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12th MEHS: The Ethics of Balancing Business & Patient Care

7-Night Spain & France Cruise
Round-trip Southampton (London), England
May 19 - 26, 2024

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

COURSE CREDITS & HOURS

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

COURSE FEES

Attendees	Registration Fee
(Cruise Pricing is Additional and Listed Separately)
Physicians, Psychologists, Psychiatrists, Dentists, Pharmacists, Healthcare Executives, and Faculty Seeking up to 14 CE Credits / CE Contact Hours	$895.00
Physician Assistants, Nurse Practitioners, CRNAs, Chiropractors, Physical/Rehab/Occupational/etc. Therapists, and other Non-Physician healthcare providers Seeking up to 14 CE Credits / CE Contact Hours	$695.00
Nurses, Nursing Home / Home Healthcare Practitioner, Residents, Current students, and former students* of Dr. Chandra or Dr. Stroube *proof/verification required Seeking up to 14 CE Credits / CE Contact Hours	$495.00
Non-CE Earning: Faculty / Corporate Members to participate in the Academic Conference and can attend CE Sessions, but will not recieve CE Credit	$295.00
Non-CE Earning: Students / Guests to participate in the Academic Conference and can also attend CE sessions, but will not recieve CE Credit	$195.00

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Day	Activity	Time
Monday, May 20th	Face-to-Face Session	9:00a - 12:00p
	Assignment Completion Time	4 Hours (Self-Paced)
Friday, May 24th	Face-to-Face Sessions (CE Sessions)	9:00a - 12:00p
	Intl. Conf. Presentations (Non-CE earning but open to all registrants)	2:00p - 5:00p (As Needed)

Pre-Conference Activity

At least FOUR hours worth of Pre-Conference study materials, including cases and assignments, will be sent to all pre-registered CE attendees prior to the start of the event and at least TWO weeks prior to the cruise departure date.
Cases/Assignments provided prior to face-to-face lectures will be discussed in class on Day 1 and/or Day 2 of CE sessions

Pre-Conference Self-Study topics (slides)

"Social Sciences, Marketing Research Techniques, and Business Strategies to Improving Patient Care"

The basics of a patient satisfaction survey
The 5W&H of understanding the patient and associated environmental issues
The role of patient and caregiver satisfaction surveys
Situations requiring quick survey research: valuing internal vs. external surveyors
Survey research design, organizing, overseeing, reporting, and understanding
Types of data collection techniques
Inclusion and exclusion criteria
Writing good survey questions: A critical look at a variety of different questions
Understanding the report and determining strategies for patient care improvement
Ethical issues pertaining to patient/caregiver satisfaction surveys

The Workplace Environment and its Impact on Patient Care

Impact of inter-personnel conflict on patient care
Correlation between conflict situations and organizational complexity
Factors that trigger conflict
Conflict between different types of personnel:
1. Physician-Physician
2. Physician-Nurse
3. Nurse-Nurse
4. Department-Department
Professional disparagement and its impact on patients and care delivery
Case study, role-playing exercise, and discussion
Professional and Unprofessional Behavior - Expectations of Professionalism from:
1. Healthcare personnel perspective
2. Patient perspective
3. Family/Guardian/Caregiver Perspective
4. Discrimination
  1. Workplace
  2. Patient
5. Case Study and Discussion
Managing Compression
1. Ethical dimensions of appropriate communication by medical office staff
2. Value, Issues, and Challenges
3. Types of communication
4. Non-verbal communication
5. Impact on patient and caregiver and their subsequent relationships with health professions
6. Cautions & Precautions
7. Case Study, Role Playing Excursion, and Discussion

ASSIGNMENTS - Given at the end of the lecture to be completed by participants and be ready to present on Friday, May 24th, 2024. If needed, the key presenter of the course will be available to assist and provide guidance to the participants regarding the assignments.

