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Dermatology

11-Night Western Mediterranean Cruise Conference
Round-trip Rome (Civitavecchia), Italy
October 01 - 12, 2018

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 Reflection</em> — *Celebrity Reflection*

COURSE CREDITS & HOURS

AMA PRA Category 1 Credits™
14 ACPE Credits

COURSE FEES

TARGET AUDIENCE

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

PROGRAM PURPOSE

Topics:

Advanced Dermatologic Surgery
Benign versus Malignant Skin Lesions
KOH and Paulosquamous Dermatoses
The Diagnosis and Treatment of Warts
Psoriasis Therapy
Interactive Session
Ask The Professor

Following attendance at this educational activity, participants should be able to:

Review selected techniques in dermatologic surgery which are simple to perform, applicable to virtually all dermatologic practices, and perhaps underutilized.
Consider the theoretical basis, materials, techniques, side effects and cost of each procedure.
Develop an understanding of the clinical features of normal "moles" based on the natural history of these lesions.
Recognize the clinical features that differentiates melanoma and its precursor lesions from benign moles and other benign pigmented lesions.
Identify the characteristics of basal cell carcinoma and squamous cell carcinoma as compared to non-pigmented benign lesions
Identify superficial fungus infections based on physical diagnostic criteria.
Differentiate between superficial fungal infections and other papulosquamous diseases on clinical grounds
Distinguish between superficial fungal infections caused by dermatophytes and those caused by yeast organisms.
Rreview the clinical features of Papillomavirus infection.
Review treatment options including the role of newer modalities such as the Vascular Lesion Laser and Natural Alpha Interferon
Review available drugs to treat psoriasis
Discuss the risks and benefits
Emphasize clinical pearls which provide solutions to physicians who have been late in adopting recent advances.
Aid the primary care physician in making correct diagnoses "under pressure."
Utilize techniques to reduce cognitive errors in making diagnoses
Define a differential diagnosis while thinking on ones feet during conference feeling the same pressure physicians feel when making a diagnosis in front of a patient
Provide information to expand the treatment options for patients being actively treated by the primary care physician
Review stepwise approach to evaluating patients with common skin conditions and diseases
Identify superficial fungus infections based on physical diagnostic criteria
Asses the clinical features and treatment of scabies and lice infections
Review the clinical features of herpes simplex, and herpes zoster infections
Discuss clues to the diagnosis of eczema
Review available drugs to treat psoriasis
Review the clinical features of Papillomavirus infection
Develop an understanding of the pathogenesis of acne
Recognize the clinical features of normal "moles" based on the natural history of these lesions
Review the indications for common surgical procedures
Review selected techniques in dermatologic surgery
Identify clinical features of common blistering diseases

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

Robert T. Brodell, MD, FAAD, FRCP(Edin)

Tenured Professor and Chair, Department of Pathology
Professor and Past Founding Chair, Department of Dermatology
Billy S. Guyton, MD Distinguished Professor
University of Mississippi Medical Center Jackson, Mississippi

Robert T. Brodell, MD is tenured Professor and Chair of the Department of Pathology, Past Founding Chair of the Department of Dermatology, and Billy S Guyton MD Distinguished Professor at the University of Mississippi Medical Center. A graduate of Washington and Jefferson College ('75) and the University of Rochester School of Medicine and Dentistry ('79), he completed dermatology and dermatopathology training at Barnes Hospital (Washington University in St Louis). He was in solo private practice for 27 years in Warren, Ohio. Dr Bob has performed 1,895 lectures, directed 49 symposia, and has 420 publications, 42 book chapters, 43 poster presentations, and has written three books: The Diagnosis and Treatment of Warts: An Evidence Based Approach (2003); Tips and Tricks in Procedural Dermatology (2019); and, Dermatology in Rural Settings -- Organizational, Clinical, and Socioeconomic Perspectives.

What Participants Are Saying:

This was the best CME I have ever attended. Very practical review of materials with recommendations, and great delivery by the presenters.

Of all the courses I have attended, this one was the best by far. Well done. Superb teachers.

Accreditation

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 12 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™ as needed. Pharmacology credits are identified on individual activities.

	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 14 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).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 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.

