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Continuing Education, Inc.
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Women's Health, Menopause, and Sexual Medicine; Pediatric Urology

7-Night Southern Caribbean Cruise
Round-trip San Juan, Puerto Rico
March 04 - 11, 2023

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 Millennium</em> — *Celebrity Millennium*

COURSE CREDITS & HOURS

1 Hour of Pharmacology for Nurse Practitioners
16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

PROGRAM PURPOSE

Pediatric Urology Topics

Pediatric Urologic conditions are common and may persist into adulthood. The evaluation and management of many of these conditions has changed over the years to improve outcomes, yet education of primary care providers regarding these changes may be delayed. This educational activity is intended to provide current information on the evaluation and management of these common pediatric urologic conditions and identify indications for referral to a pediatric urologist

Evaluation and Management of Pediatric Urinary Incontinence
- Develop a behavioral therapy regimen for the management of urinary incontinence in children
Nocturnal Enuresis
- Be familiar with the treatment options for nocturnal enuresis
Adolescent varicocele: Who to treat? Who to follow?
- Perform an examination for evaluation of varicocele and indications for referral to a pediatric urologist
Common pediatric urologic problems: What is normal? When to Worry?
- Discuss the common pediatric urologic problems and identify when to refer to specialist
Pediatric Urologic Emergencies
- Discuss pediatric urologic emergencies and the impact of prompt referral to an emergency room
Urolithiasis: Evaluation and Management in Adults and Children
- Be aware of the signs/symptoms of urolithiasis, the recommended radiologic evaluation, medical therapy and metabolic workup of individuals with urolithiasis
Evaluation and Management of Hydronephrosis
- Differentiate different causes of hydronephrosis and develop an appropriate approach to management
Evaluation and Management of Vesicoureteral Reflux
- Discuss changes in the evaluation and management of vesicoureteral reflux

Topics:

Caring for perimenopause and menopause patients in 2023: diagnosis, common symptoms, treatments
- Understand the physiology of perimenopause and menopause
51 is Getting Younger all the Time: maximizing longterm health in menopause
- Explain the differences in cardiac response to HT in younger menopausal women versus older menopausal women
- Individualize care for symptomatic menopausal women with medical comorbidities
- Consider the effect of hormone therapy in promoting bone health
Mood and Menopause: diagnosis and treatment of Perimenopausal Mood Instability
- Differentiate perimenopausal mood instability (PMI) from major depressive disorder (MDD) and generalized anxiety disorder (GAD)
- List effective treatments for PMI including psychological and pharmacological approaches
I Canât Sleep and Iâm Getting Fat: evaluating and treating the twin scourges of midlife
- Recognize the signs and symptoms of common sleep disorders and list behavioral and pharmacologic treatments for them
- Define the common disease of obesity and list effective psychotherapeutic and medical treatments
Nutrition and the Aging Brain: can we prevent dementia?
- Understand how nutrition impacts brain changes with aging
- B. Describe what we can learn from the Blue Zones and other research about nutrition and healthy aging brain
- Develop skills to talk with patients and ensure a brain-healthy diet is accessible to them
Beyond Masters and Johnson: models of female sexuality
- Describe the four major models of female sexual behavior
- Utilize the four models to counsel patients with concerns regarding their sexual function
Female Sexual Dysfunction: disorders of desire, arousal, and orgasm
- Be familiar with the DSM-V diagnostic categories of female sexual dysfunction
- Utilize the ISSWSH Process of Care to manage hypoactive sexual desire disorder
- List at least 2 behavioral and 2 pharmacological treatment options for female sexual dysfunction
When Sex Hurts: causes and treatments of dyspareunia
- Utilize a stepwise approach to diagnosis of dyspareunia
- Explain and initiate treatment when appropriate

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

Karen E. Adams, MD, NCMP, IF

Clinical Professor of Obstetrics and Gynecology
Director, Program in Menopause & Healthy Aging
Stanford Medicine
Stanford, CA

Karen Adams MD, FACOG, DipACLM, NCMP, IF is Clinical Professor of Obstetrics and Gynecology at Stanford University. She is the Director of The Stanford Program in Menopause and Healthy Aging, a program that connects specialists in many fields to provide world-class care for women in the second half of life. Dr. Adams is double-board certified in Obstetrics and Gynecology and Lifestyle Medicine, a Menopause Society Certified Menopause Practitioner, and a fellow of the International Society for the Study of Women's Sexual Health. She is the course director for the Oregon ECHO Program in Menopause, a state-wide program to educate primary care and women’s health providers in menopause care.

