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Continuing Education, Inc.
University at Sea^™
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St Petersburg, Florida 33703

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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.

Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Critical Care, Pulmonary and Sleep Medicine, and Women's Health

10-Night Western Caribbean & The Americas
Round-trip Tampa, Florida
February 22 - March 04, 2023

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

Royal Caribbean's <em>Serenade of the Seas</em> — Royal Caribbean's *Serenade of the Seas*

COURSE CREDITS & HOURS

21 AMA PRA Category 1 Credit(s)™
21 ACPE Credits
21.0 Contact Hours
21 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

COURSE FEES

$1,095.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$850.00 for Physician Assistants & Nurse Practitioners

$695.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

The Evolution of Cervical Cancer Screening
Non-hormonal treatment of menopausal symptoms
The Adnexal Mass: Benign or Malignant
PCOS Lookalikes
PCOS
Evaluation of the Incontinent Female Patient
Non-Surgical Treatment of the patient with Genital Prolapse
Vulvar Pruritis and Vulvar Pain Disorders
Addressing Female Sexual Concerns
Tools Used for Pulmonary Evaluation
- Review American Thoracic Society guidelines for pulmonary function testing and interpretation of: Spirometry, Flow volume loops, Lung volumes, and Bronchoprovocation testing
- Review American Thoracic Society recommendations for cardiopulmonary stress testing and interpretation
- Review indications for oxygen useQualification
- Oxygen use during air travel
COPD
- Review current GOLD 2022 Guidelines for Staging COPD
- Review GOLD 2022 Guidelines for COPD management
- Review the ACCP and Canadian Thoracic Society published guidelines for prevention of acute exacerbations of COPD
- Review the data that shaped these guidelines as related to:
  - Medication Recommendations
  - Non-medications Recommendations.
    - Vaccinations
    - Smoking cessation
    - Pulmonary Rehabilitation
- Review data on surgical and non-surgical lung volume reduction in patients with COPD
- Review data on NIV for stable and acute COPD management
- Discuss the role of palliative care in COPD management
Asthma
- Review the prevalence and economic impact of asthma
- Review the pathophysiology of asthma
- Discuss strategies for management of asthma patients with acute respiratory failure
- Discuss updated expert consensus recommendations for accessing asthma control
- Discuss updated expert consensus recommendations for long term asthma management
- Discuss data on recently FDA approved medications and bronchoscopic interventions used to treat severe persistent asthma
- Briefly look at medications under investigation for asthma treatment
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 recommended guidelines for following sold, ground glass, and part solid pulmonary nodules
- Describe Lung-RADS, the structured reporting system for interpretation of lung cancer screening CT examinations
- Understand key elements required for lung cancer screening programs
- Review lung cancer staging, pulmonary evaluation for surgery, and briefly discuss treatments for advance disease
Acute Respiratory Distress Syndrome
- Review updated definition of ARDS
- Discuss risk factors for developing ARDS and differential diagnosis
- Review data on the use of non-invasive ventilation and high flow nasal cannula for management patients with ARDS
- data on alternative treatments in ARDS including: prone positioning, ECMO, paralytics, and vasodilators
Pulmonary Embolism
- 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
- Review Data on Treatment Outcomes of Patients with High and Intermediate Risk Acute Pulmonary Embolism Treated with Thrombolyis, Catheter Directed Thrombolyis, and Standard Anticoagulation
- Review 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
Acid/Base Disorders
- Present a structured approach to the identification of acid-base disorders
- Interpret acid bases disorders which will allow recognition and rapid diagnosis of the causes of the acid base disorder
- Recognize acute and chronic respiratory failure based on ABG findings
- Review causes on anion gap, osmolar gap, and non-anion gap acidosis
- Review causes of metabolic alkalosis
- Apply knowledge in case-based reviews of complex acid/base disorders
Sleep Apnea Treatment Options: PAP, PACERS, and Beyond
- Review the difference between obstructive and central sleep apnea
- Review the various pressure modalities available and application of these different pressure modalities for treatment of sleep disorders
- Understand the CMS guidelines for qualifications for various pressure modalities
- Review data regarding alternative to PAP treatment of sleep disorder including: weight loss, positional sleep therapy, Dental devices, surgical interventions, upper-airway stimulator devices, transvenous phrenic nerve stimulation for treatment of central sleep apnea

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

Frank B. Marsalisi, MD, FACOG

Director of Gynecology
Bayfront OB/GYN Residency Program
Bayfront Health St. Petersburg
Orlando Health Inc.

Dr. Frank Marsalisi is the Director of Gynecology at the Bayfront OB/Gyn Residency Program , Bayfront Health St. Petersburg -Orlando Health Inc.. Originally from New York, he preceded his medical degree from Michigan State University with two years of research with publication in Hypersensitivity Diseases at USV Pharmaceutical and the Upjohn Company.

After completing his Obstetrics and Gynecology residency as Chief resident at the University of South Florida, he went on to fulfill his four-year commitment with the National Health Service Corp as Director of Obstetrics and Gynecology at the Ruskin Migrant and Community Health Center in Ruskin, Florida. While at Ruskin, he was made a Clinical Assistant Professor of the Department of Obstetrics and Gynecology at the University of South Florida and received the U.S. Public Health Service Regional Health Administrator's Award.

Throughout his residency training and postgraduate career, Dr. Marsalisi has been the recipient of many prestigious university and national teaching awards, including the University of South Florida's Distinguished Professor Award and the John Turlich Medical Student Teaching Award, the Council on Resident Education in Ob/Gyn National Faculty Award for Excellence in Teaching, and many Bayfront Health Teaching Faculty of the Year awards.

