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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.

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Topics in Internal Medicine;
Adult & Pediatric Emergency Medicine

7-Night Puerto Plata, St. Thomas & St. Maarten Cruise
Round-trip Ft. Lauderdale, Florida
January 25 - February 01, 2026

<em>Celebrity Xcel</em> — *Celebrity Xcel*

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 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

April Fitzgerald

Adult Immunizations
- Advise patients on the latest vaccine recommendations for:
  - Measles
  - RSV
  - Pneumococcus
  - Shingles
- Find resources for vaccine recommendation updates
Endocrinology – Thyroid Cases
- Review presentations of hypothyroidism and hyperthyroidism
- Consider when (if at all) to order the following thyroid lab tests: TSH, Free T4, Free T3, Total T3, TPO Ab
- Discuss thyroid replacement options of levothyroxine vs combination therapy
- Consider when to refer to endocrinology
Adult Screening – Colon and Breast
- Review the most recent guidelines for:
  - Colorectal Cancer (CRC) Screening
  - Breast Cancer Screening
Adult Screening – Prostate and Cervix
- Changing strategies for prostate cancer screening
  - Review Gleason Grade Groups
  - Appreciate evolving guidelines and screening issues
  - Discuss expanding role of MRI
- Updates in Cervical Cancer Screening
  - Describe whatâs new in USPSTF recommendations
  - Review risk stratification
  - Discuss where to look for guidelines when results are abnormal
Primary Care – Tobacco Cessation and Lung Cancer Screening
- Discuss guidelines for tobacco cessation
- Review lung cancer screening
Primary Care – Osteoporosis Screening and Treatment
- Review DXA guidelines and interpretation
- Examine treatment options
Cardiovascular Risk Management
- List ways to reduce vascular risk
- Review specific recommendations around diet
- Describe the most recent lipid guidelines
- Identify when Coronary Artery Calcium (CAC) is appropriate
Top Recent Articles
- Summarize recent articles
- Consider the implications for treatment
- Discuss how the findings impact medical practice

Jonathan Glauser

The febrile infant: ongoing challenges and recommendations for evaluation
Fever is the second commonest presentation for children in the office setting, after well-child visits. Guidelines for the suggested management of the febrile infant have undergone changes over the years, tracking different organisms, immunization practices, and large clinical databases. This lecture will offer updates as to how to sort all of this out.
Litigation problems related to emergency medicine
Malpractice suits and the fear of them are costly in terms of payouts, time, self-esteem for providers, and defensive medicine. This overview describes methods for risk mitigation, and defines specific aspects of emergency care which endangers practitioners and their patients.
Toxicology Update 2025
The poisoned patient may present in myriad ways. The substances involved vary by time and location. This update names specific agents and identifies trends in street drugs and their abuse.
Pain management and alternatives to opioids
The heroin and fentanyl crisis has been well-described in the news on a daily basis. The concept of an opioid-free emergency department has been described in some publications. That said, relief of pain is a sacred duty for all health care providers. This talk will recognize alternatives to opioids in the management of pain.
Syncope evaluation and management
The patient who presents following a fall or loss of consciousness presents diagnostic challenges. Syncope is a common complaint, and suggested diagnostic guidelines vary by institution and by age. This discussion compares and contrasts guidelines and recommendations.
Thyroid emergencies
Thyroid disorders are frequently found in the general population. Specific emergencies such as thyroid storm or myxedema coma are more infrequent. This update discusses the latest management and examines specific steps in the treatment of these life-threatening emergencies.
Pediatric Gastrointestinal Emergencies
Gastrointestinal emergencies in the pediatric age group vary by age, and many are unusual and life-threatening. This lecture lists them by age of presentation, describes suggested diagnostic work-up, and demonstrates optimal therapy in the acute setting.
Pediatric Trauma update
This will identify ways in which the management of trauma in children differs from the approach in adults. It will describe and differentiate the diagnostic approach to the injured child.

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

April S. Fitzgerald, MD, M.Ed, MBA, FACP

Dr. April Fitzerald is a board-certified internal medicine physician specializing in outpatient primary care. She graduated from the University of Chicago Pritzker School of Medicine and completed residency at Beth Israel Deaconess Medical Center in Boston. She has a Master's of Education in the Health Professions from Johns Hopkins University and a Master's of Business from the University of Virginia.

Jonathan Glauser, MD, FACEP, MBA

Professor of Emergency Medicine
Case Western Reserve University
Faculty, Emergency Medicine Residency Program
MetroHealth Medical Center/ Cleveland Clinic
Cleveland, OH

Dr. Jonathan Glauser is currently Professor of Emergency Medicine at Case Western Reserve University. He is board certified in both Emergency Medicine and Pediatric Emergency Medicine.

