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Continuing Education, Inc.
University at Sea^™
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St Petersburg, Florida 33703

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

Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Family Medicine, Travel Medicine, and Cannabinoid Medicine

7-Night Western Caribbean Holiday Cruise Conference
Round-trip Ft. Lauderdale, Florida
December 28, 2019 - January 04, 2020

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 Equinox</em> — *Celebrity Equinox*

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
6 Hours of Pharmacology for NPs

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

The Purpose of these lectures are to provide evidence based approaches to improve patient care & outcomes.

The participants will:

Identify the multi-modal pain control to enhance improved outcomes in the age of the Opium Crisis
Describe techniques to Improve Clinician Communication Across the Care Continuum
Explore anxiety related depression, dementia & treatment options with the aging population.
Evaluate importance of early interventions outcomes Sepsis 2019 Updates
Review biomedical case studies & how to apply them in real world situations
Discuss the role of Palliative Care to improve pt sense of well being & quality of life
Identify signs of Compassion Fatigue & develop a resiliency plan

Topics:

Overview of a Travel Medical Service
- Describe trends in international travel
- Identify resources available for the travel medicine clinician
- List the components of a core travel medicine evaluation
- Describe the role of "routine" vaccination in travelers
Vector-borne illness
- Identify travel activities that are associated with exposure to vector-borne illnesses
- Formulate strategies for prevention of mosquito and tick-borne infectious diseases
- Describe international regulations for Yellow Fever vaccination
Food and Water-borne illness
- Identify patients at risk of food and water-borne illness
- Formulate strategies for the prevention of food and water-borne illnesses including
  - Vaccination strategies
  - Behavioral interventions, and
  - Use of medications and antibiotic therapy
The Traveler with Pre-Existing Medical Conditions
- Identify how international travel may exacerbate or confer added risk to patients with underlying co-morbidities
- Develop strategies for minimizing travel related illness in patients with medical co-morbidities
Travel-Related Environmental Exposures
- Identify environments that confer increased risk of travel-related morbidity
- Formulate behavioral strategies for mitigating risk related to environmental exposures
- Describe appropriate vaccination and medication prescribing to minimize risk related to environmental exposures
Travel-Related Activities
- Identify patient activities that are likely to lead to travel-related illness
- Describe appropriate strategies for minimizing risk related to patient activities and behaviors while traveling
The sick returned traveler
- Recognize the most common travel-associated conditions to present after returning from international travel
- Describe the assessment of the patient returning from travel with:
  - Fever
  - Skin rash, and
  - Diarrheal syndromes
- Identify patients at risk of epidemiologically important illnesses including MERS and Avian Influenza
Pain Management in the Age of Diversion
- Identify the opioid crisis & multi -modal pain control to enhance improved outcomes
Updates in Palliative Care 2019
- Discuss the role of Palliative Care to improve team performance & quality of life
Sepsis Prevention Strategies
- Evaluate early interventions with Sepsis 2019 Updates
Exploring the Relationship of Depression & Dementia
- Explore anxiety related depression, dementia & treatment options with the aging population.
Improving Clinician Communication Across the Continuum
- Describe techniques to decrease the communication breakdowns between & in healthcare settings & EMR systems.
Case Studies in Biomedical Ethics
- Analyze biomedical case studies & how to apply them in real world situations
Compassion Fatigue & Resiliency Strategies
- Identify signs of Compassion Fatigue & develop a resiliency plan
Medical Cannabis: Clinical Considerations
- Review of the endocannabinoid systemt and how the medical cannabis system has evolved
- Recognize when medical cannabis is appropriate as a therapeutic option.
How to Authorize Medical Cannabis and Case Studies
- Understand how to authorize/prescribe medical cannabis and apply the knowledge gained to real cases.

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

Marni Brooks, BSc, MSW, MD, CCFP, FCFP

Staff Physician, New York General Hospital, Toronto, Ontario, Canada
Chair, Ontario Medical Association Medical Interest Group in Cannabinoid Medicine

Dr. Marni Brooks began her education at McGill university where she completed her Bachelor of Science degree, majoring in psychology and focused her thesis in the area of pediatric pain. She was then sponsored by a physician in Sydney, Australia to assist in his pediatric pain research.

