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Topics in Infectious Diseases and Sports Medicine

10-Night Italy & Greek Isles Cruise Conference
Round-trip Rome (Civitavecchia), Italy
September 21 - October 01, 2018

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Celebrity Reflection</em> — *Celebrity Reflection*

COURSE CREDITS & HOURS

AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 MOC (Part II) points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program

COURSE FEES

TARGET AUDIENCE

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

PROGRAM PURPOSE

Exercised induced asthma and vocal cord dysfunction in the approach to athletes with shortness of breath or chronic fatigue
- Describe the differential diagnosis of shortness of breath in athletes vs. chronic fatigue.
The pre-participation sports physical: Making it a worthwhile exercise for parents, athletes and medical personnel.
- Explain the appropriate work-up of infections mono and safe return to play.
Hand, finger, wrist injuries in athletes. (includes splinting vs. surgical approach)
- Describe the differences in "jammed finger" injuries from volar plate injury (ligament tear), mallet finger, Jersey finger and fracture.
Initial evaluation and management of sports concussions.
- Ensure that the participant is aware of the factors that predispose athletes to prolonged recovery from sports concussion.
A systematic approach to assessment of sports shoulders injuries.
- Ensure that participants will be able to differentiate and manage dislocated shoulder vs. separated shoulder.
Spine injuries in athletes: differentiating the workup and management in young athletes adults.
- Upon completion of this session a participant should be able to determine the appropriate use of x-rays, MRI, bone scan and CTs.
Stress fractures in athletes: Identifying low risk vs. high risk fractures
- Describe the hallmark presentation of Jones fracture, tarsal navicular and proximal/anterior tibial stress fractures and femoral neck and be aware of the implications of missing them.
Treatment of Respiratory Tract Infections in Adults and Children
- Develop treatment strategies for Otitis media, sinusitis and pneumonia
Immunization Update: Adults
- Develop strategies for implementing new vaccines such as the new shingles vaccine into schedules
Immunization Update: Pediatrics
- Develop strategies for addressing vaccine hesitancy
Avoiding Common Diagnostic Pitfalls
- Spot situations can can often lead to diagnostic errors
Using New Diagnostic Modalities
- Consider how new tests can be cost effectively added to patients they treat
Animal Bites and Related Syndromes
- Identify common pathogens and treatment guidelines
Approach to the Patient With Lymphadenopathy
- Identify common etiologies incuding EBV, cat scratch and Mycobacteria

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

Blaise L Congeni, MD

Professor of Pediatrics
Northeastern Ohio Medical University
Director of the Division of Infectious Diseases
Akron Children's Hospital, Akron, Ohio.

Joseph A. Congeni, M.D. is the emeritus Medical Director of the Sports Medicine Center at Akron Children's Hospital as well as Professor of Pediatrics at Northeast Ohio Medical University (NEOMED), and Clinical Professor of Pediatrics and Sports Medicine at Ohio University College of Osteopathic Medicine. He developed the Primary Care Pediatrics Sports Medicine Fellowship at Akron Children's Hospital, the first of its kind at a pediatric hospital in the U.S. in (1990). He is a (1980) graduate of the University of Notre Dame; and received his medical degree from NEOMED in (1984). Dr. Congeni is currently a team physician for Archbishop Hoban High School since (1988).

He has won many awards including: the OHSAA Respect the Game Award (2004-2005), the Ohio Athletic Trainer's Association’s Team Physician of the Year Award (2008), and Ohio Outstanding Team Physician by the Ohio State Medical Association (2008), Best Doctors in Northeast Ohio (2009-2024), the Dr. Carl Krill Award for humanism and excellence in the field of medicine from the Knights of Columbus (2013), Sports & Exercise Medicine Godfather, Cleveland Clinic (aka Warthog Society) (2017), the American Academy of Pediatrics (AAP) Thomas Shaffer National Award for significant contributions to the field of sports medicine (2018) and was inducted to the Diocese of Cleveland CYO Hall of Fame in (2019). Dr. Congeni was awarded an endowed chair in Sports Medicine by the Scala family through the hospital foundation in 2023. In 2024, he was awarded the distinguished alumni award from the Northeast Ohio Medical University (NEOMED).

