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Topics in Internal Medicine, Primary Care, and Hospital Medicine

7-Night Eastern Caribbean Cruise
Round-trip Port Canaveral, Florida
January 29 - February 05, 2023

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

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
4 Hours of Pharmacology for Nurse Practitioners

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Hospital Medicine

This educational activity will present attendees with key updates in clinical topics fundamental to the care of the adult inpatient, including major advances from the medical literature. Additionally, this we will review fundamental skills basic to the practice of hospital medicine, such as diagnostic test interpretation and medical decision making. The content will allow for attendees to practice evidence-based medicine grounded in current evidence and literature applicable to internal medicine and associated specialties.

Hospital Medicine Literature Highlights - Cardiology, Cancer, Nephrology
- Describe key updates & current literature related to the modern practice of hospital medicine
Hospital Medicine Literature Highlights 2 - Infectious Disease, Pulmonary Disease, Rheumatology
- Describe key updates & current literature related to the modern practice of hospital medicine.
Tick Borne Diseases
- Recognize key clinical features of tick borne diseases.
Test Interpretation and Medical Decision Making
- Interpret medical test results in a scientific manner using Bayes' Theorem based strategies or a Fagan Nomogram.
Venous Thrombosis and Pulmonary Embolism - prophylaxis and treatment
- Discuss the mechanisms of acute pancreatitis
- Describe the current standard of care for prophylaxis and treatment of venous thrombosis in a hospitalized patient.
Special Considerations for the Geriatric Patient
- Describe key treatment considerations for geriatric inpatients.
Sepsis and Shock
- Describe the current state of sepsis recognition and treatment, in accordance with widely accepted published guidelines.
Peri-operative management

Manage perioperative patients using validated tools and strategies to optimize outcomes

The purpose of these lectures is to engage and inspire participants during a review of common clinical problems in primary care medicine. In addition to providing guidance on diagnostic and therapeutic strategies, participants will be encouraged to expand their views of clinical care to incorporate principles of prevention and health promotion and to reflect on their roles as healers who shape their individual skills, behaviors, and experiences to match the needs of each individual patient in each individual clinical encounter.

The importance of establishing a strong clinician-patient bond and addressing psychosocial and spiritual concerns when needed will be emphasized.

Health Promotion: Encouraging a Healthy Body, Mind, and Spirit
- Assess the patien's current state of physical, psychological, and spiritual health
- Analyze the patient's current dietary and exercise practices
- Discuss an individualized health-promotion strategy for the patient.
Oh, My Aching Head : Managing Migraine, Tension, and Cluster Headaches
- Explain the classification of headaches
- Discuss the appropriate use of brain imaging in evaluating patients with headache
- Describe the appropriate use of abortive and preventive medications in the treatment of migraine.
What Goes Up Must Come Down! : Diagnosis and Management of Hypertension
- Describe the appropriate measurement and classification of hypertension
- Discuss the laboratory testing and imaging needed to diagnose common causes of secondary hypertension
- Describe the major classes of anti-hypertensive treatment and discuss the type of patient most likely to benefit from each class.
"Get Me Out of Here!": Panic Disorder and Agoraphobia in the Primary Care Setting
- Elicit and assess symptoms of panic disorder and agoraphobia
- Apply appropriate lifestyle modification and stress management skills, including muscle relaxation, breathing control, thought-stopping, and cognitive restructuring
- Recognize and manage side effects of anxiolytics.
Male Sexual Disorders: Treatment of Hypogonadism, Erectile, and Ejaculatory Dysfunction.
- Elicit a thorough, non-judgmental sexual history
- Describe appropriate laboratory and radiologic testing in the evaluation of male sexual problems
- Discuss the effects, risks, and benefits of testosterone replacement and medications to improve the patient's erectile and ejaculatory function
Enhancing Clinician-Patient Communication: Becoming a Healer
- Distinguish the technical, biomedical aspects of clinician s role from the personal and psychosocial aspects of care
- Describe specific attitudes and values needed to create a healing environment
- Apply techniques for establishing and maintaining rapport with patients
The Faith Factor: Practicing Spiritually-Sensitive Care
- Elicit a spiritual history in an ethically-appropriate manner
- Analyze the physiologic, psychological, social, and lifestyle effects of religious beliefs upon health outcomes
- Describe the spectrum of possible interventions available for addressing patients spiritual needs.

