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Cruise Conference Planning For Your Association

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

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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.

Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Current Topics in Hospital Medicine and Preventive Medicine

9-Night Pacific Coastal Cruise
Round-trip Los Angeles, California
November 11 - 20, 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.

<em>Celebrity Eclipse</em> — *Celebrity Eclipse*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

The purpose of my lectures are to teach best practice and the latest science behind common conditions seen the practice of hospital medicine today in addition to Aquent the audience with team building and leadership skills necessary for a successful hospital medicine practice to succeed.

Topics:

Interval Training for Exercise
- Understand the use of interval training and other aspects to provide information directly to patients on exercise
Obstructive Sleep Apnea
- Understand the importance of thinking about OBS as a major problem in your patients with AF, CHF, and severe hypertension. Learn how it is diagnosed and how it is treated
Practical application of Coronary Artery Calcium scores in preventive medicine and early diagnosis of atherosclerotic heart and vascular disease
- Learn how to interpret CAC scoring in terms of your own personal patient to improve personal cardiovascular risk and how to use this in clinical practice
Practical application of Non-Invasive Cardiac CT Angiography in diagnosis of the severity of focal heart issues and focal atherosclerotic plaque
- Learn how to apply CCTA to diagnosis and most importantly prognosis for future cardiovascular events - both in the outpatient and ED arenas.
Practical application of lipidology in clinical practice
- Learn about what works and does not work in terms of working towards individual goals for patients with elevated cholesterol values.
Osteopenia and Osteoporosis
- Learn how this is very common in MEN and WOMEN years before it is even thought of that they have problems with their overall bone health
- Learn how to recognize and treat the problems before it gets worse.
Practical aspects of Diet
- Learn the true issues between the 'low fat' diet and increased CV obesity and mortality.
- Learn practical aspects of what to tell your patients about diets and their health.
Team approach to health care: Vital towards reducing burnout and improving care
- Learn the importance of the team approach to care to improve quality and reduce provider burnout.
- What are the components of the team.
- What makes a great team player.
Transitions of Care Management: Holistic approach to improve outcomes and reduce readmissions
- Readmissions are a major source of waste and poor clinical outcomes in our country.
- The provider must understand the key components of a successful transitions of care management team.
- Understanding the issues involved during the post acute care time.
Update on CHF in the acute care setting
- ID the latest evidence in the treatment of decompensated CHF.
- Review the data of common medications used in the treatment of decompensated CHF.
- Understand the data behind appropriate transitions of care.
Inpatient hyperglycemic care
- Understanding the patients needs and goals for the treatment of hyperglycemia is important to improve outcomes.
- What is the latest evidence in the inpatient treatment of hyperglycemia.
- Review the evidence between injectable versus oral forms of hypoglycemic medication in the hospital setting
Treatment if anemia in the acute care setting
- Understand the appropriate to address anemia in the hemodynamically stable hospitalized patient.
- Understand the appropriate time to transfuse in the hemodynamically stable hospitalized patient.
- Discuss the data of fresh vs. extended stored PRBCs after transfused .
Hot topics in 2018 for hospital medicine
- Review some of the hot topics affecting hospital medicine today.
- Review areas of the latest data on some of the common conditions seen in hospital medicine.
Hot topics in perioperative medicine
- Review some of the hot topics affecting perioperative medicine today.
- Review areas of the latest data on some of the common misconceptions seen in perioperative medicine.

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

John A. Rumberger, PhD, MD, FACC

Dr. John A. Rumberger is trained in engineering [BAAE, MSc, PhD - The Ohio State University, 1972 and 1976, respectively] and in medicine [MD - University of Miami, 1978].

He did his internal medicine training at The Ohio State University [1981-1984] and his Cardiovascular Diseases Fellowship [1984-1987] at the University of Iowa. In 1987 Dr. Rumberger became a Consultant in the Department of Internal Medicine & Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota. During his tenure at the Mayo Clinic [1987-1998], Professor Rumberger established himself as a leader in the development and application of cardiac imaging, applied clinical physiology and Preventive Medicine. He has published over 200 scientific papers, 200 abstracts, 30 book chapters, and two books.

From 1998 until 2005, Dr. Rumberger was Medical Director of several Wellness Diagnostic Centers in Columbus, Ohio - specializing in early disease detection and diagnosis. He is author of "The Way Diet', a compendium of healthy dietary advise, exercise, and stress management. He was appointed Clinical Professor of Medicine at the Ohio State University, Columbus, Ohio in 2001.

