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Continuing Education, Inc.
University at Sea™
5700 4th St. N.
St Petersburg, Florida 33703
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Current Topics in Nephrology and Family Medicine

9-Night Canada & New England Cruise
Round-trip Cape Liberty, NJ (New York, NY)
September 12 - 21, 2024
Royal Caribbean's <em>Liberty of the Seas</em>
Royal Caribbean's Liberty of the Seas

COURSE CREDITS & HOURS

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

COURSE FEES

$995 for Physicians, Attorneys, Psychologists, Pharmacists, & Dentists
$795 for Physician Assistants & Nurse Practitioners
$595 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists,

PROGRAM PURPOSE

The purpose of this CME activity is to review and discuss common general medical conditions and to provide guidelines for their management and prevention. Topics have been chosen to benefit the family physician, general internist and Advance Practice Professionals in an ambulatory care setting.

Topics
  1. Heart Disease in Women: A Call to Action
    • Appreciate sex-related differences in symptoms of ischemia between men and women
    • Discuss non-traditional risk factors for CAD impacting women that deserve special attention
    • Discuss strategies to raise awareness and close the gaps to optmize treatment of heart disease in men and women
  2. Hypertension in African Americans
    • Discuss the prevalence of hypertension in African Americans
    • Describe social determinants of health which impact on effective treatment in this population
  3. Hypertension Update 2023
  4. Health Literacy
    • Identify which patient groups are at greatest risk for low health literacy
    • Appreciate the role that low health literacy plays on health outcomes
    • Utilize a simple intervention to identify the low health literacy patient
  5. Hypertension Emergencies
  6. Assessing Cardiac Risk Before Surgery
    • Appreciate causes of perioperative cardiac events
    • Discuss which patients require preoperative assessment
  7. Implicit Bias in Health Care
  8. The Choosing Wisely Movement in Medicine
  9. Urinalysis - A Window into the Body
    • Describe methods of urine collection
    • Interpret physical and dipstick examination of urine
    • Identify microscopic elements in the urine sediment
    • Solve clinical cases with abnormal urinalyses
  10. Understanding Diuretics
    • Describe classification and mechanism of action of diuretics
    • Discuss clinical uses and adverse effects
    • Define diuretic adaptation and resistance
  11. Disorders of Sodium Balance
    • Define osmolality and tonicity
    • Describe approach to hyponatremia with case presentations
    • Discuss steps and pitfalls in management of hyponatremia
  12. Poisonings in Nephrology
    • Discuss different medications and poisonings seen in clinical practice
    • Discuss the clinical presentation of these poisonings
    • Describe the management of these poisonings
  13. Acute Kidney Injury
    • Discuss the definition, epidemiology, course and burden of AKI
    • Recognize common causes of AKI and identify risk factors
    • Discuss the medical management of AKI in the hospitalized patient
    • Illustrate with case presentation
  14. Chronic Kidney Disease: A Call to Action
    • Facilitate timely testing and intervention in patients at risk for CKD
    • Apply appropriate clinical measures to manage risk and increase patient safety in CKD
  15. Primary aldosteronism - Is it the Elephant in the room?
    • Identify appropriate patients to screen for PA
    • Outline testing for screening, confirmation and subtype identification of PA
    • Discuss management strategies based on subtype

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference or participate in conference events, participants, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or register online.

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.
BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

David S. Kountz, MD, MBA, FACP

David S. Kountz, MD, MBA, FACP

Professor of Medicine
Hackensack Meridian School of Medicine

Dr. David S. Kountz is a Professor of Medicine for the Hackensack Meridian School of Medicine and Co-Chief Academic Officer for Hackensack Meridian Health. He earned his AB at Princeton, MD at SUNY/Buffalo School of Medicine, and MBA at Georgian Court University in Lakewood, NJ. He completed training in Internal Medicine at Hahnemann University Hospital in Philadelphia. 

A board-certified internist, Dr. Kountz has had progressive responsibilities in academic medicine as Associate Professor of Medicine at Temple University School of Medicine and Professor of Medicine at Rutgers Robert Wood Johnson Medical School. 

Dr. Kountz's research interests include hypertension treatment and guidelines in underserved populations, health literacy, pipeline programs and leadership development. He has authored more than 100 peer-reviewed publications, book chapters, editorials and abstracts, and is a frequent speaker within and outside of his health network on a variety of topics in primary care. 

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)

Professor of Medicine, Texas A&M HSC COM
Director, Division of Nephrology & Hypertension
Chief, Section of Clinical Transplantation 

Dr. Narayanan received his medical degree at Christian Medical College, Ludhiana, India, and completed residencies in Internal Medicine at the Post Graduate Institute of Medical Education & Research, India and at Cook County Hospital, Chicago, Illinois. He completed clinical fellowships in Nephrology at the University of Illinois College of Medicine at Chicago, Illinois, and at the University of Texas Southwestern Medical Center at Dallas, Texas. He is board certified in Internal Medicine, Nephrology, and Geriatric Medicine and is a Certified Specialist in Hypertension by the American Society of Hypertension.

