7-Night Eastern Caribbean Skin, Bones, Hearts & Private Parts CME Cruise Conference Round-trip Port Canaveral, FL, October 18-25, 2015
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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, Florida 33703
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Skin, Bones, Hearts & Private Parts

7-Night Eastern Caribbean Cruise Conference
from Port Canaveral, Florida
Royal Caribbean's Freedom of the Seas
October 18 - 25, 2015

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.

Royal Caribbean's Stupendous Freedom of the Seas
Royal Caribbean's Freedom of the Seas

18 AMA PRA Category 1 Credit(s)™
Course Fee - $595 for Physicians, Physician Assistants, and Nurse Practitioners

“Can’t attend the Skin, Bones, Hearts & Private Parts cruise? Visit skinbonescme.com for other great programs in Orlando, San Diego, Pensacola Beach, San Antonio & Las Vegas!”

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, and Nurse Practitioners
Program Purpose / Objectives
DATE TIME SESSION SPEAKER
10/20/2015 8-11 am Demystifying Emergency Medicine - Part 1 Bielinski
11-12 pm Applying 2013 ACC/AHA Guidelines for the Reduction of Cardiovascular Risk (Rx=.5) Ross
1-3 pm JNC-8 Update Rebeck
3-5 pm Acute Coronary Syndrome Rebeck
10/21/2015 8-10 am Metabolic Syndrome: It's a Short Trip to Cardiovascular Disease (Rx=.5) Ross
10/23/2015 8-11 am Demystifying Emergency Medicine - Part 2 Bielinski
11-12 pm Case Studies in Management of Cardiovascular Risk Ross
1-3 pm Deep Venous Thrombosis: To Treat or Not to Treat? and How? & Pulmonary Emboli Current Guidelines on How to Approach these Challenging Patients. Rebeck
3-5 pm Aortic Syndromes: Protect Your Patient Community from Catastrophic Outcomes (Rx = .75 hr) Rebeck




Session Descriptions:
Emergency Medicine
John Bielinski

Laboratory Medicine & Clinical Application:
This course will cover the one critical question you have to answer about anemia, the biggest error in the evaluation of hyponatremia, the single best predictor that your patient is going to die during your shift, the secrets of acidosis taught in medical school, the nine causes of sinus tachycardia you must learn – and the one that will BURN you!

Master the five players of liver function tests and how to decode blood clotting, platelets and clotting cascade.

Pulmonary Medicine & CXR Interpretation:
Topics to be covered include general management of pulmonary patients, how to diagnosis the patient in respiratory acidosis, how to ID the decompensating pulmonary patient, understanding hypoxia verses hypercarbia, the four critical secrets to the pulmonary patient, the best system to evaluate a chest XRAY in medicine, congestive heart failure, handling an airway obstruction with “T.L.C.,” asthma and life-saving treatments, understanding the three radiographic presentations of pneumonia and fending off the grim reaper – mastering the pulmonary embolism.

Chest Pain & EKG/ECG Interpretation:
Earn your black belt in “Medical-legal Jujitsu.” Learn the four secrets to sharpen your EKG skills, the 10 questions to a perfect medical history , and a deadly disorder that presents EXACTLY like bronchitis. Master the five deadly causes of chest pain and the “two safety nets” of EKG interpretation. Gain the respect of cardiologists by understanding the BEST way to identify ST segment elevation and the four tricks to recalling ST segment depression.

Common Emergency Medicine Complaints:
Learn how to practice medicine like a Jedi Master. Topics include three key findings on the plain film abdominal XRAY; assessing an abdominal pain patient like a surgeon, diagnosing and understanding headaches, stroke symptoms, wound care and fevers. When is a stroke not a stroke? Differentiate between Otitis media and meningitis, identify the six most commonly missed fractures, master the New “PEA Pyramid” when playing “Resuscitation Idol” and cardiac pharmacology, from antihypertensives to ACLS meds.

