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15th MEHS: Ethical Patient Care & Measuring Patient Satisfaction

7-Night Spain & Portugal Cruise
Round-trip Southampton (London), England
July 05 - 12, 2026

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

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours

COURSE FEES

Attendees	Registration Fee
(Cruise Pricing is Additional and Listed Separately)
Physicians, Psychologists, Psychiatrists, Dentists, Pharmacists, Healthcare Executives, and Faculty Seeking up to 16 CE Credits / CE Contact Hours	$995.00
Physician Assistants, Nurse Practitioners, CRNAs, Chiropractors, Physical/Rehab/Occupational/etc. Therapists, and other Non-Physician healthcare providers Seeking up to 16 CE Credits / CE Contact Hours	$795.00
Nurses, Nursing Home / Home Healthcare Practitioner, Residents, Current students, former students* of Dr. Chandra, BHAA Members *proof/verification required Seeking up to 16 CE Credits / CE Contact Hours	$595.00
Non-CE Earning: Faculty / Corporate Members to participate in the Academic Conference and can attend CE Sessions, but will not recieve CE Credit	$295.00
Non-CE Earning: Students / Guests to participate in the Academic Conference and can also attend CE sessions, but will not recieve CE Credit	$195.00

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Pre-Conference Activity

All pre-registered CE attendees will receive at least six (6) hours of pre-conference study materials, including cases and assignments, at least two weeks prior to the cruise departure date. These materials will be discussed during Day 1 and/or Day 2 of the CE sessions.

Pre-Conference Self-Study Topics (Slides)

Patient Satisfaction Assessment Tools
- Techniques and Strategies for Developing Effective Patient Satisfaction Assessment Tools to Improve Patient Care and Experience
- Basics of a Patient Satisfaction Survey
- The 5W&H of Understanding the Patient and Associated Environmental Issues
- Role of Patient (and Caregiver) Satisfaction Surveys
- Situations Requiring Quick Survey Research—Internal vs. External Surveyors
Survey Research Design & Analysis
- Organizing, Overseeing, Reporting, and Understanding Surveys
- Types of Data Collection Techniques
- Inclusion and Exclusion Criteria
- Writing Good Survey Questions—A Critical Review
- Understanding the Report & Determining Strategies for Patient Care Improvement
- Ethical Issues Pertaining to Patient/Caregiver Satisfaction Surveys

Time Allocated: 6 hours (Self-paced)

Day 1 (Face-to-Face) – Monday, July 6, 2026

Plan for the Day

Face-to-Face Session: 9:00 AM – 12:00 PM (3 hours)
Assignment Completion Time: 4 hours (Self-paced)

Session Outline

Course Overview & Expectations
- Introduction to the Course and Activities
- Discussion on Pre-Conference Materials (Slides, Cases, Assignments)
Ethical Dimensions in Healthcare
- Why Healthcare Leaders Should Be Aware of the Workplace Environment
- Impact of the Workplace Environment on Patient Care
Employee Conflict Management & Its Relationship with Patient Care
- Impact of Inter-Personal Conflict on Patient Care
- Correlation Between Conflict Situations and Organizational Complexity
- Factors That Trigger Conflict:
  - Physician vs. Physician
  - Physician vs. Nurse
  - Nurse vs. Nurse
  - Department vs. Department
- Professional Disparagement and Its Impact on Care Delivery
- Case Study & Role-Playing Exercise
Professional vs. Unprofessional Behavior
- Expectations of Professionalism From:
  - Healthcare Personnel Perspective
  - Patient Perspective
  - Family/Guardian/Caregiver Perspective
- Discrimination Issues:
  - Workplace Discrimination
  - Patient Discrimination
- Case Study & Discussion
Managing Communication
- Ethical Dimensions of Appropriate Communication by Medical Office Staff
- Types of Communication:
  - Verbal
  - Non-verbal (and its impact on patient/caregiver relationships)
- Cautions & Precautions in Medical Communication
- Case Study, Role-Playing Exercise, & Discussion

Assignments

Assignments will be given at the end of the lecture.
Participants must complete them and be prepared to present on Saturday, July 11, 2026.
A key presenter will be available for guidance.

