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Continuing Education, Inc.
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Topics in Primary Care and Rheumatology

7-Night Southern Caribbean Cruise Conference
From San Juan, Puerto Rico to San Juan, Puerto Rico
October 27 - November 03, 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 Summit</em> — *Celebrity Summit*

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:

Primary Care Treatment of Essential Hypertension: A 2018 Update
- Upon completion of this session, participants should be able to customize their treatment approach in the essential hypertension patient and maximize the percent of patients treated who reach goal blood pressure.
Atrial Fibrillation: What the Primary Care Practitioner Needs to Know
- Upon completion of this session, participants should be able to discuss the newest information regarding atrial fibrillation and describe the role of anti-arrhythmics in the management of the disease.
Thromboembolic Disease in Primary Care: Focus on the New Anticoagulants
- Upon completion of this session, participants should be able to discuss the role of the new oral anticoagulants and describe any relevant differences between the available agents.
Asthma and COPD: New Recommendations and Treatment Options
- Upon completion of this session, participants should be able to discuss the new recommendations for treatment of patients with asthma and COPD.
Primary Care Treatment of Urinary Tract Infections in the era of Increasing Bacterial Resistance
- Upon completion of this session, participants should be able to discuss the treatment options for UTIÂs in the era of increasing antimicrobial resistance
Antimicrobial Resistance: Implications for the Primary Care Provider
- Upon completion of this session, participants should be able to describe the impact of antimicrobial resistance in both gram-negative and gram-positive infections and discuss treatment strategies for common infections.
Osteoporosis: Review of Guidelines and New Therapeutic Options
- Upon completion of this session, participants should be able to describe the new National Osteoporosis Guidelines and how the recommendations will impact the treatment and prevention strategies in their patients with osteopenia or osteoporosis.
Gout - Management and where we fall short
- Better manage acute flairs and improve confidence with chronic gout treatment
Back pain - is it inflammatory
- Identify different presentations of mechanical versus inflamatory back pain
Lupus
- Recognize the dianostic criteria, lab test and potential triggers for flairs
Monitoring of Rheumatology Drugs -what to watch out for
- Inform practitioners of common and not so common potential side effects and risks of drugs
Labs and Radiology and their limitations
- Assess labs and radiology results especially in initial work-up
Clinical approach to Rheumatic Diisease
- Identifying Arthritis vs. other Musculoskeletal pain and how to work it up
The Pregnant Patient
- Manage the unique challenges seen in Pregnant Rheumatologic Patients

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

John Gums, PharmD

Professor of Pharmacy and Medicine
University of Florida
Gainesville, Florida

Dr. Gums is a Professor of Pharmacy and Medicine in the Departments of Pharmacotherapy and Translational Research and Community Health and Family Medicine at the University of Florida. Additionally, he holds the title of Associate Dean for Clinical and Administrative Affairs in the College of Pharmacy. He received his undergraduate degree in pharmacy from the University of Wisconsin and his Doctor of Pharmacy degree from the Medical University of South Carolina. Subsequently, he completed a post-doctoral fellowship in Family Medicine at the Medical University of South Carolina. Dr. Gums is actively involved in teaching both in the College of Pharmacy and the College of Medicine. He has received the Faculty Recognition Award from the College of Pharmacy, Exemplary Teacher Award from the College of Medicine, and twice was selected as Teacher of the Year by the University of Florida, Department of Family Medicine.

He has authored over 200 peered-review articles, 26 continuing education programs, and 24 book chapters. He has given over 110 invited presentations to national and international pharmacy and medical associations. He maintains an active clinical research program, including past funding from the NIH. Currently, he is a co-investigator on numerous NIH-funded trials evaluating the impact and role of pharmacogenomics in the treatment of patients with hypertension.