Ethical Principles and Moral Philosophies; Ethical Issues Pertaining to Patient Confidentiality & Consent

ETHICAL ISSUES 1: Patient confidentiality and consent

Potential Compromising situations where patient confidentiality can unintentionally be breached:
1. In healthcare institutions/settings
2. By health and non-health personnel
3. In other social settings
Examples and interactive cases
Differentiation between types of consent AND assessing consent issues for an about different clients - minors, adults, and elderly
Case studies and role-playing exercise

ETHICAL ISSUES 2: Gatekeepers for ethical integrity

Conflict of interest
Whistleblower
Impaired healthcare provider
Case study and discussion

Managing Technological Impact on Patient Care

Ethical challenges due to the increasing interference of technology in patient care and patient data maintenance
Cell phones - unauthorized photography and texting
Personal Computers and Tablet PCs - Researching and postings
Case study and discussion related to unethical behaviors pertaining to utilizing cell phones and computers by health professionals
The 5-W&H of patient data access
Situations of unauthorized patient data access
Case studies and discussion

Final Thoughts and Discussion

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

Ashish Chandra, MBA, PhD

Professor Ashish Chandra is a Professor of Healthcare Administration, College of Business at the University of Houston-Clear Lake (UHCL), Houston, Texas, USA where he also served as the Department Chair for over four years at UHCL. All together Dr. Chandra has over 20 years of university level teaching experience in the U.S. He is a well-recognized healthcare administration academician internationally and serves on the academic advisory board of several educational institutions in Turkey and India. He has also provided over a dozen Management Development Program, Faculty Development Programs, and professional consulting services to several healthcare and business organizations in the United States, India, Turkey, and aboard cruise ships. He actively served on the board of directors of several professional and community organizations in the United States. Over the past four years he has served as the Course Director and Speaker of five Continuing Education Programs for health professionals.

Dr. Chandra is a prolific researcher and has 75 publications in refereed journals, two edited books, ten book chapters, and over 250 publications in conference proceedings. He is an Executive Editor of the journal Hospital Topics (the oldest journal in healthcare administration field - almost 95 years in existence). He has served as the President of FOUR major international academic organizations - the Business and Health Administration Association; the Association of Collegiate Marketing Educators; the MBAA International; and the Federation of Business Disciplines. He has also served as the Program Chair of over a dozen major international conferences, held in U.S., India, Turkey, and U.K. as well as aboard cruise ships in the Caribbean, Alaska, Baltics, and Mediterranean.

Professor Chandra has received numerous awards and recognition related to teaching, research, and service throughout his career, including the 2017 Excellence in Teaching Award by the National Society for Leadership Success; 2015 Outstanding Professor Award given by the University of Houston - Clear Lake Alumni Association; 2012 American College of Healthcare Executives Service Award; 2011 Outstanding Educator Award from the Association of Collegiate Marketing Educators; to name a few. He also has the distinct honor of being the Commencement Speaker at the December 2018 graduation ceremony of the University of Houston – Clear Lake. The URL link to Dr. Chandra’s commencement speech is below. Please cue to minute 32 of the video link in case you just want to see Dr. Chandra’s speech.
URL to speech https://www.youtube.com/watch?v=HpwOooexSYA&t=2984s

William B. Stroube, PhD

Professor of Health Services Administration
Director, Health Services Administration Program
University of Evansville

Bill Stroube is Professor of Health Services Administration at the University of Evansville. Before joining the UE faculty in 1998, he spent twelve years in management positions in the pharmaceutical industry, and eight years at the U.S. Food and Drug Administration in Washington, D.C.

Dr. Stroube maintains an active research program and has authored and co-authored over 60 publications in peer reviewed journals and conference proceedings. His research and teaching interests include international health care issues, medical ethics, and health care marketing and strategy. He is past president of the Division of Biology and Medicine of the American Nuclear Society, and past president of the international Business and Health Administration Association.

