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Continuing Education, Inc.
University at Sea^™
5700 4th St. N.
St Petersburg, Florida 33703

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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.

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Rheumatology, Emergency Medicine, and Leadership in Healthcare

7-Night Western Caribbean & CocoCay Cruise
Round-trip Miami, Florida
May 23 - 30, 2026

Royal Caribbean's Icon of the Seas

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Dr. Butendieck's Topics

Rheumatoid Arthritis: Diagnosis and Management
Lupus: A Case-Based Approach
Sjogren's Syndrome: Beyond Sicca
Scleroderma: A Systemic Disease
Polymyalgia Rheumatica and Giant Cell Arteritis
Rheumatologic Medications: What You Need to Know
Gout and Pyrophosphate Deposition Disease

Dr. Sanson's Topics TBA

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

Ronald R. Butendieck, Jr., MD, FACP

Practice Leader & Consultant, Division of Rheumatology
Assistant Professor of Medicine
Mayo Clinic
Jacksonville, FL

Dr. Ronald R. Butendieck, Jr., earned his undergraduate degree in Biochemistry and Molecular Biology from Rollins College and his Doctor of Medicine from the University of Florida College of Medicine. He completed his residency in Internal Medicine and fellowship in Rheumatology at Mayo Clinic in Jacksonville, Florida.

Dr. Butendieck is an Assistant Professor of Medicine and serves as a Practice Leader and Consultant in the Division of Rheumatology at Mayo Clinic. A dedicated educator, he is a core faculty member of the Mayo Clinic Internal Medicine Residency Program, where he has been honored with the Top Teacher in Rheumatology Award on more than 10 occasions. He developed and leads an annual Rheumatology didactic lecture series for residents and delivers presentations for the Mayo Clinic Internal Medicine Board Review course.

He has a special interest in Behçet’s disease and has presented internationally on Neuro-Behçet’s. Dr. Butendieck is the contributing author on Behçet’s for the National Organization for Rare Disorders. In recognition of his contributions, he was elected as a Fellow of the American College of Physicians (FACP) in 2017. He is actively involved in several institutional committees, including the Mayo Clinic Pharmaceutical Formulary Subcommittee and the Internal Medicine Residency Program's Clinical Competency Committee.

Tracy G. Sanson MD, FACEP, CEO

Tracy Sanson MD LLC
Emergency Physician
Public Speaker
Recipient of the 2020 Judith E. Tintinalli Award for Outstanding Contribution in Education from the American College of Emergency Physicians, and American College of Emergency Physicians Honorable Mention Outstanding Speaker of the Year for 2023
Educator, Coach, Consultant, Founder TracySansonMD, LLC
Lutz, Florida

Dr. Sanson is an Emergency Physician with more than 20 years of experience in emergency medicine education, emergency department management, and leadership. She is a consultant and educator on Leadership development and Medical education at TracySansonMD.

Dr. Sanson has served in several and varied leadership positions with the Society for Academic Emergency Medicine (SAEM), the Council of Residency Directors (CORD), and the American College of Emergency Physicians (ACEP). She is a member of the ACEP Speaker's Bureau and the 911 network. She has been a member of the ACEP faculty for many years, including the ACEP Teaching Fellowship and the Emergency Department Directors Academy.

Dr. Sanson completed her medical degree and residency training at the University of Illinois at Chicago. She has held director positions in the US Air Force, the University of South Florida and TeamHealth during the past 20 years. Dr. Sanson heads her own consulting firm, specializing in leadership training.

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 May 23	Miami, Florida	-	4:30 pm
Sun May 24	At Sea - Cruising	-	-
Mon May 25	Puerto Plata, Dominican Republic	8:00 am	5:00 pm
Tue May 26	Roatan, Honduras	7:00 am	4:00 pm
Wed May 27	Cozumel, Mexico	8:00 am	6:00 pm
Thu May 28	At Sea - Cruising	-	-
Fri May 29	Coco Cay, Bahamas	7:00 am	5:00 pm
Sat May 30	Miami, Florida	6:00 am	-

PORTS OF CALL

Miami, Florida

Miami is far more than a convenient departure point; it is a destination in its own right, a vibrant crossroads of culture, art, and energy that merits dedicated exploration. To treat it as a mere transit hub is to miss the essence of one of America’s most dynamic cities. We strongly recommend arriving two or three days early to immerse yourself in its distinct rhythm before your voyage begins.