In 2006 he joined the staff of the Princeton Longevity Center, Princeton, NJ as a staff physician and Director of Cardiac Imaging. Dr. Rumberger is recognized as an authority on the use of Cardiac CT, diagnostic, and Preventive Medicine. He is a Permanent Member of Who's Who in Health Care and has received numerous sponsored lectureships. He continues his clinical practice of early disease diagnosis, diet, and preventive medicine and enjoys lecturing on Preventive Medicine.

Dr. Rumberger posts educational information on the following sites:
https://twitter.com/DrRumberger
https://www.youtube.com/channel/UCCGmd4rfZOvV3hAF__z_HXA/feed and https://www.facebook.com/jarassociates?fref=ts

Tomas Villanueva, DO, MBA, SFHM, FACPE

Founding Chief of Hospital Medicine, Baptist Health Medical Group Clinical Assistant Professor of Medicine Nova Southeastern University, College of Osteopathic Medicine Davie FL Clinical Assistant Professor of Medicine Florida International University Herbert Wertheim College of Medicine Miami FL

Dr. Tom Villanueva is Associate Vice President, Clinical Resources, of Vizient, Inc. In this capacity, he is the clinical and operational lead for the Vizient Transformation of Clinical Practice Initiative team and the Vizient Practice Transformation Network. The Network has over 26,000 enrolled clinicians in the CMS funded TCPI program to prepare for the move to value based reimbursement.

Dr. Villanueva was Chief of Primary Care for the Baptist Health Medical Group, part of Baptist Health South Florida. As Chief, Dr. Villanueva was responsible for primary care redesign by transforming these practices towards value based payments, risk sharing and population health. He has over 18 years of physician leadership experience, first as a hospitalist where he created over 3 different programs and is a member of the inaugural class of Senior Fellows for the Society of Hospital Medicine and has served in many national committees for the Society of Hospital Medicine.

He received his Doctor of Osteopathic Medicine with Honors from Nova Southeastern University, where he presently holds a position as Clinical Assistant Clinical Professor of Medicine in addition to holding the same teaching position at Florida International University, College of Medicine. He is double boarded in Internal and Palliative Care Medicine.

Dr. Villanueva also has a Masters of Business Administration from the University of Miami, School of Business, in Health Administration and Policy. He is a Fellow of the American College of Physician Executives. He has a vast experience in networking among multiple physician specialties and establishing policies and programs.

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.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Mon Nov 11	Los Angeles, California	-	4:00 pm
Tue Nov 12	Santa Barbara, California	7:00 am	5:00 pm
Wed Nov 13	San Francisco, California	2:00 pm	-
Thu Nov 14	San Francisco, California	-	8:00 pm
Fri Nov 15	Monterey, CA	7:00 am	4:00 pm
Sat Nov 16	At Sea - Cruising	-	-
Sun Nov 17	Catalina Island	7:00 am	8:00 pm
Mon Nov 18	San Diego, California	7:00 am	11:59 pm
Tue Nov 19	Ensenada, Mexico	8:00 am	5:00 pm
Wed Nov 20	Los Angeles, California	6:00 am	-

PORTS OF CALL

Los Angeles, California

Los Angeles is not a city to be seen, but a collection of distinct worlds to be experienced. Arriving at the port in San Pedro, the first and most critical piece of advice is to accept the city’s immense scale. A successful day in L.A. requires a focused plan, as its infamous traffic makes trying to do everything an exercise in frustration. We recommend choosing one or two neighborhoods that align with your interests and exploring them deeply.

For a day of world-class culture, head north to the Getty Center. Perched in the Santa Monica Mountains, its stunning architecture, tranquil gardens, and panoramic city views are as compelling as the impressive art collection within. Alternatively, the Los Angeles County Museum of Art (LACMA) on Museum Row offers a vast collection, with the iconic “Urban Light” installation providing a quintessential L.A. photo opportunity.

If classic Hollywood is the goal, a pre-booked tour or dedicated rideshare is the most efficient way to navigate the Hollywood Walk of Fame, TCL Chinese Theatre, and the surrounding landmarks. While undeniably tourist-focused, it’s a pilgrimage many feel they must make. For a more relaxed and scenic day, the coastal communities of Santa Monica and Venice offer a classic Southern California experience. Rent a bike and cruise the path between the lively Santa Monica Pier and the bohemian spectacle of the Venice Boardwalk, with its street performers, artists, and eclectic shops.

Closer to the port, Long Beach presents more manageable options, including the impressive Aquarium of the Pacific and the historic Queen Mary. Whatever you choose, planning is paramount. L.A. rewards the prepared visitor with an incredible diversity of art, food, and culture.

