Patient's have become self learners and come to the primary care providers expecting them to know some of the integrative approaches to the most common chronic disease processes.integrative and functional medicine approaches will be discussed and pearls/take-a-ways provided for the primary care provider to use Monday in the clinic.
What can you add her remove from the patient's environment to alleviate some of their daily symptoms?
The functional medicine approach will apply clinical expertise and evidence-based medicineto some of the most common patient complaints.
Topics:
IBS - part 1
Review the definition and diagnosis of IBS
Review the pathophysiology of IBS including SIBO, celiac testing and food sensitivities
Discuss the impact of the microbiome on IBS symptoms
IBS- part 2
Discuss the value of the elimination diet and how to implement it
Associate the vagus nerve and its impact on irritable bowel symptoms
Review non-pharmacologic approaches to IBS symptoms
Insomnia
Illustrate melatonin and serotonin pathways
Discuss the impact of blue light on sleep cycle
Review non-pharmacologic approaches as sleep aids
Flu prevention
Discuss the efficacy of flu vaccines and patient concerns
Review study supporting and refuting nonpharmacologic approaches to flu prevention and impact on flu symptoms/duration
Distance will be able to utilize a natural approach to support the immune system against the flu
NASH-nonalcoholic steatohepatitis
Review pathogenesis of Nash
Summarize diagnostic testing options
Update providers on non-pharmacologic treatment options for NASH
Intestinal permeability
Illustrate intestinal permeability and review risks and causes
Identify nutrients indicated in gut healing
Review studies associating intestinal permeability with auto immune disease
Functional medicine approach to chronic disease
Discuss the functional medicine approach to evaluation of root cause of inflammation and disease
Expand on the function of the microbiome and the impact on chronic disease
Describe the amgydala's interpretation of physical and emotional stress and the impact on health
Pediatric Integrative Medicine at Cleveland Clinic Foundation
Present CCF's Pediatric Integrative Medicine clinic and our approach to treatment of children.
Introduce Integrative and Complementary therapies and common conditions treated in our clinic
Osteopathic Manipulation for the non Osteopath
Discuss and demonstrate safe and effective basic Osteopathic Manipulative techniques for infants, children and adolescents.
Probiotic Research
Review the research of many probiotic strains and findings of how use of these supplements may aid in the care of medical conditions.
Integrative Treatment for Headache
Review various types of Integrative and complementary options for headaches, including manual therapies, dietary supplements and stress reduction.
Fatigue, an Integrative approach
Define fatigue
Review diagnostic work up
Introduce Integrative Medicine treatment options to enhance patient care
Fibromyalgia, a holistic approach to care
Define fibromyalgia
Diagnosis of fibromyalgia and Integrative treatment options to enhance patient care
Stress Management
Present the importance of stress in our lives and various ways to reduce stress and improve our quality of life
IMPORTANT INFORMATION
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
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 Alan Burke, DO, FAAP
Clinical Faculty, Cleveland Clinic Lerner College of Medicine, Cleveland, OH
Professor of Clinical Pediatrics, Ohio University Heritage College of Osteopathic Medicine, Athens, OH
Dr. Burke graduated from Ohio University with Bachelor of Science in 1992, went to Ohio University College of Osteopathic Medicine and attended Cleveland Clinic Foundation for Pediatric and Adolescent Medicine Residency.
He currently works at Cleveland Clinic Children’s and Cleveland Clinic Pediatric Integrative Medicine.
He enjoys hiking, running, camping and medical missions trips.
He is married to Jennifer, who is studying to be a lifestyle coach. They have a 12 year old son.
Paris Kharbat, DO, ABFM, ABOIM, IFMCP
Board certified Family Medicine, Integrative medicine and Institute for Functional Medicine Certified
Founder and Medical Director of Simply Functional Medicine, Inc.
Associate Medical Director at 98Point6
Dr. Kharbat attended the University of North Texas Health Sciences - Texas College of Osteopathic medicine and completed her Family Medicine residency through Mercy Methodist - UC Davis. After residency she joined Indian Health Services (IHS) where she worked in the clinic, hospital, nursing home and assumed the medical director role serving a large Native American population. While working with IHS she quickly realized her patient base had many medical needs that were not adequately met through traditional family medicine. She completed the UCLA/Stanford Helms Medical Institute acupuncture training and provided medical acupuncture to patients in subsequent years.