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

Dale A. Matthews, MD, FACP

Dale A. Matthews, MD, FACP
Associate Professor of Medicine (retired)
Georgetown University School of Medicine
Executive Healthcare Services (retired)

Dale A. Matthews, MD, FACP has served on the faculties of Yale University, the University of Connecticut, and Georgetown University and has lectured at over 30 medical schools. He gives lectures on primary care general internal medicine, the doctor-patient relationship, and the psychological and spiritual dimensions of medicine, including the role of religion, faith, and prayer in clinical care. He is the author of The Faith Factor: Proof of the Healing Power of Prayer (Viking, 1998), a four-volume research work (The Faith Factor: An Annotated Bibliography of Clinical Research on Spiritual Subjects), three documentaries, and over 65 peer-reviewed scientific articles, book chapters, and other publications. Dr. Matthews is a graduate of Princeton (AB, cum laude, Romance Languages, 1976) and Duke University School of Medicine (1980). His internship and residency in internal medicine took place at the University of Connecticut (1980-3) and he completed the Robert Wood Johnson Foundation Clinical Scholar Program and Fellowship in Clinical Epidemiology at Yale (1983-5). In 1989, he was named the George Morris Piersol Teaching and Research Scholar of the American College of Physicians. He has received many awards for his compassionate patient care, including Washingtonian Magazine Top Doctor recognition. He has appeared on numerous television shows, including the Oprah Winfrey Show, Larry King Live, and Good Morning America. He lives in McLean, Virginia with his wife, Demetra, a certified public accountant. He has two adult children and three grandchildren. He enjoys family and church activities, Bible study and teaching, golf, baseball, piano, singing, songwriting, ballroom dancing, travel, and photography.

What Participants Are Saying:

I had a wonderful time with this CME activity, and enjoyed connecting with others in my field. I would love to schedule future CME cruises soon!

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.

What Participants Are Saying:

I found the classes informative and interesting. Great way to get your CME!

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 16 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 16 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.
	College of Family Physicians of Canada (CFPC) The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits. Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.
	Credit Designation for Pharmacists: This knowledge-based activity is approved for 16 hours of pharmacy continuing education credit.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 (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
Sun Jan 29	Port Canaveral, Florida	-	4:30 pm
Mon Jan 30	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 4:00pm*	-	-
Tue Jan 31	Labadee, Haiti	7:00 am	4:00 pm
Wed Feb 01	San Juan, Puerto Rico Lectures: 8:30am - 12:30pm*	2:00 pm	10:00 pm
Thu Feb 02	Charlotte Amalie, St. Thomas, U.S.V.I.	7:00 am	3:00 pm
Fri Feb 03	At Sea - Cruising Lectures: 9:00am - 12 Noon; 1:00pm - 4:00pm*	-	-
Sat Feb 04	Coco Cay, Bahamas	9:30 am	5:00 am
Sun Feb 05	Port Canaveral, Florida	6:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Port Canaveral, Florida

Port Canaveral is the gateway to Florida's "Space Coast," a region where monumental human achievement meets serene natural wonder. The primary draw is the Kennedy Space Center Visitor Complex, an essential experience for any inquisitive mind. Here, you can stand in the presence of the Space Shuttle Atlantis, marvel at the sheer scale of a Saturn V rocket, and gain a profound appreciation for the scientific dedication that propelled humanity beyond Earth's atmosphere. It is an intellectually stimulating day that perfectly balances education with awe.

Beyond the launchpads, the region offers a tranquil escape. The Canaveral National Seashore provides miles of pristine, undeveloped coastline—a perfect setting for a quiet walk or simply relaxing by the Atlantic. For a more immersive encounter with the local ecosystem, consider a kayaking excursion through the Banana River Lagoon, where you may glide past gentle manatees and wading birds in their natural habitat. The adjacent Merritt Island National Wildlife Refuge is a sanctuary for hundreds of species, offering a peaceful counterpoint to a demanding professional life.

While the world-famous attractions of Orlando are just an hour's drive, the area offers more than theme parks. Discover the sophisticated charm of Winter Park, with its upscale boutiques and cafes along Park Avenue, or admire the world's most comprehensive collection of Louis Comfort Tiffany's works at the Charles Hosmer Morse Museum of American Art. For a more local flavor, historic Cocoa Village presents a walkable district of quaint shops, art galleries, and riverside dining, capturing the relaxed essence of “Old Florida.”

At Sea - Cruising

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.

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.

Charlotte Amalie, St. Thomas, U.S.V.I.

Charlotte Amalie is one of the Caribbean’s most dynamic and bustling ports, a place where vibrant commerce and stunning natural beauty exist side-by-side. While its reputation as a duty-free shopping mecca is well-earned, the true charm lies in knowing how to navigate its offerings.

