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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.

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Current Topics in Cardiology, Lipid Management, and Women's Health

7-Night Hawaii Cruise
Round-trip Honolulu, Oahu, Hawaii
November 25 - December 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.

<em>NCL'S Pride of America</em> — *NCL'S Pride of America*

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
3 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

Update on LDL-C Management for Cardiovascular Disease Prevention: New toos and new targets in the new era
- Review the approach to ASCVD risk assessment, which is key to matching the intensity of LDL-C lowering therapy with the absolute risk of the patient
- Dscuss the recommended patient groups for statin therapy
- Review the mechanism of action for the newer FDA-approved non-statin lipid lowering agents
- Discuss the new 2022 American College of Cardiology (ACC) Expert Decision Pathway, which provides guidance on statin alternatives in patients with ASCVD, including those with Familial Hypercholesterolemia (FH)
Female specific risk factors that enhance womenâs cardiovascular risk throughout the lifespan
- Discuss unique cardiovascular risk factors that affect female patients and how to apply them to cardiovascular risk assessment to implement prevention and treatment strategies
Microvascular angina, coronary microvascular dysfunction and INOCA (ischemia with non-obstructive coronary arteries) â from diagnosis to treatment
- Discuss how to diagnosis coronary microvascular dysfunction (microvascular angina) and discuss prevention and treatment strategies
- Review the recommended approach to chest pain in women, and INOCA specifically, as outlined in the 2022 American Heart Association Chest Pain guidelines
Chronic Kidney Disease and cardiovascular risk: protecting the heart and the kidney
- Evaluate for and monitor CKD in patients with T2D and cardiac disease
- Discuss the 2022 Kidney Disease Improving Global Outcomes (KDIGO) guideline for management of T2D in patients with CKD, with a focus on how to incorporate SGLT2 inhibitors and non-steroidal MRAs into management plans for patients with CKD, T2D, and CVD
Aspirin and other antiplatelet therapy for cardiovascular disease prevention: a tight rope between preventing vascular events and avoiding bleeding.
- Review the mechanism of action of antiplatelet therapy
- Describe indications for antiplatelet therapy
- Explain risks and benefits of holding or de-escalating therapy
- Discuss how to assess a patient for the balance between managing ischemic risk and reducing risk for bleeding
Obesity Management for Reducing Cardiovascular Risk
- Review the cardiovascular risks associated with obesity
- Summarize the benefits and challenges associated with lifestyle, bariatric, and historical pharmacologic interventions in the treatment of obesity, before focusing on the available evidence for the newer glucagon-like peptide-1 receptor agonist (GLP-1 RA) medications in the management of obesity and potential implications for reducing CVD risk
Moving (and eating) your way to a healthier heart: Nutrition and physical activity recommendations for cardiovascular disease prevention
- Review dietary patterns with the most evidence for CVD prevention such as the Mediterranean style diet, DASH diet, and healthy plant-based diet
- Discuss emerging diets such as keto and intermittent fasting, which still require more long-term outcome data
- Review recommendations for physical activity and reduction of sitting time for CVD prevention in the general population, as well as special considerations for exercise and sports in patients with established cardiovascular disease
CAC Score to Guide CV Risk Assessment When Decision for Statin and Other Preventive Therapies is Uncertain
- Identify which patients may be candidates for CAC assessment to refine CV risk
- Use the CAC score to guide treatment management, for both statin and non-statin preventive therapies
Recent Updates in Hypertriglyceridemia Management for Cardiovascular Disease Prevention
- Discuss lifestyle approaches to managing hypertriglyceridemia
- Discuss the trials investigating fibrate therapy and omega-3 fatty acid therapy for ASCVD prevention in persons with hyperglyceridemia
- Discuss current cardiology consensus recommendations for management of ASCVD risk reduction in patients with persistent hypertriglyceridemia, which endorse the use of IPE in statin-treated patients at high cardiovascular risk who have triglycerides >135 mg/dL
The Mind-Heart-Body connection: psychological factors and their influence of cardiovascular health
- Review the evidence supporting psychological health and CVD
- Consider psychological health in the evaluation and management of patients with or at risk for CVD

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

Erin D. Michos, MD, MHS, FACC, FAHA, FASE, FASPC

Director of Women Cardiovascular Health Research
Associate Director of Preventive Cardiology
Associate Professor in the Division of Cardiology
Johns Hopkins University School of Medicine
Co-Director, IMPACT Center at JHU
(Improving Participation Among diverse populations in Cardiovascular clinical Trials)
Co-Editor in Chief, American Journal of Preventive Cardiology
Baltimore, MD

Erin D. Michos, MD is an Associate Professor in the Division of Cardiology at the Johns Hopkins School of Medicine, with joint appointment in Epidemiology at the School of Public Health. She is the Director of Women’s Cardiovascular Health Research and the Associate Director of Preventive Cardiology at Johns Hopkins University.