	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

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 14 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™ as needed. Pharmacology credits are identified on individual activities.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Mon Oct 01	Rome (Civitavecchia), Italy	-	5:00 pm
Tue Oct 02	At Sea - Cruising Lectures: 9:00 am - 12 Noon; 1:00 pm - 5:00 p*	-	-
Wed Oct 03	At Sea - Cruising Lectures: 8:00 am - 12 Noon; 1:00 pm - 4:00 p*	-	-
Thu Oct 04	Gibraltar	7:00 am	6:00 pm
Fri Oct 05	Málaga, Spain	7:00 am	7:00 pm
Sat Oct 06	Cartagena, Spain	9:00 am	6:00 pm
Sun Oct 07	Ibiza, Spain	8:00 am	7:00 pm
Mon Oct 08	Barcelona, Spain	11:00 am	-
Tue Oct 09	Barcelona, Spain Farewell Reception 7:30 pm - 8:30 pm*	-	5:00 pm
Wed Oct 10	Nice, France	9:00 am	8:00 pm
Thu Oct 11	La Spezia, Italy	7:00 am	7:00 pm
Fri Oct 12	Rome (Civitavecchia), Italy	5:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Rome (Civitavecchia), Italy

Let’s begin with the essential truth of this port call: Rome is one of the world’s most magnificent destinations, but your ship docks in Civitavecchia, a working port about 60-90 minutes away. This distance is the single most important factor in planning your day. A visit to the Eternal City from a cruise ship is not a casual stroll; it’s a tactical operation, and a brilliant one if planned correctly.

With limited time, you must choose your focus. Trying to conquer all of Rome in eight hours is a recipe for exhaustion. Instead, choose one or two core experiences. For a deep dive into antiquity, dedicate your day to the epic trio of the Colosseum, Roman Forum, and Palatine Hill. Pre-booking tickets is not a suggestion; it is an absolute necessity to avoid spending half your day in a queue. Standing inside the Colosseum is a moment that truly transcends tourism.

Alternatively, you can immerse yourself in the grandeur of the Vatican. A visit to St. Peter's Basilica (note the modest dress code), the Vatican Museums, and Michelangelo’s Sistine Chapel is a profound artistic pilgrimage. Again, advance, skip-the-line tickets are mandatory. The sheer scale of the art and history here can be overwhelming, so consider a guided tour to provide context and navigate the vast collections efficiently.

If you prefer a more atmospheric experience, focus on the iconic landmarks of the city center. A classic walk could include tossing a coin into the Trevi Fountain, gazing up through the Pantheon's oculus, and admiring Bernini’s fountains in the Piazza Navona. This route allows for more spontaneity—stopping for a perfect espresso, discovering a hidden courtyard, or indulging in a scoop of world-class gelato. A day in Rome is a whirlwind, but it offers a powerful, unforgettable glimpse into a city that has shaped the very foundations of Western civilization.

At Sea - Cruising

Gibraltar

Gibraltar is a destination of immense character, a British Overseas Territory where red phone boxes stand under the Mediterranean sun. Its identity is dominated, quite literally, by the Rock of Gibraltar, a limestone monolith that offers one of the most memorable day-port experiences available.

The primary objective here is to ascend the Rock. The most efficient method is the cable car, which provides a swift, scenic journey to the top. From the summit, the views are genuinely breathtaking, a panoramic sweep across the Strait of Gibraltar to the mountains of Morocco in Africa, with the Atlantic on one side and the Mediterranean on the other. While at the top, explore the Upper Rock Nature Reserve. St. Michael's Cave, a natural grotto transformed into an auditorium with a stunning light show, is a must-see. For history enthusiasts, the Great Siege Tunnels offer a fascinating glimpse into the Rock's military past, a testament to ingenuity and endurance.

Of course, no visit is complete without an encounter with the famous Barbary macaques, the only wild monkey population in Europe. They are undeniably charming but also opportunistic; keep a firm grip on your belongings and avoid carrying food. Back at sea level, the town itself is easily explored on foot. Main Street offers a unique, VAT-free shopping experience, while Casemates Square is a lively hub of pubs and cafes perfect for enjoying a pint and reflecting on the singular geography and history of this remarkable port.

Málaga, Spain

Cartagena, Spain

Cartagena is a genuine historical treasure, made all the more rewarding by its remarkable accessibility. The cruise terminal places you directly at the edge of a city where 3,000 years of history are layered within a short, pleasant walk. This is not a port that requires complex logistics; its greatest rewards are discovered on foot.

The undeniable highlight is the magnificent Roman Theatre, unearthed by chance in 1988 and now beautifully restored. The adjoining museum provides a superb introduction before you emerge into the stunning ancient structure itself. Just a few blocks away, the Roman Forum District reveals the daily life of 'Carthago Nova' with its thermal baths and colonnaded streets. For an even deeper historical perspective, the Punic Wall Interpretation Center showcases one of the few remaining Carthaginian defensive walls in Spain.

