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Family Medicine; Women's Health in the 21st Century: New Understandings and New Solutions

7-Night Eastern Caribbean & Coco Cay Cruise
Round-trip Port Canaveral, Florida
March 26 - April 02, 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>Wonder of the Seas</em> — Royal Caribbean's *Wonder of the Seas*

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
7 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

Updates in Family Medicine

Management of Fever in Infants and Children
- Identify the epidemiology of infections causing fever
- Discuss the diagnostic evaluation of fever depending on age, while minimizing the risk associated with invasive testing
- Explain the choice of empiric management and treatment
Smoking Cessation Current Options
- Recognize the front line approach to prevention and treatment of tobacco use and nicotine dependence
- Summarize the behavioral and pharmacotherapy interventions to affect tobacco smoking cessation
- Discuss the current evidence for the use of electronic nicotine delivery systems for tobacco cessation in adults
- Locate two AAFP resources on smoking cessation available for practicing clinicians and patients
  - Ask and Act: a program for tobacco cessation
  - Tobacco and Nicotine Cessation Toolkit
Choosing Wisely A Look at a National Dialogue About What Not to Do in Medicine.
- Locate the online presence of the Choosing Wisely Campaign
- Explain the genesis of the Choosing Wisely Campaign
- Summarize strategic statements published in the Choosing Wisely Campaign
- Recognize the practical aspects of using the Choosing Wisely Campaign® in educating patients about quaternary prevention
Immunizations - The ACIP 2023 Update
- Outline 2023 changes to the ACIP recommended immunization schedules
- Advise patients with a history of an adverse event following immunization on the recommendation for reimmunization
- Develop strategies to address parental concerns and other barriers to immunization administration in children and adolescents
- Consider strategies to improve vaccination coverage among groups impacted by social disparities (i.e. social determinants of health)
Sexually Transmitted Infection Guidelines The 2021 CDC Report
- Discuss the common clinical presentations for patients experiencing STIs
- Demonstrate the contemporary use of testing to diagnose STIs and treatment of STIs
- Review major infections with identification of appropriate therapy
Anal Cancer - Screening, Detection, and Prevention
- Summarize the relationship of human papillomavirus infection to anal squamous cell carcinoma
- Outline a screening protocol for precancerous lesions high-grade anal intraepithelial neoplasia
- Discuss interventions to lower risk for anal cancer
Transgender Health Care
- Define gender identity
- Point out areas of risk for patients undergoing hormone therapy and surgical treatment for gender confirmation.
- Identify state and facility laws governing the care of transgender patients including (but not limited to) legal decision-making and visitation
HIV Screening and Prevention
- State the 2019 USPSTF recommendations on screening for HIV in the general populations.
- Outline the 2021 US Public Health Service clinical practice guidelines on pre-exposure prophylaxis for the prevention of HIV infection
- Summarize the 2016 guidelines for antiretroviral postexposure prophylaxis after high risk sexual encounter, injection drug use, or other non-occupational exposure to HIV.
- Develop a strategy for screening of patients for eligibility for pre-exposure prophylaxis to prevent HIV infection

The Integrative Approach to Menopause: Optimizing Healthy Longevity for Menopausal Women

Why does menopause happen?
- Outline the process of menopause
- Describe the significance of menopause to all women
- Recognize the health issues that result from menopause
- State why menopause matters and why it should be treated
- Provide an overview of the numerous ways that progesterone and estrogen impact the organ systems of women
Menopause and the immune system: An integrative approach
- Contrast the differences between men and women and their immune systems
- Outline the many roles of the immune system throughout the body
- Explain how estrogen modulates the immune system
- Identify the health outcomes relating to alterations within the immune system during and after the menopause transition
Menopause and the cardiovascular system: An integrative approach
- Contrast the differences between men and women and their cardiovascular systems
- Outline the many roles played by estrogen throughout the cardiovascular system
- Explain how estrogen modulates the cardiovascular system via the mitochondria
- Detail how estrogen modulates the cardiovascular system via the immune system
- Identify the health outcomes relating to alterations within the immune system during and after the menopause transition
Menopause and brain function: An integrative approach
- Cite the differences between the brains of men and women
- Summarize the roles of hormones on brain function
- Examine how estrogen modulates the immune system of the brain
- Contrast the reasons why women experience far more dementia and mood disorders than men
- Prepare a therapeutic approach to brain health
Menopause and female sexuality: An integrative approach
- Outline the effects of menopause on female sexuality
- Describe the significance of estrogen to female sexuality
- Recognize the emotional impacts of sexual changes with menopause
- Detail the role of oxytocin and female sexuality
- Develop a therapeutic strategy to revitalize sexual enjoyment and response
Menopause and skin and hair vitality: An integrative approach
- Detail the impact of hormones on skin and hair
- Outline the effects that menopause has on hair and skin health
- Explain how estrogen modulates skin and hair structures
- Develop a therapeutic strategy to maintain and restore healthy skin and hair
Menopause and bone health: An integrative approach
- Outline the effects of menopause on female sexuality
- Describe the significance of estrogen to female sexuality
- Recognize the emotional impacts of sexual changes with menopause
- Detail the role of oxytocin and female sexuality
- Develop a therapeutic strategy to revitalize sexual enjoyment and response
The Best Integrative Approach to Menopause: Including case studies and the ABCs of prescribing hormones
- Explain the benefits of time restricted eating and fasting for menopausal women
- Recognize the role of estrogen and the circadian rhythm and gut microbiome
- Detail the impact on dietary choices on the health of menopausal women
- Learn how targeted nutraceuticals can be utilized to improve patient lives
- Integrate the data learned into the care of actual patients
- Acquire the basics of prescribing hormones to your menopausal patients
- Develop a comprehensive lifestyle approach to optimizing the health of menopausal women

