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

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

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

Topics in Cardiology, Internal Medicine, and Primary Care

7-Night Eastern Caribbean & CocoCay Cruise
Round-trip Miami, Florida
July 12 - 19, 2025

Royal Caribbean's Icon of the Seas

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
4 Hours of Pharmacology for Nurse Practitioners

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Antiplatelet Therapy in Acute Coronary Syndrome
- Identify the pros and cons of the available oral antiplatelet therapies for patients discharged after an acute coronary syndrome.
- Make recommendations on the appropriate duration of therapy.
Anticoagulant Therapy for Atrial Fibrillation
- Discuss the use of the four newer oral anticoagulants for atrial fibrillation, and strategies to reverse these agents for severe bleeding problems.
Transcatheter Aortic Valve Replacement (TAVR)
- Discuss which patients are suitable for TAVR, and when referral should be considered.
Patent Foramen Ovale (PFO) Closure for Cryptogenic Stroke
- Discuss the role of PFO closure for secondary prevention of cryptogenic stroke.
What is New in the Hypertension Guidelines?
- Discuss the current recommendations for hypertension management.
What is New in the Hyperlipidemia Guidelines?
- Discuss current recommendations, with a focus on newer non-statin options.
- Identify current recommendations for hyperlipidemia management for primary and secondary prevention.
Pre-Operative Cardiac Risk Assessment
- Utilize current guidelines to properly assess the cardiovascular risk with non-cardiac surgery.
ECG Case Review
- Review ECGs, focusing on ischemic heart disease, arrhythmias, and metabolic disorders.
Health Promotion: Encouraging a Healthy Body, Mind, and Spirit
- Assess the patient's current state of physical, psychological, and spiritual health.
Treatment of Migraine, Tension-Type, and Cluster Headaches
- Effectively treat patients with migraine headache using non-pharmacologic means, abortive medications, and preventive medications.
- Consider that tension-type and cluster headaches are discrete sub-types of headache, each of which requires a specific diagnostic approach.
Diagnosing and Managing Depression: Overcoming the Blues
- Sustain initial treatment for depression for six months after remission of symptoms to lower risk of relapse.
- Recognize that depression is a common, but often misdiagnosed illness, which can be treated effectively by primary care physicians using medical therapy, psychotherapy, and adjunctive treatment.
- Utilize the following adjunctive treatments where appropriate:
  - Patient education (bibliotherapy)
  - Diet (limit sugar, simple CHOs, caffeine)
  - Exercise (150 min/week)
  - Behavioral activation (pleasant activities)
  - Light (10,000 lux for 30 min daily)
  - Support (iatrotherapy)
  - Spirituality
Get Me Out of Here!: Panic Disorder and Agoraphobia in Primary Care
- Elicit and assess symptoms of panic disorder and agoraphobia.
- Apply appropriate lifestyle modification and stress management skills, including muscle relaxation, breathing control, thought-stopping, and cognitive restructuring.
Somatoform Disorders: Illness as a Way of Life
- Recognize the key symptoms, signs, and clinical presentation of somatizing patients.
Communication: Becoming a Healer
- Consider the clinician's role from the personal and psychosocial aspects of care their clinicians.
The Faith Factor: Practicing Spiritually-Sensitive Care
- Elicit a spiritual history in an ethically-appropriate manner.
- Recognize that spiritually-sensitive care enhances the clinician-patient relationship and may positively influence health care outcomes.

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

Dale A. Matthews, MD, FACP

Dale A. Matthews, MD, FACP
Associate Professor of Medicine (retired)
Georgetown University School of Medicine
Executive Healthcare Services (retired)