He has been active in the education of medical students and resident training for over three decades, and is currently on the full-time faculty of the residency program in Emergency Medicine at MetroHealth Medical Center/ Cleveland Clinic.

He serves on the editorial advisory board of three publications in the field of emergency care, and is section editor in Infectious Disease for the journal Current Emergency and Hospital Medicine Reports. He lives with his wife in the greater Cleveland area.

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 Jan 25	Ft. Lauderdale, Florida	-	4:00 pm
Mon Jan 26	At Sea - Cruising Lectures 9:00 AM - 12:00 PM, 1:00 PM - 4:00 PM*	-	-
Tue Jan 27	Puerto Plata, Dominican Republic	7:00 am	3:00 pm
Wed Jan 28	Charlotte Amalie, St. Thomas, U.S.V.I.	11:30 am	7:00 pm
Thu Jan 29	Philipsburg, St. Maarten	8:00 am	6:00 pm
Fri Jan 30	At Sea - Cruising Lectures 9:00 AM - 12:00 PM, 1:00 PM - 4:00 PM*	-	-
Sat Jan 31	At Sea - Cruising Lectures 8:30 AM - 12:30 PM*	-	-
Sun Feb 01	Ft. Lauderdale, Florida	7:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Ft. Lauderdale, Florida

Often viewed merely as a convenient departure point, Fort Lauderdale is a destination that quietly rewards those who choose to linger. To treat it as just a logistical necessity is to miss the essence of a city that has gracefully matured from a spring break capital into a sophisticated, yet relaxed, coastal hub. Adding a day or two before or after your voyage allows you to decompress and discover the city’s true character, which is defined not just by its famous beach, but by the 165 miles of navigable waterways that have earned it the nickname, “The Venice of America.”

This is not an overstatement; water is the city’s lifeblood. The best way to understand Fort Lauderdale’s layout and soul is from the deck of the Water Taxi. Far more than mere transportation, it’s a floating, hop-on-hop-off tour that glides along the Intracoastal Waterway. From this vantage point, you’ll see the city unfold: stunning waterfront mansions, sleek mega-yachts, and lush mangrove-lined shores. It’s a captivating introduction that connects the city’s key districts, from the lively downtown to the elegant beachfront.

At the heart of the city’s social and cultural life is Las Olas Boulevard. This beautifully landscaped thoroughfare is lined with independent boutiques, captivating art galleries, and a diverse array of restaurants. It’s an eminently walkable street, perfect for an afternoon of browsing or an evening of al fresco dining. The atmosphere is polished but unpretentious, inviting you to explore at your own pace. Here, you can find everything from contemporary art to fine jewelry, followed by dinner at a bustling Italian trattoria or a quiet table at a modern American bistro.

Of course, there is the beach. Fort Lauderdale Beach is a magnificent stretch of pale sand and turquoise water, meticulously maintained and framed by a serpentine white wave wall. The beachfront promenade is ideal for a morning walk or bike ride, and the beach itself is wide enough that you can always find a peaceful spot. It possesses a more relaxed and grown-up ambiance than its southern neighbors, attracting families and professionals seeking sun and serenity.

Beyond the sun and sand, Fort Lauderdale offers accessible cultural experiences that provide a deeper sense of place. The Bonnet House Museum & Gardens is an absolute treasure. This historic 35-acre estate, once the winter retreat of artists Frederic and Evelyn Bartlett, feels like a secret garden frozen in time. You can tour the whimsical home, filled with the couple’s art and collections, and wander through lush grounds that include a desert garden, a hibiscus garden, and native barrier island habitat. It’s a tranquil escape that reveals the charm of Old Florida.

For art enthusiasts, the NSU Art Museum Fort Lauderdale features a notable collection of American and European modern art, with a particular strength in Latin American works and the largest collection of pieces by the American impressionist William Glackens. It’s a manageable and rewarding museum experience, perfect for a few hours of quiet contemplation.

**An Unhurried Pre-Cruise Itinerary**

Arriving a couple of days early transforms the start of your vacation from a travel day into a seamless extension of your holiday. This pace allows for discovery without exhaustion.

**Day 1: Arrival & Waterway Immersion**

* **Afternoon:** After arriving at Fort Lauderdale-Hollywood International Airport (FLL), a short ride-share or taxi will take you to your hotel. Settle in, then head for a waterfront lunch. A restaurant like Coconuts offers classic Intracoastal views and immediately sets a relaxed, nautical tone.
* **Late Afternoon:** Purchase an all-day pass for the Water Taxi. Don’t worry about a destination just yet; simply ride the main loop. It’s the perfect orientation, allowing you to appreciate the city’s unique geography and stunning architecture from the water.
* **Evening:** Hop off the Water Taxi at the Las Olas Boulevard stop. Enjoy a leisurely stroll, browse the shops, and select a restaurant for dinner. The boulevard is beautifully lit at night, creating a wonderful, festive atmosphere.