Upon her return to Canada, she completed a Master of Social Work degree where she spent years of training studying women's health and addiction as field placements. Her interest in addiction continued after she completed her medical degree and family medicine residency at the University of Toronto.

She is now a Fellow in Family Medicine and, until now, has explored working in the areas of family medicine, sleep medicine, addiction medicine and cannabinoid medicine. Dr. Brooks also sat on the OMA Executive of the Section on Addiction Medicine for nearly a decade where she assisted with negotiations with the Ministry of Health on behalf of the members in her section. Most recently, she founded and is the Chair of the OMA Medical Interest Group in Cannabinoid Medicine, the first such group in the country.

Dr. Brooks currently focuses her work in Cannabinoid Medicine, her two main interests. She hopes to help educate her peers, the community and patients, as well as advocate for them, on the benefits of cannabis for a variety of health conditions, either as sole therapy or in conjunction with other treatments. Other experiences in Cannabinoid Medicine include speaking on the Northwinds panel for insurance providers and acting as an expert witness on the safety and medical uses of cannabis in a sentencing hearing.

Kevin D. Dieckhaus, MD, FIDSA

Professor of Medicine
Chief, Division of Infectious Diseases
Director of Global Health & International Studies
University of Connecticut School of Medicine, Farmington, Connecticut

Kevin D. Dieckhaus, MD is Professor of Medicine, Director of Global Health and International Studies, and Chief of the Division of Infectious Diseases at the UConn School of Medicine.

Dr. Dieckhaus completed his Medical Schooling at the University of Missouri-Kansas City, Internal Medicine training at Yale-New Haven Hospital, and Infectious Diseases fellowship at the University of Connecticut. He is the lead physician for the Infectious Diseases clinical services at UConn Health, and is the director of International Travel Medicine and Immunization Services at UConn Health Center.

He leads the University of Connecticut's HIV/AIDS support services to improve and enhance the medical care and address medical and economic inequities of the HIV/AIDS populations in Central Connecticut. He teaches microbiology, parasitology and infectious diseases at the UConn School of Medicine, and is a Key Clinical Faculty member of the UConn Infectious Diseases Fellowship Program.

Dr. Dieckhaus has developed linkages with numerous international partners to promote medical trainee clinical education in immersive cross-cultural settings. He is the medical director for the Clare Nsenga Foundation, a 501-c3 charitable organization that operates a rural medical clinic, maternity center, and associated public health‐related outreach programs in Kisoro, Uganda, and volunteers regularly as a visiting physician at the St. Francis Hospital in Mutolere, Uganda. Numerous medical trainees have joined him to participate in clinical medicine, public health programs, and community/global health research in Kisoro, Uganda.

David Weiland, Jr., MD

Dr. David Weiland is Board Certified in Internal Medicine & currently works with Seasons Hospice & Palliative Care. He is also working as the Director of Palliative Care at Advent Hospital in North Pinellas County. He has significant administrative and quality experience as Chief Medical Officer at HCA/Largo Medical Center for 5 years. He also served as the VPMA of Bayfront Medical Center for four years.
Dr. Weiland was Medical Director of Suncoast Hospice, where he oversaw quality, community outreach and developed inpatient hospice units and hospital-based palliative care teams. In addition, Dr. Weiland has served as Family Practice Faculty for the University of South Florida. He was board certified in Internal Medicine as well as Hospice and Palliative Medicine.
Dr. Weiland has served on numerous community boards including current Chairman of the Pinellas EMS Advisory Committee and the Pinellas County Commission Pill Mill Task Force dealing with illicit pain medication prescribing. He was the past president of the Pinellas County Medical Association and continues to take an active role in PCMA and FMA activities.
He lectures and presents clinical presentations nationally for the AAFP, including a diverse array of palliative and primary care topics including The Physiological Benefits of Humor, Medical Ethics, Depression, Alzheimer's Disease, Palliative Pain Management, Quality and Patient safety issues as well as conducts workshops on patient-centered communication to enhance the patient care experience.

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.