Dale A. Matthews, MD, FACP has served on the faculties of Yale University, the University of Connecticut, and Georgetown University and has lectured at over 30 medical schools. He gives lectures on primary care general internal medicine, the doctor-patient relationship, and the psychological and spiritual dimensions of medicine, including the role of religion, faith, and prayer in clinical care. He is the author of The Faith Factor: Proof of the Healing Power of Prayer (Viking, 1998), a four-volume research work (The Faith Factor: An Annotated Bibliography of Clinical Research on Spiritual Subjects), three documentaries, and over 65 peer-reviewed scientific articles, book chapters, and other publications. Dr. Matthews is a graduate of Princeton (AB, cum laude, Romance Languages, 1976) and Duke University School of Medicine (1980). His internship and residency in internal medicine took place at the University of Connecticut (1980-3) and he completed the Robert Wood Johnson Foundation Clinical Scholar Program and Fellowship in Clinical Epidemiology at Yale (1983-5). In 1989, he was named the George Morris Piersol Teaching and Research Scholar of the American College of Physicians. He has received many awards for his compassionate patient care, including Washingtonian Magazine Top Doctor recognition. He has appeared on numerous television shows, including the Oprah Winfrey Show, Larry King Live, and Good Morning America. He lives in McLean, Virginia with his wife, Demetra, a certified public accountant. He has two adult children and three grandchildren. He enjoys family and church activities, Bible study and teaching, golf, baseball, piano, singing, songwriting, ballroom dancing, travel, and photography.

Andrew D. Michaels, MD, MAS, FACC, FAHA

Andrew D. Michaels, MD, MAS, FACC
Interventional Cardiologist
Brighton, MI
Associate Professor of Cardiology
Idaho College of Osteopathic Medicine
Meridian, Idaho

Dr. Michaels completed his undergraduate degree in History & Science at Harvard University. He then completed his medical degree, internship, cardiology fellowship, and interventional cardiology fellowship at University of California-San Francisco (UCSF). He then worked 6 years as Co-Director of the UCSF Cardiac Catheterization Laboratory, followed by 4 years as the University of Utah Director of the Cardiac Catheterization Laboratory. After spending the next 12 years as a full-time interventional cardiologist in community practice, he has transitioned to part-time locums tenens as an interventional cardiologist based in Michigan.

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 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.
	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 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 16 hours of pharmacy continuing education credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Jul 12	Miami, Florida	-	4:30 pm
Sun Jul 13	At Sea - Cruising Lectures 9:00 AM - 12:00 PM, 1:00 PM - 4:00 PM*	-	-
Mon Jul 14	At Sea - Cruising Lectures 9:00 AM - 12:00 PM, 1:00 PM - 4:00 PM*	-	-
Tue Jul 15	Philipsburg, St. Maarten	8:00 am	6:00 pm
Wed Jul 16	Charlotte Amalie, St. Thomas, U.S.V.I.	7:00 am	2:30 pm
Thu Jul 17	At Sea - Cruising Lectures 9:00 AM - 1:00 PM*	-	-
Fri Jul 18	Coco Cay, Bahamas	8:30 am	5:00 pm
Sat Jul 19	Miami, Florida	6:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Miami, Florida - As far as vacation destinations go, Miami tops most sun-seekers’ lists. With its gorgeous beaches, vibrant neighborhoods and melting pot of cultures, the Magic City is the perfect place to spend a few days before your Caribbean island hop. Ahead of your cruise from Miami, jump-start your morning in true Miami style with a Cuban cafecito from a ventanita — a streetside shop window. Then climb the historic lighthouse at Bill Baggs Cape Florida State Park on quiet Key Biscayne before lounging on the island’s secluded sandy shores. If you’re looking for a bit more action, head to South Beach — home to world-class restaurants, nightlife, shopping and lively beaches, all set against snap-worthy Art Deco buildings. Art lovers who visit Miami can head to Wynwood and explore the neighborhood’s colorful street murals and local galleries. Or take a trip back in time at the Renaissance-style Vizcaya estate, which offers a glimpse into Miami’s dazzling past.

At Sea - Cruising - Cruising

Philipsburg, St. Maarten - The capital of the Dutch side of St. Maarten is the town of Philipsburg, though St. Maarten is an island with two distinct sides. To the north is the French side, whose capital is Marigot, while Philipsburg sits on the southern part of the island. When exploring on cruises that go to St. Maarten, it’s important to visit both sides to understand their customs and heritage.

You’ll quickly be charmed by all sides of the island. Of course, this Caribbean island is best known for its beaches, like Maho Beach or Great Bay Beach, one of the area’s best snorkeling spots. Sample local seafood or rum during your time in port, which have become symbols of St. Maarten life. There’s just enough to fill the day here, especially if you hop between the French and Dutch beaches.

