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Continuing Education, Inc.
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St Petersburg, Florida 33703

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Preventive Medicine and Preventive Cardiology

7-Night Southern Caribbean Cruise Conference
Round-trip San Juan, Puerto Rico
October 26 - November 02, 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 Summit</em> — *Celebrity Summit*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
9 Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Review new classes of medications for diabetes treatment with impact on CV outcomes, review 2017, 2018 CV outcomes data for GLP 1 agonists, SGTI, and summarize other CV data for older diabetes medications. Evaluate role of biomarkers such as Apo B and LDL P in cardiovascular risk assessment for primary and secondary prevention as well as management.

Review impact of biomarkers such as lipoprotein (a), homocystine and inflammation markers on cardiovascular disease treatment. Discuss impact of epidemic of obesity and treatment approach to work up and management of patients impacted by obesity and its comorbities.

Topics:

Preventative Medicine From A to Z
- Discuss state-of-the-art cardiovascular and global preventative medicine principles
Reaching the 2018 Blood Pressure Goals-A Focus on Isolated Systolic and Resistant Hypertension
- Differentiate methods to diagnose resistant hypertension and achieve treatment goals
The Impact of Recent Clinical Trials on Preventative Cardiology in the Office-Let's Make the Cardiologist as Lonely as the Maytag Repairman
- Appropriately apply primary and secondary cardiovascular prevention goals
Travel Medicine-Staying Well Away From Home
- Analyze a patient's requirements for prevention and treatment of travel-related health problems
The Bipolar Blues, Balls of Fire, and Bad Temperament-How to Bag the diagnosis and Benefit the Patient
- Feel more confident in differentiating between unipolar and bipolar mood disorders
The Utility of Heart Scans for Detecting Subclinical CHD and the Primary Prevention of Coronary Heart Disease
- Utilize coronary artery calcium scores to design appropriate primary CHD Prevention Strategies
Defeating Dementia-What Can WE Do?
- Explain diagnostic, treatment, and prevention strategies for Alzheimer's disease and vascular dementia
New Diabetes Medications that Improve Cardiovascular Outcomes
- Review cardiovascular outcomes data for currently available diabetes medications including review of new classes of agents, GLP-1 agonists, SGT2 inhibitors, QR bromocriptine
Obesity from the Perspective of a Lipidologist: Root Cause Analysis
- Identify medical factors, medications, insulin resistance as secondary causes of obesity and how to work up, address and treat these conditions
- Discuss how diet, genomics, microbiome and environmental factors influence the treatment of obese patients.
Lipoprotein (a), Homocysteine, Hypercoagulation and CV risk
- Review lp (a), homocystine, MTHFR as risk factors for cardiovascular disease.
- Discuss how to interpret and treat these biomarkers.
Heart Disease in Women: Putting Prevention into Practice
- Review cardiometabolic risk in women, use of advanced biomarkers and clinical application.
Complex lipid management: case study review
- Develop practical approach to using advanced lipid testing as well as treatment approach to reduce residual risks in patients with high risk for events.
Biomarkers: Role of Apo B, LDL-P vs LDL -C in primary and secondary prevention cardiovascular disease, also inflammation
- Review outcomes data for Apo B LDL P and cost effective approach to treatment using advanced testing.
- Learn concept of discordance of LDL C vs LDL P or ApoB

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

Tara Dall, MD, FNLA

Dr. Tara Dall is a board certified lipidologist with roots in family medicine and training at the University of Wisconsin Madison. She has spent the last 15 years using advanced biomarker testing in the clinical care of patients. She graduated in the inaugural class of Diplomates of the American Board of Clinical Lipidology in 2005. Her center achieved national recognition as the first fully certified Level II lipid clinic in the United States.

In 2008, Dr. Dall formed the Early Detection Center for heart disease and diabetes near Madison, Wisconsin and served as a clinical associate professor for the Medical College of Wisconsin. Two years later, she brought her fight against heart disease to the web, co-founding Lecturepad.org and FHITtv.org, web platforms that advance clinical understanding and application of advanced lipid and biomarker testing.