Dr. Narayanan is a Professor of Medicine at the Texas A&M Health Science Center-College of Medicine and Baylor Scott & White Healthcare in Temple, Texas, where he serves as Director, Division of Nephrology-Hypertension and Medical Director of the Abdominal Transplant Program.

A fellow of the National Kidney Foundation, the American Society of Nephrology, the American College of Physicians and the Royal College of Physicians and Surgeons of Canada, Dr. Narayanan&apos's clinical practice focuses on all aspects of Nephrology as well as kidney and pancreas transplantation. 

A frequent lecturer, presenter, and author, Dr. Narayanan's work has been published in several peer reviewed journals including the American Journal of Kidney Disease, American Journal of Transplantation, Annals of Emergency Medicine, Hemodialysis International, Investigative Radiology, and Journal of the American Society of Nephrology , among many others. He is also the Principal Investigator for several industry sponsored clinical trials. Dr. Narayanan serves on the editorial board of the journal Advances in Chronic Kidney Disease and is a reviewer for the American Journal of Transplantation .

Accreditation

Joint 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.

 

Accreditation Council for Continuing Medical Education

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.

 

ANCC

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 MOC

 

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.

ROYAL COLLEGE MOC

 

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.

Accreditation Council for Pharmacy Education


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
Thu Sep 12 Cape Liberty, NJ (New York, NY)
 - 4:00 pm
Fri Sep 13 *At Sea - Cruising
 - -
Sat Sep 14 Boston, Massachusetts
 8:00 am 6:00 pm
Sun Sep 15 Portland, Maine
 8:00 am 6:00 pm
Mon Sep 16 *At Sea - Cruising
 - -
Tue Sep 17 Sydney, Nova Scotia
 7:00 am 5:00 pm
Wed Sep 18 Halifax, Nova Scotia
 9:00 am 5:00 pm
Thu Sep 19 Saint John, New Brunswick
 11:15 am 11:10 pm
Fri Sep 20 *At Sea - Cruising
 - -
Sat Sep 21 Cape Liberty, NJ (New York, NY)
 7:00 am -
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Cape Liberty, NJ (New York, NY) - Cape Liberty Cruise Port is located on the New York Harbor in Bayonne, New Jersey, and is just seven miles from New York City and three miles from Newark Liberty International Airport. Its waterfront location and convenience to the Big Apple allows visitors easy access to everything New York City has to offer along with providing visitors access to the historic roots of Northern New Jersey. Convenient guest parking is located adjacent to the cruise terminal.

At Sea - Cruising - Cruising

Boston, Massachusetts - Before cruising out of Boston, take in the sights. Meander the streets to find historic wonders and modern neighborhoods; stores and restaurants with old-time character; and gracious green spaces as well as a beautiful waterfront. Take a trip back to the American Revolution—explore the Freedom Trail and see legendary figures come alive at building and attractions, including the Paul Revere House and Old South Meeting House, and in Lexington and Concord just outside Boston. Each Boston neighborhood has its own personality. Catch street performers in Cambridge’s Harvard Square, do a food tour of the North End’s Little Italy, and then admire the 19-century architecture of Beacon Hill.

Portland, Maine - Portland is Maine's business, financial and retail capital and the largest city in the state. Seascapes and cityscapes blend harmoniously in Portland, perched on a peninsula, jutting out into island-studded Casco Bay.

The metropolitan hub of Maine's south coast region, Portland is a progressive, lively city incorporating the character of yesteryear into a modern urban environment. Historic architecture blends gracefully with the new as you stroll along her working waterfront or the cobblestone streets of the restored Old Port section of the city.

Sydney, Nova Scotia - So green and Gaelic is Cape Breton Island that Scotsman Alexander Graham Bell called it home for the last 37 years of his life. See why as you follow the scenic 184-mile-long Cabot Trail. Or tour to the Fortress of Louisbourg, meticulously restored to its 1744 mint condition.

Halifax, Nova Scotia - Located on a rocky inlet on the Atlantic Ocean, Halifax—Nova Scotia’s provincial capital—is defined by its maritime geography. It's a spirited mix of world-class history and nautical-themed museums alongside bunkers and fortresses that guarded the harbor, plus striking public art and sights, funky shops and excellent pubs serving up folk music (and good pints).

Saint John, New Brunswick - Founded by Loyalists escaping the Revolutionary War in 1785, Saint John has emerged as a thriving port city. Its restored historic waterfront and surrounding natural beauty have made Saint John a wonderful destination.

