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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!

Internal Medicine, Rheumatology, and Emergency Medicine

7-Night Western Caribbean Cruise Conference
Round-trip Miami, Florida
July 20 - 27, 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.

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

COURSE CREDITS & HOURS

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

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists,

PROGRAM PURPOSE

Topics:

Evaluation and management of Osteoarthritis.
- dentify that osteoarthritis(OA) is most common form of arthritis and has an immense impact on lives in USA.
- Describe various clinical manifestations of OA.
- Select the various management options based upon the evidence based guidelines provided by various professional organization.
Update on diagnosis and management of Rheumatoid Arthritis.
- Elucidate the epidemiology of Rheumatoid Arthritis(RA).
- Differentiate Inflammatory from non-inflammatory arthritis.
- Recognize various clinical presentations of RA and its classification criteria.
- Describe common agents used to treat and evidence based strategies in management of RA.
Gout in 21st century: How far have we come?
- Identify the recent updates in the evaluation and management of Gout.
- Ascertain the role of uric acid in pathogenesis and management of Gout.
- Distinguish the differing positions of American College of Rheumatology and American College of Physicians in management of Gout.
- Describe therapeutic options for management of Gout and potential pitfalls.
Osteoporosis: A Silent Killer; Current state of evaluation and management.
- Identify the recent updates in the evaluation and management of Osteoporosis.
- Describe the role of bone density testing in evaluation of Osteoporosis.
- Discuss recent advances including a new therapeutic options on horizon for management of Osteoporosis.
Inflammatory Low Back Pain: How to evaluate spondyloarthritides and manage them?
- Differentiate clinical presentation and common features of mechanical back pain from inflammatory back pain.
- Ascertain various clinical presentations and classification of Spondyloarthritides (SpA).
- Discover the available therapeutic options and guidelines for management of axial and peripheral SpA.
Connective Tissue Disease: What does it mean? How is it evaluated and when do I get rheumatology involved?
- Conclude that a positive test for auto-antibodies does not mean a diagnosis of autoimmune diseases.
- Describe common auto-antibodies and their association with underlying diseases.
- Identify clinical presentations where testing for auto-antibodies and referral to rheumatology is appropriate.
DMARDs and Biologics in management of rheumatic diseases: current state of understanding
- Recognize the vast number of disease modifying anti-rheumatic drugs (DMARDs) and biologic response modifiers (Biologics) used in management of rheumatic diseases.
- Differentiate various pharmacological features of DMARDs and Biologics.
- Summarize regulatory and financial issues with biologics and biosimilars.
Pregnancy in autoimmune diseases: No reason to panic!!
- Conclude that pregnancy in patients with autoimmune diseases is common and easily managed.
- Identify common maternal and fetal complications that may complicate pregnancy in patients with autoimmune diseases.
Systemic Lupus Erythematosus (SLE/Lupus): An Overview
- Identify various clinical presentations and classification of Systemic Lupus Erythematosus (SLE).
- Describe the common agents and evidence based strategies in management of Lupus (SLE).

Additional topics under development

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference or participate in conference events, participants, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or register online.

Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Vikas Majithia, MD, MPH, FACR, FACP

Professor of Internal Medicine
University of Mississippi School of Medicine
Department of Internal Medicine, Division of Rheumatology.
Rheumatology Division Director and Fellowship Program Director

Dr. Majithia currently serves as Division Director and Fellowship Program Director at division of Rheumatology, University of Mississippi Medical Center, and Rheumatologist at GV (Sonny) Montgomery VA Medical Center Rheumatologist.

Dr. Majithia completed his medical school at Pandit Bhagwat Dayal Sharma Postgraduate Institute of Medical Science in India, residency at St. John Hospital and Medical Center in Detroit Michigan and a fellowship in rheumatology at University of Mississippi Medical Center. He is board certified in Rheumatology and Internal Medicine by the American Board of Internal Medicine.

He is board certified in Rheumatology and Internal Medicine by the American Board of Internal Medicine. He is the principal investigator on a number of clinical trials, longitudinal studies and has published more than 30 peer-reviewed manuscripts and multiple book chapters.