He has been honored as being one of the "Top Obstetricians and Gynecologists in America" by the Consumer Research Council of America, and in 2017 he was recognized by Castle Connolly Medical Ltd to be among the"Leading Physicians of the World".

He is a medical community leader serving on the Board of his county medical association and is a delegate to the Florida Medical Association. He has been a speaker on women's health issues for the University at Sea since 2012.

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

	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 21 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
	Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA). US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.
	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 21 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed. Pharmacology credits are identified on individual activities.
	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
	College of Family Physicians of Canada (CFPC) The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits. Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.
	Credit Designation for Pharmacists: This knowledge-based activity is approved for 21 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 21 (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
Wed Feb 22	Tampa, Florida	-	4:00 pm
Thu Feb 23	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 3:00pm*	-	-
Fri Feb 24	Georgetown, Grand Cayman	8:00 am	5:00 pm
Sat Feb 25	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 4:00pm*	-	-
Sun Feb 26	Cartagena, Colombia	7:00 am	4:00 pm
Mon Feb 27	Colon, Panama	7:00 am	5:00 pm
Tue Feb 28	Puerto Limon, Costa Rica	8:00 am	5:00 pm
Wed Mar 01	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 4:00pm*	-	-
Thu Mar 02	Cozumel, Mexico	10:00 am	8:00 pm
Fri Mar 03	At Sea - Cruising 8:30am - 12:30pm*	-	-
Sat Mar 04	Tampa, Florida	7:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Tampa, Florida - A myriad of attractions awaits you during your stay in the Tampa area: the active nightlife of Tampa's Ybor City, it's Aquarium, and Busch Gardens for those with kids (even Walt Disney World is within striking distance). Magnificent beaches are a short ride away (Ft. DeSoto being a rare jewel of a beach without hotels and "McMansions" crowding out nature), then there's the Dali museum in St. Petersburg's hip, food-and-art-centric Downtown. To the south, in quieter Sarasota, you can visit the palatial mansion and art museum of the king of the circus: John Ringling. It's a great vacation destination, in itself. Be sure to plan a couple days before or after your cruise to soak it in.

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.

Cartagena, Colombia - The oldest city in the New World, founded in 1533. Through its portals once poured the wealth of the Spanish Main... Mother lodes of gold, silver and emeralds bound for Madrid. See San Felipe, the fortress that guarded it all, then plunder the dazzling Bocagrande, where emeralds still gleam.

Colon, Panama - Colon lies on the stunning Caribbean coast of Panama, where unparalleled beaches and lush tropical scenery are de rigueur. In nearby Portobello, discover the ruins of Spanish forts, watch the colorful yachts sailing in the bay or hunt for treasures in the local markets. Travel to the Gatun Locks for a bird's eye view of the immense ships passing through the Panama Canal.

Puerto Limon, Costa Rica - Come to Puerto Limon ready to meet a raw and beautiful side unlike any other in Costa Rica. Go off-road and through prehistoric forests in places like the famous Veragua Rainforest Park. Jump onboard a Costa Rica cruise and glide on a canoe over the Tortuguero Canal, meet wild creatures at the Costa Rica Wildlife Sanctuary, or get in some of the region's best surfing at the Salsa Brava reef break, just an hour's drive south of the port.

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.

Royal Caribbean's Serenade of the Seas

COMPETITIVE PRICING PROMISE: We Will Beat or Match the Cruise Line’s Fares and Promotional Offers. *

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

Balcony

Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area, private balcony and bathroom. Stateroom: 179 sq. ft. Balcony: 41 sq. ft.

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

Balcony Spacious Oceanview with Balcony (1B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 204 sq. ft. Balcony: 41 sq. ft.

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800-422-0711
for Pricing

Balcony Oceanview with Balcony (1D)
Two twin beds that convert to Royal King, sitting area, private balcony and bathroom. Stateroom: 179 sq. ft. Balcony: 20 sq. ft.

Call
800-422-0711
for Pricing

Balcony Spacious Oceanview with Balcony (2B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 204 sq. ft. Balcony: 41 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (2D)
Two twin beds that convert to Royal King, sitting area, private balcony and bathroom. Stateroom: 179 sq. ft. Balcony: 20 sq. ft.

Call
800-422-0711
for Pricing

Balcony Spacious Oceanview with Balcony (3B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 204 sq. ft. Balcony: 41 sq. ft.

Call
800-422-0711
for Pricing

Balcony Spacious Oceanview with Balcony (4B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 204 sq. ft. Balcony: 41 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (5D)
Two twin beds that convert to Royal King, sitting area, private balcony and bathroom. Stateroom: 179 sq. ft. Balcony: 20 sq. ft.

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800-422-0711
for Pricing

Balcony Oceanview with Balcony (6D)
Two twin beds that convert to Royal King, sitting area, private balcony and bathroom. Stateroom: 179 sq. ft. Balcony: 20 sq. ft.

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800-422-0711
for Pricing

Inside

Interior Stateroom (4V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 160 sq. ft.

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

Inside Interior Stateroom (1V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 160 sq. ft.

Call
800-422-0711
for Pricing

Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 160 sq. ft.

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800-422-0711
for Pricing

Inside Studio Interior (2W)
Full size bed and full bathroom. Single occupancy stateroom, no single supplement required. Can sleep up to 1. Stateroom: 108 sq. ft.

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for Pricing

Inside Interior Stateroom (3V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 160 sq. ft.

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800-422-0711
for Pricing

Inside Interior Stateroom (6V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 160 sq. ft.

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800-422-0711
for Pricing

Outside Ultra Spacious Oceanview 1K.Two twin beds that convert to Royal King, additional bunk beds in separate area, separate sitting area with sofa bed, and private bathroom with shower. Stateroom: 265 sq. ft.