The city’s identity is a rich tapestry woven from Latin American and Caribbean influences, most palpable in Little Havana. A walk down Calle Ocho is an immersion of the senses: the rhythmic click of dominoes from Máximo Gómez Park, the rich aroma of hand-rolled cigars, and the lively pulse of salsa music spilling from open doorways. The essential experience here is ordering a potent, thimble-sized *cafecito* and a guava-filled *pastelito* from a *ventanita* (a walk-up coffee window). It’s a simple, authentic ritual that connects you directly to the neighborhood’s soul.

For a completely different cultural current, head to the Wynwood Arts District. Once a warehouse district, its windowless facades have been transformed into a world-renowned outdoor art gallery. While the Wynwood Walls offer a curated collection of stunning murals, the true spirit of the neighborhood is found by wandering the surrounding streets, where nearly every surface is covered in vibrant, thought-provoking street art. It’s a dynamic, ever-changing landscape of creativity, complemented by independent galleries, craft breweries, and unique shops.

Of course, there is the Miami of postcards: South Beach. Its reputation is well-earned, and a visit is essential to understanding the city’s glamorous side. The Art Deco Historic District is a candy-colored architectural treasure, best appreciated on a morning walk along Ocean Drive before the crowds swell. The beach itself is a wide, beautiful expanse of white sand and turquoise water, perfect for an afternoon of sun and world-class people-watching. While the energy is high, it’s an iconic experience that defines a key part of Miami’s character.

For those seeking tranquility, Miami offers elegant escapes. The Vizcaya Museum & Gardens is a breathtaking Gilded Age estate that feels a world away from the modern city. This Italian Renaissance-style villa, with its opulent interiors and sprawling formal gardens on the shores of Biscayne Bay, offers a serene and fascinating glimpse into early 20th-century Florida. Another peaceful retreat is Key Biscayne. A short drive from the city center, Bill Baggs Cape Florida State Park provides a more natural beach experience, complete with a historic lighthouse you can climb for panoramic views of the Atlantic and the Miami skyline.

The city’s culinary scene is a direct reflection of its cultural diversity. Beyond the requisite Cuban sandwich (Versailles restaurant is an institution for a reason), you’ll find exceptional Peruvian ceviche, authentic Colombian arepas, and refined Haitian cuisine. The Design District and Brickell neighborhoods are home to world-class restaurants helmed by celebrated chefs, while a classic Miami experience involves indulging in seasonal stone crabs at Joe's Stone Crab in South Beach (open mid-October to mid-May).

**A Suggested Itinerary for Your Pre-Cruise Stay**

To make the most of your time, consider this unhurried two-day itinerary that balances culture, relaxation, and Miami’s signature style.

* **Day 1: Mainland Culture & Art**
Begin your day in Little Havana. Grab a *cafecito* and a pastry to fuel a walk down Calle Ocho, absorbing the sights and sounds. By late morning, make your way to the Wynwood Arts District. Spend a few hours exploring the Wynwood Walls and the surrounding street art, stopping for lunch at one of the neighborhood’s casual, creative eateries. For the evening, consider dinner in the sophisticated Brickell area, where you can enjoy waterfront dining with stunning views of the city lights.

* **Day 2: Coastal Glamour & Historic Elegance**
Dedicate your morning to South Beach. Take a leisurely stroll through the Art Deco district to admire the architecture, then find a spot on the sand to relax. In the afternoon, escape the heat and bustle with a visit to the magnificent Vizcaya Museum & Gardens. Allow at least two to three hours to explore the house and the stunning grounds. For your final evening, you can either embrace the vibrant nightlife with dinner in South Beach or opt for a more relaxed meal in the charming, historic neighborhood of Coconut Grove.