Beyond the ancient ruins, Cartagena offers a distinctly Spanish charm. Stroll down the Calle Mayor, a wide marble esplanade lined with elegant Art Nouveau buildings, stopping for tapas or a coffee. The waterfront promenade is a perfect place to appreciate the city’s deep-rooted naval heritage. For the best perspective, take the panoramic lift up to Concepción Castle, which offers sweeping views of the natural harbor and the Roman Theatre below. Cartagena delivers a rich, manageable, and thoroughly enjoyable day of cultural immersion without the overwhelming scale of a major metropolis.

Ibiza, Spain

Barcelona, Spain

Barcelona greets you with a vibrant energy, a city where the fantastical architecture of Catalan Modernisme coexists with the shadows of a deep Gothic past. Your day here is a study in captivating contrasts. The undeniable centerpiece is Antoni Gaudí's magnum opus, La Sagrada Familia. This basilica, a century-and-a-half in the making, is a breathtaking testament to faith and architectural genius that must be experienced from within to be truly understood. For more of Gaudí's dream-like vision, a stroll along the elegant Passeig de Gràcia reveals Casa Batlló, a residence seemingly sculpted from bone and mosaic.

Alternatively, lose yourself in the Barri Gòtic (Gothic Quarter), a medieval labyrinth of narrow cobblestone streets opening onto sunlit plazas. Here, the serene Cathedral of Barcelona offers a tranquil counterpoint to Gaudí's exuberance. This historic heart of the city is also a hub for unique boutiques and artisan shops. For a sensory immersion into local life, navigate the famed Las Ramblas to the Mercat de la Boqueria, a kaleidoscope of fresh produce, cured meats, and bustling food stalls.

Art aficionados can delve into the formative years of a master at the Museu Picasso, housed in a series of medieval palaces. No visit is complete without indulging in the city's culinary scene. Duck into a neighborhood bar for authentic tapas and a glass of cava, savoring the flavors that define Catalan culture. While one day is merely an introduction, it’s enough to be thoroughly enchanted by Barcelona's artistic soul and zest for life.

Nice, France

La Spezia, Italy

An overnight stay in La Spezia transforms it from a simple gateway into a strategic and authentic Ligurian base camp. This extended time removes the usual pressure of a port day, allowing for a thoughtful, two-part exploration of two of Italy’s most celebrated regions: Tuscany and the Ligurian Riviera.

On your first day, consider an immersive journey into the heart of the Renaissance. Florence is readily accessible via a direct train (approx. 2-2.5 hours) from La Spezia Centrale. This isn't a rushed highlights tour; it's a full day to engage with the city. Pre-book tickets to see Michelangelo’s David at the Accademia and the masterpieces of the Uffizi Gallery. With time on your side, you can wander across the Ponte Vecchio, climb Giotto's Bell Tower for panoramic views, and still have time for a leisurely lunch. The real luxury is the evening; enjoy an authentic Florentine dinner before catching a late train back, experiencing the city's magic after the day-trippers have departed. Alternatively, for a more focused day, the iconic sights of Pisa—the Leaning Tower, Cathedral, and Baptistery in the Piazza dei Miracoli—are just an hour away by train, leaving ample time to also explore the charming walled city of Lucca nearby.

Returning to La Spezia for the evening offers a wonderful contrast. This is your chance to live like a local. Take part in the evening *passeggiata* (stroll) along the palm-lined harbor, Passeggiata Costantino Morin. Find a small bar for an *aperitivo* and then seek out a trattoria for a true Ligurian dinner. This is the home of pesto, so trying fresh trofie pasta with the fragrant, basil-rich sauce is essential. Also look for fresh seafood, or regional specialties like *testaroli* pancakes or savory vegetable pies.

For your second day, the dramatic coastline of the Cinque Terre awaits. A short train ride from La Spezia Centrale is the most efficient way to hop between the five villages. Start in Riomaggiore, then perhaps hike a portion of the scenic trail or continue by train to Manarola for its classic postcard view. Vernazza’s harbor is a perfect lunch spot, while Monterosso al Mare offers the only significant stretch of beach. For a different perspective, a ferry from La Spezia’s harbor provides breathtaking views of the villages clinging to the cliffs. For those seeking similar beauty with fewer crowds, we recommend the ferry to Portovenere. This stunning village, with its Gothic church perched on a rocky headland and the colorful Doria Castle above, is a UNESCO site alongside the Cinque Terre but often feels more intimate.

Before departing, take time to appreciate La Spezia itself. The daily morning market in Piazza Cavour is a vibrant slice of local life, and the pedestrianized Via del Prione offers pleasant shopping. The Castello di San Giorgio, high above the city, provides a final, sweeping view of the Gulf of Poets—a fitting end to a rich, two-day immersion in the best of Italy.

Celebrity Reflection

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!

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