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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Dec 28	Ft. Lauderdale, Florida	-	3:30 pm
Sun Dec 29	Key West, Florida	7:00 am	5:00 pm
Mon Dec 30	At Sea - Cruising	-	-
Tue Dec 31	Costa Maya, Mexico	8:00 am	5:00 pm
Wed Jan 01	Cozumel, Mexico	7:00 am	4:00 pm
Thu Jan 02	Georgetown, Grand Cayman	10:00 am	6:00 pm
Fri Jan 03	At Sea - Cruising	-	-
Sat Jan 04	Ft. Lauderdale, Florida	7:00 am	-

PORTS OF CALL

Ft. Lauderdale, Florida

As your travel advocates, we view the start of your vacation not as a logistical hurdle, but as the first chapter of your experience. For cruises departing from Fort Lauderdale, we strongly encourage you to treat the city as more than just a transit point. Arriving a day or two early transforms a potentially stressful travel day into a seamless, relaxing prelude to your voyage, and Fort Lauderdale is perfectly suited for this purpose.

Think of it as easing into vacation mode. Flying in the day of your cruise introduces unnecessary risk—a single flight delay or misplaced bag can jeopardize your entire trip. By arriving early, you trade that anxiety for the sophisticated, laid-back ambiance of the “Venice of America.” The city’s primary airport, Fort Lauderdale-Hollywood International (FLL), is exceptionally convenient, located just a few miles from both the cruise terminals at Port Everglades and the city's best hotels. A short taxi or rideshare trip will have you checked in and ready to explore in no time.

**Your Pre-Cruise Itinerary Suggestion:**

**Day 1: Canals, Culture, and Cuisine**

After settling into your hotel, your first experience should be the one that defines the city: its waterways. Forget the rental car and embrace the Water Taxi. It’s not just transportation; it’s a brilliant sightseeing tour. As you cruise the 165 miles of inland canals, you’ll glide past stunning waterfront mansions, mega-yachts, and lush tropical gardens. It’s a relaxing and genuinely unique way to get your bearings and appreciate the city’s distinctive character.

Disembark at the stop for Las Olas Boulevard. This is the city’s heart—a beautifully landscaped, pedestrian-friendly thoroughfare lined with independent boutiques, captivating art galleries, and a superb collection of restaurants. It’s the perfect place for a leisurely afternoon stroll, perhaps stopping for a coffee or a cocktail at a sidewalk cafe. For dinner, Las Olas offers a range of options to suit any palate, from the classic Italian fare at Louie Bossi's Ristorante Bar Pizzeria to the upscale American cuisine at Lobster Bar Sea Grille. A celebratory pre-cruise dinner here sets a wonderful tone for the week ahead.

**Day 2: Beachfront Bliss and Natural Wonders**

Dedicate your morning to the iconic Fort Lauderdale Beach. This isn’t a rustic, deserted island; it’s a world-class urban beach, known for its wide, clean stretch of sand and the beautifully designed beachfront promenade. Rent a lounge chair and simply relax, or take a long walk along the signature “wave wall.” The atmosphere is vibrant yet far more relaxed than its southern neighbor, Miami Beach.

For the afternoon, you have two excellent, contrasting options:

1. **Cultural Immersion:** Visit the Bonnet House Museum & Gardens. This historic 1920s estate is a true gem, offering a glimpse into Old Florida’s artistic and whimsical past. The house itself is filled with original art and furnishings, but the real star is the surrounding 35 acres of pristine barrier island habitat, complete with tropical gardens, a hibiscus garden, and even a resident population of monkeys. It’s an accessible, enriching cultural experience that feels a world away from the city bustle.

2. **Wilderness Adventure:** Experience the Florida Everglades. Several reputable operators offer half-day tours that include transportation and an unforgettable airboat ride. Skimming across the “River of Grass” is a thrilling experience, providing a profound sense of this unique ecosystem’s vastness. You’re almost guaranteed to see alligators in their natural habitat, along with a variety of wading birds. It’s a fantastic adventure that provides a dramatic counterpoint to the coastal elegance of the city.

By the time you wake up on embarkation day, you’ll be refreshed, acclimated, and already in a vacation mindset. The short, stress-free transfer to Port Everglades will feel like a simple next step, not a frantic race. Starting your journey this way ensures you board your ship ready to enjoy every moment, and that, in our view, is the foundation of a truly great vacation.

