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Continuing Education, Inc.
University at Sea^™
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Palliative Medicine and End of Life Care, Including Related Topics in Neurology

7-Night Southern Caribbean Cruise Conference
Round-trip San Juan, Puerto Rico
December 14 - 21, 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 Summit</em> — *Celebrity Summit*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
Up to 14 MOC (Part II) points in the American Board of Anesthesiology® (ABA) Maintenance of Certification (MOC) program
3½ Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Topics

Palliative Care Overview: History, Range of focus and Relation to Hospice Care
- To discover the roots of palliative medicine, its impact on traditional practice models and the relation/definition between palliative and hospice care
Advanced Care Directives
- To define the history/legalities of advanced care directives.
- To differentiate the various formats and techniques to advance end of life discussions.
- To examine the controversies in ACD such as surgical thirty day rules.
Pain Management and Palliative Care: Pharmaceutical review and a Review of the Issues of the Opioid Crisis
- To illustrate treatment options for critical and end of life medical conditions.
- To examine the roots and solutions of the opioid crisis particularly as related to palliative and hospice care.
COPD, CHF and ESRD in Palliative Care
- To utilize palliative medicine skills in the planning/treatment of these common chronic conditions.
Patient Driven Voluntary Cessation of Hydration and Nutrition
- To identify the phenomena of patient's elective decision in non acutely mortal situations to terminate their lives through active decision.
- To examine the practitioners role/obligations in such a situation
End of Life Symptomology and Management
- To summarize the common EOL symptoms.
- To demonstrate pharmaceutical and behavioral management of these conditions.
Reimbursement and Coverage Strategies
- To examine the CMS rules of remuneration for non palliative/hospice providers in palliative/hospice patients
Mental State - delirium, MCI and dementia
Can the Patient Hear Me? - awareness, unresponsiveness and coma
Stroke - follow-up and prognosis
Gap Analysis - quality approach to practice improvement
Multiple Sclerosis and Parkinson's in Palliative Care
Brain Death - what is it and diagnosis
The Plan for Monday - changes for ease of practice and improvement in care

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

Joel M. Kaufman, MD, FAAN

Clinical Professor of Neurology
Warren Alpert Medical School of Brown University and Department of Neurology
Rhode Island Hospital, Providence, RI.

Dr. Joel M. Kaufman is Clinical Professor of Neurology at the Warren Alpert Medical School of Brown University and a member of the Department of Neurology at Rhode Island Hospital, where he is the Medical Director of the Neurology Resident Teaching Clinic.

Dr. Kaufman graduated from Boston University, majoring in mathematics, and from Boston University School of Medicine. He completed his medical internship at Presbyterian Hospital at Pacific Medical Center in San Francisco (now California Pacific Medical Center) and his Neurology residency at Boston City Hospital (now Boston Medical Center). He then joined Fallon Clinic (now Reliant Medical Group) in Worcester, Massachusetts. From 1988 through 1996 he was Medical Director of Fallon Community Health Plan. From 1997 to early 2014 he was Executive Director of the Lifespan/Physicians Professional Services Organization.

Dr. Kaufman is a Fellow of the American Academy of Neurology and active with the Academy, currently chairing the Payment Alternatives Team. He is also serving or has served on many other professional boards and committees.

Dr. Kaufman's interests include physician advocacy, quality improvement in medical practice, provide-payer interaction, and clinical teaching.

Charles S. Mills, MD, FACP, FAAHPM, HMDBC

Assistant Professor of Medicine, University of Massachusetts Medical School, Worcester, MA
Medical Director, Palliative and Hospice Medicine, Elliot Health System, Manchester, NH
Medical Director, Manchester VNA and VNA of Southern NH Hospice
Medical Director, Inspiris/Optum Care of United Health, Massachusetts
Fellow, American College of Physicians
Fellow, American Academy of Hospice and Palliative Medicine

Dr Mills is a board certified internist and palliative care specialist with over 35 years of medical experience and practice. He practiced for many years both clinically and with administrative positions at the former Fallon Clinic/Fallon Community Health System. It was here that he built a strong interest in and knowledge of the impact of health care systems and economics on the delivery of care. In these various rolls, he became a strong advocate for physician education to assist the evolution of the care models necessary for success in the developing health care market.

Dr Mills's extensive work in geriatrics in his clinical practice led to his growth in palliative and hospice medicine. Taking on a medical directorship at a local hospice, he gained practical knowledge of this field and went on to complete additional study in this area leading to his successful completion of board certification in 2008.

He is a zealous proponent of interactive learning processes and enjoys leading/mentoring invigorated medical education forums. He has lectured and taught broadly at both a community/ lay level, medical school level , residency/fellow level and at attending level of audience

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.

MOC Accreditation This activity has been registered to offer 14 ( Part II) MOC Points in the ABA MOC program.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Dec 14	San Juan, Puerto Rico	-	8:30 pm
Sun Dec 15	St. Thomas, U.S. V.I.	8:00 am	5:00 pm
Mon Dec 16	Basseterre, St. Kitts	8:00 am	5:00 pm
Tue Dec 17	St. John's, Antigua	8:00 am	5:00 pm
Tue Dec 17	Castries, St. Lucia	8:00 am	5:00 pm
Thu Dec 19	Bridgetown, Barbados	8:00 am	5:00 pm
Fri Dec 20	At Sea - Cruising	-	-
Sat Dec 21	San Juan, Puerto Rico	7:00 am	-

PORTS OF CALL

San Juan, Puerto Rico - In days of yore, the waters near Puerto Rico teemed with pirate ships commanded by the likes of Sir Francis Drake. Aye, they are long gone, but in their wake they have left an island of national treasures: La Casa Blanca, built in 1501 for the island's first governor, Ponce de Leon; the cobblestone streets of Old San Juan; the tropical rain forests of El Yunque.

St. Thomas, U.S. V.I. - Arguably the island with the best shopping and the best beaches. Shop duty-free Charlotte Amalie 'til you drop. Or dive into the beach scene at beautiful Magens Bay, Coki Point, or Turtle Cove, nesting ground of the endangered hawksbill sea turtle.

Basseterre, St. Kitts - Basseterre is the capital of the Caribbean island federation of Saint Kitts and Nevis. It's the gateway to popular Saint Kitts beaches like South Friars Bay. At the city's heart, Independence Square has an Italian-inspired fountain. Just off the Circus traffic circle, with its Victorian Berkeley Memorial Clock Tower, is the National Museum. In the stately Old Treasury Building, it explores the islands' colonial past.

St. John's, Antigua -

Castries, St. Lucia - Watch natives make boats from gum trees, write postcards in a Creole cafe, and shop for black coral carvings and exquisite silk-screened fabrics in St. Lucia's capital.

Bridgetown, Barbados - An island some say is more British than Britain. Here, cricket is the national sport and afternoon tea goes without saying. But Barbados is true blue Caribbean as well, with classic sand beaches, and wild monkeys in the jungle.

At Sea - Cruising - Cruising

Celebrity Summit

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 AquaClass Staterooms are spacious, centrally-located veranda staterooms which include luxurious wellness-oriented services and amenities. You’ll enjoy access to an exclusive restaurant (Blu), unlimited access to the Persian Garden spa lounge, a personal spa concierge, daily delivery of flavored tea, and more! King bed that can be converted into two twin beds. 194 sq ft with 54 sq ft veranda.