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University at Sea™
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St Petersburg, Florida 33703
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Current Topics in Critical Care, Pulmonary Medicine, & Sleep Medicine

7-Night Bahamas, Mexico & Grand Cayman Cruise
Round-trip Ft. Lauderdale, Florida
February 04 - 11, 2024
<em>Celebrity Ascent</em>
Celebrity Ascent

COURSE CREDITS & HOURS

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

COURSE FEES

$995 for Physicians, Attorneys, Psychologists, Pharmacists, & Dentists
$795 for Physician Assistants & Nurse Practitioners
$595 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists,

PROGRAM PURPOSE

  1. COPD
    • Discuss GOLD 2023Guidelines for Staging COPD
    • Discuss GOLD 2023 Guidelines for COPD management
    • Discuss the ACCP and Canadian Thoracic Society published guidelines for prevention of acute exacerbations of COPD
    • Discuss the data that shaped these guidelines as related to:
      • Medication Recommendations
      • Non-medications Recommendations
    • Discuss data on surgical and non-surgical lung volume reduction in patients with COPD.
    • Discuss data on NIV for stable and acute COPD management
    • Discuss New areas of investigation.
  2. Asthma
    • Discuss the prevalence and economic impact of asthma
    • Examine the pathophysiology of asthma
    • Discuss strategies for management of asthma patients with acute respiratory failure
    • Discuss expert consensus recommendations and application of these recommendations for accessing asthma control and disease management
    • Discuss updated expert consensus recommendations for long term asthma management
    • Examine data on recently FDA approved medications and bronchoscopic interventions used to treat severe persistent asthma
  3. Pulmonary Nodules and Lung Cancer Screening: Understanding and Applying the Society Recommendations
    • Describe characteristics of pulmonary nodules that influence clinical suspicion for benign versus malignant
    • Discuss the Fleischner Society Guideline recommendations for following incidental pulmonary nodules noted on CT scans of the chest
    • Discuss Lung Cancer Screening Guidelines.
    • Discuss Lung-RADS: the structured reporting system for interpretation of lung cancer screening CT examinations. Understand the difference in the Fleischner Guidelines and Lung Cancer Screening guidelines as related to nodule management
    • Discuss diagnosis and staging of lung cancer
    • Brief discussion of lung cancer treatment
  4. Acute Hypoxic Respiratory Failure and Acute Respiratory Distress Syndrome Clinical Update
    • Review updated definition of ARDS
    • Discuss risk factors for developing ARDS as well as the differential diagnosis of patients presenting with acute hypoxic respiratory failure and bilateral pulmonary infiltrates
    • Examine data on the use of non-invasive ventilation and high flow nasal cannula for management patients with hypoxic respiratory failure. Recognize clinical parameters suggesting failure of these modes of respiratory support
    • Understand the current recommendations regarding mechanical ventilation and management of patients with ARDS.
    • Discuss the benefits and how to implement alternative treatments in patients with severe ARDS including: prone positioning, ECMO, paralytics, and vasodilators
  5. Pulmonary Embolism: Treating Patients Based on Risk Stratification, Evidence-Based Guidelines
    • Discuss the Risk Stratification for Acute Pulmonary Embolism
    • Identify Clinical Tools, Radiological Imaging, and Laboratory Markers Used in Risk Stratification of Acute Pulmonary Embolism
    • Discuss Current ACCP Recommendations for Treatment of Acute Pulmonary Embolism
    • Discuss Data on Treatment Outcomes of Patients with High and Intermediate Risk Acute Pulmonary Embolism Treated with Thrombolyis, Catheter Directed Thrombolyis, and Standard Anticoagulation
    • Discuss Data on Long Term Follow-up from Patients with High and Intermediate Risk PE Treated with Thrombolysis versus Standard Anticoagulation
    • Review Current ACCP Recommendation for Duration of Treatment of Acute Pulmonary Embolism
  6. Sleep Apnea Treatment Options: PAP, PACERS, and Beyond
    • Discuss the clinical benefit of weight loss and positional sleep therapy as treatment for OSA
    • Discuss data on medical interventions as related to treatment for OSA
    • Discuss data on Provent nasal device as related to treatment of OSA
    • Discuss data on dental devices as related to treatment for OSA
    • Discuss data on various surgical interventions as related to treatment of OSA
    • Discuss data on use of upper-airway stimulators for treatment of sleep apnea
    • Discuss data on use of diaphragm pacing in patients with central sleep apnea
  7. Interstitial Lung Disease Part 1: Idiopathic Pulmonary Fibrosis and Sarcoid.
    • Discuss the broad differential diagnosis of diffuse parenchymal lung disease
    • Discuss the ATS/ERS diagnostic criteria for IPF and CT findings characteristic of IPF
    • Understand the various clinical measures predictive of survival in IPF
    • Discuss data that resulted in FDA approval for two drugs for treatment of IPF
    • Discuss the ATS/ERS guidelines for treatment of IPF
    • Understand the clinical presentation of pulmonary sarcoidosis.
    • Discuss the ERS clinical practice guidelines for treatment of sarcoidosis as related to organ involvement
  8. Interstitial Lung Disease Part 2: Hypersensitivity Pneumonitis and Non-Cystic Fibrosis Bronchiectasis
    • DiscussATS/ERS practice guidelines for diagnosis and management of hypersensitivity pneumonitis
    • Examine CT findings for fibrotic and non-fibrotic HP
    • Discuss the pathogenesis of Non-Cystic Fibrosis bronchiectasis
    • Explain the work-up to determine the etiology of non-CF bronchiectasis
    • Discuss how to manage patients with non-CF bronchiectasis
    • Discuss management strategies in patients with acute exacerbations of non-CF bronchiectasis