Applying 2013 ACC/AHA Guidelines for the Reduction Of Cardiovascular Risk
Joyce L. Ross

Each year cardiovascular disease is responsible for more deaths than all forms of cancers and other major diseases. Identification of those “at risk” patients with attention to lifestyle and medication has been shown to dramatically reduce this risk. Components of the 2013 ACC/AHA guidelines along with the NLA recommendations will be discussed .

Learning Objectives:
At the end of this session the participant will be able to:
  1. Understand major components of the newest AHA/ACC Guidelines
  2. Need for further recommendations by the National Lipid Association
  3. Indicate appropriate application of medications in the treatment of dyslipidemia
  1. Mechanisms of Action
  2. Lipoprotein effects
  3. Dose & Route of administration
  4. Contraindication
  5. Adverse Reactions
  6. Drug Interactions
  7. Advantages
  8. Disadvantages
    1. Statin therapy
    2. Bile Acid Sequestrants
    3. Cholesterol Absorption Inhibitors
    4. Nicotinic Acid
    Metabolic Syndrome: It's a short trip to Cardiovascular DiseaseJoyce L. Ross
    Course Description:

    Discussion will center on metabolic syndrome as a major risk factor for vascular disease. We will evaluate how this group of independent variables relates to the development of disease and its impact on the current population of the United States. Case study approach will be applied both for detection and treatment of the syndrome.

    Learning Objectives :

    At the end of this session the participant will be able to:

    • State five (5) components of the metabolic syndrome
    • Understand that metabolic syndrome is not considered a cardiac equivalent but that the components are harbingers of vascular disease
    • Use case study to create a treatment plan inclusive of education, lifestyle management, and pharmaceutical intervention for reducing components of the syndrome .
    Outline:

    1. Definition and diagnosis of metabolic syndrome
    2. Components of metabolic syndrome
    3. Common features of patients with metabolic syndrome and diabetes
    4. Assessing cardiovascular risk
      1. Traditional risk factors
      2. Framingham assessment
      3. Metabolic syndrome
    5. Prevalence of cardiovascular disease
    6. Role of insulin resistance and compensatory hyperinsulinemia
      1. Endothelial dysfunction
      1. Glucose metabolism
      2. Inflammation
      3. Dyslipidemia
      4. Hemodynamics
      5. Hemostatic changes
    7. Treatment approach to metabolic syndrome
      1. Patient centered philosophy
      2. TLC
      3. Lipids
      4. Hypertension
      5. hyperglycemia

    Case Studies in Management of Cardiovascular Risk
    Joyce L. Ross
    Course Description:

    Understanding the roles of guidelines and recommendations is only the beginning in applying that knowledge to the patients we see every day. This session will highlight varying cases as a means to implement current requirement but add that personal and independent touch to patient care .

    Objectives:

    After attending this session the participant will be able to:
    1. State needs for individualization of each patientÂ’s care plan
    2. Recall necessity to treat all risk factors for the patient
    3. Implement basic plan per current recommendations and patient needs


    JNC-8 Update
    Deep Venous Thrombosis
    Acute Coronary Syndrome
    Aortic Syndromes
    Kevin Rebeck

    Course Description:

    From start to finish, these sessions will cover how and why we make the decisions we make to treat this patient population per the guidelines set by the American College of Cardiology & American Heart Association. Improving practitioners knowledge base, but also with philosophical view on tailoring your decision making to each individual. Learn to recognize these patients signs early, and how to protect them from catastrophic outcomes.


    Objectives:

    At the end of these session the participant will be able to:
    1. Understand the JNC-8 Guidelines description and how to help formulate decision making to adhere to their entire patient population on blood pressure management.
    2. Acute coronary syndrome will take a scientific approach to the current American Heart Association and American College of Cardiology guidelines on evaluating and treating this diversely presenting population.
    3. Deep Venous Thrombosis treatment profiles will be reviewed & applied to numerous presentations as to best help you with your decision making in this presenting population.
    4. Pulmonary Emboli-The most up dated guidelines and how to best apply these recommendations to the variation of numerous patient presentations.
    5. Aortic syndromes: to better understand the evolution of the ageing Aorta and its associated pathology to best protect your patient community from catastrophic outcomes.