For 3 years Dr. Dall served as Chief Medical Officer of Health Diagnostic Laboratory. As an author and educator on biomarker research focused on the role that insulin resistance plays in diabetes prevention she has expanded the education of physicians to prevent chronic disease. She has a special interest in insulin resistance's role in cardiovascular disease, women's heart disease, Autoimmune disease, polycystic ovarian syndrome, and obesity. She also serves as chief of cardiometabolic education at the non-profit Foundation for Health Improvement and Technology (FHIT).

Known for her passionate delivery of complex medical topics in patient-friendly terms, Dr. Dall is a sought after speaker, traveling the world to present research on advanced biomarkers. She is a also a regular go-to for reporters, appearing on Bloomberg News, CBS Sports, CNN Radio, Reach MD Satellite Radio, and RadioHealth Journal. She was also a regular guest on KTXD-TV's The Broadcast in Dallas, as well as programs on wabcradio.com (Optimal wellness and Forever Young). She continues to practice medicine as a physician founder of AvanceMD Concierge in Richmond, VA which incorporates cutting edge web based technology to the human touch of medicine, providing services to local as well as national and international clients.

Wayne L. Peters, MD

Assistant Clinical Professor of Medicine, University of Colorado School of Medicine
Aurora, Colorado
Participating Provider, Executive Health Exams / Life Extension Institute

Dr. Wayne L. Peters is a native of Rapid City, South Dakota. He received his BA from Saint Olaf College in Northfield, Minnesota, his BS from the University of South Dakota, and his MD from the University of Colorado. He received his internal medicine training at the University of Florida, Jacksonville and was Chief of the General Internal Medicine Division at that institution from 1976 to 1982. From 1982 to 1984 he served as a Henry J. Kaiser Fellow in General Internal Medicine at the Massachusetts General Hospital/Harvard Medical School. Following his fellowship, he remained at the Massachusetts General Hospital as Director of the Lipid Consultation Service. He also taught in the Department of Preventive Medicine at Harvard Medical School under the direction of Dr. Alexander Leaf, who was involved in marine-oil research for over 25 years.

In 1986, Dr. Peters returned to Colorado to assume positions as Medical Director/Partner of HealthMark LLC, a private preventative medicine clinic and as an Assistant Clinical Professor of Medicine at the University of Colorado School of Medicine. He transitioned to Senior Medical Physician at HealthMark/OnPoint Medical Group on January 1, 2018. He is currently a Senior Participating Provider with Executive Health Exams/Life Extension Institute.

Accreditation

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

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

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

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

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

MOC ABIM

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Oct 26	San Juan, Puerto Rico	-	8:30 pm
Sun Oct 27	Basseterre, St. Kitts	9:30 am	6:00 pm
Mon Oct 28	At Sea - Cruising	-	-
Tue Oct 29	Oranjestad, Aruba	8:00 am	5:00 pm
Wed Oct 30	Willemstad, Curacao	8:00 am	5:00 pm
Thu Oct 31	Kralendijk (Bonaire), Antilles	8:00 am	5:00 pm
Fri Nov 01	At Sea - Cruising	-	-
Sat Nov 02	San Juan, Puerto Rico	6:00 am	-

PORTS OF CALL

San Juan, Puerto Rico

As your vessel navigates the deep blue channel into San Juan Bay, you are greeted by the same formidable sight that once deterred empires and pirates like Sir Francis Drake: the stone ramparts of Castillo San Felipe del Morro. While the age of swashbucklers is long past, their wake has left an island of profound national treasures, making San Juan far more than a point of departure—it is a destination demanding its own chapter in your travelogue. We encourage you to bookend your cruise with a few days here, allowing the city’s rhythm to fully envelop you.

**Pre-Cruise Immersion: A Walk Through 500 Years of History**

Arrive a day or two early to decompress and transition into vacation mode. Settle into your accommodations, perhaps a restored colonial hotel within the walled city or a chic beachfront resort in nearby Condado. Your first exploration should be on foot, through the enchanting streets of Old San Juan. The blue-hued adoquín cobblestones, cast from furnace slag and brought over as ballast in Spanish galleons, pave your way through a vibrant grid of pastel-hued townhomes with intricate ironwork balconies overflowing with bougainvillea.

