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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.

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Topics in Family Medicine and Women's Health

7-Night Hawaii Cruise Conference
Round-trip Honolulu, Oahu, Hawaii
December 07 - 14, 2019

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>NCL'S Pride of America</em> — *NCL'S Pride of America*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
2½ Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Over the past fifteen years there has been an international flurry of new knowledge generated from quality clinical trials and pharmaceutical research and development in all aspects of womens health. For many healthcare providers, the realization of the need to stay closely informed came abruptly with concerns over our management of the symptomatic menopausal woman.

Even those of us in academia responsible for disseminating this new evidence to future physicians and specialists found it difficult to keep pace with the recent discoveries leading to better comprehension in the pathophysiology of certain female disorders. This would lead, for example, to new guidelines that were generated in cervical cancer screening and HPV-associated cancer prevention.

Topics:

PCOS
- Risk modification may influence long term management so it is necessary to diagnose and treat. Further, treatment options are dependent on patient desired outcome and should be considered.
Cystic Fibrosis
- New long term treatment modalities and medications can be considered and may be newer options for consideration of primary care management.
Abnormal Skin Lesions
- Recognition of abnormal skin lesions remains and management remains a key perspective of primary care management. Specific to melanoma, treatment has transitioned and guidelines related to cancer screening, surveillance, and treatment have additional considerations.
Depression
- Depression and behavioral integration into patient centered medical home consideration and federally qualified health centers continue to be a priority.
- Recognition of mental illness as a Comorbidity of chronic health care conditions along with screening, diagnosis,and treatment are cornerstones of management.
Medical, ethical, and end of life care decisions
- Medical, ethical and end-of-life care decisions impact the care of patients and often have providers questioning personal beliefs while Integrating medical knowledge and evidence based practice, keeping an eye on cost effective care.
- Integration of case studies will be utilized to demonstrate application of medical knowledge base with practical ideas.
Amenorrhea
- Describe the most common etiologies of primary amenorrhea and secondary amenorrhea.
- Be able to perform an appropriate diagnostic approach to the patient presenting with amenorrhea.
- Minimize long term risk factors associated with abnormal or irregular menstrual cycles.
Dysmenorrhea
- Know the differences between primary dysmenorrhea and secondary dysmenorrhea .
- Discuss the signs, symptoms, and differential diagnosis for dysmenorrhea.
THE FUTURE OF CERVICAL CANCER: The Legacy of Screening and the Prophecy Of Eradication
- The healthcare provider will recognize the development of modern day cervical cancer screening, the role of high risk HPV in male and female lower genital tract, oropharyngeal, anal carcinogenesis, and the importance of promoting HPV vaccination
FLASH!!! To Treat or Not To Treat with Estrogen
- The clinician will address the concerns of perimenopausal women including their complaints of mood disturbance, vasomotor symptoms, insomnia, diminished sexual desire, vaginal atrophy. He/She will offer patients a variety of behavioral, hormonal, nonhormonal therapeutic modalities during this perimenopausal window
CONTEMPORARY UNDERSTANDING OF THE ORIGIN OF OVARIAN CANCER, RISK REDUCTION, AND THE EVALUATION OF THE ADNEXAL MASS
- The provider will describe the new model of ovarian carcinogenesis and the obstacles encountered in trying to develop ovarian cancer screening.
- The participant will assess the malignant potential of a palpable mass in a woman using present day imaging and ovarian tumor markers and direct appropriate conservative, medical, or surgical intervention.
THE PCOS LOOK-ALIKES
- Participants will generate a differential diagnosis for females of various reproductive ages presenting with signs of hyperandrogenism and order appropriate laboratory, radiologic imaging and timely referral to an endocrinologist, gynecologic oncologist, or general surgeon.
PUTTING OUT THE BURNING VULVA
- The participant will give examples of the variety of infectious, inflammatory, neoplastic, and neurologic disorders that cause vulvar burning/ pruritus, and make timely decisions on proper treatment and need for biopsy.
THAT PESKY VAGINAL DISCHARGE
- The participant will draw from historical and physical exam findings, culture and new quantitative PCR based assays to properly detect and treat a variety of recurrent infectious and non-infectious causes of vaginal irritative symptoms.
ADDRESSING FEMALE DIMINISHED LIBIDO WITHOUT FEAR
- The attendee will openly discuss problems of a sexual nature with his/her patients, define the type of sexual dysfunction and offer behavioral, pharmacologic therapy or referral to sex therapist

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

Ann M. Karty, MD, MBA, FAAFP

Medical Director with Blue Cross and Blue Shield of Kansas City
Diplomate of the American Board of Family Medicine Fellow of the American Academy of Family Physicians Clinical Associate Professor, Department of Family Medicine, Kansas City University of Medicine and Biosciences; Kansas City, MO Past Medical Director, CME Division, America Academy of Family Physicians

Doctor Karty is a Board Certified Family Medicine physician and is a Fellow of the American Academy of Family Physicians. She holds medical licenses in Kansas, Missouri, South Carolina and Illinois. She received a Bachelor of Arts degree in biology and a medical degree from the University of Missouri ‐ Kansas City School of Medicine and is currently pursuing a Master of Business Administration from the University of Kansas ‐ School of Business.