**Practical Considerations**

Miami is a large, sprawling city. The mainland (where downtown, Wynwood, and Little Havana are located) is connected to the barrier island of Miami Beach by a series of causeways. Ride-sharing services are the most efficient way to travel between neighborhoods. Allow ample time for travel, as traffic can be heavy. By investing a couple of days here, you don’t just start your vacation early—you add an entirely distinct and memorable destination to your journey.

At Sea - Cruising

Puerto Plata, Dominican Republic

Puerto Plata, nestled on the Dominican Republic’s lush Amber Coast, is a destination best suited for active travelers and nature enthusiasts. Its undeniable main event is the 27 Waterfalls of Damajagua, an exhilarating natural water park where you can hike, slide, and leap through a series of stunning cascades. It’s a genuinely memorable adventure, but be prepared for a physical challenge.

For an equally impressive but less strenuous experience, take the Teleférico—the only cable car in the Caribbean—to the summit of Mount Isabel de Torres. The panoramic views of the coastline are spectacular, and you can wander through the botanical gardens surrounding the iconic Christ the Redeemer statue.

Back in town, the 16th-century Fortaleza San Felipe offers a solid dose of colonial history right at the harbor’s edge. The city center itself has some charming Victorian architecture worth a brief stroll. For a true taste of the region, consider a tour and tasting at one of the local rum distilleries. While Puerto Plata isn't a sprawling metropolis, it offers a fantastic day of adventure and scenery for those ready to explore beyond the port.

Roatan, Honduras

Roatan’s reputation is built on one magnificent, undeniable asset: its location on the Mesoamerican Barrier Reef, the second-largest in the world. For anyone with an interest in the underwater world, this is a premier, world-class destination. The snorkeling and diving here are not just activities; they are the main event, offering accessible, vibrant coral gardens and a rich diversity of marine life just offshore.

Beyond the reef, Roatan delivers a classic, high-quality Caribbean beach experience. The key is choosing the right spot for your mood. West Bay Beach is the island’s postcard-perfect star, with powdery white sand and calm, turquoise waters ideal for a relaxing day. For a more bohemian and active vibe, the adjacent village of West End offers a lively strip of dive shops, laid-back restaurants, and local artisan stalls.

While the island’s interior is lush and hilly, most day visitors understandably stick to the coast. You’ll find opportunities for zip-lining and visiting animal sanctuaries, which can be enjoyable diversions. However, our honest advice is to focus on Roatan’s strengths. This isn’t a destination for deep cultural immersion or historical sightseeing. It is, quite simply, a stunning natural paradise. Embrace it for what it is: an exceptional opportunity to swim, snorkel, or simply relax on one of the Caribbean’s most beautiful shorelines.

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.

Coco Cay, Bahamas

Let's be clear: Coco Cay is not a port for cultural immersion; it's a private island meticulously engineered for a perfect day of sun and fun. Think of it as a high-end water park and beach club rolled into one, accessible right off the ship. The island is divided into distinct zones, from the high-energy Thrill Waterpark with its impressive slides to the sprawling Oasis Lagoon, one of the largest freshwater pools in the Caribbean.

For those seeking relaxation, several white-sand beaches offer a classic tropical escape. If you're looking for a more exclusive, serene experience, the Coco Beach Club provides a quieter atmosphere with an infinity pool and overwater cabanas, available for an additional fee. While you won't find local markets or historical sites here, Coco Cay delivers exactly what it promises: a seamless, high-quality day of resort-style leisure and aquatic adventure.

Royal Caribbean's Icon of the Seas

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

Ocean View Balcony (D2)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

2,626.31
per person

Call: 800-422-0711
and we'll find the best value for you.

Balcony Ocean View Large Balcony (C3)

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Balcony Ocean View Large Balcony (C5)

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Balcony Connecting Ocean View Balcony (CB)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50sqft balcony.