Dedicate your first full day to the UNESCO World Heritage sites that define the city’s skyline. Begin at the six-level citadel of **Castillo San Felipe del Morro**. Walk the sprawling, windswept lawn where soldiers once drilled and children now fly kites, and explore the sentry boxes, barracks, and cannon batteries that guarded the entrance to the Caribbean for centuries. The panoramic views of the Atlantic are simply breathtaking. From there, stroll along the city walls to its larger counterpart, **Castillo San Cristóbal**, a masterpiece of 18th-century military engineering designed to protect against land-based attacks. Venture into its tunnels and stand in the famous “Garita del Diablo” (Devil’s Sentry Box), shrouded in legend.

For lunch, step away from the main thoroughfares and find a local fonda for an authentic taste of *comida criolla*. This is your opportunity to try a classic *mofongo*—a savory mound of mashed plantains, garlic, and olive oil, often filled with succulent pork, shrimp, or chicken. In the afternoon, delve deeper into the city’s heritage. Visit the final resting place of the island’s first governor, Juan Ponce de León, at the magnificent **Catedral de San Juan Bautista**. Nearby, tour **La Casa Blanca**, a fortified residence built for his family in 1521, now a museum offering a glimpse into 16th- and 17th-century life. As evening descends, enjoy a handcrafted cocktail at a rooftop bar overlooking the harbor before indulging in a sophisticated dinner at one of Old San Juan’s celebrated restaurants, where chefs artfully fuse Taíno, Spanish, and African culinary traditions.

**Post-Cruise Exploration: Beyond the City Walls**

After your cruise, with the relaxed pace of the sea still with you, use your extra days to explore the island’s diverse character. Venture beyond the old city to experience modern Puerto Rican life and stunning natural beauty.

One compelling option is a day trip to **El Yunque National Forest**, the only tropical rainforest in the U.S. National Forest System. A short drive from San Juan, this lush wonderland offers well-maintained hiking trails that lead you through a canopy of giant ferns and tabonuco trees, past cascading waterfalls, and to observation towers with sweeping views of the coast. The cool, misty air and the symphony of coqui frogs provide a restorative contrast to the sun-drenched city.

For a different kind of cultural immersion, explore the dynamic neighborhood of Santurce. Known for its vibrant street art and murals, Santurce is the city’s creative pulse. Visit the **Museo de Arte de Puerto Rico**, which houses a comprehensive collection of Puerto Rican art from the 17th century to the present. In the evening, experience the energy of **La Placita de Santurce**. A humble farmer’s market by day, it transforms at night into a bustling open-air block party, where locals and visitors alike gather to enjoy live music, dance salsa in the streets, and sample food from the surrounding kiosks and restaurants. It’s an authentic, joyous, and unforgettable experience.

Alternatively, you can dedicate your post-cruise time to pure relaxation. The golden sands of Isla Verde and Condado Beach are lined with resorts and beach clubs, offering the perfect setting to unwind with a book and a piña colada—a cocktail famously invented right here in San Juan. Or, for a taste of the island’s most famous export, take a ferry across the bay to Cataño for a tour of the **Casa Bacardí** distillery, where you can learn about the history of rum and master the art of mixing the perfect mojito.

San Juan is a city of layers, where colonial history, vibrant arts, world-class cuisine, and breathtaking nature converge. By extending your stay, you transform your cruise from a simple voyage into a deep, enriching cultural journey, allowing you the time and space to truly connect with the heart and soul of the “Island of Enchantment.”

Basseterre, St. Kitts

St. Kitts offers a compelling look into the Caribbean's colonial past, anchored by one of the most impressive historical sites in the region. The main event here is the Brimstone Hill Fortress, a massive, astonishingly well-preserved British fortification and UNESCO World Heritage site. Known as the "Gibraltar of the West Indies," its cannons and stone walls command breathtaking panoramic views of the sea and neighboring islands. It’s a must-see for anyone interested in history or simply a spectacular viewpoint.

For a more relaxed perspective, the St. Kitts Scenic Railway offers a unique journey along old sugarcane lines, providing a leisurely tour of the island's coastline and villages. If a classic beach day is your goal, head to the southern peninsula. Here, beaches like Cockleshell Bay and South Friars Bay offer calm waters, soft sand, and a string of lively beach bars with excellent views of the neighboring island of Nevis.

