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Topics in Internal Medicine and Critical Care

10-Night Italy & Greek Isles Cruise Conference
Round-trip Rome (Civitavecchia), Italy
October 12 - 22, 2018

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>Celebrity Reflection</em> — *Celebrity Reflection*

COURSE CREDITS & HOURS

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

COURSE FEES

TARGET AUDIENCE

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

PROGRAM PURPOSE

Topics:

Antibiotic Treatment Guidelines: Separating fact from fiction
- Identify for the conference members the discrepancies between current guideline recommendations and the current literature on the subject.
Critical Review of the 2016 Surviving Sepsis Campaign
- The Surviving Sepsis Campaign was recently updated. Realize the important points that impact patient care.
Fungal Infections in the ICU
- Currently different organizations vary in their recommendations on when to use the available anti-fungal therapies.
- Develop a practice based plan for the use of the available anti-fungal therapies.
ARDS Clinical Update
- Current clinical practice in patients with ARDS often does not follow the most recent literature.
- Upon completion of this lecture, clinicians should be able to practice more evidence based medicine.
Infection control practices in the ICU: What is the evidence?
- Upon completion of this lecture, clinicians should be able understand and implement cost effective infection control measures in their practice.
Management of Embolic Stroke
- Currently different organizations vary in their recommendations on treatment of CVAs and related complications.
- Critically review the management of acute embolic strokes.
Critical Care Controversies: Transfusion in the ICUs
- Identify the appropriate transfusion trigger in the critically ill and the risks associated with transfusion. Also discussion transfusion practices for massive transfusions.
Forces of Change: The Physician's Place in the Evolution of Modern Healthcare
- Identify salient forces that are driving rapid and uncomfortable health system evolution
- Leverage new insights into a more rewarding practice, renewing connections with core motivators, and contributing to system improvement.
Physician Leadership: The Mirror and the Lamp. What is Takes to be an Effective Leader in Today's Health Services Environment
- Recognize and apply suitable leadership insights and skills.
Antithrombotics and Management of Bleeding
- Apply the current evidence base to selecting an appropriate antihrombotic agent and integrate bleeding risk and bleeding management strategies into clinical practice.
Diagnostic Error and Cognitive Bias
- Cite and discern, in oneself and in others, the cognitive biases and heuristics that lead to diagnostic errors.
Mayday! Mayday! Identifying and Managing the Crashing Inpatient
- Identify and cite diagnostic categories of deteriorating patients
- Apply the available evidence to recognize and improve such patients' outcomes and avoid using common techniques that can actually make things worse!
- Identify and cite diagnostic categories of deteriorating patients.
- Apply the available evidence to recognize and improve such patients' outcomes and avoid using common techniques that can actually make things worse!
Post Cardiac Arrest Management: Update on Targeted Temperature Management
- Explain why the main focus in the post cardiac arrest scenario must be on optimizing brain function and advocate for and institute temperature control in this circumstance to achieve that goal.
MAiD in Ontario: Medical Assistance in Dying, The Ontario Experience
- Cite the Canadian and Ontario legislative and clinical history leading up to the legalization of MAiD, relate our experience in advocating for and providing MAiD and evaluate the process whereby this service is provided.
Anticoagulation, Antithrombotics, and Management of Bleeding

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

Daniel H. Kett, MD

ACMO for Critical Care
University of Miami Hospital
Professor of Clinical Medicine
Division of Pulmonary, Critical Care and Sleep Medicine
University of Miami Miller School of Medicine
Miami, FL

Daniel H. Kett, MD, is the Associate Chief Medical Officer for Critical Care at University of Miami Hospital and a Professor of Clinical Medicine at the Miller School of Medicine at the University of Miami in Miami, Florida. He earned his undergraduate degree at the University of Florida and his medical degree at the University of Miami Miller School of Medicine.

Dr. Kett completed his internship and residency in Internal Medicine followed by a fellowship in Critical Care Medicine at Jackson Memorial Hospital. He is the recipient of the Excellence in Teaching Award by the University of Miami Miller School of Medicine/Jackson Memorial Hospital Internal Medicine Residency Program.

Dr. Kett has strong clinical and research interests in severe ICU related infections, including invasive candidiasis and healthcare associated pneumonia,and infection control practices in the ICU.

Dr. Kett is an investigator for the Mycoses Study Group, a large multidisciplinary group of researchers with a primary focus on studying serious infections, and is active in several projects related to fungal infections in critically ill patients.

Results of his research have been published in the New England Journal of Medicine, JAMA, Annals of Internal Medicine, Lancet Infectious Diseases, Critical Care Medicine, Chest, and the Journal of Intensive Care Medicine. Additionally, Dr. Kett has presented at numerous scientific meetings and has been an invited lecturer at national and international conferences.

Barry Nathanson, BA, MD, MHCM, FRCPC, FACP

Chief of Staff
Stevenson Memorial Hospital
Alliston, Ontario, Canada

Medical Director, Critical Care Services
Southlake Regional Health Centre
Newmarket, Ontario

Adjunct Lecturer
Faculty of Medicine
University of Toronto

Board Member
Physician Payment and Review Board
Ontario Medical Association and The Ministry of Health and Long Term Care

President and CEO
True North Health Care Consulting Inc.