Dr. Karty joined Blue Cross and Blue Shield of Kansas City (BlueKC) as Medical Director in 2016. Previously, Dr. Karty served as Associate Professor in the Department of Family Medicine at the University of Kansas Medical Center and Clinical Associate Professor in the Department of Family Medicine at Kansas City University of Medicine and Biosciences, both located in the Kansas City metropolitan area.

Dr. Karty served as the Medical Director in the Continuing Medical Education Division at the American Academy of Family Physicians, having been a member of that organization throughout her medical career, joining in the late 1980's. In addition to creating innovative educational formats, planning CME meetings, and AAFP governance, she represented the Academy at national organizations including the Food and Drug Administration (FDA), the Institute of Medicine (IOM), the Brookings Institute, the Federation of State Medical Boards (FSMB), the Council of Medical Specialty Societies (CMSS), and just completed a multi-year term as Co-Chair of the Inter-Society Coordinating Committee (ISCC) of the National Human Genome Research Institute at the National Institutes of Health (NIH), a team highlighting integration of practitioner education and genomics around the world. Dr. Karty has moderated meetings, both nationally and internationally throughout her career, and served as a member representative on a Gender Equity in Medical Testing Consensus Group meeting at Georgetown University for Hadassah, helping to craft legislative policy supporting the work of that team, while also serving as co-chair for the National Hadassah Physicians’ Council and helping to create continuing medical education meetings in Israel and serving the Greater Kansas City Hadassah as the Vice President of Membership. Currently, she serves on the Board of Directors for Congregation Beth Shalom and is the Vice President of Programming, as well as a leadership position with the Suicide Prevention Coalition of Johnson County Mental Health (in Johnson County, Kansas).

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.

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). 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 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.
	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 14 hours of pharmacy continuing education credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Dec 07	Honolulu, Oahu, Hawaii Lectures: 2:30 PM-4:30 PM*	-	7:00 pm
Sun Dec 08	Kahului, Maui Overnight*	8:00 am	-
Mon Dec 09	Kahului, Maui Lectures: 4:00 PM-7:00 PM*	-	3:00 pm
Tue Dec 10	Hilo, Hawaii Lectures: 5:00 PM-7:00 PM*	8:00 am	6:00 pm
Wed Dec 11	Kona, Hawaii Lectures: 5:00 PM-7:00 PM*	7:00 am	5:30 pm
Thu Dec 12	Nawiliwili, Kauai, Hawaii Overnight*	8:00 am	-
Fri Dec 13	Nawiliwili, Kauai, Hawaii Lectures: 12:00 PM-5:00 PM*	-	5:00 pm
Sat Dec 14	Honolulu, Oahu, Hawaii	7:00 am	-
*Tentative course schedule, actual class times may differ.

Norwegian Cruise Line Pride of America Map

PORTS OF CALL

Honolulu, Oahu, Hawaii - Combine the languid allure of the tropics with big-city sophistication, then add the spirit of aloha, and you've got Honolulu. This Pacific crossroads features museums, dazzling beaches, historic Pearl Harbor and spectacular sunrises over Diamond Head. Gardenias and jasmine blanket the air with a heady fragrance, and pink sunsets cast a magical glow over fabled Waikiki Beach.

Kahului, Maui - A surplus of natural splendor and the genuine hospitality of its people have helped to make Maui Hawaii's second most popular island. Explore the fascinating history of the town of Lahaina. Plant yourself on a pristine beach, or play one of the world's most beautiful golf courses.

Hilo, Hawaii - Gaze up from this charming town and see snow-capped Mauna Kea volcano. It's just one of the scenic marvels in this exotic greenhouse of lush tropical plants, towering banyan trees, thundering falls and enough flowers to fill a rainbow. Arid deserts, steaming fissures and volcanoes that blow their tops are just as impressive.

Kona, Hawaii - The sun-blessed Kona coast stretches 80 miles along macadamia nut orchards, famous coffee plantations and some of the most important sites in Hawaiian history. Captain Cook came ashore here and died at the hands of angry natives. The coast is also famous for water sports, and the Hawaiian International Billfish Tournament is a world-renowned annual event.

Nawiliwili, Kauai, Hawaii - The Garden Isle, Kauai receives the most rainfall of all the Hawaiian Islands, which leads to lush vegetation and elegant hibiscus blossoms, as well as a huge canyon carved by wind and water erosion. Marvel at the narrow paths worn by the ancient Menehunes into the cliffsides of the steep Na Pali Coast, unmarred by roads and unapproachable except by foot trail or helicopter.

NCL'S Pride of America

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

Balcony Stateroom (BC)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

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

Balcony Aft-Facing Large Balcony (B1)
The aft-facing balcony offers truly incredible views and a great way to feel the ocean breeze. They include two lower beds that convert into a queen-size bed, a sitting area with a single sofa and floor-to-ceiling glass doors that open to a large private balcony. Stateroom: 227-233 sq. ft. Balcony: 89-95 sq. ft.