He is also a lead author on the American Academy of Pediatrics’ Baseball/Softball Policy Statement issued March 2012. Dr. Congeni’s media events vary from appearing on NBC’s TODAY Show in 2009 to his appearance on a PBS documentary entitled “The Smartest Team” in 2012 and a Sports Illustrated segment in 2014. He also has been appearing on a weekly radio sports medicine segment since 1995. In addition, he has done about 10-15 media appearances and multiple speaking engagements, locally, regionally, and nationally per year. In January of 2024, his publication entitled “Reduced Concussion Symptom Burden in Early Adolescent Athletes Using a Head – Neck Cooling Device,” was published in the Clinical Journal of Sports Medicine. It was a multicenter study with five centers directed out of the Research Institute at Akron Children’s Hospital and he was the principle investigator. Dr. Congeni has involvement in 34 publications through Google Scholar and an H-index of 17. Joe and his wife Karen have six children and ten grandchildren and counting.

Joseph A. Congeni, MD

Professor of Pediatrics, Northeast Ohio Medical University (NEOMED), Rootstown, OH
Clinical Professor of Pediatrics & Sports Medicine,Ohio University College of Osteopathic Medicine, Athens, OH
Medical Director of the Sports Medicine Center, Akron Children's Hospital, Akron, OH

Joseph A. Congeni, M.D. is the Medical Director of the Sports Medicine Center at Akron Children's Hospital as well an Professor of Pediatrics at Northeast Ohio Medical University (NEOMED), and Clinical Professor of Pediatrics and Sports Medicine at Ohio University College of Osteopathic Medicine. He developed the Primary Care Pediatrics Sports Medicine Fellowship at Akron Children's Hospital, the first of its kind at a pediatric hospital in the U.S. in (1990). He is a (1980) graduate of the University of Notre Dame; and received his medical degree from NEOMED in (1984). Dr. Congeni is currently a team physician for the University of Akron and Archbishop Hoban High School since (1988).

He has won many awards including: the OHSAA Respect the Game Award (2004-2005), the Ohio Athletic Trainer's Association’s Team Physician of the Year Award (2008), and Ohio Outstanding Team Physician by the Ohio State Medical Association (2008), Best Doctors in Northeast Ohio (2009-2022), the Dr. Carl Krill Award for humanism and excellence in the field of medicine from the Knights of Columbus (2013),Sports & Exercise Medicine Godfather, Cleveland Clinic (aka Warthog Society) (2017), the American Academy of Pediatrics (AAP) Thomas Shaffer National Award for significant contributions to the field of sports medicine (2018), was inducted to the Diocese of Cleveland CYO Hall of Fame in (2019), NEOMED Distinguished Alumni Award (2024).

He is also a lead author on the American Academy of Pediatrics’ Baseball/Softball Policy Statement issued March 2012. Dr. Congeni’s media events vary from appearing on NBC’s TODAY Show in 2009 to his appearance on a PBS documentary entitled “The Smartest Team” in 2012 and a Sports Illustrated segment in 2014. He also has been appearing on a weekly radio sports medicine segment since 1995. In addition, he does about 10-15 media appearances and 25-35 speaking engagements, locally, regionally, and nationally per year. Joe and his wife Karen have six children.

Accreditation

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 12 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity.
	Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed. Pharmacology credits are identified on individual activities.

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed. Pharmacology credits are identified on individual activities.

	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

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

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed.
Pharmacology credits are identified on individual activities.

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity.
	Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed. Pharmacology credits are identified on individual activities.

MOC ABP

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 14 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provide's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Fri Sep 21	Rome (Civitavecchia), Italy	-	5:00 pm
Sat Sep 22	Messina, Sicily	10:00 am	7:00 pm
Sun Sep 23	Valletta, Malta	8:00 am	6:00 pm
Mon Sep 24	At Sea - Cruising	-	-
Tue Sep 25	Mykonos, Greece	7:00 am	6:00 pm
Wed Sep 26	Rhodes, Greece	7:30 am	6:00 pm
Thu Sep 27	Athens (Piraeus), Greece	7:00 am	6:00 pm
Fri Sep 28	At Sea - Cruising	-	-
Sat Sep 29	Naples, Italy	7:00 am	6:30 pm
Sun Sep 30	Rome (Civitavecchia), Italy	5:00 am	-

PORTS OF CALL

Rome (Civitavecchia), Italy

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

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

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

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

Messina, Sicily

Messina serves as the bustling gateway to eastern Sicily’s most celebrated treasures, offering a compelling choice between iconic excursions and authentic city life. For many, the primary draw is Taormina, a stunning hilltop town that lives up to its reputation. Its Greco-Roman theater offers one of the world's great views, framing the Ionian Sea and the often snow-capped peak of Mount Etna. Beyond the theater, Taormina’s charm unfolds along the Corso Umberto, a pedestrian-only street lined with chic boutiques, cafes, and hidden courtyards leading to breathtaking coastal overlooks.