After 3 years at IHS, Dr. Kharbat started her solo practice bridging the gap between Eastern and Western medicine as the only Integrative physician in the region. During the 11 years of private practice in Washington state, Dr. Kharbat took on extensive additional training in functional medicine, osteopathic manipulation - fascial distortion model and frequency specific microcurrent
In 2016 she joined Cleveland Clinic Center for Functional Medicine which enabled her to see chronic complex conditions from around the world, contribute to the first functional medicine randomized clinical trials for diabetes and asthma, lead the creation of shared medical appointments and provide functional medicine training for advanced practice providers, residents and medical students.
Currently, Dr. Kharbat is the founder of Simply Functional Medicine, Inc. offering virtual personalized Functional medicine in all 50 states. She has also partnered with 98point6 providing affordable, accessible telemedicine/text based care. To round out her telemedicine care she still picks up local urgent care shifts and is medical director of a local plasma center.
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 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).
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.
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.
ITINERARY
DATE
PORT OF CALL
ARRIVE
DEPART
Sat Apr 18
Miami, Florida
-
4:30 pm
Sun Apr 19
*At Sea - Cruising
-
-
Mon Apr 20
*At Sea - Cruising
-
-
Tue Apr 21
Philipsburg, St. Maarten
8:00 am
5:00 pm
Wed Apr 22
San Juan, Puerto Rico
7:00 am
4:00 pm
Thu Apr 23
*At Sea - Cruising
-
-
Fri Apr 24
Coco Cay, Bahamas
8:30 am
5:30 pm
Sat Apr 25
Miami, Florida
6:00 am
-
*Tentative course schedule, actual class times may differ.
PORTS OF CALL
Miami, Florida - South Florida's exciting, international city is much more than the gateway to Latin America, it's one of the world's most popular vacation destinations. Before departing from Miami, enjoy a tour that will highlight this "Magic City." Board an airboat and explore the wild Everglades--be ready to see gators. Experience the one-of-a-kind art deco district in South Beach. Discover a cuisine and culture that fits perfectly with your South American adventure.
At Sea - Cruising - Cruising
Philipsburg, St. Maarten - The capital of the Dutch side of St. Maarten is the town of Philipsburg, though St. Maarten is an island with two distinct sides. To the north is the French side, whose capital is Marigot, while Philipsburg sits on the southern part of the island. When exploring on cruises that go to St. Maarten, it’s important to visit both sides to understand their customs and heritage.
You’ll quickly be charmed by all sides of the island. Of course, this Caribbean island is best known for its beaches, like Maho Beach or Great Bay Beach, one of the area’s best snorkeling spots. Sample local seafood or rum during your time in port, which have become symbols of St. Maarten life. There’s just enough to fill the day here, especially if you hop between the French and Dutch beaches.
San Juan, Puerto Rico - The vibrant capital of Puerto Rico, San Juan offers something for every traveler — world-famous beaches with crystal clear waters, incredible cuisine, rugged natural beauty and a rich history that goes back 500 years. With its ancient fortresses and colorful colonial-era buildings, San Juan makes it easy to feel as though you’ve slipped into the past. Life moves at a slower pace along the sunny cobblestone streets of Old San Juan, and salsa beats seem to waft perpetually from open windows. If you’re craving a hike, head to El Yunque National Forest. And if you’re more in the mood to unwind, set your sights on the beautiful shores of Isla Verde or El Condado. Mealtime is also an adventure, with so many delicious options to try — from mofongo and pastelon to chillo frito and alcapurrias. Pair every bite with a piña colada — Puerto Rico’s national drink.
Coco Cay, Bahamas - Located in the middle of the Caribbean's bright blue water lies the secluded island of CocoCay. With its white-sand beaches and spectacular surroundings, CocoCay is a wonderland of adventure. Reserved exclusively for Royal Caribbean guests, this tropical paradise has recently been updated with new aquatic facilities, nature trails and a ton of great places to just sit back, relax and enjoy a tropical drink.
