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Sensitive Topics in Women’s Health: Sexuality, Menopause and Mental Health

6-Night Bimini, Grand Cayman & Mexico Cruise
Round-trip Ft. Lauderdale, Florida
January 28 - February 03, 2024

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Celebrity Reflection</em>
Celebrity Reflection

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours

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

  1. Caring for perimenopause and menopause patients in 2023: diagnosis, common symptoms, treatments
    • Understand the physiology of perimenopause and menopause
      • >li>Utilize the 2022 Position Statement of the North American Menopause Society to inform care of midlife women experiencing perimenopause and menopause
  2. 51 is Getting Younger all the Time: maximizing longterm health in menopause
    • Explain the differences in cardiac response to HT in younger menopausal women versus older menopausal women
    • Individualize care for symptomatic menopausal women with medical comorbidities
    • Consider the effect of hormone therapy in promoting bone health
  3. Mood and Menopause: diagnosis and treatment of Perimenopausal Mood Instability
    • Differentiate perimenopausal mood instability (PMI) from major depressive disorder (MDD) and generalized anxiety disorder (GAD)
    • List effective treatments for PMI including psychological and pharmacological approaches
  4. I Can’t Sleep and I’m Getting Fat: evaluating and treating the twin scourges of midlife
    • Recognize the signs and symptoms of common sleep disorders and list behavioral and pharmacologic treatments for them
    • Define the common disease of obesity and list effective psychotherapeutic and medical treatments
  5. Nutrition and the Aging Brain: can we prevent dementia?
    • Understand how nutrition impacts brain changes with aging
    • B. Describe what we can learn from the Blue Zones and other research about nutrition and healthy aging brain
    • Develop skills to talk with patients and ensure a brain-healthy diet is accessible to them
  6. Beyond Masters and Johnson: models of female sexuality
    • Describe the four major models of female sexual behavior
    • Utilize the four models to counsel patients with concerns regarding their sexual function
  7. Female Sexual Dysfunction: disorders of desire, arousal, and orgasm
    • Be familiar with the DSM-V diagnostic categories of female sexual dysfunction
    • Utilize the ISSWSH Process of Care to manage hypoactive sexual desire disorder
    • List at least 2 behavioral and 2 pharmacological treatment options for female sexual dysfunction
  8. When Sex Hurts: causes and treatments of dyspareunia
    • Utilize a stepwise approach to diagnosis of dyspareunia
    • Explain and initiate treatment when appropriate
  9. Reproductive Psychiatry: 2023 Update and Overview
    • Describe key parameters of the field Reproductive Psychiatry in 2023 and why it is relevant today
    • Define the role of Neuroactive Steroids (NAS) in both the etiology and the treatment of psychiatric conditions in the female patient
  10. Depression Across the Female Reproductive Cycle 1: Focus on PMDD, PME and Menopause
    • Identify the hormonal effect on depression in the non pregnant female
    • Describe diagnostic criteria for PMDD and hormonal and non hormonal interventions
  11. Depression Across the Female Reproductive Cycle 2: Focus on Perinatal Depression
    • Recognize unique features to consider in the diagnosis and treatment of perinatal depression
    • Identify and become comfortable using with at least three screening tools for PMADs
    • List several biopsychosocial risk factors for PMADs
  12. Beyond Postpartum Depression: Diagnosis and Treatment of Perinatal Anxiety Disorders
    • Identify which anxiety disorders most commonly present in the perinatal period
    • Describe the role of estrogen, progesterone and oxytocin in the etiology of these disorders
  13. Bipolar Disorder in Women: Meeting the Challenge 1: Managing Bipolar Disorder in the non-pregnant female patient
    • Describe evidence-based management of bipolar disorder in women
    • Identify how hormonal treatment may impact course of disorder as well as treatment options
  14. Bipolar Disorder in Women 2: Meeting the Challenge 2: Managing Bipolar Disorder during Pregnancy and Postpartum
    • Describe options for treatment of bipolar disorder during pregnant and postpartum to optimize safety of mother and infant
    • Discuss with your patient the risk/benefit ratio of the use of psychotropics during the perinatal period
  15. Diagnose sexual dysfunction in females (FSD) using DSM-5 terminology.
    • Identify common barriers in identification of FSD in clinical settings
    • Develop a treatment plan for women with FSD
  16. Evidence Based Approaches to Female Patients with Low Libido
    • Describe 3 behavioral interventions for the female patient with low libido
      • Describe both hormonal and non hormonal treatments for low libido in females