International Conference Presentation Session (Non-CE)

Time: TBD (As needed)

Open to all registrants but does not earn CE credit.

Day 3 (Face-to-Face) – Saturday, July 11, 2026

Plan for the Day

Face-to-Face CE Session: 9:00 AM – 12:00 PM (3 hours)

Session Outline

Presentation & Discussion on Assignments
- Open discussions with participants
Ethical Principles & Moral Philosophies
Ethical Issues in Patient Confidentiality & Consent
- Potential Compromising Situations:
  - In Healthcare Institutions/Settings
  - By Health and Non-Health Personnel
  - In Other Social Settings
- Examples & Interactive Cases
Understanding Consent in Healthcare
- Differentiation Between Types of Consent
- Assessing Consent Issues for Different Clients:
  - Minors
  - Adults
  - Elderly
- Case Studies & Role-Playing Exercise
Gatekeepers for Ethical Integrity
- Conflict of Interest
- Whistleblower Protection
- Impaired Healthcare Provider
- Case Study & Discussion

Closing Remarks for CE Sessions

Final Thoughts & Open Discussion

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

Ashish Chandra, MBA, PhD

Professor Ashish Chandra is a Professor of Healthcare Administration, College of Business at the University of Houston-Clear Lake (UHCL), Houston, Texas, USA where he also served as the Department Chair for over four years at UHCL. All together Dr. Chandra has over 20 years of university level teaching experience in the U.S. He is a well-recognized healthcare administration academician internationally and serves on the academic advisory board of several educational institutions in Turkey and India. He has also provided over a dozen Management Development Program, Faculty Development Programs, and professional consulting services to several healthcare and business organizations in the United States, India, Turkey, and aboard cruise ships. He actively served on the board of directors of several professional and community organizations in the United States. Over the past four years he has served as the Course Director and Speaker of five Continuing Education Programs for health professionals.

Dr. Chandra is a prolific researcher and has 75 publications in refereed journals, two edited books, ten book chapters, and over 250 publications in conference proceedings. He is an Executive Editor of the journal Hospital Topics (the oldest journal in healthcare administration field - almost 95 years in existence). He has served as the President of FOUR major international academic organizations - the Business and Health Administration Association; the Association of Collegiate Marketing Educators; the MBAA International; and the Federation of Business Disciplines. He has also served as the Program Chair of over a dozen major international conferences, held in U.S., India, Turkey, and U.K. as well as aboard cruise ships in the Caribbean, Alaska, Baltics, and Mediterranean.

Professor Chandra has received numerous awards and recognition related to teaching, research, and service throughout his career, including the 2017 Excellence in Teaching Award by the National Society for Leadership Success; 2015 Outstanding Professor Award given by the University of Houston - Clear Lake Alumni Association; 2012 American College of Healthcare Executives Service Award; 2011 Outstanding Educator Award from the Association of Collegiate Marketing Educators; to name a few. He also has the distinct honor of being the Commencement Speaker at the December 2018 graduation ceremony of the University of Houston – Clear Lake. The URL link to Dr. Chandra’s commencement speech is below. Please cue to minute 32 of the video link in case you just want to see Dr. Chandra’s speech.
URL to speech https://www.youtube.com/watch?v=HpwOooexSYA&t=2984s

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
Sun Jul 05	Southampton (London), England	-	5:00 pm
Mon Jul 06	At Sea - Cruising	-	-
Tue Jul 07	Vigo, Spain	10:00 am	7:00 pm
Wed Jul 08	Lisbon, Portugal	9:00 am	-
Thu Jul 09	Lisbon, Portugal	-	2:00 pm
Fri Jul 10	La Coruna, Spain	1:00 pm	7:00 pm
Sat Jul 11	At Sea - Cruising	-	-
Sun Jul 12	Southampton (London), England	5:30 am	-

