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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.

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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

Costa Maya functions primarily as a modern logistics hub rather than a historic destination. The port facility itself is a clean, self-contained tourism village featuring pools and duty-free shopping—convenient, but essentially a manufactured environment. To engage with the authentic Yucatán, we strongly advise venturing beyond the port gates.

A short taxi or shuttle ride leads to Mahahual, a neighboring fishing village that offers a genuine slice of coastal Mexican life. Here, a pedestrian malecón runs parallel to the water, lined with unpretentious beach clubs and local eateries serving fresh seafood. It provides a relaxed, low-stress beach day far superior to the crowded pool decks back at the ship.

Culturally, Costa Maya is the strategic access point for the Chacchoben Mayan ruins. Unlike the arduous travel required for Chichén Itzá, Chacchoben is accessible via a moderate drive, offering a fascinating, less-crowded introduction to ancient architecture set within a jungle teeming with wildlife. Alternatively, nature enthusiasts should consider the journey to Lake Bacalar. Known as the "Lagoon of Seven Colors," this freshwater marvel offers stunning turquoise waters and a tranquil atmosphere distinct from the ocean coast. Whether you choose the history of the ruins, the local flavor of Mahahual, or the natural beauty of Bacalar, the true value of this stop is found outside the immediate port complex.

Cozumel, Mexico

Cozumel requires a strategic approach to bypass the commercial density of the immediate port area and access the island’s genuine natural splendor. As the gateway to the Mesoamerican Barrier Reef—the second-largest reef system in the world—the island’s primary allure lies beneath the surface. For divers and snorkelers, the drift dives at Palancar and Colombia reefs offer exceptional visibility and vibrant marine life. For a land-based alternative that avoids the masses, we recommend renting a jeep to explore the 'Wild Side' (the uninhabited east coast). This rugged shoreline offers a serene escape dotted with small, open-air reggae bars and crashing waves, providing a stark, beautiful contrast to the busy west coast.

A critical note regarding Mayan history: While the famous mainland sites of Tulum and Coba are spectacular, visiting them requires a 45-minute ferry to Playa del Carmen followed by a bus ride. This logistical commitment consumes your entire day and introduces transit stress. Unless these specific sites are non-negotiable, we advise remaining on the island. You can visit the smaller, on-island ruins of San Gervasio to satisfy historical curiosity without the risk of missing the ship.

If your goal is relaxation, Cozumel’s beach clubs are highly developed, ranging from high-energy all-inclusives to sophisticated, quiet retreats where the focus is on service and tranquility. When dining in the main town of San Miguel, avoid the waterfront tourist strip. Instead, walk three to four blocks inland to find authentic family-run cantinas serving excellent cochinita pibil and fresh ceviche at a fraction of the tourist prices. Cozumel is a polished tourism machine, but by focusing on the reef, the east coast, or a high-end beach club, you can curate a sophisticated and restorative experience.

Georgetown, Grand Cayman

Grand Cayman offers a distinctly polished version of the Caribbean. As a major global financial hub, the island feels exceptionally safe, clean, and well-organized. However, logistical planning is essential here: this is a tender port. Your ship will anchor offshore, and ferrying to the pier takes time, so you must factor this transit into your schedule to maximize your day ashore.

The island’s reputation rests on two genuine natural wonders. The first is Seven Mile Beach, a magnificent stretch of coral sand and water with visibility that rivals a swimming pool. While it is no secret and can get crowded, the sheer quality of the beach justifies the hype. You can take a taxi to a public access point, but for a more comfortable experience, we recommend booking a day pass at a hotel or beach club in advance, as availability is often limited.

The second essential experience is Stingray City. Unlike many captive animal encounters, this is a natural sandbar located miles offshore where southern stingrays have gathered for generations. Standing in waist-deep, crystal-clear water while these graceful creatures glide around you is a surreal and memorable experience that feels authentic to the location.

Beyond the water, the Cayman Turtle Centre provides a strong conservation angle that is particularly engaging for families. The town of George Town itself is compact and modern. While it lacks the deep colonial history and architecture of ports like San Juan, it is a premier destination for duty-free luxury goods, particularly high-end watches and jewelry. For a taste of local flavor, skip the generic chain restaurants near the pier and find a local spot for fresh conch fritters or ceviche before tendering back to your ship.

Celebrity Equinox

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 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.