PERFECT DAY COCOCAY
Royal Caribbean's Symphony of the Seas
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Prices below are for the full cruise including meals and evening entertainment
Suite/Deluxe
Owner's Suite (OS)
Two twin beds that convert to Royal King. Private bathroom with tub and two sinks, marble entry, large closets, living area with table and sofa. Private balcony with table and chairs. Stateroom: 556 sq. ft. Balcony: 243 sq. ft.
Grand Suite - 1 Bedroom (GS)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub and two sinks. Living room with sofa that converts to double bed. Private balcony with seating area and private dining. Stateroom: 371 sq. ft. Balcony: 105 sq. ft.
Junior Suite with Balcony (J4)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa. Private balcony. Stateroom: 287 sq. ft. Balcony: 80 sq. ft.
Suite/DeluxeSpacious AquaTheater Suite with Large Balcony - 2 Bedrooms (A1) Master bedroom has a King size bed with Duxiana Mattress. Second bedroom has two twin beds that convert to Royal King and two Pullman beds. Vanity with chair in each bedroom, living area with double sofa bed, dining room, marble entry, entertainment center. Two bathrooms, master with tub. Expansive balcony with table and chairs. Stateroom: 823 sq. ft. Balcony: 772 sq. ft.
Suite/DeluxeAquaTheater Suite with Large Balcony - 2 Bedrooms (A2) Master bedroom has a King size bed with Duxiana Mattress. Second bedroom has two twin beds that convert to Royal King and two Pullman beds. Vanity with chair in each bedroom, living area with double sofa bed, dining room, marble entry, entertainment center. Two bathrooms, master with tub. Expansive balcony with table and chairs. Stateroom: 823 sq. ft. Balcony: 772 sq. ft.
Suite/DeluxeSpacious AquaTheater Suite with Large Balcony -1 Bedroom (A3) Bedroom area with two twin beds that convert to Royal King. One bathroom with tub, large closets, sitting area with table and sofa bed. Private balcony with seating area and private dining. Stateroom: 562 sq. ft. Balcony: 589 sq. ft.
Suite/DeluxeAquaTheater Suite with Large Balcony -1 Bedroom (A4) Bedroom area with two twin beds that convert to Royal King. One bathroom with tub, large closets, sitting area with table and sofa bed. Private balcony with seating area and private dining. Stateroom: 562 sq. ft. Balcony: 589 sq. ft.
Suite/DeluxeGrand Suite - 2 Bedrooms (GT) Two bedrooms with two twin beds that convert to Royal King and vanity with chair. Two Pullman beds in second room. Living area with double convertible sofa, marble entry, entertainment center, two bathrooms - master bath with tub. Private balcony with table and chairs. Stateroom: 580 sq. ft. Balcony: 238 sq. ft.
Suite/DeluxeJunior Suite with Balcony (J3) Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa. Private balcony. Stateroom: 287 sq. ft. Balcony: 80 sq. ft.
Suite/DeluxeCrown Loft Suite (L1) Two-decks-high stateroom with panoramic views. Master bedroom with Royal King size bed and bath on second level. Bath with shower on main level. Private balcony with chairs, dining area with dry bar, table/desk. Living room sofa converts to double bed. Stateroom: 545 sq. ft. Balcony: 114 sq. ft.
Suite/DeluxeCrown Loft Suite (L2) Bedroom area with two twin beds that convert to Royal King. One bathroom with tub, large closets, sitting area with table and sofa bed. Private balcony with seating area and private dining. Stateroom: 562 sq. ft. Balcony: 589 sq. ft.
Suite/DeluxeRoyal Loft Suite (RL) Two-decks-high stateroom with panoramic views. On second level, master bedroom has a King size bed with Duxiana Mattress; bathroom with tub, shower, two sinks and bidet and a closet. On main level, second bedroom with closet and two twin beds that convert to Royal King; dining area with dry bar, living room with sofa that converts to double bed; bathroom with shower. Private balcony with whirlpool and dining area. Stateroom: 1,744sq. ft. Balcony (main level): 843 sq. ft.