Dr. Gums maintains membership in ASHP, AACP, and ACCP. He is a member of the Family Medicine Editorial Advisory Council for the Annals of Pharmacotherapy, and is a Scientific Editor for the journal Pharmacotherapy. In 1993, he was appointed by the governor as a member of the State of Florida Pharmacy Services and Technical Review panel. In 1997, he received the Outstanding Clinical Practice Award from ACCP. In 2002, Dr. Gums served as a Primary Health Care Policy Fellow through the office of the Secretary of Health and Human Services in Washington DC. And in 2007, he was elected as a Fellow in the American College of Clinical Pharmacy.

Nicole D. Melendez, MD, FACR

Affiliate Assistant Professor of Internal Medicine (Voluntary Faculty)
USF Health Morsani College of Medicine
Tampa, FL

Nicole D Melendez, MD graduated from St Matthews University, completed her Internal Medicine residency at the University of Missouri- Columbia and her Rheumatology fellowship at Louisiana State University. She is board certified in Internal Medicine and Rheumatology. She has been practicing Rheumatology in the Tampa Bay area since 2011.

She has a very active practice and is also involved in clinical research. She's been voluntary faculty at the University of South Florida in the Department of Rheumatology since 2015, and she has a personal interest in nutrition and diet and its impact on rheumatologic disease states.

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
Sat Oct 27	San Juan, Puerto Rico	-	8:30 pm
Sun Oct 28	St. Croix, U.S. Virgin Islands	8:00 am	5:00 pm
Mon Oct 29	Philipsburg, St. Maarten	8:00 am	6:00 pm
Tue Oct 30	Roseau, Dominica Lectures: 4:00pm-6:00pm*	8:00 am	5:00 pm
Wed Oct 31	Bridgetown, Barbados Lectures: 4:00pm-6:00pm*	8:00 am	6:00 pm
Thu Nov 01	St. George's, Grenada Lectures: 4:00pm-6:00pm*	8:00 am	5:00 pm
Fri Nov 02	At Sea - Cruising Lectures: 8-Noon; 1:00pm-5:00pm*	-	-
Sat Nov 03	San Juan, Puerto Rico	6:00 am	-
*Tentative course schedule, actual class times may differ.

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. Croix, U.S. Virgin Islands - St. Croix, the largest of the U.S. Virgin Islands, is a tropical dreamland complete with stunning beaches, clear aqua-blue ocean water, a small rain forest and rolling green hillsides. The Danes purchased St. Croix in the 1700s at which time the slave trade and sugar cane fields thrived. Today, the Danish influence is still apparent in the island's architecture and language. Most of the sugar mills lie in ruins. Yet you can still get a taste of the island's history in freshly squeezed sugar cane juice or Cruzan Rum.

Philipsburg, St. Maarten - The capital of the Dutch side of St. Maarten is the town of Philipsburg, though St. Maarten is an island with two distinct sides. To the north is the French side, whose capital is Marigot, while Philipsburg sits on the southern part of the island. When exploring on cruises that go to St. Maarten, it’s important to visit both sides to understand their customs and heritage.

You’ll quickly be charmed by all sides of the island. Of course, this Caribbean island is best known for its beaches, like Maho Beach or Great Bay Beach, one of the area’s best snorkeling spots. Sample local seafood or rum during your time in port, which have become symbols of St. Maarten life. There’s just enough to fill the day here, especially if you hop between the French and Dutch beaches.

Roseau, Dominica - Ecotourists love Dominica's waterfalls, lakes, freshwater swamps and hiking trails. Roseau's brightly painted buildings recall an earlier time in the Caribbean. The 40-acre botanical gardens were founded in 1891 as an annex to London's famous Kew Gardens.

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.

St. George's, Grenada - St. George's is the capital of Grenada. The city is surrounded by a hillside of an old volcano crater and is on a horseshoe-shaped harbor. The city has significantly developed in recent years, while preserving its history, culture, and natural beauty. It has a moderate tropical climate that ensures the success of spice production. Nutmegs are the most plentiful crop, followed by an array of such spices as cocoa, mace, cloves, vanilla, cinnamon and ginger.

