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The Approach to Common Medical Illnesses Using Both Functional and Integrative Medicine

7-Night Western Caribbean Cruise Conference
Round-trip Ft. Lauderdale, Florida
November 16 - 23, 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>Celebrity Equinox</em> — *Celebrity Equinox*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
3 Hours of Phamacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

The purpose of this CME at Sea lecture series on Integrative Medicine is to present common topics that present to practitioners' offices and how an Integrative Medicine approach to care may enhance the care of the patient.

This series of lectures will focus on diagnoses which are common and often difficult to treat for clinicians. The information presented in these lectures will be meant to complement traditional medical therapies, using manual medicine, diet and nutritionally based therapies and other alternative but safe therapies.

Topics:

IBS - part 1
- Review the definition and diagnosis of IBS
- Review the pathophysiology of IBS including SIBO, celiac testing and food sensitivities
- Discuss the impact of the microbiome on IBS symptoms
IBS- part 2
- Discuss the value of the elimination diet and how to implement it
- Associate the vagus nerve and its impact on irritable bowel symptoms
- Review non-pharmacologic approaches to IBS symptoms
Insomnia
- Illustrate melatonin and serotonin pathways
- Discuss the impact of blue light on sleep cycle
- Review non-pharmacologic approaches as sleep aids
Flu prevention
- Discuss the efficacy of flu vaccines and patient concerns
- Review study supporting and refuting nonpharmacologic approaches to flu prevention and impact on flu symptoms/duration
- Distance will be able to utilize a natural approach to support the immune system against the flu
NASH-nonalcoholic steatohepatitis
- Review pathogenesis of Nash
- Summarize diagnostic testing options
- Update providers on non-pharmacologic treatment options for NASH
Intestinal permeability
- Illustrate intestinal permeability and review risks and causes
- Identify nutrients indicated in gut healing
- Review studies associating intestinal permeability with auto immune disease
Functional medicine approach to chronic disease
- Discuss the functional medicine approach to evaluation of root cause of inflammation and disease
- Expand on the function of the microbiome and the impact on chronic disease
- Describe the amgydala's interpretation of physical and emotional stress and the impact on health
Pediatric Integrative Medicine at Cleveland Clinic Foundation
- Present CCF's Pediatric Integrative Medicine clinic and our approach to treatment of children.
- Introduce Integrative and Complementary therapies and common conditions treated in our clinic
Osteopathic Manipulation for the non Osteopath
- Discuss and demonstrate safe and effective basic Osteopathic Manipulative techniques for infants, children and adolescents.
Probiotic Research
- Review the research of many probiotic strains and findings of how use of these supplements may aid in the care of medical conditions.
Integrative Treatment for Headache
- Review various types of Integrative and complementary options for headaches, including manual therapies, dietary supplements and stress reduction.
Fatigue, an Integrative approach
- Define fatigue
- Review diagnostic work up
- Introduce Integrative Medicine treatment options to enhance patient care
Fibromyalgia, a holistic approach to care
- Define fibromyalgia
- Diagnosis of fibromyalgia and Integrative treatment options to enhance patient care
Stress Management
- Present the importance of stress in our lives and various ways to reduce stress and improve our quality of life

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

David Alan Burke, DO, FAAP

Clinical Faculty, Cleveland Clinic Lerner College of Medicine, Cleveland, OH
Professor of Clinical Pediatrics, Ohio University Heritage College of Osteopathic Medicine, Athens, OH

Dr. Burke graduated from Ohio University with Bachelor of Science in 1992, went to Ohio University College of Osteopathic Medicine and attended Cleveland Clinic Foundation for Pediatric and Adolescent Medicine Residency.

He currently works at Cleveland Clinic Childrenâ€™s and Cleveland Clinic Pediatric Integrative Medicine.

He enjoys hiking, running, camping and medical missions trips. He is married to Jennifer, who is studying to be a lifestyle coach. They have a 12 year old son.