Call
800-422-0711
for Pricing

Balcony Family Balcony (B2)
These staterooms are great family accommodations. Bring the family and spread out in comfort. Features two lower beds that convert into a queen-size bed and a convertible sofa, as well as a sitting area and floor-to-ceiling glass doors that open to a private balcony. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Family Balcony (B3)
These staterooms are great family accommodations. Bring the family and spread out in comfort. Features two lower beds that convert into a queen-size bed and a convertible sofa, as well as a sitting area and floor-to-ceiling glass doors that open to a private balcony. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Large Balcony Stateroom (B6)
Two lower beds that convert to a queen-size bed and a sofa bed. The large balcony offers incredible views. Stateroom: 217-233 sq. ft. Balcony: 79-95 sq. ft.

Call
800-422-0711
for Pricing

Balcony Large Balcony Stateroom (B7)
Two lower beds that convert to a queen-size bed and a sofa bed. The large balcony offers incredible views. Stateroom: 217-233 sq. ft. Balcony: 79-95 sq. ft.

Call
800-422-0711
for Pricing

Balcony Mid-Ship Balcony Stateroom (BA)
These Mid-Ship Balcony Staterooms are located on a middle deck and offer easy access to great restaurants, activities and more. This stateroom includes two lower beds that convert to a queen-size bed, a convertible sofa to accommodate more, a sitting area and balcony with fantastic views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Mid-Ship Balcony Stateroom (BB)
These Mid-Ship Balcony Staterooms are located on a middle deck and offer easy access to great restaurants, activities and more. This stateroom includes two lower beds that convert to a queen-size bed, a convertible sofa to accommodate more, a sitting area and balcony with fantastic views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BD)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BE)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Balcony Balcony Stateroom (BF)
These balcony staterooms are located either forward or aft. They include two lower beds that convert into a queen-size bed, a sitting area and floor-to-ceiling glass doors that open to a private balcony with amazing views. Stateroom: 178 sq. ft. Balcony: 40 sq. ft.

Call
800-422-0711
for Pricing

Outside

Mid-Ship Oceanview with Picture Window (OA)
These Oceanview Staterooms have two lower beds that convert into a queen-size bed as well as two pull down beds. Because they are mid-ship, you'll have easy access to everything on board. Plus an incredible view from the big picture window. Stateroom: 144 sq. ft.

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

Outside Family Oceanview Picture Window (O1)
Oceanview Staterooms have plenty of room for the family with two lower beds that convert into a queen-size bed, plus two pull down beds. Not to mention the incredible views from the large picture window. Stateroom: 144 sq. ft.

Call
800-422-0711
for Pricing

Outside Mid-Ship Oceanview with Picture Window (OC)
These Oceanview Staterooms have two lower beds that convert into a queen-size bed as well as two pull down beds. Because they are mid-ship, you'll have easy access to everything on board. Plus an incredible view from the big picture window. Stateroom: 144 sq. ft.

Call
800-422-0711
for Pricing

Outside Obstructed Oceanview (OK)
These staterooms combine comfort and value. They include two lower beds that convert into a queen-size bed, additional bedding to accommodate more and a picture window with an obstructed view. Stateroom: 144 sq. ft.

Call
800-422-0711
for Pricing

Inside

Inside Stateroom (IB)
An Inside stateroom is the most affordable way for you to cruise. These staterooms have two pull-down beds and two lower beds that convert into a queen-size bed. Stateroom: 132-134 sq. ft.

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

Inside Family Inside (I1)
Pride of America's Inside Staterooms are a great way for the whole family to cruise. With room for up to four guests these staterooms offer two lower beds that convert into a queen-size bed as well as pull down beds to accommodate two more. Stateroom: 132-139 sq. ft.

Call
800-422-0711
for Pricing

Inside Mid-Ship Inside Stateroom (IA)
These staterooms contain two lower beds that convert into a queen-size bed and additional bedding in some to accommodate more guests. And because they are mid-ship, you'll have easy access to all the exciting activities and delicious dining options on board. Stateroom: 132 sq. ft.

Call
800-422-0711
for Pricing

Inside Inside Stateroom (IC)
An Inside stateroom is the most affordable way for you to cruise. These staterooms have two pull-down beds and two lower beds that convert into a queen-size bed. Stateroom: 132-134 sq. ft.

Call
800-422-0711
for Pricing

Inside Inside Stateroom (ID)
An Inside stateroom is the most affordable way for you to cruise. These staterooms have two pull-down beds and two lower beds that convert into a queen-size bed. Stateroom: 132-134 sq. ft.

Call
800-422-0711
for Pricing

Suite/Deluxe 2 Bedroom Deluxe Family Suite with Large Balcony SA.Living room, private balcony, two separate bedrooms (one with a king-size bed and walk-in-closet, another with two lower convertible beds and a bunk bed), two TVs, two bathrooms (one with bath and shower). Butler service and concierge available. Stateroom: 607-650 sq. ft. Balcony: 98 sq. ft.