He has extensive international experience leading student groups through several health care systems. He has taught over twenty-five summer classes in various formats in England, Hungary, Slovakia, and China. Dr. Stroube has served as Adjunct Professor at IMS Union University in Dehradun, India, and is a Visiting Fellow at the University of Nottingham, UK.

He holds a B.S. in Chemistry from Murray State University, an MBA in finance from the University of Maryland, and a PhD in analytical and nuclear chemistry from the University of Kentucky.

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
Sun May 19	Southampton (London), England	-	5:00 pm
Mon May 20	At Sea - Cruising	-	-
Tue May 21	Bordeaux (La Rochelle), France	8:00 am	5:00 pm
Wed May 22	Bilbao, Spain	8:00 am	5:00 pm
Thu May 23	La Coruna, Spain	8:00 am	5:00 pm
Fri May 24	At Sea - Cruising	-	-
Sat May 25	Paris (Le Havre), France	8:00 am	10:00 pm
Sun May 26	Southampton (London), England	5:30 am	-

PORTS OF CALL

Southampton (London), England

Why not begin your magnificent cruise adventure with an unforgettable overture in one of the world's most exhilarating cities? Arriving a day or two early transforms your embarkation from a simple logistical step into a rich, cultural experience, allowing you to decompress from your travels and immerse yourself in the vibrant tapestry of London. As Samuel Johnson famously declared, "when a man is tired of London, he is tired of life," and his words ring as true today as ever.

**A Perfect Pre-Cruise Itinerary**

Imagine arriving at Heathrow or Gatwick, whisked into the city center via the swift Express trains, and settling into your hotel. For ultimate convenience, consider accommodations near Waterloo Station. Not only is it a major hub on the Underground (“the Tube”), making exploration effortless, but it is also the direct departure point for your stress-free train journey to the Southampton cruise terminal.

**Day 1: A Journey Through Royal & Historic London**

Once settled, begin your exploration in the heart of British power and pageantry. Start at Westminster, a UNESCO World Heritage site. Stand in awe before the Gothic splendor of Westminster Abbey, the nation’s coronation church for nearly a millennium and the final resting place of monarchs, poets, and scientists. Gaze upon the iconic Elizabeth Tower (home to Big Ben) and the Houses of Parliament. From there, enjoy a classic London stroll through St. James's Park, a beautiful green space leading directly to the gates of Buckingham Palace. Time your visit to witness the world-famous Changing of the Guard ceremony for a dose of quintessential British pomp.

In the afternoon, delve into a darker, more dramatic chapter of history at the formidable Tower of London. Here, the captivating tales of intrigue and royal drama are brought to life by the Yeoman Warders (the famous ‘Beefeaters’). The undisputed highlight is the Crown Jewels, an extraordinary collection of over 100 objects and 23,000 gemstones that must be seen to be believed. Afterward, take a walk across the iconic Tower Bridge for breathtaking views of the fortress and the modern city skyline. As evening descends, make your way to the glittering West End. Enjoy a pre-theatre dinner in the vibrant Covent Garden district before taking in a world-class musical—an experience that epitomizes London's dynamic cultural scene.

**Day 2: Culture, Cuisine, and Unforgettable Views**

Your second day offers a chance to explore London's world-class museums, many of which offer free general admission. History and archaeology buffs can lose themselves in the British Museum, home to global treasures like the Rosetta Stone and the Parthenon Marbles. For those with a passion for art and design, the Victoria and Albert (V&A) Museum in South Kensington is an unparalleled repository of decorative arts spanning centuries and continents.

For lunch, immerse yourself in the sensory delight of Borough Market. A historic food market near London Bridge, it’s a bustling haven for food lovers, brimming with artisanal cheeses, gourmet street food, fresh oysters, and specialty coffees. In the afternoon, see the city from a different perspective with a breathtaking rotation on the London Eye. The glass pods lift you high above the Thames for iconic 360-degree vistas, connecting the historic landmarks you saw on day one with the sprawling modern metropolis. Afterward, enjoy a leisurely walk along the South Bank, passing Shakespeare's Globe and the Tate Modern art gallery.