Dr. Adams is an award-winning educator and has lectured to medical audiences locally, nationally, and internationally, including a January 2020 TEDx talk entitled 'Sleep, Sex, and Menopausal Zest" with over 150,000 views on YouTube.

What Participants Are Saying:

This was the most engaging and clinically useful lectures series I have ever attended. I was a bit sad at the end of the last session!

Pamela Ellsworth, MD

Professor of Pediatric Urology
University of Central Florida College of Medicine
Orlando, FL

Dr. Pamela Ellsworth is a Professor of Pediatric Urology at the University of Central Florida College of Medicine and the former Chief of Pediatric Urology at Nemours Children's Hospital in Orlando.

Dr. Ellsworth graduated Summa Cum Laude from Boston College and received her medical degree from the University of Massachusetts Medical School. She completed her urology residency at Dartmouth-Hitchcock Medical Center and her pediatric urology fellowship at the University of Florida/Nemours Jacksonville.

An accomplished educator, Dr. Ellsworth was awarded an Honorary AOA for her teaching skills while at Dartmouth-Hitchcock. She became the first female full-time surgeon to achieve the rank of full professor at Brown University, where she also received a resident teaching award.

She is the author of over 100 peer-reviewed publications, over 24 book chapters, and several books for the layperson, including the 100 Questions and Answers about Prostate Cancer series. Dr. Ellsworth is actively involved in the education of medical students, residents, and advanced practice providers and has presented her work regionally, nationally, and internationally.

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 16 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 16 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 16 hours of pharmacy continuing education credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Mar 04	San Juan, Puerto Rico	-	8:30 pm
Sun Mar 05	Charlotte Amalie, St. Thomas, U.S.V.I. Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Mon Mar 06	Basseterre, St. Kitts Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Tue Mar 07	St. John's, Antigua Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Wed Mar 08	Castries, St. Lucia Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Thu Mar 09	Bridgetown, Barbados	8:00 am	5:00 pm
Fri Mar 10	At Sea - Cruising Meeting 8:00AM - 12:00PM, 1:00PM - 5:00PM*	8:49 am	-
Sat Mar 11	San Juan, Puerto Rico	6:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

San Juan, Puerto Rico

San Juan is one of the most rewarding and historically significant ports in the Caribbean, and its greatest asset is proximity. Your ship docks at the edge of Old San Juan, a 500-year-old walled city that is a destination in its own right. Forget the organized bus tours; this is a port best explored on foot.

Step off the ship and you are immediately immersed in the atmosphere of blue cobblestone streets and pastel-hued colonial architecture. Your primary objective should be exploring the two massive Spanish citadels that bookend the old city. Start with Castillo San Cristóbal, the largest Spanish fort in the Americas, then enjoy the scenic one-mile walk along the city wall to the iconic Castillo San Felipe del Morro, which has guarded the harbor entrance for centuries. The scale and preservation of these UNESCO World Heritage sites are genuinely impressive.

Beyond the forts, the joy of San Juan is in the wandering. Discover shaded plazas, artisan shops on Calle del Cristo, and the famous Fortaleza Street. For a taste of authentic Puerto Rican cuisine, find a local spot for *mofongo* (a savory dish of mashed plantains) or enjoy a classic piña colada at Barrachina, one of the bars that claims to have invented it. While the famous beaches of Condado and Isla Verde are an option, they require a taxi and can consume valuable time. For a port day, the tangible history, vibrant culture, and culinary delights within the city walls offer a more than fulfilling experience.

Charlotte Amalie, St. Thomas, U.S.V.I.

Charlotte Amalie is one of the Caribbean’s most dynamic and bustling ports, a place where vibrant commerce and stunning natural beauty exist side-by-side. While its reputation as a duty-free shopping mecca is well-earned, the true charm lies in knowing how to navigate its offerings.

The historic downtown is a compact grid of Danish colonial architecture, where 18th-century stone warehouses now house an extensive array of jewelry, liquor, and electronic stores. For a genuine sense of the old city, step away from the main thoroughfares and explore the quiet stone-paved alleys. A worthwhile challenge is the climb up the historic “99 Steps” (actually 103) for rewarding views over the harbor.