He has received many honors and accolades for his teaching and service including induction into Norman C. Nelson Order of Teaching Excellence. He has current and previous service on a number of intra-mural committees. He currently serves on/ has served on multiple extra-mural committees which include those for American College of Rheumatology, American College of Physicians and American Board of Internal Medicine.

Daniel R. Martin, MD, MBA, FACEP, FAAEM

Professor and Vice Chair of Education
Director EM IM Residency Program
Department of Emergency Medicine
Ohio State University

Daniel R. Martin is a Professor of Emergency Medicine and Internal Medicine at The Ohio State University Wexner Medical Center. He is the Program Director of the Emergency Medicine Internal Medicine Residency Program and the Vice Chair of Education for the Department of Emergency Medicine. Dr. Martin served as the Program Director for the Emergency Medicine Categorical Program at The Ohio State University Wexner Medical Center from 1990 to 2010.

Dr. Martin received his undergraduate and medical degrees from Indiana University School of Medicine and recently received an Executive MBA from Fisher School of Business. He completed his Internal Medicine Residency at University of Iowa Hospitals and Clinics and then completed an Emergency Medicine Residency at the Medical College of Wisconsin serving as Chief Resident during his final year.

His clinical interests include the treatment of infectious diseases in the emergency department, cognitive errors, leadership and patient education and satisfaction. His research interests are the ED treatment of infections, such as pneumonia and respiratory infections, medical education research and patient experience.

Dr. Martin is an active member of national organizations such as the Society for Academic Emergency Medicine, the Council of Emergency Medicine Residency Directors, The American Academy of Emergency Medicine and the American College of Emergency Physicians (ACEP) where he is an Ohio ACEP Counselor and an Ohio ACEP Board member. He has lectured as a Visiting Professor both regionally and nationally on topics such as Respiratory Infections, Case Studies of Infectious Emergencies, Recognizing and Reducing Cognitive Errors in Medicine, Applying Leadership Literature to Emergency Medicine and Patient Experience.

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.

MOC ABIM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Jul 20	Miami, Florida	-	4:30 pm
Sun Jul 21	*At Sea - Cruising	-	-
Mon Jul 22	Roatan, Honduras	9:30 am	6:00 pm
Tue Jul 23	Puerto Costa Maya, Mexico	8:00 am	5:00 pm
Wed Jul 24	Cozumel, Mexico	7:00 am	6:00 pm
Thu Jul 25	*At Sea - Cruising	-	-
Fri Jul 26	Coco Cay, Bahamas	8:00 am	5:00 pm
Sat Jul 27	Miami, Florida	6:00 am	-

*Tentative course schedule, actual class times may differ.

Royal Caribbean Symphony of the Seas Map

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

Roatan, Honduras - The island of Roatan is known for its glittering bays and colorful coral reefs perfect for outdoor adventures like snorkeling and scuba diving. Discover your inner pirate in Roatan, where you can taste local rum, swim among starfish at Starfish Alley, or sample fresh seafood at local restaurants.

The 40-mile-long island borders the second-longest barrier reef on the globe, which attracts many divers each year. Go horseback riding at Little French Cay or unwind in paradise at West Bay. Don’t forget to try conch fritters and rum cake during your visit.

Puerto Costa Maya, Mexico - Past meets present in Costa Maya. Cruise to Costa Maya and find ancient Maya ruins and mysterious jungles just begging to be explored, as well as private beach clubs and trendy restaurants— all in one place. It’s 250 square miles of paradise packed with entertainment and history, all just 30 miles south of Cancun. The Great Maya Reef just off the coast is the second largest in the world— it’s a must-snorkel spot. Or you can kick back at the port village of Mahahual with an ice-cold michelada— a spicy beer cocktail— in hand. For a culture fix, head to the Kohunlick ruins to see the famous Temple of the Masks.

Cozumel, Mexico - With its lively tropical reefs, crystal-clear waters and ancient ruins, Cozumel is ripe for one-of-a-kind adventures. Cruise to Cozumel and head to Chankanaab National Park, where you can snorkel among the colorful reefs and schools of tropical fish that give this island its premier diving status. Or travel back in time on an adventure through the towering Maya ruins of Tulum. When you’re done exploring, unwind with a beachside massage at Playa Mia. From culture savoring to soaking up sunshine, you’ll find a world of adventure waiting for you in Cozumel.