Royal Caribbean's Liberty of the Seas

PLEASE NOTE: To attend the conference or participate in conference events, participants, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or by registering online.
STATEROOM DETAILS
PRICING PER PERSON

Prices below are for the full cruise including meals and evening entertainment

Suite/Deluxe

Junior Suite with Balcony, J4 Junior Suite with Balcony (J4)
Two twin beds that convert to Royal King, private balcony, sitting area (some with sofa bed) and private bathroom.

Stateroom: 317 sq. ft. Balcony: 65 sq. ft. 

$4,441.43
per person

Please Call:
800-422-0711
for Availability and Pricing.
Grand Suite - 1 Bedroom, GS Suite/Deluxe Grand Suite - 1 Bedroom (GS)
Marble entry. Room has two twin beds that convert to Royal King, private balcony, sitting area and private bathroom with tub.

Stateroom: 381 sq. ft. Balcony: 89 sq. ft.
Call
800-422-0711
for Pricing
Grand Suite - 2 Bedrooms, GT Suite/Deluxe Grand Suite - 2 Bedrooms (GT)
Two bedrooms with two twin beds that convert to Royal King (one room with third and fourth Pullman beds), a private balcony, two bathrooms and living area with double sofa bed.

Stateroom: 610 sq. ft. Balcony: 208 sq. ft.
Call
800-422-0711
for Pricing
Junior Suite with Balcony, J3 Suite/Deluxe Junior Suite with Balcony (J3)
Two twin beds that convert to Royal King, private balcony, sitting area (some with sofa bed) and private bathroom.
Stateroom: 317 sq. ft. Balcony: 65 sq. ft.
Call
800-422-0711
for Pricing
Owner's Suite - 1 Bedroom, OS Suite/Deluxe Owner's Suite - 1 Bedroom (OS)
Marble entry with door bell. Queen-size bed, bathroom with tub. Separate living area with a queen-size sofa bed.
Stateroom: 622 sq. ft. Balcony:  160 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Panoramic Suite (No Balcony), VP Suite/Deluxe Oceanview Panoramic Suite (No Balcony) (VP)
Two twin beds that convert to Royal King. Curtained section with bunk beds. Living area with double sofa bed, vanity and sitting area. One and a half baths with shower. Floor to ceiling wrap around panoramic windows, 76 inches high by 321 inches wide.

Stateroom: 406 sq. ft.
Call
800-422-0711
for Pricing
Villa Suite - 4 Bedrooms, VS Suite/Deluxe Villa Suite - 4 Bedrooms (VS)
Two master bedrooms with baths. Two additional bedrooms, each with two Pullman beds and two twin beds that convert to Royal King. Two additional bathrooms with showers and a spacious living area with a sofa bed and dining table. Private balcony with dining area, lounge chairs and whirpool.

Stateroom 1,302 sq. ft. Balcony 845 sq. ft.
Call
800-422-0711
for Pricing

Balcony

Oceanview with Balcony, 2D Oceanview with Balcony (2D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 sq. ft. 

$1,083.43
per person

Please Call:
800-422-0711
for Availability and Pricing.
Spacious Oceanview with Balcony, 1B Balcony Spacious Oceanview with Balcony (1B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 199sq. ft. Balcony: 42 sq. ft.
Call
800-422-0711
for Pricing
Oceanview with Balcony, 1D Balcony Oceanview with Balcony (1D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 sq. ft.
Call
800-422-0711
for Pricing
Spacious Oceanview with Balcony, 2B Balcony Spacious Oceanview with Balcony (2B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 199 sq. ft. Balcony: 65 sq. ft.
Call
800-422-0711
for Pricing
Spacious Oceanview with Balcony, 3B Balcony Spacious Oceanview with Balcony (3B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 199 sq. ft. Balcony: 65 sq. ft.
Call
800-422-0711
for Pricing
Spacious Oceanview with Balcony, 4B Balcony Spacious Oceanview with Balcony (4B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 199 sq. ft. Balcony: 65 sq. ft.
Call
800-422-0711
for Pricing
Oceanview with Balcony, 4D Balcony Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 sq. ft.
Call
800-422-0711
for Pricing
Oceanview with Balcony, 5D Balcony Oceanview with Balcony (5D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 188 sq. ft. Balcony: 46 sq. ft.
Call
800-422-0711
for Pricing
Spacious Oceanview with Balcony, 6B Balcony Spacious Oceanview with Balcony (6B)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 199sq. ft. Balcony: 65 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Balcony with Balcony, 6D Balcony Oceanview Balcony with Balcony (6D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.

Stateroom: 189 sq. ft. Balcony: 46 sq. ft.
Call
800-422-0711
for Pricing

Outside

Oceanview Stateroom, 4N Oceanview Stateroom (4N)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 180 sq. ft. 

