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

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2025 Updates in Neurology and Rheumatology

7-Night Iceland Intensive Cruise
Round-trip Reykjavik, Iceland
August 08 - 15, 2025

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 Silhouette</em> — *Celebrity Silhouette*

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

Rheumatoid arthritis: Diagnosis and management
- Diagnose and initiate treatment of rheumatoid arthritis.
Lupus: A case-based approach
- List the most common clinical and laboratory features of lupus.
Sjogren's Syndrome: Beyond Sicca
- Identify extra-glandular features of Sjogren's syndrome and outline a treatment plan for the most common manifestations.
Scleroderma: A systemic disease
- Describe key clinical features of scleroderma.
- Accurately select patients who require more immediate investigations to identify cardiopulmonary disease.
Giant Cell Arteritis and Polymyalgia Rheumatica
- Diagnose polymyalgia rheumatica and initiate treatment.
- Diagnose giant cell arteritis and initiate treatment.
Gout and pyrophosphate deposition disease
- Use the ACR/EULAR guidelines to diagnose and treat gout.
- Differentiate between gout and pyrophosphate deposition disease.
Rheumatologic medications: What you need to know
- Summarize key potential risks when using disease-modifying anti-rheumatic drugs (DMARDs).
- Develop a plan for the appropriate administration of immunizations and timing of surgical procedures in patients being treated with DMARDs.
The 5-Minute Neurological Examination
- Complete a neurological examination focused on specific symptomatic complaints and understand the localization of abnormal features.
Seizures and Epilepsy
- Become acquainted with the most recent treatment options available for patients with seizures and epilepsy.
Alzheimer's Disease
- Identify Alzheimer's disease and render an effective diagnosis and treatment.
Anti-seizure Medication
- Identify common applications and mechanisms of commonly utilized anti-seizure medications used in epilepsy, bipolar disorder, pain, and migraine.
A Picture of Neurological Health - Not
- Recognize important clinical features of neurological conditions from neuroimages involved in the physical examination and ancillary test procedures.
Case Studies of Common Illnesses
- Approach the diagnosis, differential diagnosis, evaluation, and treatment options for several of the most common neurological conditions.
Diagnosis of Spells for the PCP
- Gain familiarity with episodic functional neurological disorders.

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

Ronald R. Butendieck, Jr., MD, FACP

Practice Leader & Consultant, Division of Rheumatology
Assistant Professor of Medicine
Mayo Clinic
Jacksonville, FL

Dr. Ronald R. Butendieck, Jr., earned his undergraduate degree in Biochemistry and Molecular Biology from Rollins College and his Doctor of Medicine from the University of Florida College of Medicine. He completed his residency in Internal Medicine and fellowship in Rheumatology at Mayo Clinic in Jacksonville, Florida.

Dr. Butendieck is an Assistant Professor of Medicine and serves as a Practice Leader and Consultant in the Division of Rheumatology at Mayo Clinic. A dedicated educator, he is a core faculty member of the Mayo Clinic Internal Medicine Residency Program, where he has been honored with the Top Teacher in Rheumatology Award on more than 10 occasions. He developed and leads an annual Rheumatology didactic lecture series for residents and delivers presentations for the Mayo Clinic Internal Medicine Board Review course.

He has a special interest in Behçet’s disease and has presented internationally on Neuro-Behçet’s. Dr. Butendieck is the contributing author on Behçet’s for the National Organization for Rare Disorders. In recognition of his contributions, he was elected as a Fellow of the American College of Physicians (FACP) in 2017. He is actively involved in several institutional committees, including the Mayo Clinic Pharmaceutical Formulary Subcommittee and the Internal Medicine Residency Program's Clinical Competency Committee.