    Course Fee Cancellation Policy Written notice of cancellation must be received no later than one month prior to the conference for a course fee refund to be issued. A full refund, less a $75 processing fee will be provided to the original form of payment. Refunds will take two to four weeks to be processed.
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

Joyce L. Ross, MSN, ANP, CS, CRNP, Diplomat ACCL, Clinical Lipid Specialist, FNLA, FPCNA
Ms. Ross is a Certified Registered Nurse Practitioner and Clinical Lipid Specialist with concentrated training in preventive cardiology. Her undergraduate and graduate work was completed at Gwynedd Mercy College, in Gwynedd Valley, PA. where she was graduated Cum Laude. She holds two Master's Degrees the first as a Clinical Specialist with subspecialties in Gerontology and Administration, and the second as an Adult Nurse Practitioner. She has received accreditation as a Clinical Lipid Specialist by The Accreditation Council for Clinical Lipidiology. Ms. Ross clinical affiliation is with the University of Pennsylvania as well as an independent clinical consultant on cardiovascular risk intervention and education. She has been active in clinical research and has been both a clinical coordinator and sub-investigator on several cardiovascular risk reduction trials for lipids, and other aspects of risk reduction. Ms Ross is published in the fields of preventive cardiology, identification, assessment and treatment of cardiovascular risks and all aspects of lipidology. She has lectured both nationally and internationally and is frequently a member of advocacy groups.

Professional memberships include past Board Member, past president and Fellow of The Preventive Cardiovascular Nurses Association (PCNA). She is a founding Board Member and secretary of The Familial Hypercholesterolemia Foundation (The FH Foundation). and is a Board member & Fellow, of the NLA where she sits on several committees and is currently the President of the Northeast Lipid Association.


John Bielinski, MS, PA-C
John is hailed as one of the greatest presenters in the country. With his unique active style and easy to follow presentation, attendees have reported learning more in one day from him than an entire year in the classroom!

John earned a master's degree in family and emergency medicine and is a national lecturer on emergency medicine and extraordinary patient care. His experience not only includes years of hospitalist/intensive care coverage, but he has also run a rural emergency department for nine years autonomously, having cared for hundreds of cardiac arrest and critically ill patients. John has lectured for over 10 years teaching PA students at two PA schools in Buffalo, NY, as well as instruction of paramedics/nurses on advanced cardiac life support.


Kevin Rebeck, PA-C
Following graduation from the University of California, Kevin completed his two year Cardiology fellowship. He is currently practicing in Norfolk, Virginia with the vascular transplant surgery team. Kevin has extensive experience in both basic and clinical research with applications in Cardiology, Interventional Radiology, and Vascular surgery. He has been on the AAPA Diversity Committee, the National High Blood Pressure Education Program, as well as the AAPA Liaison to the National Institute of Health and the co-author of the JNC-7 Hypertension Guidelines. He has 18 years of experience in mentoring students from numerous PA programs instilling the importance of the scientific method, as well as continuing a strong, hands-on philosophical view on patient care & education.
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 18 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


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.

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

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

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.

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.