Paris Kharbat, DO, ABFM, ABOIM, IFMCP

Board certified Family Medicine,
Integrative medicine and Institute for Functional Medicine Certified
Founder and Medical Director of Simply Functional Medicine, Inc.
Associate Medical Director at 98Point6

Dr. Kharbat attended the University of North Texas Health Sciences - Texas College of Osteopathic medicine and completed her Family Medicine residency through Mercy Methodist - UC Davis. After residency she joined Indian Health Services (IHS) where she worked in the clinic, hospital, nursing home and assumed the medical director role serving a large Native American population. While working with IHS she quickly realized her patient base had many medical needs that were not adequately met through traditional family medicine. She completed the UCLA/Stanford Helms Medical Institute acupuncture training and provided medical acupuncture to patients in subsequent years.

After 3 years at IHS, Dr. Kharbat started her solo practice bridging the gap between Eastern and Western medicine as the only Integrative physician in the region. During the 11 years of private practice in Washington state, Dr. Kharbat took on extensive additional training in functional medicine, osteopathic manipulation - fascial distortion model and frequency specific microcurrent

In 2016 she joined Cleveland Clinic Center for Functional Medicine which enabled her to see chronic complex conditions from around the world, contribute to the first functional medicine randomized clinical trials for diabetes and asthma, lead the creation of shared medical appointments and provide functional medicine training for advanced practice providers, residents and medical students.

Currently, Dr. Kharbat is the founder of Simply Functional Medicine, Inc. offering virtual personalized Functional medicine in all 50 states. She has also partnered with 98point6 providing affordable, accessible telemedicine/text based care. To round out her telemedicine care she still picks up local urgent care shifts and is medical director of a local plasma center.

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).

	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.

	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 Nov 16	Ft. Lauderdale, Florida	-	3:30 pm
Sun Nov 17	Key West, Florida	7:00 am	5:00 pm
Mon Nov 18	At Sea - Cruising	-	-
Tue Nov 19	Costa Maya, Mexico	8:00 am	5:00 pm
Wed Nov 20	Cozumel, Mexico	7:00 am	4:00 pm
Thu Nov 21	Georgetown, Grand Cayman	10:00 am	6:00 pm
Fri Nov 22	At Sea - Cruising	-	-
Sat Nov 23	Ft. Lauderdale, Florida	7:00 am	-

PORTS OF CALL

Ft. Lauderdale, Florida

As your travel advocates, we view the start of your vacation not as a logistical hurdle, but as the first chapter of your experience. For cruises departing from Fort Lauderdale, we strongly encourage you to treat the city as more than just a transit point. Arriving a day or two early transforms a potentially stressful travel day into a seamless, relaxing prelude to your voyage, and Fort Lauderdale is perfectly suited for this purpose.

Think of it as easing into vacation mode. Flying in the day of your cruise introduces unnecessary risk—a single flight delay or misplaced bag can jeopardize your entire trip. By arriving early, you trade that anxiety for the sophisticated, laid-back ambiance of the “Venice of America.” The city’s primary airport, Fort Lauderdale-Hollywood International (FLL), is exceptionally convenient, located just a few miles from both the cruise terminals at Port Everglades and the city's best hotels. A short taxi or rideshare trip will have you checked in and ready to explore in no time.

**Your Pre-Cruise Itinerary Suggestion:**

**Day 1: Canals, Culture, and Cuisine**

After settling into your hotel, your first experience should be the one that defines the city: its waterways. Forget the rental car and embrace the Water Taxi. It’s not just transportation; it’s a brilliant sightseeing tour. As you cruise the 165 miles of inland canals, you’ll glide past stunning waterfront mansions, mega-yachts, and lush tropical gardens. It’s a relaxing and genuinely unique way to get your bearings and appreciate the city’s distinctive character.