$893.43
per person

Please Call:
800-422-0711
for Availability and Pricing.
Oceanview Stateroom, 2N Outside Oceanview Stateroom (2N)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 180 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Stateroom, 3N Outside Oceanview Stateroom (3N)
Stateroom for four people. Two twin beds that convert to Royal King, two pullman beds, and private bathroom.

Stateroom: 180 sq. ft.
Call
800-422-0711
for Pricing

Inside

Interior Stateroom, 2V Interior Stateroom (2V)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 150 sq. ft. 

$853.43
per person

Please Call:
800-422-0711
for Availability and Pricing.
Interior Stateroom, 3V Inside Interior Stateroom (3V)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 150 sq. ft.
Call
800-422-0711
for Pricing
Interior Stateroom, 4V Inside Interior Stateroom (4V)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 150 sq. ft.
Call
800-422-0711
for Pricing
Interior Stateroom, 6V Inside Interior Stateroom (6V)
Two twin beds that convert to Royal King and private bathroom.

Stateroom: 150 sq. ft.
Call
800-422-0711
for Pricing

Port Charges, Taxes & Fees $214.43 per person.
Deposit $250.00 per person

Cruise pricing is presented per person, based double occupancy of the stateroom, per standard industry practice. Pricing presented above is listed accordingly to allow easy comparison for the stateroom categories displayed. Our agents always provide 'total cost' pricing disclosing all particulars before you make any commitment.

3rd/4th in Stateroom - Please call to secure the best possible pricing

PRICING SUBJECT TO CHANGE: Although subject to change at any time until held with a deposit or full payment, listed prices generally remain available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Market Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time prior to depositing on your stateroom. Those rates are capacity and revenue controlled and can be withdrawn without notice.
CANCELLATION PENALTY POLICY WILL APPLY: We recommend Travel Insurance to protect your investment from unexpected, late cancellations.
Cruise Cancellation Policy:Late Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please congirm the policy applicable to this cruise with one of our agents.
Course Fee Cancellation Policy: 30+ days before sailing date - 75% Refund ; 7-29 days before sailing date - 50% Refund; Less than 7 days before sailing date - No Refund
FUEL SUPPLEMENT: During periods of unusual oil price volatility, cruiselines may implement a fuel surcharge at any time prior to sailing.

Chubb Travel Protection Overview

Please note, this insurance protection is available to the residents of the United States only,
 that coverage limits are per person and that limits can vary by State.

Standard Plan Benefits Travel Basics Travel Essentials Travel Choice
Trip Cancellation 100% of Trip Costs
($100,000 maximum)		 100% of Trip Costs
($100,000 maximum)		 100% of Trip Costs
($100,000 maximum)
Trip Interruption 100% of Trip Costs
($100,000 maximum)		 150% of Trip Costs
($150,000 maximum)		 150% of Trip Costs
($150,000 maximum)
Trip Interruption - Return Air Only $500 $750 $1,000
Trip Delay $500 ($100 per day) $750 ($150 per day) $1,000 ($200 per day)
Missed Connection NA $250 $500
Baggage & Personal Effects $750 ($50 deductible) $1,000 $2,500
Baggage Delay $200 $300 $500
Accident & Sickness Medical Expense* $15,000 ($50 deductible) $25,000 $50,000
Emergency Evacuation & Repatriation of Remains $150,000 $500,000 $1,000,000
Accidental Death & Dismemberment NA $10,000 $50,000
Assistance Services Included Included Included
Additional Benefits (if purchased within 15 days of Initial Trip Payment; Day 1 is the date the Intial Trip Payment is made)
Pre-Existing Medical Condition Exclusion Waiver Included Included Included
Trip Cancellation/ Interruption due to Financial Default Included Included Included
Accident Sickness Medical Expense Excess Coverage Primary Coverage Primary Coverage
Baggage & Personal Effects Excess Coverage Excess Coverage Primary Coverage
Flight Accident $25,000 $50,000 NA
Missed Connection NA Additional $250 Included in base plan
Optional Benefits (if selected byt the Applicant and required premium is paid)
Medical Coverage Upgrade Included in base plan Included in base plan Additional $50,000
including Emergency Evacuation* Additional $150,000 Additional $500,000 Included in base plan
Car Rental Collision Coverage $35,000 ($250 Deductible) $35,000 ($250 Deductible) $35,000 ($250 Deductible)
Flight Accident Amount selected up to $500,000 Amount selected up to $500,000 NA
*Coverage, pricing and availability may vary by state
*Additional Benefits change not available for CA, CO, KS, MN, MO, MT, NH, NY, PA, TX or WA residents at this time.

2402
Questions?
Call us at 800.422.0711 (US & Canada)
Or +1-727-526-1571
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.