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 Symphony of the Seas

PLEASE NOTE: To attend the conference or participate in conference events, participants, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or by registering online.

COMPETITIVE PRICING PROMISE: We Will Beat or Match the Cruise Line’s Lowest Rates. *

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

Balcony

Oceanview with Balcony (8D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.
Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

Call: 800-422-0711
and let us help find the best value for you.

Balcony Ultra Spacious Oceanview with Large Balcony (1A)
Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 374 sq. ft. Balcony: 108 sq. ft.

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800-422-0711
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Balcony Oceanview with Large Balcony (1C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 80 sq. ft.

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800-422-0711
for Pricing

Balcony Oceanview with Large Balcony (1D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

Call
800-422-0711
for Pricing

Balcony Boardwalk View with Balcony (1I)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 274 sq. ft. Balcony: 73 sq. ft.

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Balcony Central Park View with Balcony (1J)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.

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800-422-0711
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Balcony Oceanview with Large Balcony (2C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 80 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (2D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

Call
800-422-0711
for Pricing

Balcony Boardwalk View with Balcony (2I)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 274 sq. ft. Balcony: 73 sq. ft.

Call
800-422-0711
for Pricing

Balcony Central Park View with Balcony (2J)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (3D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
for Pricing

Balcony Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

Call
800-422-0711
for Pricing

Balcony Boardwalk View with Balcony (4I)
Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (5D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

Call
800-422-0711
for Pricing

Balcony Oceanview with Balcony (6D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
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Balcony Oceanview with Balcony (7D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
for Pricing

Balcony Spa Oceanview with Balcony (S4)
Experience a spectacular view for a memorable vacation.
Spa Class Exclusive:

Upgraded showerhead
Luxurious bathrobe
Daily refreshments
Priority Embarkation/Debarkation

Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area.

Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

Call
800-422-0711
for Pricing

Outside

Oceanview Stateroom (6N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft. Please note that some staterooms in this class have obstructed views. Note: This stateroom category when located on the bow, has an obstructed view.

Call: 800-422-0711
and let us help find the best value for you.

Outside Ultra Spacious Oceanview (1K)
Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 271 sq. ft. Note: This stateroom category when located on the bow, has an obstructed view.

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800-422-0711
for Pricing

Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Sofa bed. Stateroom: 179 sq. ft.

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800-422-0711
for Pricing

Outside Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.

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800-422-0711
for Pricing

Outside Oceanview Stateroom (4N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Most 4N Staterooms face the front of the ship and have the angled window (pictured), but some have the traditional porthole window. Stateroom: 179 sq. ft.

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800-422-0711
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Inside

Interior Stateroom (6V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

Call: 800-422-0711
and let us help find the best value for you.

Inside Spacious Interior (1R)
Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 260 sq. ft.

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800-422-0711
for Pricing

Inside Central Park View Interior (1S)
Two twin beds that convert to Royal King, boardwalk view, sitting area, and a private bathroom. Stateroom: 191 sq. ft.

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800-422-0711
for Pricing

Inside Promenade View Interior (1T)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 194 sq. ft.

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800-422-0711
for Pricing

Inside Interior Stateroom (1V)
Two twin beds that convert to Royal King, private bathroom and sitting area with sofa bed. Stateroom: 149 sq. ft.

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800-422-0711
for Pricing

Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

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800-422-0711
for Pricing

Inside Interior Stateroom (3V)
Two twin beds that convert to Royal King, private bathroom and sitting area with sofa bed. Stateroom: 149 sq. ft.

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800-422-0711
for Pricing

Inside Interior with Virtual Balcony (4U)
A high-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Two twin beds that convert to Royal King, private bathroom and sitting area with sofa.

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800-422-0711
for Pricing

Inside Interior Stateroom (4V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

Call
800-422-0711
for Pricing

Suite/Deluxe Spacious AquaTheater Suite with Large Balcony - 2 Bedrooms A1.Master bedroom has a King size bed with Duxiana Mattress. Second bedroom has two twin beds that convert to Royal King and two Pullman beds. Vanity with chair in each bedroom, living area with double sofa bed, dining room, marble entry, entertainment center. Two bathrooms, master with tub. Expansive balcony with table and chairs. Stateroom: 823 sq. ft. Balcony: 772 sq. ft.