Charlotte Amalie, St. Thomas, U.S.V.I. - Named after a Danish Queen, Charlotte Amalie has one of the most breathtaking deepwater harbors in the world. The key sights of Charlotte Amalie are located within the town centre, making it easy to combine sightseeing with St. Thomas’ fantastic shopping opportunities. Eighteenth century architecture provides the perfect backdrop for walking tours and shopping here in the "Duty Free Capital of the World." For a dose of history, visit Emancipation Park, the American-Caribbean History Museum, or Bluebeard the pirate's castle at Magen’s Bay. If tropical bliss is what you're after, head to any of Charlotte Amalie’s pristine beaches, where the warm water, white sands and palm trees will lull you into deep relaxation!

Coco Cay, Bahamas - Located in the middle of the Caribbean's bright blue water lies the secluded island of CocoCay. With its white-sand beaches and spectacular surroundings, CocoCay is a wonderland of adventure. Reserved exclusively for Royal Caribbean guests, this tropical paradise has recently been updated with new aquatic facilities, nature trails and a ton of great places to just sit back, relax and enjoy a tropical drink.

CocoCay Map

Royal Caribbean's Icon 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

Ocean View Balcony (D2)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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Ocean View Balcony (D4)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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Balcony Ocean View Large Balcony (C3)

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Balcony Ocean View Large Balcony (C5)

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Balcony Connecting Ocean View Balcony (CB)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50sqft balcony.

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Balcony Ocean View Balcony (D1)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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Balcony Ocean View Balcony (D3)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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Balcony Ocean View Balcony (D5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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Balcony Central Park View Balcony (F1)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Central Park view. 196 sqft with 50 sqft balcony.

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Balcony Central Park View Balcony (F5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Central Park view. 196 sqft with 50 sqft balcony.

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Balcony Surfside Family View Balcony (H3)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Surfside view. 196 sqft with 50 sqft balcony.

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Balcony Surfside Family View Balcony (H5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Surfside view. 196 sqft with 50 sqft balcony.

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Balcony Infinite Ocean View Balcony (I1)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench. Convertible balcony extends the interior to outdoors. 200 sqft with 50 sqft convertible balcony.

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Balcony Infinite Ocean View Balcony (I3)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench. Convertible balcony extends the interior to outdoors. 200 sqft with 50 sqft convertible balcony.

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Balcony Family Infinite Oceanview Balcony (IB)
Room with two twin beds that convert to Royal King bed, vanity and seating area with sofa and convertible balcony extending the interior to outdoors. Separate room with bunk bed. Split bathroom. Connecting staterooms through private vestibule (72 of the 77 staterooms have the connecting staterooms feature). 285 sqft with 50 sqft balcony.

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Balcony Infinite Central Park View Balcony (IF)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench. Convertible balcony extends the interior to outdoors. 200 sqft with 50 sqft balcony.

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Outside

Ocean View Stateroom (N4)
Two twin beds that convert to Royal King, private bathroom and seating area. 160-187 sqft.

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Outside Panoramic Ocean View Stateroom (L5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and extension of room that is a panoramic seating area. 258 sqft.

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Outside Ocean View Stateroom (N1)
Two twin beds that convert to Royal King, private bathroom and seating area. 160-187 sqft.

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Outside Ocean View Stateroom (N5)
Two twin beds that convert to Royal King, private bathroom and seating area. 160-187 sqft.

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Outside Surfside Family View Interior Stateroom (T5)
Two twin beds that convert to Royal King, private bathroom and seating area with view of Surfside neighborhood. 187 sqft.

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Outside Central Park View Interior Stateroom (U5)
Two twin beds that convert to Royal King, private bathroom and seating area with view of Central Park neighborhood. 187 sqft.

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Inside

Interior Stateroom (V4)
Two twin beds that convert to Royal King, private bathroom and seating area. 156 sqft.

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Inside Interior Plus Stateroom (Q2)
Two twin beds that convert to Royal King, walk-in-closet, private bathroom and seating area. 157 sqft.

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Inside Spacious Interior (R3)
A more spacious version of the standard interior stateroom. Two twin beds that convert to Royal King, private bathroom and seating area. 178 sq. ft.

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Inside Spacious Interior (R4)
A more spacious version of the standard interior stateroom. Two twin beds that convert to Royal King, private bathroom and seating area. 178 sq. ft.

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Suite/Deluxe Grand Suite - 1 Bedroom GS.Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub and two sinks. Living room with sofa that converts to double bed. Dry bar area and vanity/desk. Private balcony with seating area and private dining. 431 sqft with 108 sqft balcony.