Disembark at the stop for Las Olas Boulevard. This is the city’s heart—a beautifully landscaped, pedestrian-friendly thoroughfare lined with independent boutiques, captivating art galleries, and a superb collection of restaurants. It’s the perfect place for a leisurely afternoon stroll, perhaps stopping for a coffee or a cocktail at a sidewalk cafe. For dinner, Las Olas offers a range of options to suit any palate, from the classic Italian fare at Louie Bossi's Ristorante Bar Pizzeria to the upscale American cuisine at Lobster Bar Sea Grille. A celebratory pre-cruise dinner here sets a wonderful tone for the week ahead.

**Day 2: Beachfront Bliss and Natural Wonders**

Dedicate your morning to the iconic Fort Lauderdale Beach. This isn’t a rustic, deserted island; it’s a world-class urban beach, known for its wide, clean stretch of sand and the beautifully designed beachfront promenade. Rent a lounge chair and simply relax, or take a long walk along the signature “wave wall.” The atmosphere is vibrant yet far more relaxed than its southern neighbor, Miami Beach.

For the afternoon, you have two excellent, contrasting options:

1. **Cultural Immersion:** Visit the Bonnet House Museum & Gardens. This historic 1920s estate is a true gem, offering a glimpse into Old Florida’s artistic and whimsical past. The house itself is filled with original art and furnishings, but the real star is the surrounding 35 acres of pristine barrier island habitat, complete with tropical gardens, a hibiscus garden, and even a resident population of monkeys. It’s an accessible, enriching cultural experience that feels a world away from the city bustle.

2. **Wilderness Adventure:** Experience the Florida Everglades. Several reputable operators offer half-day tours that include transportation and an unforgettable airboat ride. Skimming across the “River of Grass” is a thrilling experience, providing a profound sense of this unique ecosystem’s vastness. You’re almost guaranteed to see alligators in their natural habitat, along with a variety of wading birds. It’s a fantastic adventure that provides a dramatic counterpoint to the coastal elegance of the city.

By the time you wake up on embarkation day, you’ll be refreshed, acclimated, and already in a vacation mindset. The short, stress-free transfer to Port Everglades will feel like a simple next step, not a frantic race. Starting your journey this way ensures you board your ship ready to enjoy every moment, and that, in our view, is the foundation of a truly great vacation.

Key West, Florida

Key West is where the American road ends and a Caribbean-bohemian spirit takes over. Your ship docks just steps from Old Town, making this one of the most accessible and walkable ports you will encounter. The island’s compact nature allows for a full day of exploration without feeling rushed.

The literary and historical weight here is undeniable. The Ernest Hemingway Home and Museum is a genuine highlight, not just for the famous six-toed cats, but for the tangible connection to the author's life and work in his preserved studio. A short walk away, the Harry S. Truman Little White House offers a fascinating look into presidential history and the pressures of the Cold War era. For a more tranquil experience, the Audubon House & Tropical Gardens provides a serene escape with its beautiful 19th-century architecture and lush, shaded grounds.

For a taste of the island's famous energy, a stroll down Duval Street is essential. While it can be boisterous, it’s also lined with historic bars like Sloppy Joe's, eclectic art galleries, and unique shops. No visit is complete without sampling authentic Key Lime Pie; we recommend the classic tart version from Kermit's West Key Lime Shoppe. For lunch, consider the quirky courtyard of Blue Heaven, where chickens and cats roam freely. Key West offers a rich, character-filled day that perfectly balances history, culture, and laid-back island charm.

At Sea - Cruising

Costa Maya, Mexico

It’s best to think of Costa Maya not as a historic town, but as a modern, purpose-built gateway to the southern Yucatán’s authentic treasures. The port itself is a clean, self-contained village with pools, shops, and restaurants—a perfectly pleasant, if manufactured, way to spend a few hours. For a more genuine experience, we highly recommend venturing beyond its walls.