PORTS OF CALL

Southampton (London), England

While your cruise documents say “Southampton (London),” let’s be clear: Southampton is the convenient gateway, but London is the unmissable main event. Treating this port as merely a place to embark or disembark would be a profound missed opportunity. As your advocates, we strongly encourage you to frame your voyage with a two or three-day stay in one of the world’s most dynamic cities. Samuel Johnson’s famous quip, "When a man is tired of London, he is tired of life," remains as true today as it was in the 18th century. A few days here will show you just how much life this incredible city offers.

**Crafting Your London Prelude (or Finale)**

Think of your time in London not as a layover, but as a distinct, curated chapter of your vacation. The city’s seamless blend of ancient history, contemporary culture, and culinary excellence provides the perfect bookend to a European cruise.

**Day 1: Icons, Royalty, and the West End**

Begin your adventure where London’s story is written in stone: the Tower of London. This nearly 1,000-year-old fortress is a masterclass in history. Arrive early to beat the crowds, witness the breathtaking Crown Jewels, and listen to the captivating, often grim, tales from the Yeoman Warders. From there, a short walk takes you to the iconic Tower Bridge. Afterwards, bypass the traffic and see the city from its historic highway, the River Thames. A Thames Clipper (part of the public transport network) offers a scenic and efficient ride to Westminster, where you’ll be greeted by the grandeur of the Houses of Parliament, Big Ben, and Westminster Abbey. In the evening, immerse yourself in the electric atmosphere of the West End. After a pre-theater dinner in vibrant Covent Garden, settle in for a world-class performance, whether it’s a long-running musical or a critically acclaimed new play.

**Day 2: Global Treasures and Culinary Exploration**

Dedicate your morning to one of the world's greatest repositories of human history, the British Museum. It’s vast, so be strategic: focus on unmissable artifacts like the Rosetta Stone, the Parthenon Marbles, and the Egyptian mummies. For lunch, head to the South Bank and dive into the glorious chaos of Borough Market. One of London's oldest food markets, it’s a sensory overload in the best possible way. Graze on artisanal cheeses, freshly shucked oysters, gourmet sausage rolls, and international street food. Properly fueled, you can spend the afternoon exploring the cultural riches of the South Bank, from the modern masterpieces at the Tate Modern to a glimpse of Elizabethan theatre at Shakespeare's Globe.

**Day 3: Neighborhood Charm and Refined Shopping**

London is a city of villages, each with its own distinct character. You might explore the pastel-hued townhouses and antique stalls of Notting Hill, or the stately elegance of Mayfair and St. James's. Of course, a visit to Buckingham Palace is a must, perhaps timing your visit for the Changing the Guard ceremony or, if traveling between July and September, booking a tour of the magnificent State Rooms. For an unparalleled shopping experience, look beyond the high street. The iconic mock-Tudor facade of Liberty London houses a beautifully curated collection of fashion and design, while the legendary food halls of Fortnum & Mason are a feast for the eyes and palate. For a more contemporary scene, the independent boutiques and flagship stores around Carnaby Street and Seven Dials offer a hipper, more localized feel.

**The Practicalities: Making it Effortless**

Connecting your London stay to your Southampton cruise is far simpler than you might imagine. The city’s transport network is superb.

* **Getting Around London:** The Underground, or "The Tube," is exceptionally efficient. Don’t bother with special passes; simply tap your contactless credit/debit card or mobile payment device on the readers to enter and exit the system. It’s seamless and calculates the best fare for you.
* **Airport to City:** From Heathrow, the Heathrow Express whisks you to Paddington Station in about 15 minutes. The newer Elizabeth Line is also an excellent, comfortable option. From Gatwick, the Gatwick Express arrives at Victoria Station in about 30 minutes.
* **London to Southampton Port:** This is the key connection. Direct and frequent trains run from London Waterloo station to Southampton Central, with a journey time of approximately 80-90 minutes. We recommend choosing a hotel near Waterloo for ultimate convenience. Upon arrival at Southampton Central, a short 5-10 minute taxi ride will take you directly to your cruise terminal.