Suite/DeluxeUltimate Family Suite (RL-UFS) The new Ultimate Family Suite is two stories of awesome thrills on every level. Like your very own in-suite slide where there's never a line, an air hockey table, table tennis on your balcony and access to just about any video game you could want. Plus a separate master suite where parents can escape to serene amenities. Stateroom 1,134 sq. ft. Balcony: 212 sq. ft.
Suite/DeluxeStar Loft Suite (TL) Two-decks-high stateroom with panoramic views. Master bedroom and bathroom on second level. Bedroom has a King size bed with Duxiana Mattress. Stairway to second level. Bathrooms with shower for two. Private balcony with dining area. Dining area with dry bar. Living room sofa converts to double bed. Closets on each level. Stateroom: 722 sq. ft. Balcony: 410 sq. ft.
Suite/DeluxeVilla Suite - 4 Bedrooms (VS) Two Master bedrooms with King size bed with Duxiana Mattress. Two Master bathrooms with tub. Two bedrooms with two twin beds that convert to Royal King and two Pullman beds (one with bathroom). Guest bathroom with shower. Balcony with a whirlpool, dining area, and bar. Dining room with dry bar. Living room sofa converts to a double bed. Stateroom: 1,142 sq. ft. Balcony: 476 sq. ft.
Oceanview with Balcony (8D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyUltra Spacious Oceanview with Large Balcony (1A) Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 374 sq. ft. Balcony: 108 sq. ft.
BalconyOceanview with Large Balcony (1C) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 80 sq. ft.
BalconyOceanview with Large Balcony (1D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyBoardwalk View with Balcony (1I) Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 274 sq. ft. Balcony: 73 sq. ft.
BalconyCentral Park View with Balcony (1J) Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.
BalconyOceanview with Large Balcony (2C) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 80 sq. ft.
BalconyOceanview with Balcony (2D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyBoardwalk View with Balcony (2I) Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 274 sq. ft. Balcony: 73 sq. ft.
BalconyCentral Park View with Balcony (2J) Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.
BalconyOceanview with Balcony (3D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyOceanview with Balcony (4D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyBoardwalk View with Balcony (4I) Two twin beds that convert to Royal King, boardwalk view balcony, sitting area, and a private bathroom. Stateroom: 182 sq. ft. Balcony: 52 sq. ft.
BalconyOceanview with Balcony (5D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyOceanview with Balcony (6D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
BalconyOceanview with Balcony (7D) Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.
Oceanview Stateroom (6N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft. Please note that some staterooms in this class have obstructed views. Note: This stateroom category when located on the bow, has an obstructed view.
OutsideUltra Spacious Oceanview (1K) Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 271 sq. ft. Note: This stateroom category when located on the bow, has an obstructed view.
InsideSpacious Interior (1R) Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 260 sq. ft.
InsideCentral Park View Interior (1S) Two twin beds that convert to Royal King, boardwalk view, sitting area, and a private bathroom. Stateroom: 191 sq. ft.
InsideInterior with Virtual Balcony (4U) A high-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Two twin beds that convert to Royal King, private bathroom and sitting area with sofa.
Prices are Per Person, Double Occupancy, Subject to change.
3rd/4th in Stateroom - Call for Pricing
Port Charges, Taxes & Fees $343.62 per person.
Deposit $250.00 per person
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
Cruise Cancellation Policy: Cancellation policies vary by cruise line, destination and sailing date. Please check with one of our agents for policies applicable to this cruise.
* COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered by the cruise line, directly to the general public, at the time of booking. This offers includes many short-term, promotional rates. All cruise line rates can be withdrawn by the cruise line at any time and are capacity controlled.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Chubb Travel Protection Overview
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.
Lounge in the Miami sun at our waterfront downtown hotel.
A staple of the Miami waterfront, Miami Marriott Biscayne Bay Hotel offers stylish comfort in a scenic downtown location. Unpack your bags in well-appointed hotel accommodations, featuring spacious floor plans, modern amenities, work desks, high-speed wireless internet and beautiful views of the city or Port of Miami.
Discover an incredible collection of attractions near our hotel, including American Airlines Arena, Bayside Marketplace, Adrienne Arsht Center for the Performing Arts and legendary South Beach.
Questions? Call us at 800.422.0711
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.