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

David Glenn Weismiller, MD, ScM, FAAFP

Professor
Department of Family and Community Medicine
University of Nevada, Las Vegas School of Medicine
Las Vegas, Nevada.

Dr. Weismiller is a graduate of Jefferson Medical College of Thomas Jefferson University in Philadelphia, Pennsylvania. He completed his residency at the University of Virginia Health Sciences Center in Charlottesville and a fellowship in Maternal-Child Health and graduate degree in Epidemiology at Brown University School of Medicine, Providence.

A Professor of Family Medicine at the new medical school of the University of Nevada, Las Vegas, he provides full-scope care that includes inpatient and maternity care. A proponent of "reflection in practice" and "learner-centered instruction," he is recognized nationally for his work in continuing medical education and faculty development.

Having taught board review programs for the American Academy of Family Physicians (AAFP) for more than 20 years, he is the founding and current chair of the AAFP Family Medicine Board Review Express™, as well as the AAFP's annual Family Medicine Update course.

He is a frequent presenter at AAFP Family Medicine Experience (FMX) and teaches American Board of Family Medicine (ABFM) Knowledge Self-Assessments throughout the country. Dr. Weismiller is the author of numerous publications on issues related to women's and children's health, and he is an advocate for empowering individuals to make sound health care choices.

He is the father of three amazing daughters. He and his partner Brian make their home in Las Vegas.

Felice L. Gersh, MD

Consultative Faculty, University of Arizona School of Medicine
Division of Integrative Medicine
Board Certified OB/GYN: American College of Obstetrics and Gynecology Board Certified Integrative Medicine: American Board of Physician Specialties

Felice Gersh, M.D. is a multi-award winning physician with dual board certifications in OB-GYN and Integrative Medicine. She is the founder and director of the Integrative Medical Group of Irvine, which provides comprehensive health care for women by combining the best evidence-based therapies from conventional, naturopathic, and holistic medicine.

An active part of the PCOS community, Dr. Gersh works with the PCOS Awareness Association and is a member of the PCOS Challenge’s Medical/Scientific Advisory Board. She speaks at the annual conferences of both non-profit organizations. She is a member of the AE-PCOS Society, and has spoken multiple times at their prestigious academic meetings.

She taught obstetrics and gynecology at Keck USC School of Medicine for 12 years as an Assistant Clinical Professor, where she received the highly coveted Outstanding Volunteer Clinical Faculty Award. She now serves as an Affiliate Faculty Member at the Fellowship in Integrative Medicine, through the University of Arizona School of Medicine, where she lectures and regularly grades the case presentations written by the Fellowship students for their final exams. She has had many scientific articles published in prestigious medical journals, and most recently had an article chosen to be featured in Mayo Clinic Proceedings. Additionally, she is a sought after medical forensic expert and has worked on numerous high profile legal cases.

Felice Gersh, M.D. is the bestselling author of PCOS SOS and the PCOS SOS Fertility Fast Track and her newest book, Menopause: 50 Things You Need to Know, is now available on Amazon. She is a prolific lecturer, nationally and internationally, and has been featured in several films and documentary series, including The Real Skinny on Fat with Montel Williams and Fasting with Valter Longo, Ph.D. Dr. Gersh is regularly featured on podcasts and health summits, and has a popular health show on Instagram Live.