For a final, indulgent experience, treat yourself to the quintessential British tradition of afternoon tea at a classic hotel, complete with delicate sandwiches, scones with clotted cream and jam, and exquisite pastries. Or, for a more casual evening, find a traditional pub that has been welcoming patrons for centuries, enjoy a pint of ale, and savor some hearty pub fare like fish and chips or a classic Sunday roast.

On embarkation day, you’ll enjoy a relaxed morning before taking the comfortable, direct train from Waterloo to Southampton Central (a journey of about 90 minutes). A short taxi ride from the station will have you at your cruise terminal, your spirit already buzzing with the magic of London. It’s the perfect, sophisticated start to your incredible journey.

At Sea - Cruising

Bordeaux (La Rochelle), France

Bilbao, Spain

Bilbao is a masterclass in urban reinvention, a city that has transformed its industrial grit into architectural grace. The undeniable centerpiece is the Guggenheim Museum, Frank Gehry’s titanium-clad marvel that appears to shimmer and shift along the Nervión River. The building itself is as much a work of art as the modern and contemporary collections it houses. Even a simple walk around its exterior, encountering iconic sculptures like Jeff Koons' floral 'Puppy' and Louise Bourgeois' towering spider, 'Maman,' is a profound experience.

Beyond the museum, Bilbao reveals its historic soul in the Casco Viejo (Old Quarter). A short walk or tram ride away, this labyrinth of the original 'Siete Calles' (Seven Streets) is a vibrant hub of shops, centuries-old buildings, and the Gothic Santiago Cathedral. This is the heart of Basque culinary culture. The essential experience here is the 'txikiteo,' a convivial crawl from one bar to the next, sampling 'pintxos'—small, artful bites that are a cornerstone of local life. Plaza Nueva is an excellent starting point for this gastronomic adventure.

It is important to note that cruise ships dock in Getxo, a coastal town about 20-30 minutes from Bilbao’s city center. Taxis, cruise line shuttles, and an efficient metro system make the journey straightforward. This separation allows for a pleasant transition from the seaside into the dynamic, culture-rich core of the Basque Country's most compelling city.

La Coruna, Spain

La Coruña serves as a superb introduction to Galicia, Spain’s distinct and verdant northwestern region. The city presents a compelling choice for your day: immerse yourself in its own considerable Atlantic charms or journey inland to the world-renowned pilgrimage city of Santiago de Compostela.

If you remain in La Coruña, the undisputed highlight is the Tower of Hercules. This UNESCO World Heritage site is the world's oldest functioning Roman lighthouse, and climbing its steps rewards you with commanding views of the rugged coastline. From there, a stroll along the expansive Paseo Marítimo seaside promenade leads to the city’s historic heart. The Old Town (Ciudad Vieja) is a delightful maze of stone lanes, quiet squares, and Romanesque churches. It eventually opens onto the grand Plaza de María Pita, the city’s main square, dominated by its stately city hall. Don’t miss the iconic 'galerías'—glass-enclosed balconies that line the harbor front, earning La Coruña the nickname “The Crystal City.” Galician cuisine is a highlight; seek out a local restaurant for exceptional seafood, particularly *pulpo a feira* (market-style octopus), paired with a crisp Albariño wine.

Alternatively, a full-day excursion to Santiago de Compostela is a truly worthwhile endeavor. As the final destination of the Camino de Santiago pilgrimage, the city has a palpable spiritual and historical weight. The magnificent Cathedral, which houses the tomb of St. James, is the breathtaking centerpiece of a city built from granite and faith. La Coruña offers a genuine taste of a different Spain—one defined by its Celtic roots, Atlantic soul, and profound history.

Paris (Le Havre), France

The port of Le Havre is your gateway to two distinct, equally compelling French experiences: the whirlwind energy of Paris or the profound history of Normandy. It is essential to understand the choice you are making.