For many, the highlight of St. Thomas is escaping the city bustle. The Skyride to Paradise Point offers the definitive panoramic photograph of your ship in the turquoise harbor—it’s a tourist staple for good reason. Of course, the beaches are a primary draw. Magens Bay is the island’s most famous stretch of sand; it’s undeniably beautiful, but expect crowds and an entrance fee. For a different experience, consider Sapphire Beach for its excellent snorkeling right offshore or the more tranquil Lindquist Beach, a protected part of a nature park.

Practical Tip: Getting around is typically done via open-air “safari” taxis. These are multi-passenger trucks that operate on set routes with fixed, per-person fares. Confirm the price to your destination with the driver before you depart to ensure a smooth and enjoyable day exploring the island.

Basseterre, St. Kitts

St. Kitts offers a compelling look into the Caribbean's colonial past, anchored by one of the most impressive historical sites in the region. The main event here is the Brimstone Hill Fortress, a massive, astonishingly well-preserved British fortification and UNESCO World Heritage site. Known as the "Gibraltar of the West Indies," its cannons and stone walls command breathtaking panoramic views of the sea and neighboring islands. It’s a must-see for anyone interested in history or simply a spectacular viewpoint.

For a more relaxed perspective, the St. Kitts Scenic Railway offers a unique journey along old sugarcane lines, providing a leisurely tour of the island's coastline and villages. If a classic beach day is your goal, head to the southern peninsula. Here, beaches like Cockleshell Bay and South Friars Bay offer calm waters, soft sand, and a string of lively beach bars with excellent views of the neighboring island of Nevis.

Back in Basseterre, the town itself is a compact grid of colonial architecture, centered around the small but photogenic Circus. While the town is pleasant for a short stroll, the island's true treasures lie just beyond. St. Kitts delivers a rewarding day for those who prioritize history and natural scenery over extensive shopping.

St. John's, Antigua

St. John's is the vibrant gateway to Antigua, an island that offers a compelling blend of classic Caribbean leisure and significant British naval history. While the port city itself is a bustling hub of colorful colonial-era architecture and duty-free shopping at Heritage Quay, the island's true treasures require a short journey.

For anyone with an interest in history, the essential destination is Nelson's Dockyard. Located in English Harbour (a scenic 30-minute taxi ride), this meticulously restored 18th-century naval base is a UNESCO World Heritage Site and the only continuously working Georgian dockyard in the world. It’s a living museum where you can walk the same cobblestones as Admiral Nelson, explore the Dockyard Museum, and enjoy lunch at a waterside café. For a breathtaking perspective, arrange for your driver to take you up to the Shirley Heights lookout for one of the most iconic panoramic views in the Caribbean.

Of course, Antigua is legendary for its beaches. While the claim of 365 beaches is a charming piece of local lore, you only need one for a perfect day. Dickenson Bay is a popular choice, offering calm waters, beach bars, and water sports. For a more serene experience, ask a driver to take you to the powdery sands of Valley Church Beach or Ffryes Beach on the southwest coast.

Our advice: Plan your day. The best of Antigua lies beyond the immediate port. A pre-arranged taxi or a shore excursion is the most efficient way to experience the island's unique combination of historical depth and stunning natural beauty.

Castries, St. Lucia

St. Lucia stands apart from its Caribbean neighbors, defined by a dramatic, volcanic landscape rather than just its coastline. The island’s icons are the majestic Pitons, twin emerald peaks rising sharply from the sea—a UNESCO World Heritage site that forms one of the most breathtaking vistas in the tropics.

From the port in Castries, visitors face a pleasant choice, as the island’s prime attractions are geographically distinct. The quintessential St. Lucian experience lies to the south, near the town of Soufrière. Reaching it requires a commitment: either a winding, scenic drive of over an hour or a faster, highly recommended boat excursion. This journey rewards you with up-close views of the Pitons, a visit to the Sulphur Springs—the world's only “drive-in volcano”—and the chance to take a therapeutic mud bath in its mineral-rich pools.

For those preferring a more relaxed day closer to port, the areas north of Castries offer their own appeal. Marigot Bay, a stunning natural harbor framed by lush hills, is a short journey away and perfect for a quiet lunch with a view. Further north, Rodney Bay presents a more lively atmosphere with the beautiful expanse of Reduit Beach, waterfront restaurants, and shops. Nearby, Pigeon Island National Landmark provides a mix of military history, gentle hiking trails, and panoramic views of the coastline.

Closer to the ship, the Castries Market offers an authentic slice of local life with its vibrant stalls of spices, produce, and handmade crafts.