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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sun Mar 26	Port Canaveral, Florida	-	4:30 pm
Mon Mar 27	Coco Cay, Bahamas	7:00 am	4:00 pm
Tue Mar 28	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 4:00pm*	-	-
Wed Mar 29	Charlotte Amalie, St. Thomas, U.S.V.I.	12:00 pm	8:00 pm
Thu Mar 30	Philipsburg, St. Maarten	8:00 am	6:00 pm
Fri Mar 31	At Sea - Cruising Lectures: 8:30am - 12:30pm*	-	-
Sat Apr 01	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 4:00pm*	-	-
Sun Apr 02	Port Canaveral, Florida	6:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Port Canaveral, Florida - As the home of Kennedy Space Center, Cape Canaveral is the launching point for all-out adventure in Central Florida. Its beaches offer a mix of family-friendly shores and secluded swaths of sand. And with Orlando’s theme park sprawl only an hour away, you can easily mingle with your favorite characters. Beyond the parks lie equally amusing gems packed with Old Florida character. Kayak past manatees in the Banana River Lagoon and zip line above alligators at Brevard Zoo. Discover notable art museums and Park Avenue’s ritzy charm. Orlando cruises give you access to trace the region’s roots at the Orange County Regional History Museum.

Coco Cay, Bahamas - Located in the middle of the Caribbean's bright blue water lies the secluded island of CocoCay. With its white-sand beaches and spectacular surroundings, CocoCay is a wonderland of adventure. Reserved exclusively for Royal Caribbean guests, this tropical paradise has recently been updated with new aquatic facilities, nature trails and a ton of great places to just sit back, relax and enjoy a tropical drink.

CocoCay Map

At Sea - Cruising - Cruising

Charlotte Amalie, St. Thomas, U.S.V.I. - Named after a Danish Queen, Charlotte Amalie has one of the most breathtaking deepwater harbors in the world. The key sights of Charlotte Amalie are located within the town centre, making it easy to combine sightseeing with St. Thomas’ fantastic shopping opportunities. Eighteenth century architecture provides the perfect backdrop for walking tours and shopping here in the "Duty Free Capital of the World." For a dose of history, visit Emancipation Park, the American-Caribbean History Museum, or Bluebeard the pirate's castle at Magen’s Bay. If tropical bliss is what you're after, head to any of Charlotte Amalie’s pristine beaches, where the warm water, white sands and palm trees will lull you into deep relaxation!

Philipsburg, St. Maarten - The capital of the Dutch side of St. Maarten is the town of Philipsburg, though St. Maarten is an island with two distinct sides. To the north is the French side, whose capital is Marigot, while Philipsburg sits on the southern part of the island. When exploring on cruises that go to St. Maarten, it’s important to visit both sides to understand their customs and heritage.

You’ll quickly be charmed by all sides of the island. Of course, this Caribbean island is best known for its beaches, like Maho Beach or Great Bay Beach, one of the area’s best snorkeling spots. Sample local seafood or rum during your time in port, which have become symbols of St. Maarten life. There’s just enough to fill the day here, especially if you hop between the French and Dutch beaches.

Royal Caribbean's Wonder 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

Ocean View with Balcony (2D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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and we'll find the best value for you.

Balcony Ocean View with Large Balcony (1C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Up to 4 guests. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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Balcony Ocean View with Balcony (1D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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for Pricing

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 or Central Park view balcony, sitting area, and a private bathroom. Balcony: 52 sq. ft.

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Balcony Ocean View 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.

Call
800-422-0711
for Pricing

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. Boardwalk or Central Park view balcony, sitting area, and a private bathroom. Balcony: 52 sq. ft.

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800-422-0711
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Balcony Ocean View with Balcony (3D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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Balcony Ocean View with Balcony (4D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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Balcony Connecting Ocean View with Balcony (CB)
Two twin beds that convert to a Royal King bed. Vanity and sitting area with sofa. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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Outside

Ocean View Stateroom (4N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.
Note that most 4N Staterooms face the front of the ship and have the large, angled window (pictured) rather than a traditional porthole window.

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and we'll find the best value for you.

Outside Ultra Spacious Ocean View (1K)
Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. . Stateroom: 271 sq. ft.

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

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800-422-0711
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Outside Ocean View Stateroom (2N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.

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Inside

Interior Stateroom (4V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 172 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. Stateroom: 260 sq. ft.

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Inside Interior Stateroom (1V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 172 sq. ft.

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Inside Central Park Interior View (2S)
Two twin beds that convert to a Royal King bed. Room with bed, vanity and sitting area with sofa. Stateroom: 199 sq. ft.

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Inside Promenade View Interior (2T)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.

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Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 172 sq. ft.

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800-422-0711
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Inside Interior Stateroom (3V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Up to 4 guests. Stateroom: 172 sq. ft.

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Inside Interior with Virtual Balcony (4U)
A high-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Two twin beds that convert to Royal King, private bathroom and sitting area with sofa. Stateroom: 172 sq. ft.

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Inside Connecting Inside Cabin (CI)
Two twin beds that convert to Royal King, Central Park view, sitting area, and a private bathroom. Stateroom: 172 sq. ft.

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Suite/Deluxe Ultra Spacious Ocean View 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: 374 sq. ft. Balcony: 108 sq. ft.