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference or participate in conference events, participants, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. 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 register online.

Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Stephen R. Clum, MD, PhD

Stephen R. Clum, MD, PhD

Assistant Professor 
Department of Internal Medicine
Division: Pulmonary, Critical Care, Sleep Medicine
University of South Florida
Tampa, FL
Associate Professor of Medicine, University of Central Florida
Chief of Pulmonary and Sleep Medicine at Bay Bines VA, St. Petersburg, FL

Stephen Clum, MD PhD Dr. Clum earned his PhD in biochemistry at the University of Kansas. His PhD studies involve characterization of the dengue virus type II serine protease. After completing his PhD, he then pursued his medical degree at the University of Kansas. Following completion of his medical school training, he completed a combined residency in Internal Medicine and Pediatrics at University of South Florida. He remained at University of South Florida for fellowship training in Pulmonary, Critical Care, and Sleep Medicine.

After completing his fellowship training, he moved to Springfield Missouri where he joined a multispecialty group. His practice encompassed Pulmonary, Critical Care, Sleep Medicine including an active pediatric sleep practice. In 2014, he returned to the University South Florida to join the faculty in the Division of Pulmonary, Critical Care, and Sleep Medicine where he served as the associated division director. In this role he was actively involved in expansion of inpatient and outpatient services at Tampa General Hospital and USF. Following the retirement of his mentor, he served as the interim division director until the fall of 2020 when he joined the Bay Pines VA Healthcare System as the Chief of Pulmonary and Sleep Medicine. In his current role as Chief of Pulmonary and Sleep Medicine, he has helped developed a robust pulmonary nodule program, COPD program, and ILD program. At both the University of South Florida and Bay Pines VA, Dr. Clum has been a core faculty involved in the education of Pulmonary, Critical Care, and Sleep Medicine fellows.

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 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.

 

ANCC

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 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.

ROYAL COLLEGE MOC

 

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 16 hours of pharmacy continuing education credit.

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 Feb 04 Ft. Lauderdale, Florida
 - 3:30 pm
Mon Feb 05 Nassau, Bahamas
 7:00 am 5:00 pm
Tue Feb 06 *At Sea - Cruising
Meeting 9:00AM - 12:00PM, 1:00PM - 4:00PM		 - -
Wed Feb 07 Cozumel, Mexico
 7:00 am 5:00 pm
Thu Feb 08 *At Sea - Cruising
Meeting 9:00AM - 12:00PM, 1:00PM - 4:00PM		 - -
Fri Feb 09 Georgetown, Grand Cayman
 7:00 am 5:00 pm
Sat Feb 10 *At Sea - Cruising
Meeting 9:00AM - 1:00PM		 - -
Sun Feb 11 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.

Nassau, Bahamas - Caribbean charm shines in the Bahamian capital, where you’re never more than a few steps away from rhythmic percussions, appetizing flavors, white-sand beaches, and some of the clearest waters in the world. This picture-perfect paradise was once a pirate’s haven— and you can explore its colorful past of buccaneers, blockade-runners and bootleggers along historical streets and at the three colonial fortresses that line the shores. If you’re looking for a more hands-on maritime adventure, look no further. Cruise to Swim with stingrays, dive with dolphins, or spot colorful coral on a glass-bottom boat.

At Sea - Cruising - Cruising

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.

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.

Celebrity Ascent

PLEASE NOTE: To attend the conference or participate in conference events, participants, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. 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 Lowest Rates. *
STATEROOM DETAILS
PRICING PER PERSON