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
Sun Oct 18 Port Canaveral, Florida - 4:30pm
Mon Oct 19 Cococay, Bahamas 7:00am 4:00pm
Tue Oct 20 At Sea Cruising
- -
Wed Oct 21 Charlotte Amalie, St. Thomas 12:00 pm 7:00pm
Thu Oct 22 Philipsburg, St. Maarten 8:00am 5:00pm
Fri Oct 23 At Sea Cruising - -
Sat Oct 24 At Sea Cruising - -
Sun Oct 25 Port Canaveral, Florida 6:00am -

Ports of Call
Charlotte Amalie, St. Thomas, U.S.V.I. - Named after a Danish Queen, Charlotte Amalie has one of the most breathtaking deepwater harbors in the world. The key sights of Charlotte Amalie are located within the town centre, making it easy to combine sightseeing with St. Thomas’ fantastic shopping opportunities. Eighteenth century architecture provides the perfect backdrop for walking tours and shopping here in the "Duty Free Capital of the World." For a dose of history, visit Emancipation Park, the American-Caribbean History Museum, or Bluebeard the pirate's castle at Magen’s Bay. If tropical bliss is what you're after, head to any of Charlotte Amalie’s pristine beaches, where the warm water, white sands and palm trees will lull you into deep relaxation!
Coco Cay, Bahamas - Located in the middle of the Caribbean's bright blue water lies the secluded island of CocoCay. With its white-sand beaches and spectacular surroundings, CocoCay is a wonderland of adventure. Reserved exclusively for Royal Caribbean guests, this tropical paradise has recently been updated with new aquatic facilities, nature trails and a ton of great places to just sit back, relax and enjoy a tropical drink.
Philipsburg, St. Maarten - An island under two flags. Sample the Dutch treats of Philipsburg: chocolate, cheese, delftware. On the French side linger over bouillabaisse, shop for Parisian perfumes.
Port Canaveral, Florida - Port Canaveral lies just 35 miles east of Orlando, along the 72 miles of pristine beaches known as Florida's Space Coast. Besides its close proximity to Orlando's theme parks, you'll find space-age attractions of Kennedy Space Center Visitor Complex, and the U.S. Astronaut Hall of Fame.

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.

Freedom of the Seas

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
Owner's Suite (OS) - Queen-size bed, private balcony, private bathroom and a separate living area with a queen-size sofa bed. (594 sq. ft., balcony 204 sq. ft.)
Call
800-422-0711
for Pricing
Grand Suite (GS) - Two twin beds (can convert into queen-size), private balcony, sitting area (some with sofa bed) and private bathroom. (401 sq. ft., balcony 104 sq. ft.)
Call
800-422-0711
for Pricing
Junior Suite with Balcony (JS) - Two twin beds (can convert into queen-size), private balcony, sitting area (some with sofa bed) and private bathroom. (297 sq. ft., balcony 94 sq. ft.)
Call
800-422-0711
for Pricing
Superior OceanView Stateroom with Balcony (D2) - Two twin beds (can convert into queen-size), sitting area (some with sofa bed), private balcony and private bathroom. Rates vary from deck to deck. (199 sq. ft., balcony 65 sq. ft.)
Call
800-422-0711
for Pricing
Deluxe OceanView Stateroom with Balcony (E2) - Two twin beds (can convert into queen-size), sitting area (some with sofa bed), private balcony and private bathroom. Rates vary from deck to deck. (184 sq. ft., balcony 66 sq. ft.)
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800-422-0711
for Pricing
OceanView Stateroom (I) - Two twin beds (can convert into queen-size) and private bathroom. (159 sq. ft.)
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800-422-0711
for Pricing
OceanView Stateroom (H) - Two twin beds (can convert to a Royal King) and private bathroom. (159 sq. ft.)
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800-422-0711
for Pricing
OceanView Stateroom (G) Quad- Two twin beds (can convert to a Royal King) and private bathroom. (159 sq. ft.)
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800-422-0711
for Pricing
Large Interior Stateroom (K) Quad- Two twin beds (can convert to a Royal King) and private bathroom. (150 sq. ft.)
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800-422-0711
for Pricing
Large Interior Stateroom (M) - Two twin beds (can convert to a Royal King) and private bathroom. (150 sq. ft.)
Call
800-422-0711
for Pricing
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $283.15
Deposit $250 per person

Cancellation Policies vary by cruise line, destination and sailing date.
Please check with one of our cruise consultant for policies applicable to this cruise.
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.