A day trip to Paris is feasible, but it is a significant commitment. The journey is typically 2.5 to 3 hours each way by bus or train, consuming a large portion of your day. This leaves a condensed window to experience one of the world's great capitals. A realistic Paris day involves seeing iconic landmarks from the exterior—the Eiffel Tower, Arc de Triomphe, the Champs-Élysées—and perhaps a brief stroll through a charming neighborhood like Le Marais or Saint-Germain-des-Prés. A deep dive into the Louvre or a leisurely multi-course meal is generally not practical. It is a day for impressions, not immersion.

Alternatively, the surrounding region of Normandy offers rich, more accessible rewards. The charming port of Honfleur, with its slate-fronted houses and vibrant harbor painted by Monet, is less than 30 minutes away. The historic city of Rouen, where Joan of Arc was tried and martyred, boasts a magnificent Gothic cathedral and a beautifully preserved medieval center. For those interested in 20th-century history, the D-Day landing beaches are a powerful and moving full-day excursion. Visiting Omaha Beach and the American Cemetery at Colleville-sur-Mer provides a somber, unforgettable perspective on the sacrifices made here. Le Havre itself, a UNESCO World Heritage site for its post-war modernist architecture, offers a unique look at urban renewal for those seeking a low-key day.

Royal Caribbean's Anthem 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 (4D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

1,283.64
per person

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and we'll find the best value for you.

Balcony Oceanview with Large Balcony (1C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.
Stateroom: 177 sq ft., Balcony: 81 sq. ft.

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Balcony Oceanview with Balcony (1D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Obstructed Oceanview with Balcony (1E)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Oceanview with Large Balcony (2C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.
Stateroom: 177 sq ft., Balcony: 81 sq. ft.

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Balcony Oceanview with Balcony (2D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Obstructed Oceanview with Balcony (2E)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Studio Oceanview with Balcony (2F)
Single full size bed, full bathroom and private balcony. Single occupancy stateroom, no single supplement required. Stateroom: 119 sq. ft. Balcony: 55 sq. ft. Some of these staterooms on Deck 6 have obstructed views.

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Balcony Oceanview with Balcony (3D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 198 sq ft., Balcony: 55 sq. ft.

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Balcony Oceanview with Large Balcony (4C)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 177 sq ft., Balcony: 81 sq. ft.

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Balcony Oceanview with Balcony (5D)
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Balcony Oceanview with Balcony (6D)
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Balcony Oceanview with Balcony (7D)
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Balcony Oceanview with Balcony (8D)
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Outside

Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair.
Stateroom: 182 sq. ft.

1,746.64
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Outside Spacious Oceanview (1M)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair. Stateroom: 214 sq. ft.

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Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair. Stateroom: 182 sq. ft.

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Outside Spacious Oceanview (2M)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair.
Stateroom: 214 sq. ft.

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Outside Spacious Oceanview (4M)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Alcove with large forward-view panoramic window with seat and lounge chair.
Stateroom: 214 sq. ft.

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Inside

Interior Stateroom (4U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom.
Stateroom: 166 sq. ft.

968.64
per person

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Inside Interior Stateroom (1U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. Stateroom: 166 sq. ft.

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800-422-0711
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Inside Interior Stateroom (2U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom.
Stateroom: 166 sq. ft.

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Inside Studio Interior (2W)
Full size bed and full bathroom. Enjoy Virtual Views of real-time scenery via your flat-screen television. Single occupancy stateroom, no single supplement required. Can sleep up to 1. Stateroom: 101 sq. ft.

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Inside Interior Stateroom (3U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. Stateroom: 166 sq. ft.

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Suite/Deluxe Grand Suite with Large Balcony - 1 Bedroom (GB)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub, two sinks and second entrance that opens to living room. Living room with sofa that converts to double bed, entertainment center, and writing desk. Wrap around private balcony with seating area and private dining. Stateroom: 351 sq. ft. Balcony: 259 sq. ft.