William O. Tatum IV, DO, FAAN, FACNS

Professor of Neurology
Mayo Clinic College of Medicine & Health Sciences
Director, Comprehensive Epilepsy Center
Mayo Clinic

Dr. William O. Tatum IV is professor in the Mayo Clinic College of Medicine, and senior consultant in the Department of Neurology at Mayo Clinic Florida. He is a Fellow in the American Academy of Neurology, American Neurological Association and the American Clinical Neurophysiology Society. He is board-certified in Neurology, Clinical Neurophysiology, and Epilepsy and serves as the current director for the Comprehensive Epilepsy Center and Epilepsy Monitoring Unit at the Mayo Clinic in Florida.

He completed his medical education at the College of Osteopathic Medicine and Surgery in Des Moines, Iowa, neurology residency at Loyola University Medical Center in Chicago, Illinois, and a two-year epilepsy fellowship at Graduate Hospital affiliated with the University of Pennsylvania. After training, he relocated to Tampa, Florida pioneering Tampa General Hospital-University of South Florida Comprehensive Epilepsy Center before joining the Mayo Clinic in 2009 as a clinician-educator.

He is a past president of the board of the American Board of Clinical Neurophysiology and the American Clinical Neurophysiology Society, currently serving as the Chair for the clinical neurophysiology section of the American Academy of Neurology. He has served on the board of directors for the American Board of Registration of EEG Technologists and Evoked Potentials, and currently serves on the board of the Epilepsy Foundation of America. He has been principal investigator in pharmacologic and device clinical trials with research interests in drug-resistant epilepsy, seizure semiology and EEG/clinical neurophysiology.

He has authored 160 peer-reviewed manuscripts, 35 book chapters and edited/co-edited 8 books in the field of epilepsy and clinical neurophysiology. He serves on the current editorial board for the Journal of Clinical Neurophysiology as Associate Editor, and is the Editor-in-Chief for Epilepsy and Behavior Reports. He has presented lectures at national and international meetings as an invited lecturer.

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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Fri Aug 08	Reykjavik, Iceland	-	7:00 pm
Sat Aug 09	At Sea - Cruising Lectures 8:30 AM - 11:30 AM, 12:30 PM - 4:30 PM*	-	-
Sun Aug 10	Seydisfjordur, Iceland	7:00 am	6:00 pm
Mon Aug 11	At Sea - Cruising Lectures 8:30 AM - 11:30 AM, 12:30 PM - 4:30 PM*	-	-
Tue Aug 12	Akureyri, Iceland	8:00 am	-
Wed Aug 13	Akureyri, Iceland	-	7:00 pm
Thu Aug 14	Isafjordur, Iceland	7:00 am	4:00 pm
Fri Aug 15	Reykjavik, Iceland	5:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Reykjavik, Iceland

Reykjavik is a capital city that feels more like a creative, welcoming town, set against a backdrop of dramatic, raw nature. Its compact, walkable core makes it an excellent port to explore on foot, offering a fascinating blend of contemporary design, Viking history, and quirky charm.

The skyline is dominated by the magnificent Hallgrímskirkja church; ascending its tower provides a panoramic view of the city’s colorful rooftops and the surrounding bay. A short walk leads to the waterfront, where the stunning, glass-paneled Harpa Concert Hall glimmers beside the Old Harbour. This area is the departure point for whale-watching excursions and is lined with outstanding seafood restaurants. For a dose of history, the National Museum of Iceland offers a comprehensive look at the nation's past, from settlement to the present day.

With a single day, a choice must be made. You can either immerse yourself in the city's culture or venture into Iceland's legendary landscapes. The famed Golden Circle—a circuit including the tectonic plates at Þingvellir National Park, the powerful Gullfoss waterfall, and the erupting Geysir geothermal area—is a full-day commitment. It's an unforgettable experience but will consume nearly all your time ashore.

A more manageable alternative is a visit to the Blue Lagoon for a soak in its geothermal, silica-rich waters. It’s about a 50-minute drive from the port, and pre-booking is absolutely essential, often weeks or months in advance.

We recommend choosing one path for your day: either fully explore the vibrant streets, shops, and museums of Reykjavik, or dedicate your time to one of the major natural attractions. Trying to do both will likely feel rushed and incomplete.