**Day 2: Culture, Coast & Relaxation**

* **Morning:** Take a short ride to the Bonnet House Museum & Gardens. Allow at least two to three hours to fully explore the quirky house and the serene, sprawling grounds. It’s a peaceful and utterly unique Florida experience.
* **Lunch:** Head toward the beach and find a casual café along A1A for a light lunch with an ocean breeze.
* **Afternoon:** Dedicate the afternoon to the beach. Whether you choose to walk the promenade, rent a lounge chair and umbrella, or take a dip in the Atlantic, this is your time to unwind completely before your cruise.
* **Evening:** For your final dinner, consider returning to a spot you noted on your Water Taxi tour or trying a different style of cuisine along Las Olas. The options are plentiful, from fresh seafood to global flavors.

**Embarkation Day**

Enjoy a relaxed breakfast. With Port Everglades just a few minutes away, there is no need to rush. A short, stress-free transfer to the port will have you boarding your ship feeling refreshed, acclimated, and already steeped in the vacation mindset.

At Sea - Cruising

Puerto Plata, Dominican Republic

Puerto Plata, nestled on the Dominican Republic’s lush Amber Coast, is a destination best suited for active travelers and nature enthusiasts. Its undeniable main event is the 27 Waterfalls of Damajagua, an exhilarating natural water park where you can hike, slide, and leap through a series of stunning cascades. It’s a genuinely memorable adventure, but be prepared for a physical challenge.

For an equally impressive but less strenuous experience, take the Teleférico—the only cable car in the Caribbean—to the summit of Mount Isabel de Torres. The panoramic views of the coastline are spectacular, and you can wander through the botanical gardens surrounding the iconic Christ the Redeemer statue.

Back in town, the 16th-century Fortaleza San Felipe offers a solid dose of colonial history right at the harbor’s edge. The city center itself has some charming Victorian architecture worth a brief stroll. For a true taste of the region, consider a tour and tasting at one of the local rum distilleries. While Puerto Plata isn't a sprawling metropolis, it offers a fantastic day of adventure and scenery for those ready to explore beyond the port.

Charlotte Amalie, St. Thomas, U.S.V.I.

Charlotte Amalie is one of the Caribbean’s most dynamic and bustling ports, a place where vibrant commerce and stunning natural beauty exist side-by-side. While its reputation as a duty-free shopping mecca is well-earned, the true charm lies in knowing how to navigate its offerings.

The historic downtown is a compact grid of Danish colonial architecture, where 18th-century stone warehouses now house an extensive array of jewelry, liquor, and electronic stores. For a genuine sense of the old city, step away from the main thoroughfares and explore the quiet stone-paved alleys. A worthwhile challenge is the climb up the historic “99 Steps” (actually 103) for rewarding views over the harbor.

For many, the highlight of St. Thomas is escaping the city bustle. The Skyride to Paradise Point offers the definitive panoramic photograph of your ship in the turquoise harbor—it’s a tourist staple for good reason. Of course, the beaches are a primary draw. Magens Bay is the island’s most famous stretch of sand; it’s undeniably beautiful, but expect crowds and an entrance fee. For a different experience, consider Sapphire Beach for its excellent snorkeling right offshore or the more tranquil Lindquist Beach, a protected part of a nature park.

Practical Tip: Getting around is typically done via open-air “safari” taxis. These are multi-passenger trucks that operate on set routes with fixed, per-person fares. Confirm the price to your destination with the driver before you depart to ensure a smooth and enjoyable day exploring the island.

Philipsburg, St. Maarten

St. Maarten offers one of the most distinct experiences in the Caribbean: the chance to visit two countries in a single day. Your ship docks in Philipsburg, the capital of the Dutch side (Sint Maarten), a bustling hub of activity. The town itself is built along a beautiful arc of sand, Great Bay Beach, with a lively boardwalk perfect for a stroll. This is the commercial heart of the island, known for its extensive duty-free shopping, particularly for jewelry, electronics, and local spirits like the iconic Guavaberry Liqueur.

For a complete change of pace, a short taxi ride transports you to the French side (Saint-Martin). Here, the atmosphere shifts to something more akin to the French Riviera. The capital, Marigot, offers a more relaxed vibe with chic boutiques, open-air markets, and charming bistros serving fresh croissants and coffee. For the food-focused traveler, a visit to Grand Case is essential; it’s widely regarded as the culinary capital of the Caribbean, with an impressive collection of world-class restaurants.

