom. Stateroom: 191 sq. ft.

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Inside Promenade View Interior (1T)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 194 sq. ft.

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Inside Interior Stateroom Triple (1V)
Two twin beds that convert to Royal King, private bathroom and sitting area with twin sofa bed. Stateroom: 140 sq. ft.

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Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King, private bathroom and sitting area with twin sofa bed. Stateroom: 140 sq. ft.

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for Pricing

Inside Interior Stateroom (3V)
Two twin beds that convert to Royal King, private bathroom and sitting area with twin sofa bed. Stateroom: 140 sq. ft.

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for Pricing

Inside Interior Stateroom (6V)
Two twin beds that convert to Royal King, private bathroom and sitting area with twin sofa bed. Stateroom: 140 sq. ft.

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for Pricing

Inside Interior Stateroom - Accessible (Cat 6V)
Two twin beds that convert to Royal King, private bathroom and sitting area with twin sofa bed. Stateroom: 274 sq. ft.

Note: Above Prices include cruise fare, port charges, gratuities, taxes and fees and NACLNC® Conference registration.

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Suite/Deluxe Spacious AquaTheater Suite with Large Balcony - 2 Bedrooms A1.Master bedroom has a King size bed with Duxiana Mattress. Second bedroom has two twin beds that convert to Royal King and two Pullman beds. Vanity with chair in each bedroom, living area with double sofa bed, dining room, marble entry, entertainment center. Two bathrooms, master with tub. Expansive balcony with table and chairs. Stateroom: 823 sq. ft. Balcony: 772 sq. ft.