At Sea - Cruising

Seydisfjordur, Iceland

The arrival into Seydisfjordur is an experience in itself, a slow passage down a 10-mile-long fjord flanked by steep mountainsides streaked with waterfalls. The town that awaits is one of Iceland's most picturesque, a compact collection of colorful, 19th-century Norwegian-style wooden buildings nestled at the water's edge. The primary activity here is a simple, delightful walk through the village center.

The undeniable focal point is the iconic rainbow-painted path leading to the pale blue Seyðisfjarðarkirkja church, a scene of gentle charm. For its small size, Seydisfjordur has a surprisingly vibrant artistic soul, nurtured by a community of creatives and anchored by the Skaftfell Center for Visual Art. You'll find small galleries and workshops that lend a bohemian character to the historic streets.

For a dose of raw nature, an easy and accessible walk from town leads to the beautiful Gufufoss waterfall, a powerful cascade just off the main road. Alternatively, simply strolling the fjord's edge offers tranquility and the chance to spot seals. Seydisfjordur isn't a place of grand monuments; its profound appeal lies in its preserved character, creative spirit, and serene, dramatic setting.

Akureyri, Iceland

Nestled at the head of Eyjafjörður, Iceland’s longest fjord, Akureyri is a surprisingly green and vibrant town that serves as the gateway to the spectacular natural wonders of the north. While often called Iceland's 'second city,' it's best understood not as a metropolis, but as a charming and highly walkable base for profound encounters with nature.

The town itself is a pleasure to explore on foot. A short walk from the pier leads to the town center, where you can ascend the steps to the iconic Akureyrarkirkja, a Lutheran church whose commanding presence offers fine views over the fjord. Nearby, the Akureyri Botanical Garden is a peaceful oasis and one of the northernmost botanical gardens in the world, showcasing a remarkable collection of arctic and temperate flora.

However, Akureyri’s primary value for most visitors lies in the world-class excursions it enables. The most popular is a trip to Goðafoss, the ‘Waterfall of the Gods,’ a powerful and historically significant cascade that is both beautiful and easily accessible. For those with a full day, the Lake Mývatn region is an unforgettable journey into a geothermal wonderland of bubbling mud pots, surreal lava formations at Dimmuborgir, and vast volcanic craters. The Mývatn Nature Baths offer a more tranquil, less crowded alternative to the Blue Lagoon.

For a marine adventure, whale watching tours depart directly from the harbor. The calm, nutrient-rich waters of Eyjafjörður are one of the world's most reliable places to see humpback whales, often just a short boat ride from port. Akureyri provides the perfect balance: a delightful town experience combined with direct access to some of Iceland’s most essential landscapes.

Isafjordur, Iceland

Isafjordur is the gateway to Iceland's remote and dramatic Westfjords, a region defined by raw, untamed beauty. The town itself, the largest in the peninsula, is a quiet fishing hub nestled deep within a fjord and flanked by steep, table-top mountains. Its compact center is easily explored on foot, offering a glimpse into local life with its well-preserved 18th-century wooden buildings and the Westfjords Heritage Museum.

However, the primary reason for a visit is the staggering natural landscape that surrounds it. From the port, accessible excursions unlock the region's best features. A short boat trip to Vigur Island reveals a remarkable bird sanctuary, home to puffins, eider ducks, and Arctic terns in season. For a truly memorable experience, consider the journey to the magnificent Dynjandi waterfall; be advised, it's a significant drive over a mountain pass, but the view of its cascading tiers is a powerful reward. Kayaking on the serene fjord waters provides another way to connect with the immense scale of the landscape. Isafjordur offers a profound immersion into one of Iceland's most spectacular and isolated settings.