For those who prefer a more direct, door-to-door experience, we work with an excellent private transfer service and can arrange everything for you. Let us help you design the perfect London stay—it will elevate your cruise from a great vacation to an unforgettable journey.

At Sea - Cruising

Vigo, Spain

Vigo presents travelers with a distinct and compelling choice. It is the primary gateway to Santiago de Compostela, one of the world's most significant pilgrimage destinations. For those undertaking the 75- to 90-minute journey inland, the reward is the magnificent UNESCO-listed cathedral, the final stop on the Camino de Santiago. The city's historic center is imbued with a palpable sense of spiritual history, and witnessing the emotion of pilgrims completing their journey is a profound experience.

However, to dismiss Vigo itself would be a mistake. Staying in port reveals an authentic, energetic Galician city with a strong maritime identity and a superb culinary scene. The cruise terminal's convenient location allows for an easy walk into the Casco Vello (Old Town), a revitalized district of stone-paved streets and lively plazas. The city's gastronomic heart is the Rúa da Pescadería, or “Oyster Street,” where you can watch vendors shuck incredibly fresh oysters, served simply with a wedge of lemon. Pairing them with a glass of crisp, local Albariño wine is an essential Galician moment. For panoramic views of the city, the sprawling estuary, and the distant Cíes Islands, a walk up to the hilltop park, Monte O Castro, is highly recommended. Vigo offers a genuine taste of modern Spanish life in a region celebrated for its seafood and scenery.

Lisbon, Portugal

Lisbon greets you not with a grand overture, but with an intimate melody. Your arrival places you directly at the foot of Alfama, the city’s historic soul, a labyrinth of steep, cobbled lanes where the past is not a museum piece but a living, breathing part of the neighborhood. With two days to explore, you have the luxury of immersing yourself in the city’s unique rhythm.

**Day One: Alfama’s Embrace and the Sound of Fado**

Spend your first afternoon getting wonderfully lost in Alfama. This is not a district for maps and checklists; it’s for wandering. Follow the narrow alleys as they twist past sun-drenched patios, colorful tiled facades, and laundry lines fluttering overhead. The iconic, rattling yellow Tram 28 makes its way through these streets, offering a picturesque (if often crowded) tour. For a breathtaking introduction, make your way to a viewpoint like the Miradouro das Portas do Sol, which offers a stunning panorama of terracotta roofs tumbling down to the Tagus River.

As evening descends, Lisbon’s true character emerges. The overnight stay provides a rare opportunity to experience Fado, Portugal’s profoundly melancholic and soulful music. Head back into the heart of Alfama or to the neighboring Bairro Alto to find an authentic *casa de fados*. In these small, intimate restaurants, dinner is accompanied by powerful performances that speak of love, loss, and *saudade*—a deep, untranslatable longing. It is a moving cultural experience that defines the city’s spirit. For a more lively evening, the Bairro Alto district also offers a vibrant collection of bars and restaurants.

**Day Two: Imperial Grandeur or Downtown Discovery**

Your second day allows for a deeper exploration. We recommend one of two distinct paths:

1. **A Journey to Belém:** Take a short tram or taxi ride west along the river to Belém, the district that launched Portugal’s Age of Discovery. Here, you’ll find a concentration of national treasures. Stand in awe of the magnificent Jerónimos Monastery, a masterpiece of Manueline architecture and a UNESCO World Heritage site. Nearby, the Belém Tower stands as a stoic symbol of the nation’s maritime past. No visit is complete without tasting the original custard tart at Pastéis de Belém, where the legendary recipe has been a closely guarded secret since 1837.