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

Karen E. Adams, MD, NCMP, IF

Karen E. Adams, MD, NCMP, IF

Clinical Professor of Obstetrics and Gynecology
Director, Program in Menopause & Healthy Aging
Stanford Medicine
Stanford, CA

Karen Adams MD, FACOG, DipACLM, NCMP, IF is Clinical Professor of Obstetrics and Gynecology at Stanford University. She is the Director of The Stanford Program in Menopause and Healthy Aging, a program that connects specialists in many fields to provide world-class care for women in the second half of life. Dr. Adams is double-board certified in Obstetrics and Gynecology and Lifestyle Medicine, a Menopause Society Certified Menopause Practitioner, and a fellow of the International Society for the Study of Women's Sexual Health. She is the course director for the Oregon ECHO Program in Menopause, a state-wide program to educate primary care and women’s health providers in menopause care.

Dr. Adams is an award-winning educator and has lectured to medical audiences locally, nationally, and internationally, including a January 2020 TEDx talk entitled 'Sleep, Sex, and Menopausal Zest" with over 150,000 views on YouTube.

Nicole Harrington Cirino, MD

Nicole Harrington Cirino, MD

Reproductive Psychiatrist
Endowed Chair of Reproductive Psychiatry, Maureen Hackett Foundation
Director, Division of Reproductive Psychiatry
Professor, Department of Obstetrics and Gynecology
Baylor College of Medicine/ Texas Children's Hospital
The Women's Place (Reproductive Psychiatry), Texas Children's Pavilion for Women

Dr. Nicole Cirino is a Reproductive Psychiatrist (Board Certified MD physician) and Senior Faculty member in both the Department of Obstetrics and Gynecology and in the Department of Psychiatry at Baylor College of Medicine/ Texas Children's Hospital in Houston, Texas. She the Division Director of the Division of Reproductive Psychiatry, which is one of the leading programs in the field nationally and is housed within the Department of Obstetrics and Gynecology at Texas Childrens Medical Center in the Women's Pavillion.

She was fellowship trained in Reproductive Psychiatry at Northwestern University, Feinberg School of Medicine where she also completed her Psychiatry Residency. Reproductive Psychiatry is a specialty area of Psychiatry that focuses exclusively on the treatment of women across the reproductive life cycle. She teaches topics including Perinatal Mood and Anxiety Disorders, Menopause and Mood Disorders, and Female Sexual Medicine to medical students, residents, fellows and practicing clinicians internationally. Besides psychotropic and hormonal interventions she is also skilled in Interpersonal Therapy, Cognitive Behavioral Therapy, Sex Therapy and Dialectical Behavioral Therapy as well as other evidence based behavioral interventions.

Dr. Cirino is also a specialist in Female Sexual Medicine. She is a Certified Sex Therapist through the governing body American Association of Sexual Educators, Counselors and Therapists (AASECT). She is also an International Fellow with the International Society for the Study of Women's Sexual Health (ISSWSH).

Dr. Cirino's research interests involve medical and behavioral therapy interventions for perinatal mental health conditions and female sexual dysfunction. She recently moved to Houston, Texas from Portland, Oregon and is married with three children. Traveling with family and friends and teaching are her greatest passions.

Accreditation

Joint Accreditation

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

 

Accreditation Council for Continuing Medical Education

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.

 

ANCC

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 CreditsTM as needed.  Pharmacology credits are identified on individual activities.

ROYAL COLLEGE MOC

 

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

 

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.

Accreditation Council for Pharmacy Education

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

ITINERARY

DATE PORT OF CALL ARRIVE DEPART
Sun Jan 28 Ft. Lauderdale, Florida - 3:30 pm
Mon Jan 29 At Sea - Cruising
Meeting 8:00AM - 12:00PM, 1:00PM - 4:00PM* 		- -
Tue Jan 30 Georgetown, Grand Cayman 7:00 am 4:00 pm
Wed Jan 31 Cozumel, Mexico 11:00 am 7:00 pm
Thu Feb 01 At Sea - Cruising
Meeting 8:00AM - 12:00PM, 1:00PM - 4:00PM* 		- -
Fri Feb 02 Bimini, Bahamas 8:00 am 6:00 pm
Sat Feb 03 Ft. Lauderdale, Florida 7:00 am -
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Ft. Lauderdale, Florida - There is an abundance of things to see and do in the Ft. Lauderdale area: visit the newly redesigned Ft. Lauderdale Beach and cafes, stroll the historic Riverwalk, shop the luxurious stores on Las Olas Boulevard, or adventure to the Everglades for an intriguing air boat excursion.