Key West, Florida

Key West is where the American road ends and a Caribbean-bohemian spirit takes over. Your ship docks just steps from Old Town, making this one of the most accessible and walkable ports you will encounter. The island’s compact nature allows for a full day of exploration without feeling rushed.

The literary and historical weight here is undeniable. The Ernest Hemingway Home and Museum is a genuine highlight, not just for the famous six-toed cats, but for the tangible connection to the author's life and work in his preserved studio. A short walk away, the Harry S. Truman Little White House offers a fascinating look into presidential history and the pressures of the Cold War era. For a more tranquil experience, the Audubon House & Tropical Gardens provides a serene escape with its beautiful 19th-century architecture and lush, shaded grounds.

For a taste of the island's famous energy, a stroll down Duval Street is essential. While it can be boisterous, it’s also lined with historic bars like Sloppy Joe's, eclectic art galleries, and unique shops. No visit is complete without sampling authentic Key Lime Pie; we recommend the classic tart version from Kermit's West Key Lime Shoppe. For lunch, consider the quirky courtyard of Blue Heaven, where chickens and cats roam freely. Key West offers a rich, character-filled day that perfectly balances history, culture, and laid-back island charm.

At Sea - Cruising

Costa Maya, Mexico

It’s best to think of Costa Maya not as a historic town, but as a modern, purpose-built gateway to the southern Yucatán’s authentic treasures. The port itself is a clean, self-contained village with pools, shops, and restaurants—a perfectly pleasant, if manufactured, way to spend a few hours. For a more genuine experience, we highly recommend venturing beyond its walls.

A short taxi ride brings you to the neighboring fishing village of Mahahual. Here, a laid-back beachfront boardwalk, or *malecón*, is lined with local restaurants and unpretentious beach clubs, offering a true taste of coastal Mexican life. The real cultural highlight, however, is the access to lesser-visited Mayan ruins. An excursion to the Chacchoben ruins offers a fascinating and accessible glimpse into ancient history, set within the jungle and free from the overwhelming crowds of more famous sites. For pure natural beauty, the nearby Bacalar Lagoon—the famed “Lagoon of Seven Colors”—provides a stunningly beautiful and tranquil setting for a day on the water. Costa Maya is an excellent, comfortable base for exploring these worthwhile regional highlights.

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.

Georgetown, Grand Cayman

Grand Cayman offers a distinctly polished and pristine version of the Caribbean experience. As a major financial hub, the island feels safe, clean, and exceptionally well-organized, making for a seamless and relaxing day ashore. It’s important to note that this is a tender port; your ship will anchor offshore, and you’ll take a smaller boat to the pier, so be sure to factor that time into your plans.

The island’s reputation is built on two world-class attractions. The first is the legendary Seven Mile Beach, a magnificent crescent of soft, white sand and impossibly clear turquoise water. While it’s no secret, its beauty is undeniable. You can easily grab a taxi from the port and find a public access point or settle in at one of the many beach clubs for the day. The second must-do is Stingray City. This isn't a contrived tourist trap; it's a natural sandbar where southern stingrays have gathered for decades. Standing in waist-deep water as these gentle, graceful creatures glide around you is a truly unforgettable experience.

Beyond these highlights, you can visit the Cayman Turtle Centre, a conservation and education facility that’s particularly popular with families. The town of Georgetown itself is compact and walkable, known for its high-end duty-free shopping, especially for jewelry and watches. While it lacks deep historical architecture, it’s a pleasant place for a stroll and a meal. For a taste of local flavor, find a casual spot for some conch fritters or fresh ceviche before tendering back to your ship.

Celebrity Equinox

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 Prime AquaClass Stateroom (A1)
Prime staterooms are located in the most desirable locations on the ship. Two twin beds that are convertible to queen-size (unless stated otherwise) and sitting area, private mini-bar, interactive Samsung flat-screen television system to view and select shore excursions, order room service, and watch movies, private safe, and dual voltage 110/220AC outlets. Stateroom: 194 square feet, Veranda 54 sq. ft.