Dr. Nathanson graduated from the University of Toronto Faculty of Medicine where he also completed his internal medicine training. He began practising internal medicine and critical care medicine in 1995 at Southlake Regional Health Centre in Newmarket, Ontario. In 2010 he completed a Master of Science degree in Health Care Management at the Harvard Graduate School of Public Health.

Dr. Nathanson has served in a variety of administrative roles: Medical Director of the inpatient Palliative Care Unit; founding Director the Heart Function Program; President of the Medical Staff Association; Chair of the Clinical Quality and Resource Utilization Committee; and Medical Director of Acute Medicine Programs. Dr. Nathanson helped found the Clinical Resource Utilization Management Program and he founded the Southlake Hospitalist Program.

Dr. Nathanson has served on two Ontario provincial health policy task forces on hospital resource utilization. From Jan 2020 to mid-2022, during the height of the COVID-19 pandemic, Dr. Nathanson served at Southlake as Medical Director of the Intensive Care Unit and he founded the physician-led Critical Care Outreach Program, he served as Chief of Staff at Stevenson Memorial Hospital in Alliston, Ontario, and he served on local, regional, and provincial pandemic policy advisory panels.

Dr. Nathanson’s many personal interests include travelling, especially on his 2022 Indian Springfield, together with his wife, Genny, all over Ontario, Canada, the US, and beyond!

Accreditation

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 12 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™ as needed. Pharmacology credits are identified on individual activities.

	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.

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.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed.
Pharmacology credits are identified on individual activities.

	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™ as needed. Pharmacology credits are identified on individual activities.

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
Fri Oct 12	Rome (Civitavecchia), Italy	-	5:00 pm
Sat Oct 13	Messina, Sicily	10:00 am	7:00 pm
Sun Oct 14	Valletta, Malta	8:00 am	6:00 pm
Mon Oct 15	At Sea - Cruising Lectures 8:00 am-12 Noon; 1:00 pm-4:00 pm*	-	-
Tue Oct 16	Mykonos, Greece	7:00 am	6:00 pm
Wed Oct 17	Rhodes, Greece	7:30 am	6:00 pm
Thu Oct 18	Santorini, Greece	7:00 am	6:00 pm
Fri Oct 19	Athens (Piraeus), Greece	6:00 am	6:00 pm
Sat Oct 20	At Sea - Cruising Lectures 8:00 am-12 Noon; 1:00 pm-4:00 pm*	-	-
Sun Oct 21	Naples, Italy	7:00 am	6:30 pm
Mon Oct 22	Rome (Civitavecchia), Italy	5:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Rome (Civitavecchia), Italy - Rome, Italy’s capital, is a sprawling, cosmopolitan city with nearly 3,000 years of globally influential art, architecture and culture on display. Ancient ruins such as the Forum and the Colosseum evoke the power of the former Roman Empire. Vatican City, headquarters of the Roman Catholic Church, has St. Peter’s Basilica and the Vatican Museums, which house masterpieces such as Michelangelo’s Sistine Chapel frescoes.

Messina, Sicily - A beautiful sheltered harbor is your gateway to Taormina, a small town at heart despite its major tourist attraction: the sublime Teatro Greco, offering panoramic views of the coastline and snow-capped Mt. Etna.

Valletta, Malta - Tiny Malta abounds in forts and temples. In Valletta, wander through the ornate Grand Master's Palace of the Knights of St. John. Within the thick walls of Medina, the Silent City (no cars), visit the serene Baroque cathedral.

At Sea - Cruising - Cruising

Mykonos, Greece - For pure Mediterranean pizzazz, Mykonos can't be beat. Designer boutiques and beautifully bronzed Greek gods and goddesses lie on Mykonos' beaches. The city's five famouse white churches look down on it all in oblivious serenity.

Rhodes, Greece - The crusader Knights of St. John made Rhodes their headquarters. Explore the massive fortress of the Palace of Grand Masters, and peer into tiny rooms of the Inns which once housed the knights. See where the towering Colossus of Rhodes once stood -- it could be seen for miles at sea!

Santorini, Greece - Here on the island of Santorini, you'll find a classic Greek seascape‐whitewashed houses accented by sea-blue roofs. This is a treasure trove for both professional and amateur archeology buffs, with sites that include tombs that date back to the 9th century and the sanctuary of Apollo.

Athens (Piraeus), Greece - As the capital of Greece and one of Europe’s most bustling cities, Athens is powered by 5,000 years of history. At night, the city of Athens glows from afar, light reflecting off the ancient ruins. Today travelers flock from around the world to experience its history while on cruises from Athens. After all, the art, theatre, architecture, and philosophy of Athens had ripple effects through the fabric of entire civilizations.

Naples, Italy - Capital of Southern Italy and the largest city in Campania, Naples is the third most populated city in Italy (after Rome and Milan) with over a million inhabitants. It's the most important industrial center and trading port for the South. Naples itself can provide a day's fun and entertainment, if its somewhat rundown appearance doesn't dissuade you. Or, join a tour of incredible Pompeii, frozen in time since A.D. 79 when Mt. Vesuvius brought an end to that then-thriving city. Or, take a quick ferry across the bay to the flowery Isle of Capri. Or, (yes, there's more) visit fabulous Sorrento, vacation spot for the well to do.

Celebrity Reflection

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 Prime AquaClass Stateroom A1.Prime Staterooms are located in the most desirable locations on the ship. AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 194 sqft with 54 sqft veranda.