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800-422-0711
for Pricing

Balcony Ocean View Balcony (D1)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

Call
800-422-0711
for Pricing

Balcony Ocean View Balcony (D3)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Balcony Ocean View Balcony (D4)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Balcony Ocean View Balcony (D5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony. 204 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Balcony Central Park View Balcony (F1)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Central Park view. 196 sqft with 50 sqft balcony.

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800-422-0711
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Balcony Central Park View Balcony (F5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Central Park view. 196 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Balcony Surfside Family View Balcony (H3)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Surfside view. 196 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Balcony Surfside Family View Balcony (H5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and private balcony with Surfside view. 196 sqft with 50 sqft balcony.

Call
800-422-0711
for Pricing

Balcony Infinite Ocean View Balcony (I1)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench. Convertible balcony extends the interior to outdoors. 200 sqft with 50 sqft convertible balcony.

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800-422-0711
for Pricing

Balcony Infinite Ocean View Balcony (I3)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench. Convertible balcony extends the interior to outdoors. 200 sqft with 50 sqft convertible balcony.

Call
800-422-0711
for Pricing

Balcony Family Infinite Oceanview Balcony (IB)
Room with two twin beds that convert to Royal King bed, vanity and seating area with sofa and convertible balcony extending the interior to outdoors. Separate room with bunk bed. Split bathroom. Connecting staterooms through private vestibule (72 of the 77 staterooms have the connecting staterooms feature). 285 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Balcony Infinite Central Park View Balcony (IF)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench. Convertible balcony extends the interior to outdoors. 200 sqft with 50 sqft balcony.

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800-422-0711
for Pricing

Outside

Ocean View Stateroom (N4)
Two twin beds that convert to Royal King, private bathroom and seating area. 160-187 sqft.

2,013.31
per person

Call: 800-422-0711
and we'll find the best value for you.

Outside Panoramic Ocean View Stateroom (L5)
Two twin beds that convert to Royal King, seating area with sofa, full bathroom, shower with bench and extension of room that is a panoramic seating area. 258 sqft.

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800-422-0711
for Pricing

Outside Ocean View Stateroom (N1)
Two twin beds that convert to Royal King, private bathroom and seating area. 160-187 sqft.

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800-422-0711
for Pricing

Outside Ocean View Stateroom (N5)
Two twin beds that convert to Royal King, private bathroom and seating area. 160-187 sqft.

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800-422-0711
for Pricing

Outside Surfside Family View Interior Stateroom (T5)
Two twin beds that convert to Royal King, private bathroom and seating area with view of Surfside neighborhood. 187 sqft.

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800-422-0711
for Pricing

Outside Central Park View Interior Stateroom (U5)
Two twin beds that convert to Royal King, private bathroom and seating area with view of Central Park neighborhood. 187 sqft.

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800-422-0711
for Pricing

Inside

Interior Plus Stateroom (Q2)
Two twin beds that convert to Royal King, walk-in-closet, private bathroom and seating area. 157 sqft.

2,026.31
per person

Call: 800-422-0711
and we'll find the best value for you.

Inside Spacious Interior (R3)
A more spacious version of the standard interior stateroom. Two twin beds that convert to Royal King, private bathroom and seating area. 178 sq. ft.

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800-422-0711
for Pricing

Inside Spacious Interior (R4)
A more spacious version of the standard interior stateroom. Two twin beds that convert to Royal King, private bathroom and seating area. 178 sq. ft.

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800-422-0711
for Pricing

Inside Interior Stateroom (V4)
Two twin beds that convert to Royal King, private bathroom and seating area. 156 sqft.

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800-422-0711
for Pricing

Suite/Deluxe Grand Suite - 1 Bedroom (GS)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub and two sinks. Living room with sofa that converts to double bed. Dry bar area and vanity/desk. Private balcony with seating area and private dining. 431 sqft with 108 sqft balcony.