Palliative Medicine and End of Life Care CME Alaska Cruise Conference, from Vancouver, British Columbia to Seward, Alaska" July 20 - 27, 2018
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University at Sea®
5700 4th St. N.
St Petersburg, Florida 33703
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Palliative Medicine and End of Life Care:
2018 Update
Including Related Topics in Neurology

7-Night Alaska Cruise Conference
from Vancouver, British Columbia to Seward, Alaska
July 20 - 27, 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.

Celebrity's Classic Celebrity Millennium
Celebrity Millennium

14 AMA PRA Category 1 Credit(s)™
14 CE Credits for Psychologists
14 Contact Hours
3½ Hours of Pharmacology for NPs

Course Fees:
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$695 for Physician Assistants, Nurse Practitioners
$495 Nurses, Residents, Students & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners
Program Purpose / Objectives
Topics
  1. 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
  2. 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.
  3. 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.
  4. COPD, CHF and ESRD in Palliative Care
    • To utilize palliative medicine skills in the planning/treatment of these common chronic conditions.
  5. 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
  6. End of Life Symptomology and Management
    • To summarize the common EOL symptoms.
    • To demonstrate pharmaceutical and behavioral management of these conditions.
  7. Reimbursement and Coverage Strategies
    • To examine the CMS rules of remuneration for non palliative/hospice providers in palliative/hospice patients
  8. Mental State - delirium, MCI and dementia
  9. Can the Patient Hear Me? - awareness, unresponsiveness and coma
  10. Stroke - follow-up and prognosis
  11. Gap Analysis - quality approach to practice improvement
  12. Multiple Sclerosis and Parkinson's in Palliative Care
  13. Brain Death - what is it and diagnosis
  14. The Plan for Monday - changes for ease of practice and improvement in care
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.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Faculty
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.

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.
Accreditation

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician 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) .

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this activity.

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

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

ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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.


Approval: Continuing Education, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. Continuing Education, Inc. maintains responsibility for this program and its content.

Designation: As an organization approved by the American Psychological Association, Continuing Education, Inc. is offering this activity for a maximum of 14 hours of continuing education credit. Full attendance is required; no partial credit will be given for partial attendance.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Cruise Itinerary
DATE PORT OF CALL ARRIVE DEPART
Fri Jul 20 Vancouver, Canada
- 4:30 pm
Sat Jul 21 The Inside Passage - Scenic cruising
- -
Sun Jul 22 Ketchikan, Alaska
7:00 am 3:00 pm
Mon Jul 23 Icy Strait Point, Alaska
10:00 am 8:00 pm
Tue Jul 24 Juneau, Alaska
7:00 am 9:30 pm
Wed Jul 25 Skagway, Alaska
7:00 am 4:00 pm
Thu Jul 26 Hubbard Glacier - Scenic Cruising
7:00 am 11:00 am
Fri Jul 27 Seward (Anchorage), Alaska, US
5:00 am -
*Tentative course schedule, actual class times may differ.
Ports of Call
Hubbard Glacier - Marching to the beat of a different drum, Hubbard Glacier is advancing while the rest of Alaska's ice rivers are receding rapidly. In 1986, Hubbard galloped forward, closing off Russell Fjord to create an entirely new lake. The phenomenon quickly passed and was followed by a short retreat, but the glacier is once again on the move and Russell Fjord is headed for another spell as an inland body of water.
Icy Strait Point, Alaska - Immerse yourself in secluded beaches, old-growth forests and Alaskan adventure - the best of Southeast Alaska is yours, including some of the best whale-watching and bear viewing opportunities anywhere.
Inside Passage - This is one of the most famously beautiful passages in all the world. It features virtually everything you came to Alaska hoping to see, including rain forests, glaciers, fjords and white-capped peaks. All of which create a setting that's perfect for viewing whales and sea lions.
Juneau, Alaska - In Alaska's capital, you can pan for gold at Gold Creek and taste salmon baked on an alderwood fire, mush sleddogs, flightsee the Juneau Ice Field, and walk right up to the Mendenhall Glacier at the park. This charming small city also hosts an excellent zipline course. And for the less adventurous, the Red Dog Saloon is near the dock.
Ketchikan, Alaska - Immerse yourself in Tlingit Indian culture as you view the world's largest collection of totem poles; kayak the colorful waterfront. Port tips from our blog
Seward (Anchorage), Alaska - Ice free the year round, Seward was a natural choice as the ocean terminal and supply center during the construction of the Alaska Railroad (1903-1920). Today, it is the gateway to Kenai Fjords National Park and home of the Annual Silver Salmon Derby, the biggest fishing event in Alaska. Port tips from our blog
Vancouver, British Columbia - Sophisticated. Culturally diverse, this beautiful port city brims with attractions. From Vancouver's cosmopolitan downtown to the historically renovated Gastown district and exotic Chinatown, Vancouver displays varied urban scenes. Nestled near the city center is Stanley Park, resplendent with its deep forest, totem poles, and scenic promenades.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Celebrity Millennium