At Sea - Cruising - Cruising

Georgetown, Grand Cayman - Grand Cayman is where the high life meets island life. Snorkel with stingrays in Stingray City. Treat your inner foodie at eateries established by acclaimed top chefs like Michael Schwartz, or chow down on conch fritters by the seashore. You can even soak up some rays at one of the beaches voted best in the world, Seven Mile Beach. And do it all in the same day.

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.

Bimini, Bahamas - For such a tiny isle, Bimini packs a huge adventure punch. Alice Town buzzes with a low-key vibe, while sugary sands lead to scuba diving and snorkeling in bright-blue waters filled with shipwrecks. This is a small-island paradise for sun-seekers and anglers. Here you can check out Bimini Museum exhibits, hike the Bimini Nature Trail, or soak up fresh-from-the-sea Bahamian seafood.

Celebrity Reflection

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.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or by registering online.
COMPETITIVE PRICING PROMISE: We Will Beat or Match the Cruise Line’s Fares and Promotional Offers. *
STATEROOM DETAILS
PRICING PER PERSON

Prices below are for the full cruise including meals and evening entertainment

Balcony

Veranda Stateroom, V2 Veranda Stateroom (V2)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in a spacious stateroom and enjoy amenities that all contribute to your luxury experience. Your personal veranda lets you greet the day and enjoy fresh sea breezes. 192 sqft with 54 sqft veranda.  
Call: 800-422-0711
and we'll find the best value for you.
Concierge Class Stateroom, C2 Concierge Class Stateroom (C2)
Concierge Class staterooms include priority check-in and debarkation, destination seminar, and more. 204 sqft with 42 sqft veranda. 
Call: 800-422-0711
and we'll find the best value for you.
Prime AquaClass Stateroom, A1 Balcony Prime AquaClass Stateroom (A1)
Prime Staterooms are located in the most desirable locations on the ship. AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 194 sqft with 54 sqft veranda.
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Aqua Class Stateroom, A2 Balcony Aqua Class Stateroom (A2)
AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 194 sqft with 54 sqft veranda.
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800-422-0711
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Prime Concierge Class Stateroom, C1 Balcony Prime Concierge Class Stateroom (C1)
Prime Staterooms are located in the most desirable locations on the ship. Sleeps 2-4. Studio, 1 bath. 192 sqft with 54 sqft veranda.
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Deluxe Veranda Stateroom, DV Balcony Deluxe Veranda Stateroom (DV)
Deluxe Veranda Staterooms are spacious balcony staterooms located in the aft of the ship, each with its own extra-large private veranda to enjoy the beautiful sunsets. 2 Bedroom, 1 Bath. 575 sqft with 53 sqft veranda.
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Sunset Concierge Class Stateroom, SC Balcony Sunset Concierge Class Stateroom (SC)
Little details make a world of difference, and the meticulously thought-out Concierge Class staterooms are even better. With new services, amenities, and exclusive events, Concierge class will take your vacation to the next level. 192 sqft with 54 sqft aft-facing veranda. Priority Debarkation.
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Sunset Veranda Stateroom, SV Balcony Sunset Veranda Stateroom (SV)
Sunset Veranda Staterooms are balcony staterooms located in the aft of the ship, each with its own private veranda to enjoy the beautiful sunsets. Sleeps 2-4. Square footage varies.
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Ultra Deluxe Veranda Stateroom, UV Balcony Ultra Deluxe Veranda Stateroom (UV)
Spacious staterooms located in the aft of the ship, each with its own extra-large private veranda to enjoy the beautiful sunsets. Two bedroom, one bath. Expanded living space and dining area. Sleeps up to 5. 575 sqft with 53 sqft veranda.
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Prime Veranda Stateroom, V1 Balcony Prime Veranda Stateroom (V1)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in a spacious stateroom and enjoy amenities that all contribute to your luxury experience. Prime Veranda staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. Sleeps 2-4. 192 sqft with 54 sqft veranda.
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Outside

Ocean View Stateroom, O2 Ocean View Stateroom (O2)
The ideal place to unwind at sea, these perfectly indulgent spaces come furnished with a luxury king-sized mattress and everything else a modern traveler needs. 176 sqft. Large porthole window. 
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and we'll find the best value for you.
Prime Ocean View Stateroom, O1 Outside Prime Ocean View Stateroom (O1)
Expansive views make Ocean View staterooms the ideal place to unwind at sea. These perfectly indulgent spaces come furnished with a luxury king-sized mattress and everything else a modern traveler needs. Prime Ocean View staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. Sleeps 2-4. 176 sqft. Unique forward-facing window on higher decks.
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Inside

Inside Stateroom, I2 Inside Stateroom (I2)
Your escape at sea, inside staterooms offer ample living space, including a sitting area and a flat-screen TV. Each inside stateroom aboard the Celebrity Reflection includes world-class amenities. 183 sqft. 
Call: 800-422-0711
and we'll find the best value for you.
Prime Inside Stateroom, I1 Inside Prime Inside Stateroom (I1)
Your escape at sea, inside staterooms offer ample living space, including a sitting area and a flat-screen TV. Each inside stateroom aboard the Celebrity Reflection includes world-class amenities. Prime Inside staterooms are well-appointed, personal retreats located in the most-desirable locations on the ship. Sleeps 2-4. 183 sqft.
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Because this program is sailing soon, full payment of the fare is due at time of booking.

