Updates in Internal Medicine, Travel Medicine, and Infectious Diseases for the Primary Care Clinician

Seattle, Washington - Sailing out on a cruise from Seattle? Make sure you spend a few a days in the beautiful Emerald City. If you’re a nature lover, this jewel in the Pacific Northwest is the perfect place for you to explore ahead of your cruise vacation. Though it offers plenty of metropolitan delights — think great restaurants, bars, a ton of shopping and lots (and lots) of hip coffee shops — Seattle is a big city with a wild, great-outdoors soul. It’s surrounded by ancient forests, sprawling public parks and, of course, the misty Puget Sound, where you can slow-moving tugboats, sleek kayaks and the occasional pod of whales. Head to Discovery Park for beautiful views of the Olympic and Cascade mountain ranges or visit the Olympic Sculpture Park near Elliott Bay. And if you’re craving a drink and a tasty bite to eat, head to one of Seattle’s many rooftop bars and take advantage of those extra-long northern summer days while you sip local brews and expertly crafted cocktails.

At Sea - Cruising - Cruising

Ketchikan, Alaska - Ketchikan sits at the southern end of Alaska’s Inside Passage— a gateway to the wild landscapes and seascapes of Misty Fjords National Monument. The canned salmon capital of the world, it’s a hub for fishing and outdoor sports. It’s also home to three tribes of Northwest Coast Native Americans, making it a great place to get a taste for the local culture. You’ll see it in the colorful, hand-carved totems that line the city’s streets and parks, and in the unique stilted homes that cling to Deer Mountain’s slopes. If you want to get up close and personal with nature, venture into the Tongass National Forest, the largest in the United States. Or head to Ketchikan Creek Waterfall for amazing views of downtown Ketchikan and a glimpse at the yearly salmon runs.

Endicott Arm & Dawes Glacier - One of Alaska's lesser-known gems, Endicott Arm Fjord marks the southern edge of Fords Terror Wilderness area. As you drift through its 30 -mile-long stretch, you can't help but be awed by the sorrounding granite cliffs, mountain valleys and dozens of gushing waterfalls. Drifting icebergs, deep blue waters and a spectacular tidewater glacier only add to this natural spectacle's appeal.

Juneau, Alaska - You can’t get to Juneau easily without a sprint by air or by sea. But once you arrive you’ll find majestic views and rich culture in every corner. With its snowcapped mountains, misty rainforests, massive glaciers and bounty of wildlife, Alaska’s remote state capital is the perfect place to dive into nature. Framed by Mount Juneau and Mount Roberts, the city’s picturesque downtown area offers centuries-old bars, boutique shops and historic landmarks. For a taste of the local culture, visit the historic district and the Alaska State Museum. And for outdoor thrills, you can take your pick of activities ranging from whale watching in Auke Bay Harbor to tundra trekking over Mendenhall Glacier, and even try your hand at gold panning in Last Chance Basin.

Skagway, Alaska - The tiny town of Skagway still looks like it did during the Klondike Gold Rush over 100 years ago— and today it remains an outpost for thrilling Alaskan adventure. An old-time street car ride along bustling Broadway Street reveals well-preserved buildings, including the state’s oldest hotel. You can see engraved walrus tusks at the Corrington Museum, or get lost in riveting historical reenactments around town. If outdoor adventure is more your thing, there are plenty of ways to amp up the adrenaline, from sledding with Alaskan Huskies on Laughton Glacier to rafting Lynn Canal, the longest fjord in North America.

Alaska Inside Passage - Winding along the breathtaking coast of Alaska, the Inside Passage offers magnificent views of forested islands, rock-walled fjords and snowcapped mountains. Richly diverse flora and fauna are also on display.

Victoria, British Columbia - Though Toronto and Vancouver are the more famous Canadian destinations, it’s high time for the sophisticated and beautiful city of Victoria, British Columbia (BC) to have its big moment. The quaint charm and English manners of Victoria will take you back in time to the days of British occupation in the 19th century. Victoria is known as “the garden city” for its lushness and its commitment to keeping the city beautiful. Head to Butchart Garden or Beacon Hill Park to enjoy nature during your time in port.

Of course, a little history lesson is another must while on a cruise to Victoria, BC. Tour the expertly maintained Craigdarroch Castle and the Parliament Buildings, or stop in the Royal BC Museum, a natural history museum dedicated to the history of human settlement in the region. There’s also the Emily Carr House, a museum dedicated to the life and works of the famous painter, Emily Carr. Victoria exudes an intellectualism where art galleries and afternoon tea await you, but so do long bicycle rides along the seafront. Stylish cafes and restaurants are modernizing the city, all while maintaining its signature look: something straight out of a postcard.

Non-Americans/Canadians, please Click Here to determine if you'll need a visa to board this cruise, which visits Canada