The historic downtown is a compact grid of Danish colonial architecture, where 18th-century stone warehouses now house an extensive array of jewelry, liquor, and electronic stores. For a genuine sense of the old city, step away from the main thoroughfares and explore the quiet stone-paved alleys. A worthwhile challenge is the climb up the historic “99 Steps” (actually 103) for rewarding views over the harbor.

For many, the highlight of St. Thomas is escaping the city bustle. The Skyride to Paradise Point offers the definitive panoramic photograph of your ship in the turquoise harbor—it’s a tourist staple for good reason. Of course, the beaches are a primary draw. Magens Bay is the island’s most famous stretch of sand; it’s undeniably beautiful, but expect crowds and an entrance fee. For a different experience, consider Sapphire Beach for its excellent snorkeling right offshore or the more tranquil Lindquist Beach, a protected part of a nature park.

Practical Tip: Getting around is typically done via open-air “safari” taxis. These are multi-passenger trucks that operate on set routes with fixed, per-person fares. Confirm the price to your destination with the driver before you depart to ensure a smooth and enjoyable day exploring the island.

Coco Cay, Bahamas

Let's be clear: Coco Cay is not a port for cultural immersion; it's a private island meticulously engineered for a perfect day of sun and fun. Think of it as a high-end water park and beach club rolled into one, accessible right off the ship. The island is divided into distinct zones, from the high-energy Thrill Waterpark with its impressive slides to the sprawling Oasis Lagoon, one of the largest freshwater pools in the Caribbean.

For those seeking relaxation, several white-sand beaches offer a classic tropical escape. If you're looking for a more exclusive, serene experience, the Coco Beach Club provides a quieter atmosphere with an infinity pool and overwater cabanas, available for an additional fee. While you won't find local markets or historical sites here, Coco Cay delivers exactly what it promises: a seamless, high-quality day of resort-style leisure and aquatic adventure.

Royal Caribbean's Wonder 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

Ocean View with Balcony (2D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

1,245.00
per person

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

Balcony Ocean View with Large Balcony (1C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Up to 4 guests. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
for Pricing

Balcony Ocean View with Balcony (1D)
Two twin beds that convert to a Royal King bed. 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: 182 sq. ft. Balcony: 52 sq. ft.

Call
800-422-0711
for Pricing

Balcony Central Park View with Balcony (1J)
Two twin beds that convert to Royal King. Boardwalk or Central Park view balcony, sitting area, and a private bathroom. Balcony: 52 sq. ft.

Call
800-422-0711
for Pricing

Balcony Ocean View 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: 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: 182 sq. ft. Balcony: 52 sq. ft.

Call
800-422-0711
for Pricing

Balcony Central Park View with Balcony (2J)
Two twin beds that convert to Royal King. Boardwalk or Central Park view balcony, sitting area, and a private bathroom. Balcony: 52 sq. ft.

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800-422-0711
for Pricing

Balcony Ocean View with Balcony (3D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
for Pricing

Balcony Ocean View with Balcony (4D)
Two twin beds that convert to a Royal King bed. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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800-422-0711
for Pricing

Balcony Connecting Ocean View with Balcony (CB)
Two twin beds that convert to a Royal King bed. Vanity and sitting area with sofa. Stateroom: 182 sq. ft. Balcony: 50 sq. ft.

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for Pricing

Outside

Ocean View Stateroom (4N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.
Note that most 4N Staterooms face the front of the ship and have the large, angled window (pictured) rather than a traditional porthole window.

941.00
per person

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

Outside Ultra Spacious Ocean View (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.

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800-422-0711
for Pricing

Outside Ocean View Stateroom (1N)
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 Ocean View 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

Inside

Interior Stateroom (4V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 172 sq. ft.

848.00
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 Interior Stateroom (1V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 172 sq. ft.

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800-422-0711
for Pricing

Inside Central Park Interior View (2S)
Two twin beds that convert to a Royal King bed. Room with bed, vanity and sitting area with sofa. Stateroom: 199 sq. ft.

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for Pricing

Inside Promenade View Interior (2T)
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

Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 172 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. Up to 4 guests. Stateroom: 172 sq. ft.

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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. Stateroom: 172 sq. ft.

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800-422-0711
for Pricing

Inside Connecting Inside Cabin (CI)
Two twin beds that convert to Royal King, Central Park view, sitting area, and a private bathroom. Stateroom: 172 sq. ft.

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800-422-0711
for Pricing

Suite/Deluxe Ultra Spacious Ocean View 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.