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

Balcony

Concierge Class Stateroom, C2 Concierge Class Stateroom (C2)
Enjoy benefits such as priority check-in, a welcome lunch, and dedicated service throughout your journey. 201 sq. ft. with 42 sq. ft. veranda. 
Call: 800-422-0711
and let us help find the best value for you.
Edge Stateroom with Infinite Veranda, E2 Edge Stateroom with Infinite Veranda (E2)
An innovative design that merges inside and outside space, Infinite Verandas allow you to enjoy open-air access to the sea. Bring the outside inside with the touch of a button. Two double beds convertible to King. 201 sq. ft. with 42 sq. ft. veranda. 
Call: 800-422-0711
and let us help find the best value for you.
Prime AquaClass Stateroom, A1 Balcony Prime AquaClass Stateroom (A1)
A fully immersive, next-level wellness experience, located on the most desirable locations on the ship. Dine at your exclusive restaurant, Blu. Plus, you’ll enjoy access to the SEA Thermal Suite, a spa concierge, fitness amenities, and more. Sleeps 2. 201 sq. ft. with 42 sq. ft. veranda.
Call
800-422-0711
for Pricing
AquaClass Stateroom, A2 Balcony AquaClass Stateroom (A2)
A fully immersive, next-level wellness experience. Dine at your exclusive restaurant, Blu. Plus, you’ll enjoy access to the SEA Thermal Suite, a spa concierge, fitness amenities, and more. 243 sq. ft. with 42 sq. ft. veranda.
Call
800-422-0711
for Pricing
Prime Concierge Class, C1 Balcony Prime Concierge Class (C1)
Meticulously thought-out, these staterooms feature services, amenities, and exclusive events. Prime Concierge Class Staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. 201 sq. ft. with 42 sq. ft. veranda.
Call
800-422-0711
for Pricing
Prime Edge Stateroom with Infinite Veranda, E1 Balcony Prime Edge Stateroom with Infinite Veranda (E1)
An innovative design that merges inside and outside space, Infinite Verandas allow you to enjoy open-air access to the sea. Bring the outside inside with the touch of a button. Two double beds convertible to King. 201 sq. ft. with 42 sq. ft. veranda.
Call
800-422-0711
for Pricing
Edge Single Stateroom w/ Infinite Veranda, ES Balcony Edge Single Stateroom w/ Infinite Veranda (ES)
Sized for solo travelers, but with a full-size veranda. 142 sq. ft. with 42 sq. ft. veranda.
Call
800-422-0711
for Pricing
Deluxe Porthole View w/ Veranda, P1 Balcony Deluxe Porthole View w/ Veranda (P1)
Centrally-located stateroom with floor-to-ceiling porthole view and private veranda. 201 sq. ft. with 40 sq. ft. veranda.
Call
800-422-0711
for Pricing
Deluxe Porthole View w/ Veranda, P2 Balcony Deluxe Porthole View w/ Veranda (P2)
Centrally-located stateroom with floor-to-ceiling porthole view and private veranda. 201 sq. ft. with 40 sq. ft. veranda.
Call
800-422-0711
for Pricing
Sunset Veranda, SV Balcony Sunset Veranda (SV)
The most spacious of all Edge verandas, the Sunset Veranda class is located at the aft of the ship, allowing for stunning sunset views. Two double beds convertible to King. 228 sq. ft. with 89 sq. ft. veranda.
Call
800-422-0711
for Pricing

Outside

Ocean View Stateroom, O2 Ocean View Stateroom (O2)
Take in the stunning views while you relax in your luxurious stateroom. Two double beds, convertible to King. 200 sq. ft.  
Call: 800-422-0711
and let us help find the best value for you.
Deluxe Oceanview Stateroom, DO Outside Deluxe Oceanview Stateroom (DO)
With ample living space, bigger bathrooms, and more drawer space, Deluxe Ocean View Staterooms will become your home away from home while on board. 238 sq. ft.
Call
800-422-0711
for Pricing
Prime Ocean View Stateroom, O1 Outside Prime Ocean View Stateroom (O1)
Staterooms with a large window and sitting area where you can kick back and relax. Prime Ocean View Staterooms are located in the most-desirable locations on the ship. 200 sq. ft.
Call
800-422-0711
for Pricing
Panoramic Oceanview Stateroom, PO Outside Panoramic Oceanview Stateroom (PO)
Enjoy ever-changing vistas through floor-to-ceiling windows, plus more space than a standard Ocean View Stateroom. Located forward and mid-ship. 212 sq. ft.
Call
800-422-0711
for Pricing

Inside

Deluxe Inside Stateroom, DI Deluxe Inside Stateroom (DI)
With ample living space, bigger bathrooms, and more drawer space, Deluxe Inside Staterooms will become your home away from home while on board. 202 sq. ft.  
Call: 800-422-0711
and let us help find the best value for you.
Inside Stateroom, I2 Inside Inside Stateroom (I2)
Two double beds convertible to King, with plentiful storage space in your bathroom and wardrobe. 181 sq. ft.
Call
800-422-0711
for Pricing

Port Charges, Taxes & Fees $154.83 per person.
Deposit $250.00 per person

Cruise pricing is presented per person, based double occupancy of the stateroom, per standard 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.

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

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: Market Rates offered directly by the cruise line and quoted by our agents are also subject 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.

500
Questions?
Call us at 800.422.0711 (US & Canada)
Or +1-727-526-1571
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.