For a more elemental experience, an excursion to Mount Etna reveals the raw power of Europe's most active volcano. Ascending its slopes, the landscape transforms into a stark, lunar-like environment of black lava rock and volcanic craters. Wineries thriving in the fertile, mineral-rich soil on the volcano's lower flanks offer tastings that provide a literal taste of the terroir.

However, Messina itself should not be overlooked. It presents a grittier, more workaday Sicilian reality. The city’s heart is the Piazza del Duomo, home to a magnificent Norman cathedral and the world's largest astronomical clock. Be sure to arrive just before noon to witness the captivating spectacle as its gilded bronze figures animate to tell stories from the city’s history. A short walk from the port, you can savor classic Sicilian street food like arancini or a refreshing granita, experiencing a slice of local life far from the polish of Taormina. Messina offers a genuine crossroads: choose world-famous beauty or stay for a taste of an authentic port city.

Valletta, Malta

Sailing into Valletta’s Grand Harbour is one of the most dramatic arrivals in the Mediterranean. You are immediately enveloped by immense, honey-colored limestone fortifications rising from the sea—a fitting introduction to a city built by the Knights of St. John that is itself a UNESCO World Heritage site.

The city is a compact, walkable grid, making it ideal for a day of exploration. The primary destination for most is St. John's Co-Cathedral. Its austere façade belies a jaw-dropping interior of High Baroque opulence, with every surface covered in intricate carvings, gold leaf, and marble. The cathedral’s true masterpiece is Caravaggio’s monumental painting, “The Beheading of Saint John the Baptist,” a profoundly moving work that is worth the visit alone.

For the best views, head to the Upper Barrakka Gardens, which offer a stunning panorama of the Grand Harbour and the historic Three Cities across the water. Time your visit for the daily cannon firing from the Saluting Battery below. Beyond the major sites, the real joy of Valletta is in wandering its streets, admiring the traditional enclosed wooden balconies (*gallariji*), and perhaps stopping for a *pastizz*—a flaky, savory pastry filled with ricotta or peas.

For those seeking a quieter, medieval atmosphere, a taxi ride to the fortified city of Mdina is a worthwhile alternative. Known as the “Silent City,” its labyrinthine alleys and noble palaces offer a peaceful contrast to the energy of the capital.

At Sea - Cruising

Mykonos, Greece

Mykonos is the quintessential Cycladic island, and while its nightlife is legendary, a day visit reveals its more profound charms. Your first priority should be an unscripted exploration of Mykonos Town (Chora). This is where the island’s magic truly resides. Allow yourself to get lost in the labyrinth of narrow, whitewashed alleyways, where vibrant bougainvillea spills over balconies and every turn reveals a hidden chapel, a chic boutique, or a welcoming café. The goal isn’t a specific destination, but the joy of the wander itself.

Eventually, your path will lead you to the island’s most iconic sights. Make your way to the Kato Mili (Lower Windmills), a row of 16th-century windmills standing sentinel on a hill overlooking the sea—the classic postcard view. Just below, you’ll find the waterfront neighborhood of “Little Venice,” where colorful, Venetian-style houses with wooden balconies hang directly over the water. It’s a perfect spot for a coffee or a light lunch while watching the waves crash just feet away.

For those with a deep interest in history, we cannot overstate the importance of the nearby island of Delos. A short ferry ride away, this UNESCO World Heritage site is one of the most significant archaeological sites in Greece, the mythological birthplace of Apollo and Artemis. A half-day excursion here offers a profound glimpse into the ancient world. For beach lovers, while Mykonos has famous shores like Paradise and Super Paradise, reaching them requires a bus or taxi. A more time-efficient option might be the closer, family-friendly beaches of Ornos or Platis Gialos. Mykonos delivers a brilliant, energetic, and stunningly beautiful day in port.

Rhodes, Greece

Rhodes offers one of the most compelling arrivals in the Mediterranean. Your ship docks directly beside the monumental stone walls of its Old Town, a UNESCO World Heritage site and one of the best-preserved medieval cities in Europe. The primary experience here is simply to get lost within its labyrinthine, cobblestone streets.