At Sea - Cruising - Cruising

San Juan, Puerto Rico - The vibrant capital of Puerto Rico, San Juan offers something for every traveler — world-famous beaches with crystal clear waters, incredible cuisine, rugged natural beauty and a rich history that goes back 500 years. With its ancient fortresses and colorful colonial-era buildings, San Juan makes it easy to feel as though you’ve slipped into the past. Life moves at a slower pace along the sunny cobblestone streets of Old San Juan, and salsa beats seem to waft perpetually from open windows. If you’re craving a hike, head to El Yunque National Forest. And if you’re more in the mood to unwind, set your sights on the beautiful shores of Isla Verde or El Condado. Mealtime is also an adventure, with so many delicious options to try — from mofongo and pastelon to chillo frito and alcapurrias. Pair every bite with a piña colada — Puerto Rico’s national drink.

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

Suite/Deluxe

Sky Suite (S1)
The Sky Suite offers a blend of expansive views and intimate luxury. You’ll enjoy benefits such as exclusive access to Luminae restaurant, as well as The Retreat Sundeck and Lounge, which rival any high-end resort. Your dedicated team of attendants, concierges, and your Personal Retreat Host will do everything to ensure you never have to lift a finger on vacation. These suites have a king-sized bed that faces the floor-to-ceiling window and sliding glass door leading to your private balcony. 319 sq ft. with 79 sq ft. veranda.

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Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite combines the wellness-focused benefits of AquaClass with the luxurious benefits of suites. You’ll enjoy benefits such as exclusive access to Luminae restaurant, as well as The Retreat Sundeck and Lounge, which rival any high-end resort. You’ll also enjoy unlimited access to the Persian Garden Thermal Suite, priority Spa reservations, in-room fitness amenities, bathrobes, slippers, included Premium drinks, Wi-Fi, Gratuities, and much more. These suites have a king-sized bed that faces the floor-to-ceiling window and sliding glass door leading to your private balcony. 319 sq ft. with 79 sq ft. veranda.

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Suite/Deluxe Celebrity Suite (CS)
The Celebrity Suite is a luxurious, two-room suite featuring a large living area with floor-to-ceiling panoramic windows, a private veranda, and all the usual suite benefits. You’ll enjoy benefits such as exclusive access to Luminae restaurant, as well as The Retreat Sundeck and Lounge, which rival any high-end resort. Your dedicated team of attendants, concierges, and your Personal Retreat Host will do everything to ensure you never have to lift a finger on vacation. 406 sq ft. with 51 sq ft. veranda.

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Suite/Deluxe Penthouse Suite (PS)
Welcome to the epitome of luxury at sea — the Penthouse Suite. This suite is a palatial sanctuary designed for the discerning traveler. The expansive living area is adorned with sumptuous furnishings, a grand dining table, and a myriad of seating options, perfect for intimate gatherings or pure relaxation. As a Penthouse guest, you'll benefit from almost every conceivable amenity, from access to premium restaurants and a dedicated personal butler to Premium Drink and Wi-Fi packages. Naturally, you'll also enjoy all the exclusive suite benefits, including Luminae restaurant, The Retreat Sundeck, and Lounge. The magnificence of the Penthouse Suite extends outdoors with a sprawling aft veranda, offering a dining area, hot tub, and panoramic views that will etch memories for a lifetime. Your dedicated team, inclusive of attendants, concierges, and your Personal Retreat Host, will go above and beyond, making every whim a reality. 1,378 sq ft. with 197 sq ft. veranda.

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Suite/Deluxe Royal Suite (RS)
Step into luxury with the Royal Suite, where every detail reflects an unparalleled sense of luxury. This spacious haven boasts a lavish bedroom complemented by a generous walk-in closet. The bathroom, adorned with a rejuvenating jacuzzi jet tub and dual sinks, exudes pure elegance. As you unwind on your expansive veranda, treat yourself to a private hot-tub experience under the stars. Like all suites, you'll indulge in exclusive access to Luminae restaurant, The Retreat Sundeck, and Lounge. Your dedicated team, including attendants, concierges, and your Personal Retreat Host, ensures that every moment is tailored to your utmost comfort. 687 sq ft. with 72 sq ft. veranda.

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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.