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Continuing Education, Inc.
University at Sea^™
5700 4th St. N.
St Petersburg, Florida 33703

www.casa-stpete.org/donate

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Topics in Hospital Medicine and Neurology

7-Night Eastern Caribbean Cruise Conference
Round-trip Miami, Florida
September 21 - 28, 2019

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.

Royal Caribbean's <em>Symphony of the Seas</em> — Royal Caribbean's *Symphony of the Seas*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
14.0 Contact Hours
5½ Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

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

PROGRAM PURPOSE

Topics:

Hospital Medicine Literature Highlights - Cardiology, Cancer, Nephrology
- Upon completion of this activity, attendees should be able to describe key updates & current literature related to the modern practice of hospital medicine.
Hospital Medicine Literature Highlights 2 - Infectious Disease, Pulmonary Disease, Rheumatology
- Upon completion of this activity, attendees should be able to describe key updates & current literature related to the modern practice of hospital medicine.
Tick Borne Diseases
- Upon completion of this activity, attendees should be able to recognize key clinical features of tick borne diseases.
Test Interpretation and Medical Decision Making
- Upon completion of this activity, attendees should be able to interpret medical test results in a scientific manner.
Venous Thrombosis and Pulmonary Embolism - prophylaxis and treatment
- Upon completion of this activity, attendees should be able to describe the current standard of care for prophylaxis and treatment of venous thrombosis in a hospitalized patient.
Special Considerations for the Geriatric Patient
- Upon completion of this activity, attendees should be able to describe key treatment considerations for geriatric inpatients.
Sepsis and Shock
- Upon completion of this activity, attendees should be able to describe the current state of sepsis recognition and treatment, in accordance with widely accepted published guidelines.
Headache
- Apply acute migraine medications
- Discuss the different clinical signs and symptoms of various tTrigeminal autonomic cephalgia
- Diagnose and manage chronic migraine and medication overuse headache
Seizures
- Use of antiepileptic drugs in the treatment of seizures
- Identify patients nonepileptic behavioral disorders
- Assess patients presenting with their first seizure
Multiple sclerosis
- Discuss the indications and side effects of the current and most imminent therapies for MS
- Summarize current and emerging imaging techniques in the diagnosis and treatment of MS
- Counsel a patient with MS about reproductive issues
Dementia
- Recognize the key features for the diagnosis of Alzheimers disease, vascular dementia, and frontotemporal dementia
- Identify the appropriate use of CSF and imaging biomarkers in clinical dementia diagnosis
- Use appropriate phamacologic and non pharmacologic approaches for the management of patients with dementia
Stroke
- Provide an overview of emergent evaluation of a stroke patient
- Summarize the recommendations for management of hypertension, physical activity, dyslipedemia, diabetes mellitus, diet, and lifestyle
- Discuss the antiplatelet and antithrombotic therapies
Movement disorders
- Recognize the key features associated with the most common movement disorders
- List the clinical features distinguishing essential tremor form cerebellar tremor from Parkinson&apost;s tremor
- List the cognitive, behavioral and sensory manifestations associated with tics in Tourettte syndrome and related disorders
Sleep
- Discuss the core science concepts of sleep wake regulation
- Discuss the underlying neurochemistry and pathophysiology of major sleep disorders
- Apply strategies for diagnosis and assessment of patients with common disturbances

IMPORTANT INFORMATION

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

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

Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.

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

Faculty

Robert Fogerty, MD

Medical Director, Senior Medical Director, Clinical Leadership & Associate Clinical Professor
Yale New Haven
New Haven, CT

After receiving his Bachelor’s degree in Economics from Boston College, Robert L. Fogerty received his MD and MPH degrees from Northwestern University and completed training in Internal Medicine at Yale New Haven Hospital. In 2011, he joined the Yale faculty as a founding member of the Academic Hospitalist Program. His academic interests include safety and quality of care in the inpatient setting and cost-effective care. Publications include the Journal of Hospital Medicine, JAMA Internal Medicine, and The New England Journal of Medicine. He is also the co-founder & Past-President of the Society of Hospital Medicine Connecticut Chapter, faculty in the High Value Practice Academic Alliance (HVPAA) training programs, and a founding member of the Hospital Capacity Management Consortium. In his current role as Senior Medical Director, Clinical Leadership, Dr. Fogerty reports to the Chief Medical Officer and works with medical directors from multiple clinical disciplines in clinical operations, professional development, corporate compliance, and other areas.

Edward M. Mendoza, MD, MBA, CPE, FAAN, FACPE

Dr. Edward M. Mendoza is an independent contractor and senior Physician Consultant of the Mendoza group. He has more than 29 years of experience in health care as a physician and consultant. He also has a Neurology private practice. Dr. Mendoza's consulting services include physician training, coder and case manager education, physician liaison training, clinical documentation quality reviews, clinical pathway development, and clinical cost management.

Other present consulting experience is as a part time Vice President of Medical Affairs (Medical Director) at a tertiary care facility. He also assists with DRG and CPT proper coding projects and educational programs for HIM, UM, and QA personnel.