The main artery is the Street of the Knights, a remarkably intact medieval thoroughfare leading to the imposing Palace of the Grand Master. This fortress-palace, rebuilt by the Italians in the 20th century, offers a glimpse into the lives of the Knights of St. John with its grand halls and Hellenistic mosaics. The nearby Archaeological Museum, housed in the former Hospital of the Knights, provides further context to the island's rich history.

For those seeking classical antiquity, a short taxi ride uphill leads to the Acropolis of Rhodes on Monte Smith, where the remains of a Temple of Apollo, a stadium, and a small theater offer panoramic views over the city and sea. The Mandraki Harbour, where the legendary Colossus of Rhodes is said to have stood, is now a pleasant waterfront promenade marked by statues of deer.

Many are tempted by the famous village of Lindos, with its whitewashed houses and clifftop acropolis. It is undeniably stunning, but be aware that the one-hour drive each way, combined with significant crowds, will consume the majority of your day. A choice must be made: a deep, immersive exploration of the magnificent Old Town, or a dedicated excursion to Lindos. For a truly rewarding day, embracing the historical tapestry at your feet in Rhodes Town is often the more satisfying option.

Athens (Piraeus), Greece

Let’s be direct: your arrival at the port of Piraeus is purely functional. It’s a massive, bustling commercial hub, and its primary virtue is its proximity to Athens, the cradle of Western civilization. A day here is an incredible opportunity, but it requires a smart plan.

Your first priority is getting into the city center efficiently. The metro (Green Line 1 from Piraeus station) is a direct and affordable option that bypasses all traffic. Taxis are plentiful, but be sure to agree on a fare or insist on using the meter to avoid surprises. Once in Athens, the Acropolis is the day's non-negotiable centerpiece. Seeing the Parthenon preside over the city is a profound experience that connects you directly to 2,500 years of history, philosophy, and art. We strongly advise pre-booking your tickets online to save precious time you’d otherwise spend in a queue under the Greek sun.

After descending from the Acropolis, the modern Acropolis Museum awaits at its base. This stunningly designed space provides essential context for what you’ve just seen, housing the original artifacts in a climate-controlled, brilliantly curated environment. From there, immerse yourself in the Plaka, the city’s oldest neighborhood. This labyrinth of cobblestone streets, draped in bougainvillea, is where you’ll find the true Athenian spirit. It’s the perfect place to find a traditional taverna for a leisurely lunch of classic Greek dishes.

Our best advice for a port day in Athens is to be strategic. Don’t try to see everything. Focus on the Acropolis, its museum, and a wonderful meal in the Plaka. By doing so, you will have experienced the profound essence of the city, rather than just rushing past its landmarks. Wear comfortable shoes, stay hydrated, and prepare for an unforgettable immersion into the foundations of our world.

Naples, Italy

Naples is less a polished tourist destination and more a vibrant, chaotic, and profoundly authentic slice of Southern Italy. As a port of call, it’s a world-class launchpad to some of history’s most significant sites and Europe’s most breathtaking coastlines. Your challenge isn't finding something to do; it's accepting you can't possibly do it all in one day.

For most, the primary draw lies just outside the city: the astonishing ruins of Pompeii. Buried by Vesuvius in A.D. 79, this ancient city offers an unparalleled window into Roman life. We strongly recommend a guided tour here; the site is vast, and an expert can bring the silent stones of its villas, temples, and brothels to life. For a more intimate and often better-preserved alternative, consider nearby Herculaneum, which was entombed in mud rather than ash, preserving incredible details like wooden beams and mosaics.

If you prefer legendary beauty to ancient history, the Bay of Naples delivers. A hydrofoil can whisk you across the water to the glamorous Isle of Capri, famed for its dramatic Faraglioni rocks, chic boutiques, and the ethereal Blue Grotto (weather permitting). Alternatively, a drive along the coast brings you to Sorrento, a charming town perched on cliffs with stunning views and a more relaxed atmosphere, perfect for sipping limoncello and soaking in the scenery.

Should you choose to dive into Naples itself, be prepared for an intense and rewarding experience. The city’s historic center is a UNESCO World Heritage site, a labyrinth of narrow streets, hidden courtyards, and baroque churches. The National Archaeological Museum is an absolute must, housing the priceless mosaics, frescoes, and artifacts recovered from Pompeii and Herculaneum. And, of course, there is the pizza. This is its birthplace, and enjoying an authentic Neapolitan pizza is not just a meal, but a cultural imperative. Naples is gritty, loud, and utterly unforgettable—a port that rewards the curious traveler with an experience of raw, unfiltered Italy.

Celebrity Reflection

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

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

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