Of course, the beaches are a primary draw. While there are dozens to choose from, Maho Beach is a spectacle you won’t forget. It’s not a place for quiet relaxation, but for the unique thrill of watching massive jets land just feet above your head. For a more classic Caribbean beach day, Orient Bay on the French side offers a wide expanse of white sand and turquoise water. St. Maarten’s appeal lies in this choice—you can curate your day to be as high-energy or as relaxed as you wish.

Celebrity Xcel

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

Concierge Class Stateroom (C2)
Enjoy benefits such as priority check-in, a welcome lunch, and dedicated service throughout your journey. 201 sq. ft. with 42 sq. ft. veranda.

2,076.83
per person

Price above includes Wifi and Drinks Package.

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

Edge Stateroom with Infinite Veranda (E2)
An innovative design that merges inside and outside space, Infinite Verandas allow you to enjoy open-air access to the sea. Bring the outside inside with the touch of a button. Two double beds convertible to King. 201 sq. ft. with 42 sq. ft. veranda.

2,028.83
per person

Price above includes Wifi and Drinks Package.

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

Balcony Prime AquaClass Stateroom (A1)
A fully immersive, next-level wellness experience, located on the most desirable locations on the ship. Dine at your exclusive restaurant, Blu. Plus, you’ll enjoy access to the SEA Thermal Suite, a spa concierge, fitness amenities, and more. Sleeps 2. 201 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony AquaClass Stateroom (A2)
A fully immersive, next-level wellness experience. Dine at your exclusive restaurant, Blu. Plus, you’ll enjoy access to the SEA Thermal Suite, a spa concierge, fitness amenities, and more. 243 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class (C1)
Meticulously thought-out, these staterooms feature services, amenities, and exclusive events. Prime Concierge Class Staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. 201 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Prime Edge Stateroom with Infinite Veranda (E1)
An innovative design that merges inside and outside space, Infinite Verandas allow you to enjoy open-air access to the sea. Bring the outside inside with the touch of a button. Two double beds convertible to King. 201 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Edge Single Stateroom w/ Infinite Veranda (ES)
Sized for solo travelers, but with a full-size veranda. 142 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Deluxe Porthole View w/ Veranda (P1)
Centrally-located stateroom with floor-to-ceiling porthole view and private veranda. 201 sq. ft. with 40 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Deluxe Porthole View w/ Veranda (P2)
Centrally-located stateroom with floor-to-ceiling porthole view and private veranda. 201 sq. ft. with 40 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Sunset Veranda (SV)
The most spacious of all Edge verandas, the Sunset Veranda class is located at the aft of the ship, allowing for stunning sunset views. Two double beds convertible to King. 228 sq. ft. with 89 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Prime Veranda Stateroom (V1)
Prime Veranda Stateroom Located in the most prime locations on the ship. Celebrity Cruises has not provided more details for this stateroom category yet.

Call
800-422-0711
for Pricing

Outside

Ocean View Stateroom (O2)
Take in the stunning views while you relax in your luxurious stateroom. Two double beds, convertible to King. 200 sq. ft.

1,818.83
per person

Price above includes Wifi and Drinks Package.

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

Outside Deluxe Oceanview Stateroom (DO)
With ample living space, bigger bathrooms, and more drawer space, Deluxe Ocean View Staterooms will become your home away from home while on board. 238 sq. ft.

Call
800-422-0711
for Pricing

Outside Prime Ocean View Stateroom (O1)
Staterooms with a large window and sitting area where you can kick back and relax. Prime Ocean View Staterooms are located in the most-desirable locations on the ship. 200 sq. ft.

Call
800-422-0711
for Pricing

Outside Panoramic Oceanview Stateroom (PO)
Enjoy ever-changing vistas through floor-to-ceiling windows, plus more space than a standard Ocean View Stateroom. Located forward and mid-ship. 212 sq. ft.

Call
800-422-0711
for Pricing

Inside

Deluxe Inside Stateroom (DI)
With ample living space, bigger bathrooms, and more drawer space, Deluxe Inside Staterooms will become your home away from home while on board. 202 sq. ft.

1,759.83
per person

Price above includes Wifi and Drinks Package.

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

Inside Inside Stateroom (I2)
Two double beds convertible to King, with plentiful storage space in your bathroom and wardrobe. 181 sq. ft.

Call
800-422-0711
for Pricing

Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite offers a blend of wellness, expansive views, and intimate luxury. These large suites feature a king-size bed and a spacious private veranda. The split bathroom features a large spa tub with shower. Aqua Sky Suites offer numerous benefits, including exclusive access to The Retreat, unlimited access to the SEA Thermal Suite, in-suite fitness amenities, and more.