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Continuing Education, Inc.
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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
14.0 Contact Hours
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
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 patientsâ 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 Alzheimerâs 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, 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 Fogerty, MD, MPH, SFHM

Associate Clinical Professor, Yale School of Medicine
Sr. Medical Director, Yale New Haven Hospital
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 the Co-Founder and Past-President of the Society of Hospital Medicine Connecticut Chapter. He also served as the Co-Director of the Future Leaders and VITAL training programs for the High Value Practice Academic Alliance (HVPAA) and is the Co-Founder and a Steering Committee Member of the Hospital Capacity Management Consortium, for which he previously served as Steering Committee Chair.

In his current role as Senior Medical Director, Clinical Leadership, Dr. Fogerty reports to the Chief Medical Officer and works to support medical directors across multiple clinical disciplines in clinical operations, professional development, and corporate compliance.

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).

	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

Miami is often defined by its sun-drenched beaches, but to treat it as just a beach stop is to miss the point entirely. As a port of embarkation or a day-long call, it offers a dynamic tapestry of culture, art, and history that rewards the curious traveler.

Beyond the famous sands, South Beach is a living museum. The Art Deco Historic District is a must-see; we recommend a self-guided walk along Ocean Drive to appreciate the pastel-hued, streamlined architecture from the 1930s and 40s. It’s a masterclass in 20th-century design, best absorbed with a coffee at a sidewalk café while observing the uniquely Miami scene. While the nightlife is legendary, the daytime architectural tour is the real cultural highlight.

For a potent dose of contemporary culture, head to the Wynwood Arts District. What began as a street art initiative has blossomed into one of the world's great outdoor art galleries. The Wynwood Walls are the curated centerpiece, but the real energy is in the surrounding blocks, where massive, museum-quality murals cover entire buildings. It’s an accessible and visually stunning experience, complemented by independent galleries and boutiques.

To experience the city’s Cuban soul, a visit to Little Havana is essential. Stroll down Calle Ocho, where the air is thick with the scent of roasting coffee and hand-rolled cigars. Peer into windows to watch master cigar rollers at work, grab a potent *cafecito* from a walk-up *ventanita*, and find a spot for an authentic Cuban sandwich. The sounds of salsa music and the clatter of dominoes at Máximo Gómez Park create a vibrant, unpretentious slice of cultural immersion.

For a quieter, more elegant experience, the Vizcaya Museum & Gardens offers a glimpse into early 20th-century opulence. This stunning Italian Renaissance-style villa and its sprawling formal gardens feel a world away from the city's modern buzz, providing a serene and historically rich counterpoint. From the port, these distinct neighborhoods are best reached by ride-share, allowing you to easily craft a day that reflects your interests.

At Sea - Cruising

Philipsburg, St. Maarten

St. Maarten offers one of the most distinct experiences in the Caribbean: the chance to visit two countries in a single day. Your ship docks in Philipsburg, the capital of the Dutch side (Sint Maarten), a bustling hub of activity. The town itself is built along a beautiful arc of sand, Great Bay Beach, with a lively boardwalk perfect for a stroll. This is the commercial heart of the island, known for its extensive duty-free shopping, particularly for jewelry, electronics, and local spirits like the iconic Guavaberry Liqueur.

For a complete change of pace, a short taxi ride transports you to the French side (Saint-Martin). Here, the atmosphere shifts to something more akin to the French Riviera. The capital, Marigot, offers a more relaxed vibe with chic boutiques, open-air markets, and charming bistros serving fresh croissants and coffee. For the food-focused traveler, a visit to Grand Case is essential; it’s widely regarded as the culinary capital of the Caribbean, with an impressive collection of world-class restaurants.

Of course, the beaches are a primary draw. While there are dozens to choose from, Maho Beach is a spectacle you won’t forget. It’s not a place for quiet relaxation, but for the unique thrill of watching massive jets land just feet above your head. For a more classic Caribbean beach day, Orient Bay on the French side offers a wide expanse of white sand and turquoise water. St. Maarten’s appeal lies in this choice—you can curate your day to be as high-energy or as relaxed as you wish.

San Juan, Puerto Rico

San Juan is one of the most rewarding and historically significant ports in the Caribbean, and its greatest asset is proximity. Your ship docks at the edge of Old San Juan, a 500-year-old walled city that is a destination in its own right. Forget the organized bus tours; this is a port best explored on foot.

Step off the ship and you are immediately immersed in the atmosphere of blue cobblestone streets and pastel-hued colonial architecture. Your primary objective should be exploring the two massive Spanish citadels that bookend the old city. Start with Castillo San Cristóbal, the largest Spanish fort in the Americas, then enjoy the scenic one-mile walk along the city wall to the iconic Castillo San Felipe del Morro, which has guarded the harbor entrance for centuries. The scale and preservation of these UNESCO World Heritage sites are genuinely impressive.

Beyond the forts, the joy of San Juan is in the wandering. Discover shaded plazas, artisan shops on Calle del Cristo, and the famous Fortaleza Street. For a taste of authentic Puerto Rican cuisine, find a local spot for *mofongo* (a savory dish of mashed plantains) or enjoy a classic piña colada at Barrachina, one of the bars that claims to have invented it. While the famous beaches of Condado and Isla Verde are an option, they require a taxi and can consume valuable time. For a port day, the tangible history, vibrant culture, and culinary delights within the city walls offer a more than fulfilling experience.

Labadee, Haiti

Labadee is a private coastal peninsula offering a meticulously managed day of sun and adventure. The setting is undeniably beautiful, with lush, green hillsides meeting turquoise water. You can choose your pace: relax on the sands of Columbus Cove, or seek out the thrills of Adrenaline Beach. The main attractions are purpose-built, including the Dragon’s Breath Zipline, which offers spectacular views as you soar over the bay, and a unique alpine coaster that winds through the tropical vegetation. While there are artisan markets with local crafts, it's important to set expectations: this is a self-contained resort experience. It provides a secure and scenic beach day but does not offer access to or an authentic cultural immersion into the rest of Haiti.

Royal Caribbean's Symphony of the Seas

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

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.

694.00
per person

Call: 800-422-0711
and we'll find the best value for you.

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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800-422-0711
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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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800-422-0711
for Pricing

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.

Call
800-422-0711
for Pricing

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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for Pricing

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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800-422-0711
for Pricing

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.

Call
800-422-0711
for Pricing

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.

Call
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.

Call
800-422-0711
for Pricing

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.

Call
800-422-0711
for Pricing

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.

Call
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.

Call
800-422-0711
for Pricing

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.

Call
800-422-0711
for Pricing

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.

Call
800-422-0711
for Pricing

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.

Call
800-422-0711
for Pricing

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.

584.00
per person

Call: 800-422-0711
and we'll find the best value for you.

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.

Call
800-422-0711
for Pricing

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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800-422-0711
for Pricing

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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800-422-0711
for Pricing

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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800-422-0711
for Pricing

Inside

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

524.00
per person

Call: 800-422-0711
and we'll find the best value for you.

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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800-422-0711
for Pricing

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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for Pricing

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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800-422-0711
for Pricing

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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800-422-0711
for Pricing

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

Call
800-422-0711
for Pricing

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

Call
800-422-0711
for Pricing

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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800-422-0711
for Pricing

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

Call
800-422-0711
for Pricing

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.