2. **Castle Views and City Life:** For those preferring to stay central, begin your morning with a climb to São Jorge Castle. The fortress walls provide the definitive 360-degree view of Lisbon. Afterward, descend into the Baixa district, the city’s elegant downtown, completely rebuilt on a grid system after the devastating 1755 earthquake. Stroll through the grand Praça do Comércio, ride the ornate, 19th-century Santa Justa Lift for another unique city perspective, and explore the sophisticated Chiado neighborhood, known for its theaters, bookstores, and historic cafés like A Brasileira.

In either case, wear comfortable shoes. Lisbon is a city built on seven hills, and its greatest rewards are found on foot, absorbing the golden light and timeless atmosphere that make it one of Europe’s most captivating ports.

La Coruna, Spain

La Coruña serves as a superb introduction to Galicia, Spain’s distinct and verdant northwestern region. The city presents a compelling choice for your day: immerse yourself in its own considerable Atlantic charms or journey inland to the world-renowned pilgrimage city of Santiago de Compostela.

If you remain in La Coruña, the undisputed highlight is the Tower of Hercules. This UNESCO World Heritage site is the world's oldest functioning Roman lighthouse, and climbing its steps rewards you with commanding views of the rugged coastline. From there, a stroll along the expansive Paseo Marítimo seaside promenade leads to the city’s historic heart. The Old Town (Ciudad Vieja) is a delightful maze of stone lanes, quiet squares, and Romanesque churches. It eventually opens onto the grand Plaza de María Pita, the city’s main square, dominated by its stately city hall. Don’t miss the iconic 'galerías'—glass-enclosed balconies that line the harbor front, earning La Coruña the nickname “The Crystal City.” Galician cuisine is a highlight; seek out a local restaurant for exceptional seafood, particularly *pulpo a feira* (market-style octopus), paired with a crisp Albariño wine.

Alternatively, a full-day excursion to Santiago de Compostela is a truly worthwhile endeavor. As the final destination of the Camino de Santiago pilgrimage, the city has a palpable spiritual and historical weight. The magnificent Cathedral, which houses the tomb of St. James, is the breathtaking centerpiece of a city built from granite and faith. La Coruña offers a genuine taste of a different Spain—one defined by its Celtic roots, Atlantic soul, and profound history.

Royal Caribbean's Liberty 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 (2D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 sq. ft.

1,710.98
per person

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: 199sq. ft. Balcony: 42 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (1D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 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: 199 sq. ft. Balcony: 65 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: 199 sq. ft. Balcony: 65 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: 199 sq. ft. Balcony: 65 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 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 private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 sq. ft.

Call
800-422-0711
for Pricing

Balcony Spacious Oceanview with Balcony (6B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 199sq. ft. Balcony: 65 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview Balcony with Balcony (6D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 189 sq. ft. Balcony: 46 sq. ft.

Call
800-422-0711
for Pricing

Outside

Oceanview Stateroom (4N)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 180 sq. ft.

1,542.98
per person

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

Outside Oceanview Stateroom (2N)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 180 sq. ft.

Call
800-422-0711
for Pricing

Outside Oceanview Stateroom (3N)
Stateroom for four people. Two twin beds that convert to Royal King, two pullman beds, and private bathroom.

Stateroom: 180 sq. ft.

Call
800-422-0711
for Pricing

Inside

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

Stateroom: 150 sq. ft.

1,212.98
per person

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

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

Stateroom: 150 sq. ft.

Call
800-422-0711
for Pricing

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

Stateroom: 150 sq. ft.

Call
800-422-0711
for Pricing

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

Stateroom: 150 sq. ft.

Call
800-422-0711
for Pricing

Suite/Deluxe Grand Suite - 1 Bedroom (GS)
Marble entry. Room has two twin beds that convert to Royal King, private balcony, sitting area and private bathroom with tub.

Stateroom: 381 sq. ft. Balcony: 89 sq. ft.