Bridgetown, Barbados

Barbados presents a polished and substantial Caribbean experience, anchored by its capital, a UNESCO World Heritage site. Historic Bridgetown and its Garrison offer a genuine sense of place, where British colonial architecture stands alongside vibrant Bajan life. The city core is compact enough to explore, with landmarks like the Parliament Buildings and the Careenage marina providing a backdrop that feels more like a historic town than a simple beach stop.

Beyond the city, the island's offerings are diverse. For a unique natural wonder, Harrison's Cave offers a stunning underground tram tour through crystallized limestone caverns. For a taste of the island's most famous export, a visit to the Mount Gay Rum Distillery provides both a history lesson and a tasting. Of course, the beaches are world-class. Just a short taxi ride from the port, Carlisle Bay is a magnificent crescent of white sand with calm, turquoise water, perfect for swimming and snorkeling over several shipwrecks teeming with marine life. For a more serene scene, the west coast, known as the "Platinum Coast," is lined with idyllic stretches like Paynes Bay and Mullins Beach.

Barbados is not a rugged, off-the-beaten-path destination; it is well-developed and organized. Taxis are plentiful and regulated (though it's always wise to confirm the fare beforehand). This makes it an excellent port for independent exploration, offering a rewarding balance of accessible history, natural beauty, and sophisticated relaxation.

At Sea - Cruising

Celebrity Millennium

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 and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Balcony

AquaClass Stateroom (A2)
AquaClass Staterooms are more spacious 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.

2,678.00
per person

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

Concierge Class Stateroom (C2)
Concierge Class Staterooms are more spacious veranda staterooms which include additional services and amenities. You’ll enjoy personalized concierge service, priority check-in, priority debarkation, restaurant seating time preferences, daily delivery of afternoon savories, and more! King bed that can be converted into two twin beds. 204 sq ft with 42 sq ft veranda.

1,919.00
per person

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

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.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class Stateroom (C1)
Prime Concierge Class Staterooms are spacious, centrally located veranda staterooms which include additional services and amenities. You’ll enjoy personalized concierge service, priority check-in, priority debarkation, restaurant seating time preferences, daily delivery of afternoon savories, and more! King bed that can be converted into two twin beds. 204 sq ft with 42 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Deluxe Veranda Stateroom (DV)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in your personal seating area and enjoy amenities that contribute to your modern luxury experience. Your personal veranda lets you greet the day, enjoy fresh sea breezes, and soak in breathtaking sunsets. King bed that can be converted into two twin beds. 175 sq ft with 44+ sq ft balcony.

Call
800-422-0711
for Pricing

Balcony Sunset Veranda Stateroom (SV)
Sunset Veranda Staterooms are spacious staterooms located in the aft of the ship, each with its own private veranda to enjoy the beautiful sunsets. King bed that can be converted into two Twin beds. 209 sq ft with 42 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Ultra Deluxe Concierge Class Stateroom (UC)
Ultra Deluxe Concierge Class Staterooms are extra spacious veranda staterooms which include additional services and amenities. You’ll enjoy personalized concierge service, priority check-in, priority debarkation, restaurant seating time preferences, daily delivery of afternoon savories, and more! King bed that can be converted into two twin beds. 204 sq ft with 88 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Ultra Deluxe Veranda Stateroom (UV)
Ultra Deluxe Veranda Staterooms are spacious staterooms located in the aft of the ship, each with its own extra-large private veranda to enjoy the beautiful sunsets. King bed that can be converted into two Twin beds. 296 sq ft with 210 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Prime Veranda Stateroom (V1)
Prime Veranda Staterooms are in the most desirable locations on the ship (Higher decks and more centrally located). Indoor and outdoor space come together to create your private sanctuary at sea. Relax in your personal seating area and enjoy amenities that contribute to your modern luxury experience. Your personal veranda lets you greet the day, enjoy fresh sea breezes, and soak in breathtaking sunsets. King bed that can be converted into two Twin beds. 175 sq ft with 38 sq ft balcony.

Call
800-422-0711
for Pricing

Balcony Veranda Stateroom (V2)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in your personal seating area and enjoy amenities that contribute to your modern luxury experience. Your personal veranda lets you greet the day, enjoy fresh sea breezes, and soak in breathtaking sunsets. King bed that can be converted into two Twin beds. 175 sq ft with 38 sq ft balcony.

Call
800-422-0711
for Pricing

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.