Dr. Michos is an internationally known expert in Preventive Cardiology and Women’s Health, having authored >650 publications and 11 book chapters. Her clinical and research is focused on (1) Women’s Cardiovascular Health; (2) Lipids and Lipid management; (3) Cardiometabolic diseases (4) Coronary artery calcium, inflammation, and other biomarkers of cardiovascular risk.

She is the co-Editor-in-Chief for the American Journal of Preventive Cardiology and an Associate Editor for Circulation. She is Co-Director of the IMPACT Center (Improving Participation Among Diverse Populations in Cardiovascular Clinical Trials) at Johns Hopkins, funded by the American Heart Association (AHA). She is a co-investigator in several NIH-funded studies including the Multi-Ethnic Study of Atherosclerosis and Atherosclerosis Risk in Communities cohorts. She is the Training Director for four AHA Strategic Focused Research Networks. She has mentored over 60 individuals and the recipient of 2 mentoring awards.

Dr. Michos completed medical school at Northwestern University, Internal Medicine residency and Cardiology fellowship at Johns Hopkins Hospital, and a Master of Health Science degree at Johns Hopkins School of Public Health.

Accreditation

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed. Pharmacology credits are identified on individual activities.

	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

MOC ABIM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Nov 25	Honolulu, Oahu, Hawaii Meeting 4:00PM - 7:00PM*	-	7:00 pm
Sun Nov 26	Kahului, Maui, Hawaii	8:00 am	-
Mon Nov 27	Kahului, Maui, Hawaii Meeting 4:00PM - 7:00PM*	-	6:00 pm
Tue Nov 28	Hilo, Hawaii Island Meeting 6:00PM - 7:00PM*	8:00 am	6:00 pm
Wed Nov 29	Kona, Hawaii Island Meeting 5:00PM - 7:00PM*	7:00 am	5:30 pm
Thu Nov 30	Nawiliwili, Kauai, Hawaii	8:00 am	-
Fri Dec 01	Nawiliwili, Kauai, Hawaii Meeting 4:00PM - 7:00PM*	-	5:30 pm
Sat Dec 02	Honolulu, Oahu, Hawaii	7:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Honolulu, Oahu, Hawaii

Combine the languid allure of the tropics with big-city sophistication, then add the spirit of aloha, and you've got Honolulu. This Pacific crossroads offers a profound day of discovery, perfectly balancing historical reflection with natural splendor. A visit to Pearl Harbor is an essential, moving experience, offering a solemn look into a pivotal moment in world history at the USS Arizona Memorial and the Battleship Missouri.

For a change of pace and perspective, consider the rewarding hike up Diamond Head (Lēʻahi). The panoramic views of the coastline and the turquoise ocean from the summit are an unforgettable reward for your efforts. Of course, no visit is complete without experiencing fabled Waikiki Beach. Beyond the sunbathers, you can try a beginner's surf lesson on its gentle waves or simply stroll along the shore as pink sunsets begin to cast their magical glow. For a deeper dive into Hawaiian heritage, explore the meticulously restored Iolani Palace, the only official royal residence in the United States, which offers a unique glimpse into the island's sovereign past. Between these iconic sites, immerse yourself in the local culture by savoring a fresh poke bowl or a classic plate lunch from a neighborhood eatery. In Honolulu, the air, blanketed in the heady fragrance of gardenias and jasmine, invites you to relax, reflect, and recharge.

Kahului, Maui, Hawaii

Kahului serves as the practical gateway to the legendary landscapes of Maui. While the port itself is industrial, it is the starting point for some of Hawaii's most profound natural experiences. Your day here is a matter of choosing a direction, as the island’s diverse regions offer distinctly different adventures.

For a truly immersive, full-day commitment, two iconic journeys beckon. The Road to Hana is a winding, 64-mile drive through a lush rainforest, past cascading waterfalls and dramatic coastal cliffs—an experience more about the journey than the destination. Alternatively, ascend to the summit of Haleakalā, the "House of the Sun." This dormant volcano offers an otherworldly, cloud-level perspective of a vast crater, a stark and beautiful landscape unlike any other. Due to their length and complexity, pre-arranged tours are the most efficient way to experience these wonders from a cruise ship.

For a less demanding but equally rewarding day, explore the Iao Valley State Monument, a sacred and verdant valley featuring the iconic Kīpuka Puaulu (Iao Needle). Nearby, the bohemian surf town of Paia offers unique shops and a relaxed vibe, while further upcountry, Makawao provides a glimpse into Maui's paniolo (cowboy) heritage with its charming boutiques and galleries. The North Shore's Ho'okipa Beach is a fantastic spot to watch world-class windsurfers and spot green sea turtles resting on the sand.