A short taxi ride brings you to the neighboring fishing village of Mahahual. Here, a laid-back beachfront boardwalk, or *malecón*, is lined with local restaurants and unpretentious beach clubs, offering a true taste of coastal Mexican life. The real cultural highlight, however, is the access to lesser-visited Mayan ruins. An excursion to the Chacchoben ruins offers a fascinating and accessible glimpse into ancient history, set within the jungle and free from the overwhelming crowds of more famous sites. For pure natural beauty, the nearby Bacalar Lagoon—the famed “Lagoon of Seven Colors”—provides a stunningly beautiful and tranquil setting for a day on the water. Costa Maya is an excellent, comfortable base for exploring these worthwhile regional highlights.

Cozumel, Mexico

Let's be direct: Cozumel is one of the world's busiest cruise ports, and it's essential to have a plan to navigate the crowds and find its genuine highlights. The island's global reputation is built on what lies just offshore: the Mesoamerican Reef, the second-largest barrier reef system in the world. For divers and snorkelers, this is a premier, bucket-list destination. The clear, warm water and vibrant coral formations of sites like the Palancar and Colombia reefs are genuinely world-class. For an accessible taste without a dedicated boat trip, parks like Chankanaab or the more remote Punta Sur Eco Beach Park offer excellent snorkeling directly from shore, combined with beaches and other amenities.

Many are drawn by the allure of Mayan ruins, but here’s a critical piece of advice: the famous sites like Tulum and Coba are on the mainland, not on Cozumel. Reaching them requires a 45-minute ferry to Playa del Carmen and then a bus journey, consuming nearly your entire day. While magnificent, choosing this option means forgoing the island experience entirely. It's a trade-off you must be comfortable with.

If you stay on the island, the main town of San Miguel offers a bustling waterfront and a dizzying array of shops. We recommend walking a few blocks inland from the main tourist thoroughfare to find more authentic local restaurants for a fantastic lunch. For pure relaxation, Cozumel’s beach clubs are a popular and effective choice. They range from lively, all-inclusive party spots with water toys to more serene, upscale retreats where the focus is on a good book and a great cocktail. You can easily find one that matches your pace. Cozumel is a highly developed tourism hub that excels at water sports and beach relaxation; embrace it for these strengths, and you’ll have a fantastic day.

Georgetown, Grand Cayman

Grand Cayman offers a distinctly polished and pristine version of the Caribbean experience. As a major financial hub, the island feels safe, clean, and exceptionally well-organized, making for a seamless and relaxing day ashore. It’s important to note that this is a tender port; your ship will anchor offshore, and you’ll take a smaller boat to the pier, so be sure to factor that time into your plans.

The island’s reputation is built on two world-class attractions. The first is the legendary Seven Mile Beach, a magnificent crescent of soft, white sand and impossibly clear turquoise water. While it’s no secret, its beauty is undeniable. You can easily grab a taxi from the port and find a public access point or settle in at one of the many beach clubs for the day. The second must-do is Stingray City. This isn't a contrived tourist trap; it's a natural sandbar where southern stingrays have gathered for decades. Standing in waist-deep water as these gentle, graceful creatures glide around you is a truly unforgettable experience.

Beyond these highlights, you can visit the Cayman Turtle Centre, a conservation and education facility that’s particularly popular with families. The town of Georgetown itself is compact and walkable, known for its high-end duty-free shopping, especially for jewelry and watches. While it lacks deep historical architecture, it’s a pleasant place for a stroll and a meal. For a taste of local flavor, find a casual spot for some conch fritters or fresh ceviche before tendering back to your ship.

Celebrity Equinox

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 and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Balcony Prime AquaClass Stateroom (A1)
Prime staterooms are located in the most desirable locations on the ship. Two twin beds that are convertible to queen-size (unless stated otherwise) and sitting area, private mini-bar, interactive Samsung flat-screen television system to view and select shore excursions, order room service, and watch movies, private safe, and dual voltage 110/220AC outlets. Stateroom: 194 square feet, Veranda 54 sq. ft.