Back in Basseterre, the town itself is a compact grid of colonial architecture, centered around the small but photogenic Circus. While the town is pleasant for a short stroll, the island's true treasures lie just beyond. St. Kitts delivers a rewarding day for those who prioritize history and natural scenery over extensive shopping.

At Sea - Cruising

Oranjestad, Aruba

Aruba presents a unique Caribbean landscape, trading lush jungle for an arid, desert-like beauty of cacti, rock formations, and its iconic, wind-swept divi-divi trees. The cruise port docks directly in the capital, Oranjestad, a clean and walkable city defined by its brightly colored Dutch colonial architecture. A complimentary open-air trolley makes a convenient loop through the main downtown area, which is filled with high-end retailers and local boutiques.

While the city is charming, Aruba’s primary draw is its magnificent coastline. A short taxi or bus ride north of the port reveals two of the Caribbean’s most celebrated beaches. Eagle Beach is a vast expanse of pristine white sand, consistently ranked among the world's best, offering a more tranquil atmosphere. Adjacent Palm Beach is livelier, lined with resorts, beach bars, and a full spectrum of water sports.

For those seeking an alternative to the beach, the island’s interior offers a compelling look at its rugged terrain. A visit to Arikok National Park showcases a dramatic coastline and caves with ancient Arawak petroglyphs. Closer to the port, the Casibari Rock Formations provide an easily accessible opportunity to climb among massive tonalite boulders for panoramic island views. Aruba offers a polished and safe environment, balancing world-class beach relaxation with accessible and distinctive natural scenery.

Willemstad, Curacao

Willemstad is not just another Caribbean port; its historic core is a designated UNESCO World Heritage site, offering a cultural depth that rewards exploration. The city is bisected by St. Anna Bay, and the two sides, Punda and Otrobanda, are connected by the iconic Queen Emma Pontoon Bridge. Walking across this floating bridge as it swings open for passing ships is a quintessential Willemstad experience.

Punda is home to the famous Handelskade, the waterfront row of brightly colored, 18th-century Dutch colonial buildings that form the island's signature image. Its gridded streets are filled with shops, galleries, and cafes, along with the Mikvé Israel-Emanuel Synagogue, the oldest continuously operating synagogue in the Americas. Across the bay, Otrobanda (“the other side”) offers a more residential feel with a maze of winding alleys. It is also the location of the Kura Hulanda Museum, a powerful and essential institution that chronicles the transatlantic slave trade and its profound impact on the region.

While the city itself is the main attraction, Curacao’s renowned beaches require transportation. A taxi or pre-arranged tour is necessary to reach them. For a full-service beach club atmosphere, Mambo Beach is a popular choice. For more natural beauty, the island's west coast (Westpunt) features stunning coves like Kenepa Grandi and Cas Abao, known for their turquoise water and dramatic cliffs. A visit to the Curacao Liqueur Distillery offers a brief, flavorful diversion for a taste of the island's famous spirit.

Kralendijk (Bonaire), Antilles

Bonaire's identity is inextricably linked to the sea. The entire coastline is a protected national marine park, a pioneering effort in conservation that has preserved one of the Caribbean's most vibrant underwater ecosystems. This makes world-class snorkeling and diving remarkably accessible, often just steps from the shore. The main town, Kralendijk, is a clean, quiet, and walkable port. Its main street, Kaya Grandi, is lined with colorful Dutch-Caribbean architecture housing boutiques and galleries, while waterfront cafes offer a tranquil spot to watch sailboats in the bay.

While the town is pleasant, the island's true allure lies in its natural state. A short taxi ride can take you to a nearby beach for an easy snorkel, or to the southern tip to see the striking contrast of white salt pans, blue water, and the iconic pink flamingos of the Pekelmeer Sanctuary. Bonaire is not a destination for high-energy thrills or extensive historical sites; it is a place to slow down and immerse yourself in a pristine natural environment. It offers a genuine, low-key Caribbean experience for those who appreciate the beauty of the world beneath the waves.

Celebrity Summit

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 AquaClass Staterooms are spacious, centrally-located veranda staterooms which include luxurious wellness-oriented services and amenities. You’ll enjoy access to an exclusive restaurant (Blu), unlimited access to the Persian Garden spa lounge, a personal spa concierge, daily delivery of flavored tea, and more! King bed that can be converted into two twin beds. 194 sq ft with 54 sq ft veranda.