Please be mindful that West Maui, including the historic town of Lahaina, is in a long-term recovery phase following the 2023 wildfires. Visitors are encouraged to explore the many other beautiful and welcoming areas of the island.

Hilo, Hawaii Island

Hilo offers a glimpse into the untamed, elemental side of Hawaii, a world away from manicured resorts. As the island's lush, rain-fed capital, it serves as the primary gateway to the geological marvel of Hawaiʻi Volcanoes National Park. A visit here is the undisputed main event, but requires commitment: it's a 45- to 60-minute drive each way. Once there, you can walk through the otherworldly Thurston Lava Tube, witness steam billowing from volcanic vents, and gaze into the immense Kīlauea caldera. It is essential to set expectations: visible lava flows are rare and unpredictable, but the raw power of the landscape is always palpable. For those seeking a less time-intensive day, Hilo’s immediate surroundings are rich with natural beauty. Just minutes from the port, Rainbow Falls offers a lovely and accessible viewpoint. For a more dramatic experience, a short drive north leads to ʻAkaka Falls State Park, where a towering waterfall plunges into a gorge. The region is also home to world-class botanical gardens, such as the Hawaii Tropical Bioreserve & Garden, which showcases the area's incredible biodiversity. Downtown Hilo itself is not a polished tourist hub but an authentic, historic town with a celebrated farmers market and the serene Liliʻuokalani Gardens. A day in Hilo is best spent choosing one key adventure: the epic journey to the volcano or a deeper exploration of the waterfalls and gardens closer to port.

Kona, Hawaii Island

Kona offers a genuine taste of old Hawaii, distinct from the state's more modern resort centers. As a tender port, you arrive directly into the heart of the walkable seaside town of Kailua-Kona. While the town itself has its charms, including the historic Huliheʻe Palace and Mokuʻaikaua Church, Kona’s most profound experiences lie along its sun-drenched coast and in the cool uplands.

The region is, of course, synonymous with coffee. A short drive or tour into the hills of Holualoa reveals the Kona Coffee Belt, where numerous small, family-run farms welcome visitors. Here, you can walk through the coffee groves, learn about the bean-to-cup process, and sample some of the world's most prized coffee at its source. This is an authentic agricultural and culinary experience.

For a deep dive into Hawaiian culture, nothing compares to Puʻuhonua o Hōnaunau National Historical Park, about a 45-minute drive south. This beautifully restored royal compound and sacred place of refuge offers a powerful, tangible connection to the island’s past. It is a quiet, spiritual place that rewards thoughtful exploration.

Water activities are centered around Kealakekua Bay, a protected marine life conservation district with exceptional snorkeling and diving. The bay is also the historic site where Captain James Cook was killed. Accessing the best snorkeling spots typically requires a boat tour, which is well worth the effort for the clarity of the water and abundance of marine life. Kona provides a compelling blend of significant history, world-class agriculture, and natural beauty, best accessed with a pre-arranged tour or rental car.

Nawiliwili, Kauai, Hawaii

Kauai is Hawaii’s oldest and most dramatic island, a landscape defined by staggering natural beauty rather than sprawling resorts. The port at Nawiliwili is the gateway to this 'Garden Isle,' though its greatest treasures require a journey inland or along its famed coastline.

Two experiences define Kauai's epic scale. The first is Waimea Canyon, a massive, 14-mile-long chasm often called the 'Grand Canyon of the Pacific.' Its deep, crimson-rock gorges striated with lush green foliage create a spectacle of color and depth that is truly breathtaking from its numerous roadside lookouts. The second is the legendary Na Pali Coast, a sacred and inaccessible stretch of coastline where sheer, emerald-green cliffs, fluted by time and waterfalls, drop thousands of feet to the ocean. As it is unreachable by car, the only ways to witness its majesty are via a dramatic helicopter flight or a rugged boat tour along its base.

For those seeking more accessible beauty, the Wailua River Valley offers gentle kayaking excursions to the Fern Grotto and easy access to the impressive Wailua and Opaekaa Falls. On the island's sunnier south side, Poipu Beach provides a classic Hawaiian beach day, with golden sands, calm waters for snorkeling, and frequent sightings of resting green sea turtles.

A pre-booked rental car or a well-chosen tour is essential. The island’s wonders are spread out, and planning ahead is the key to experiencing the profound beauty of Kauai.

NCL'S Pride of America

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.