Celebrity Silhouette

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

Veranda Stateroom (V2)
In a Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

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

AquaClass Stateroom (A2)
AquaClass Staterooms are balcony staterooms which have the additional benefits of the well-being inspired AquaClass. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

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

Concierge Class Stateroom (C2)
Concierge Class Staterooms are balcony staterooms which have the additional benefits of Concierge Class. Concierge class benefits include: Priority Embarkation and Debarkation, sparkling wine and canapes on request, an exclusive Concierge Class lunch on the first day of sailing, as well as access to personalized Concierge Service and more. The stateroom has a sliding glass door out to an angled veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 204 sqft, and the veranda is 42 sqft.

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

Balcony Prime AquaClass Stateroom (A1)
AquaClass Staterooms are balcony staterooms which have the additional benefits of the well-being inspired AquaClass. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. This is a Prime stateroom as well, meaning it's located in a desirable location and high deck on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class Stateroom (C1)
Concierge Class Staterooms are balcony staterooms which have the additional benefits of Concierge Class. Concierge class benefits include: Priority Embarkation and Debarkation, sparkling wine and canapes on request, an exclusive Concierge Class lunch on the first day of sailing, as well as access to personalized Concierge Service and more. This is a Prime stateroom as well, meaning it's located in a desirable location on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Deluxe Veranda Stateroom (DV)
In a Deluxe Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea.The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. This is a Deluxe Veranda, meaning it has an angled balcony offering a better view than regular Veranda staterooms. The room is 204 sqft, and the veranda is 42 sqft.

Call
800-422-0711
for Pricing

Balcony Sunset Concierge Class Stateroom (SC)
Sunset Concierge Class Staterooms are aft-facing balcony staterooms which have the additional benefits of Concierge Class. Concierge class benefits include: Priority Embarkation and Debarkation, sparkling wine and canapes on request, an exclusive Concierge Class lunch on the first day of sailing, as well as access to personalized Concierge Service and more. The stateroom has a sliding glass door out to a veranda offering mesmerizing aft-facing views, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Sunset Veranda Stateroom (SV)
In a Sunset Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea. These aft-facing rooms offer breathtaking panoramic views from the rear of the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Balcony Prime Veranda Stateroom (V1)
In a Prime Veranda stateroom, indoor and outdoor space come together to create your private sanctuary at sea. Prime Staterooms are located in the most desirable locations on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.

Call
800-422-0711
for Pricing

Outside

Ocean View Stateroom (O2)
Expansive views make Ocean View staterooms the ideal place to unwind at sea. The room has a large window, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 176 square feet.

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

Outside Prime Oceanview Stateroom (O1)
Expansive views make Ocean View staterooms the ideal place to unwind at sea. As a Prime stateroom, Prime Oceanview staterooms are located in the most-desirable locations on the ship. On decks 7 and 8, Prime Oceanview staterooms have a unique forward-facing view at the front of the ship, and on Deck 3 they are centrally located. The room has a large window, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 176 square feet.

Call
800-422-0711
for Pricing

Inside

Inside Stateroom (I2)
Your escape at sea, Inside staterooms offer ample living space, including a sitting area and a flatscreen TV. 183 sqft.

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

Inside Prime Inside Stateroom (I1)
Your escape at sea, Inside staterooms offer ample living space, including a sitting area and a flatscreen TV. Prime Inside Staterooms are located on more desirable locations in higher decks on the ship. 183 sqft.

Call
800-422-0711
for Pricing

Inside Single Inside (IS)
Single Inside Staterooms are perfectly proportioned for the individual traveler. These rooms offer all the same luxurious amenities and services as a double stateroom. Plentiful storage space in your bathroom and wardrobe. The room is 102 sqft.

Call
800-422-0711
for Pricing

Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite combines the well-being inspired AquaClass experience with the exclusive spaces, services, and amenities of The Retreat to leave you more renewed than ever. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. This is in addition to The Retreat benefits like exclusive access to The Retreat Lounge and Luminae Restaurant. The Aqua Sky Suite is a studio with 1 bathroom. 319 sqft stateroom with 79 sqft veranda.