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Cruise Pricing

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

STATEROOM DETAILS
PRICING
PER PERSON
Royal Suite - Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 538 sq. ft. Veranda: 195 sq. ft.
Call
800-422-0711
for Pricing
Celebrity Suite- Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 467 sq. ft. Veranda: 79 sq. ft.
Call
800-422-0711
for Pricing
Sky Suite (S1) – Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Two lower beds convertible to queen-size. Sitting area, some with sofa bed and lounge chair. Entertainment center with television VCR and DVD player. Bath with shower/tub combination and washbasin. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 251 sq. ft. Veranda: 57 sq. ft.
Call
800-422-0711
for Pricing
AquaClass (A1) -These veranda staterooms offer spa elements infused into the stateroom experience and priority seating in the chic AquaClass restaurant, Blu. These spa-inspired staterooms, offer unlimited access to the AquaSpa Persian Garden as well as a host of other soothing extras. If you love the spa, there's no finer way to travel.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service, exclusive access to Blu, a specialty restaurant featuring "clean cuisine" that also serves complimentary, full-service breakfast every day, upgraded room service menu
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Services: Daily delivery of bottled water and tea, priority check-in, express luggage delivery, priority disembarkation based on travel needs, complimentary shoeshine service.
Amenities: Complimentary access to the Persian Garden and Relaxation Room, aromatherapy diffuser, Pillow menu, additional bathroom amenities, including shower gel, facial spray and lip balm, plush bathrobes, slippers, On-demand wellness programming including meditation and yoga.
Stateroom:195 sq. ft. Veranda:54 sq. ft.
Call
800-422-0711
for Pricing
Concierge Class Stateroom (C3) – Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Sitting area with sofa. Two lower beds convertible to queen. 20" LCD TV, Vanity. Some staterooms may have a trundle bed . Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu. Evening hors d'oeuvres, daily. Pillow menu, Plush Frette® bathrobes Hansgrohe® massaging showerhead. Extra handheld hair dryer. 100% cotton oversized bath towels. Complimentary shoeshine service, use of golf umbrella, & high-quality binoculars. Complimentary beach towel service.

Stateroom: 194 sq. ft. Veranda: 42 sq. ft.
Call
800-422-0711
for Pricing
Deluxe OceanView Stateroom with Veranda (2B) Quad - Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.
*Some staterooms in category 2B are wheelchair-accessible.

Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
Deluxe OceanView Stateroom with Veranda (2B) - Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.
*Some staterooms in category 2B are wheelchair-accessible.

Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
OceanView Stateroom (07) - Large ocean view window. Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service.

Stateroom : 177 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom (11)– Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service.
* Some staterooms in categories 9 & 10 are wheelchair-accessible.

Stateroom : 183 - 200 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom (10) Quad– Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service.
* Some staterooms in categories 9 & 10 are wheelchair-accessible.

Stateroom : 183 - 200 sq. ft.
Call
800-422-0711
for Pricing

Prices are Per Person, Double Occupancy, Subject to change
3rd/4th in Stateroom - Please Call for Pricing
Port charges, taxes & fees $430.42 per person
Deposit $250 per person

Important Note: Not all staterooms within each category have the same furniture configuration and/or facilities. Appropriate symbols within the rooms on the deck plans describe differences from the stateroom descriptions . All information is subject to change.

* COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered by the cruise line, directly to the general public, at the time of booking. This offers includes many short-term, promotional rates. All cruise line rates can be withdrawn by the cruise line at any time and are capacity controlled.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.