Balcony

Mid-Ship Balcony Stateroom (BA)
These Mid-Ship Balcony Staterooms are located on a middle deck and offer easy access to great restaurants, activities and more. This stateroom includes two lower beds that convert to a queen-size bed, a convertible sofa to accommodate more, a sitting area and balcony with fantastic views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

2,708.16
per person

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

Balcony Aft-Facing Large Balcony (B1)
The aft-facing balcony offers truly incredible views and a great way to feel the ocean breeze. They include two lower beds that convert into a queen-size bed, a sitting area with a single sofa and floor-to-ceiling glass doors that open to a large private balcony. Stateroom: 227-233 sq. ft. Balcony: 89-95 sq. ft.

Call
800-422-0711
for Pricing

Balcony Family Balcony (B2)
These staterooms are great family accommodations. Bring the family and spread out in comfort. Features two lower beds that convert into a queen-size bed and a convertible sofa, as well as a sitting area and floor-to-ceiling glass doors that open to a private balcony. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Family Balcony (B3)
These staterooms are great family accommodations. Bring the family and spread out in comfort. Features two lower beds that convert into a queen-size bed and a convertible sofa, as well as a sitting area and floor-to-ceiling glass doors that open to a private balcony. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Large Balcony Stateroom (B6)
Two lower beds that convert to a queen-size bed and a sofa bed. The large balcony offers incredible views. Stateroom: 217-233 sq. ft. Balcony: 79-95 sq. ft.

Call
800-422-0711
for Pricing

Balcony Large Balcony Stateroom (B7)
Two lower beds that convert to a queen-size bed and a sofa bed. The large balcony offers incredible views. Stateroom: 217-233 sq. ft. Balcony: 79-95 sq. ft.

Call
800-422-0711
for Pricing

Balcony Mid-Ship Balcony Stateroom (BB)
These Mid-Ship Balcony Staterooms are located on a middle deck and offer easy access to great restaurants, activities and more. This stateroom includes two lower beds that convert to a queen-size bed, a convertible sofa to accommodate more, a sitting area and balcony with fantastic views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BC)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BD)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BE)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BF)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Outside

Obstructed Oceanview (OK)
These staterooms combine comfort and value. They include two lower beds that convert into a queen-size bed, additional bedding to accommodate more and a picture window with an obstructed view. Stateroom: 144 sq. ft.

2,049.17
per person

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

Outside Family Oceanview Picture Window (O1)
Oceanview Staterooms have plenty of room for the family with two lower beds that convert into a queen-size bed, plus two pull down beds. Not to mention the incredible views from the large picture window. Stateroom: 144 sq. ft.

Call
800-422-0711
for Pricing

Outside Mid-Ship Oceanview with Picture Window (OA)
These Oceanview Staterooms have two lower beds that convert into a queen-size bed as well as two pull down beds. Because they are mid-ship, you'll have easy access to everything on board. Plus an incredible view from the big picture window. Stateroom: 144 sq. ft.

Call
800-422-0711
for Pricing

Outside Mid-Ship Oceanview with Picture Window (OC)
These Oceanview Staterooms have two lower beds that convert into a queen-size bed as well as two pull down beds. Because they are mid-ship, you'll have easy access to everything on board. Plus an incredible view from the big picture window. Stateroom: 144 sq. ft.

Call
800-422-0711
for Pricing

Inside

Mid-Ship Inside Stateroom (IA)
These staterooms contain two lower beds that convert into a queen-size bed and additional bedding in some to accommodate more guests. And because they are mid-ship, you'll have easy access to all the exciting activities and delicious dining options on board. Stateroom: 132 sq. ft.

1,954.97
per person

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

Inside Family Inside (I1)
Pride of America's Inside Staterooms are a great way for the whole family to cruise. With room for up to four guests these staterooms offer two lower beds that convert into a queen-size bed as well as pull down beds to accommodate two more. Stateroom: 132-139 sq. ft.

Call
800-422-0711
for Pricing

Inside Inside Stateroom (IB)
An Inside stateroom is the most affordable way for you to cruise. These staterooms have two pull-down beds and two lower beds that convert into a queen-size bed. Stateroom: 132-134 sq. ft.

Call
800-422-0711
for Pricing

Inside Inside Stateroom (IC)
An Inside stateroom is the most affordable way for you to cruise. These staterooms have two pull-down beds and two lower beds that convert into a queen-size bed. Stateroom: 132-134 sq. ft.

Call
800-422-0711
for Pricing

Inside Inside Stateroom (ID)
An Inside stateroom is the most affordable way for you to cruise. These staterooms have two pull-down beds and two lower beds that convert into a queen-size bed. Stateroom: 132-134 sq. ft.

Call
800-422-0711
for Pricing

Suite/Deluxe 2 Bedroom Deluxe Family Suite with Large Balcony (SA)
Living room, private balcony, two separate bedrooms (one with a king-size bed and walk-in-closet, another with two lower convertible beds and a bunk bed), two TVs, two bathrooms (one with bath and shower). Butler service and concierge available. Stateroom: 607-650 sq. ft. Balcony: 98 sq. ft.