Santa Barbara, California

San Francisco, California

San Francisco offers one of the most dramatic maritime arrivals in the world. Sailing under the Golden Gate Bridge or past Alcatraz Island provides an unforgettable introduction to a city renowned for its progressive spirit and stunning geography. The cruise terminal places you directly on the Embarcadero, a waterfront promenade that serves as a gateway to the city's diverse neighborhoods. While Fisherman’s Wharf is the immediate, tourist-focused hub with its sea lions and sourdough bread bowls, the city’s true character unfolds just blocks away.

For an essential San Francisco experience, a visit to Alcatraz is unparalleled. We advise booking tickets months in advance, as they sell out consistently. The audio tour, featuring voices of former inmates and guards, is exceptionally well done and brings the island's history to life. To experience the iconic Golden Gate Bridge, consider a taxi or rideshare to the Welcome Center for classic photos, or walk a portion of its 1.7-mile span for breathtaking views of the bay.

The city is best understood as a collection of distinct villages. The historic cable cars offer a thrilling ride over the hills—the Powell-Hyde line has the most dramatic views—but be prepared for long queues. A more practical and equally charming option is the F Market streetcar. Explore North Beach, the historic Italian and Beat Generation enclave, for a cappuccino at a classic cafe and a browse through the legendary City Lights Bookstore. Adjacent is Chinatown, the oldest in North America; venture beyond Grant Avenue into its side alleys for a more authentic atmosphere and excellent dim sum. For a taste of the city's celebrated culinary scene, the Ferry Building Marketplace is a must-visit, offering artisanal cheeses, fresh oysters, and local coffee.

For panoramic city views, Coit Tower on Telegraph Hill is a classic choice, but don't miss the remarkable WPA-era murals depicting California life that adorn its base. Art enthusiasts might prefer a visit to the impressive San Francisco Museum of Modern Art (SFMOMA) or the de Young Museum, set within the vast and beautiful Golden Gate Park. A final piece of advice: San Francisco's weather is famously fickle. Dressing in layers is the key to comfort as you explore this compact, endlessly fascinating city by the bay.

Monterey, CA

At Sea - Cruising

Catalina Island

San Diego, California

San Diego greets you with a perfect blend of relaxed coastal charm and vibrant urban energy, all remarkably accessible from your port of call. Steps from the pier, the Embarcadero invites a stroll along the waterfront, where historic vessels at the Maritime Museum and the immense USS Midway Museum offer a fascinating glimpse into naval history. Just beyond, the culinary delights of Little Italy and the historic architecture of the Gaslamp Quarter are within easy walking distance, perfect for an alfresco lunch or exploring local boutiques.

For a dose of cultural immersion, Balboa Park is an essential visit. This sprawling urban oasis, the nation's largest, is home to stunning Spanish Colonial Revival architecture, tranquil gardens, and a collection of world-class museums. Spend a few hours exploring the San Diego Museum of Art or wandering through the serene Japanese Friendship Garden—a perfect mental reset after days of clinical focus. A short ferry ride across the bay leads to the elegant island of Coronado, where the legendary Hotel del Coronado presides over one of America's best beaches. Alternatively, venture north to the chic enclave of La Jolla to witness the dramatic coastline, observe the resident sea lions, and browse sophisticated art galleries. For a more active escape, the cliffside trails of Torrey Pines State Natural Reserve offer breathtaking Pacific vistas. Whether you seek artistic inspiration, a culinary adventure, or simply the restorative power of a sunny seaside stroll, San Diego provides a well-deserved and enriching day ashore.

Ensenada, Mexico

Ensenada is a bustling port city that serves as an accessible gateway to the authentic flavors and dramatic landscapes of northern Baja California. While the immediate downtown offers a lively, if tourist-focused, waterfront, the region's true appeal lies just beyond the city limits. The premier attraction is the Valle de Guadalupe, Mexico's celebrated wine country. Here, a landscape of rustic vineyards is dotted with architecturally striking wineries offering sophisticated tastings and world-class, farm-to-table cuisine. For a dose of natural drama, a trip south to La Bufadora reveals one of the world's largest marine geysers, where the Pacific Ocean erupts powerfully against the cliffs. Back in town, a stroll along the malecón for a taste of the original fish taco from a street cart is an essential, unpretentious local experience. Ensenada is best viewed not as a polished resort, but as a portal to the genuine culture of Baja.

Celebrity Eclipse

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Balcony Prime AquaClass Stateroom (A1)
Prime Staterooms are located in the most desirable locations on the ship. AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 192 sqft with 54 sqft veranda.