Dr. Mendoza is board certified in Internal Medicine, Neurology, and Medical Management. He is a Fellow of the American College of Physician Executives and the American Academy of Neurology. He is a Certified Physician Executive. He graduated from the United States Military Academy at West Point with a Bachelor of Science, received his Doctor of Medicine from Emory University School of Medicine in Atlanta and his Masters of Business Administration from the Executive Program of Georgia State University in Atlanta.

The Road to 10: The Small Physician Practice's Route to ICD-10, is a resource provided by the Centers for Medicare and Medicaid Services (CMS) to help physicians prepare for the arrival of ID-10. Dr. Mendoza has recently been honored by being selected by CMS to be a member of the Physician Champion Community of Practice. This Community of Practice was established by CMS in order to bring together physicians from across the country to share ICD-10 best practices and lessons learned with their peers. The physician champions are well-respected leaders in their local physician communities and volunteer their time to service as an ICD-10 resource and a mentor to their colleagues.

Dr. Mendoza is widely published in the medical literature including several books: International Healthcare, A Framework for Comparing National Health Care Systems, 3rd edition and Mastering the Reimbursement Process, 2nd Edition. He has been recognized in Modern Healthcare for his international expertise. He has spoken at numerous seminars, both nationally and internationally on clinical, international health care, and managed care topics. He has prepared and taught "Financing International Health Care Systems, Comparative International Health Care Systems, and Managed Care for Public Health" for the school of Public Health, Morehouse School of Medicine.

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. 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.

MOC ABIM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Sep 21	Miami, Florida	-	4:30 pm
Sun Sep 22	*At Sea - Cruising Lectures 8:00am - 12 Noon	-	-
Mon Sep 23	*At Sea - Cruising Lectures: 9:00am - 12 Noon; 1-4:00 pm	-	-
Tue Sep 24	Philipsburg, St. Maarten	8:00 am	5:00 pm
Wed Sep 25	San Juan, Puerto Rico	7:00 am	3:00 pm
Thu Sep 26	Labadee, Haiti	9:30 am	6:00 pm
Fri Sep 27	*At Sea - Cruising Lectures 8:00am - 12 Noon	-	-
Sat Sep 28	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.

Labadee, Haiti - Beachside meets mountainside on the shores of Labadee — a Royal Caribbean private destination on Haiti’s northern coast. Here you’ll find pristine sands, coral reefs and jungle-covered hilltops nestling lagoon-like bays. There’s no shortage of places to relax and recharge across five stretches of beach. Or dial up the thrills on an active adventure like a half-mile-long zip line ride over the ocean. And fascinating culture, history and the natural beauty of Haiti’s spectacular coasts wait to be discovered around every corner. Escape to the Western Caribbean for a wilder way to experience paradise.

Royal Caribbean's Symphony of the Seas

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

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

COMPETITIVE PRICING PROMISE: We Will Match Cruise Line’s Promotional Rates. *

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

Balcony

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.

Please Call: 800-422-0711
for Pricing

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Balcony Ultra 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.

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Balcony Oceanview 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.

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Balcony Oceanview 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.

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Balcony Boardwalk 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.

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Balcony Central 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.

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Balcony Oceanview 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.

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800-422-0711
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Balcony Oceanview 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.

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800-422-0711
for Pricing

Balcony Boardwalk 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.

Call
800-422-0711
for Pricing

Balcony Central 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.

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800-422-0711
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Balcony Oceanview 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.

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800-422-0711
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Balcony Oceanview 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.

Call
800-422-0711
for Pricing

Balcony Boardwalk 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.

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800-422-0711
for Pricing

Balcony Oceanview 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.

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Balcony Oceanview 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.

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Balcony Oceanview 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.

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Balcony Spa Oceanview with Balcony (S4)
Experience a spectacular view for a memorable vacation.
Spa Class Exclusive:

Upgraded showerhead
Luxurious bathrobe
Daily refreshments
Priority Embarkation/Debarkation

Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area.

Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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Outside

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.

Please Call: 800-422-0711
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Outside Ultra 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.

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800-422-0711
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Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Sofa bed. Stateroom: 179 sq. ft.

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Outside Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.

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Outside Oceanview Stateroom (4N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Most 4N Staterooms face the front of the ship and have the angled window (pictured), but some have the traditional porthole window. Stateroom: 179 sq. ft.

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Inside

Interior Stateroom (6V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

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Inside Spacious 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.

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Inside Central Park View Interior (1S)
Two twin beds that convert to Royal King, boardwalk view, sitting area, and a private bathroom. Stateroom: 191 sq. ft.

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Inside Promenade View Interior (1T)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 194 sq. ft.

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Inside Interior Stateroom (1V)
Two twin beds that convert to Royal King, private bathroom and sitting area with sofa bed. Stateroom: 149 sq. ft.

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Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

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Inside Interior Stateroom (3V)
Two twin beds that convert to Royal King, private bathroom and sitting area with sofa bed. Stateroom: 149 sq. ft.

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Inside Interior 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.

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Inside Interior Stateroom (4V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

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800-422-0711
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Suite/Deluxe Spacious 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.