3rd/4th in Stateroom - Please call to secure the best possible pricing

Cruise pricing is presented per person, based double occupancy of the stateroom, following industry practice. Pricing presented above is listed accordingly to allow easy comparison for the stateroom categories displayed. Our agents always provide 'total cost' pricing disclosing all particulars before you make any commitment.

COMPETITIVE PRICING PROMISE: We will match any price currently offered by the cruise line; this promise includes their short-term, promotional rates. As a value-added organizer of meetings at sea, however, we do not seek to compete with 'cruise discounters,' 'travel clubs,' or 'distressed inventory' sales operations.
PRICING SUBJECT TO CHANGE: Fares displayed above are subject to availabilty and to change until reserved with a deposit or full payment. While the fares listed can sell out (i.e. are "subject to availability"), they generally remain available until about 90 days before sailing, at which time they convert to typically higher, market rates. Market Rates offered directly by the cruise line and quoted by our agents are also subject to availability and to change at any time prior to depositing on your stateroom. Those rates are capacity and revenue controlled and can be withdrawn without notice.
CANCELLATION PENALTY POLICY WILL APPLY: We recommend Travel Insurance to protect your investment from unexpected, late cancellations.
Cruise Cancellation Policy:Late Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please congirm the policy applicable to this cruise with one of our agents.
Course Fee Cancellation Policy: 30+ days before sailing date - 75% Refund ; 7-29 days before sailing date - 50% Refund; Less than 7 days before sailing date - No Refund
FUEL SUPPLEMENT: During periods of unusual oil price volatility, cruiselines may implement a fuel surcharge at any time prior to sailing.

Chubb Travel Protection Overview

Please note, this insurance protection is available to the residents of the United States only,
 that coverage limits are per person and that limits can vary by State.

Standard Plan Benefits Travel Basics Travel Essentials Travel Choice
Trip Cancellation 100% of Trip Costs
($100,000 maximum)		 100% of Trip Costs
($100,000 maximum)		 100% of Trip Costs
($100,000 maximum)
Trip Interruption 100% of Trip Costs
($100,000 maximum)		 150% of Trip Costs
($150,000 maximum)		 150% of Trip Costs
($150,000 maximum)
Trip Interruption - Return Air Only $500 $750 $1,000
Trip Delay $500 ($100 per day) $750 ($150 per day) $1,000 ($200 per day)
Missed Connection NA $250 $500
Baggage & Personal Effects $750 ($50 deductible) $1,000 $2,500
Baggage Delay $200 $300 $500
Accident & Sickness Medical Expense* $15,000 ($50 deductible) $25,000 $50,000
Emergency Evacuation & Repatriation of Remains $150,000 $500,000 $1,000,000
Accidental Death & Dismemberment NA $10,000 $50,000
Assistance Services Included Included Included
Additional Benefits (if purchased within 15 days of Initial Trip Payment; Day 1 is the date the Intial Trip Payment is made)
Pre-Existing Medical Condition Exclusion Waiver Included Included Included
Trip Cancellation/ Interruption due to Financial Default Included Included Included
Accident Sickness Medical Expense Excess Coverage Primary Coverage Primary Coverage
Baggage & Personal Effects Excess Coverage Excess Coverage Primary Coverage
Flight Accident $25,000 $50,000 NA
Missed Connection NA Additional $250 Included in base plan
Optional Benefits (if selected byt the Applicant and required premium is paid)
Medical Coverage Upgrade Included in base plan Included in base plan Additional $50,000
including Emergency Evacuation* Additional $150,000 Additional $500,000 Included in base plan
Car Rental Collision Coverage $35,000 ($250 Deductible) $35,000 ($250 Deductible) $35,000 ($250 Deductible)
Flight Accident Amount selected up to $500,000 Amount selected up to $500,000 NA
*Coverage, pricing and availability may vary by state
*Additional Benefits change not available for CA, CO, KS, MN, MO, MT, NH, NY, PA, TX or WA residents at this time.

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