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Primary Care Update 2014
Common Illnesses and Injuries
from Emergency Care through Rehabilitation

9-Night Baltic Cruise Conference from Copenhagen, Denmark
July 21 - 30, 2014

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.

Norwegian Cruise Lines's Great <em>Norwegian Star</em>
Norwegian Star

14 AMA PRA Category 1 Credit(s)™
13.75 AAFP Prescribed Credits
14 AAFP Prescribed Credit(s)
14 Contact Hours

Course Fees:
$695 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$450 for Physician Assistants, Nurse Practitioners, Nurses & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Target Audience
Physicians, Nurses, Physician Assistants, Nurse Practitioners
Program Purpose / Objectives
Purpose: To review acute and rehabilitation care for a variety of common illnesses and injuries.
Topics and Objectives
  1. Stroke Rehabilitation: D.Baras MD: Traditional practice has been that the brain can not reorganize post stroke. This presentation will review how the research in neuroplasticity has changed both the thinking and delivery of rehabilitation post stroke.
    • LEARNING OBJECTIVE: Incorporate the science of neuroplasticity in the rehabilitation care of the stroke patient.
  2. Acute Stroke: M Barasz MD : The rapid changes in acute stroke care with designation of primary and comprehensive stroke centers to neurothrombectomy requires the practitioner to aware these changes to effectively treat acute stroke. This presentation will review these changes in the form of a case presentation.
    • LEARNING OBJECTIVE: Review and discuss updated stroke guidelines.
  3. Rehabilitation of Common Musculoskeletal Disorders: D Baras MD: Although the management of these common musculoskeletal disorders is almost a daily event for the primary practitioner, there are a number of practice pearls and performance improvements that will aide the practitioner in improving the long term outcomes.
    • LEARNING OBJECTIVE: Discuss varying presentations of common musculoskeletal disorders and their treatment options.
  4. Medical Errors: M Barasz MD: Medical errors are an inevitable part of every practice. This presentation will concentrate on the biases we as practitioners bring to our job each day and how they influence our medical decisions. Understanding these biases has the potential of reducing medical errors.
    • LEARNING OBJECTIVE: Understanding of common cognitive biases in medical practice and how the use of metacognition aids in the reduction of medical errors.
  5. Cardiac and Pulmonary Rehabilitation: D. Baras MD : Somewhere between 10-20% of eligible cardiac and pulmonary patients actually receive cardiac/pulmonary rehabilitation and the potential benefits that would accrue from their participation. This presentation reviews the literature for cardiac/pulmonary rehabilitation, giving the practitioner the necessary data to guide their patients.
    • LEARNING OBJECTIVE: Discuss the benefits of cardiac/pulmonary rehabilitation and how to incorporate this in a patient’s care.
  6. Acute Chest Pain: M Barasz MD: As one of the most frequent reasons for emergency department visits, care of these patients continue to present challenges “not to miss” any significant event. This forces a diagnostic dilemma between over testing and potential litigation. This presentation, using a case study, will review recent changes in the literature in the management of this difficult problem.
    • LEARNING OBJECTIVE: Review and discuss the updated guidelines for patients with acute ST elevation myocardial infarction.
  7. Exercise is Medicine: D Baras MD: Physical inactivity is now considered one of the leading causes of illness and death. This presentation will review the “exercise history” as a vital sign. The practitioners will be presented the literature on the use of a exercise prescription and be asked to participate in developing one for a practice patient.
    • LEARNING OBJECTIVES: Define the place in medical care of exercise and to develop a hands on understanding of how to prescribe exercise.
  8. Interesting Articles in Emergency Medicine: M Barasz MD : Each year thousand of medical research articles are printed, but few actual impact the way the practitioner works each day. Articles in this presentation will force the practitioner to consider changing practice algorithm.
    • LEARNING OBJECTIVE: Review the recent practice changing literature in Emergency Medicine.
  9. Post Concussion Syndrome: D Baras MD: As the literature changes on the pathophysiology of concussion, the practitioner must recognize the subtle changes that can occur in the concussed patient. Advice not only to the patient, but often to the family and athletic department must be incorporated in the care of these patients. This presentation will review how to best achieve these goals.
    • LEARNING OBJECTIVE: Understanding and implementing present guidelines for return to work and sports.
  10. Acute Head Injury: M Barasz MD: Over 135,000 ED visits each year for head injuries, makes the care of these patients a frequent event. Yet with the increasing concern over the effect of radiation of young brains and the post concussive syndrome, the ED physician’s challenge is to balance the use of diagnostic testing with the potential harm they may cause. Recognizing which patient can be safely discharged and which requires further testing is the aim of this presentation.
    • LEARNING OBJECTIVE: Discuss useful algorithms for head injuries to help avoid excessive radiation exposure.
  11. Bariatric Dilemmas: D Baras MD: The management of overweight/obese patient is generally an after thought. This presentation will review some of the barriers the practitioner faces when treating these patients as well as some of the potential solutions.
    • LEARNING OBJECTIVE: Review and discusss the present bariatric rehabilitation literature.
  12. Bariatric Dilemmas in the ED: M Barasz MD: From the moment 9-1-1 is called to pick up a bariatric patient to their transport and entry into the ED, the bariatric patient presents the Emergency Medical System with a host of dilemmas. This presentation will review the challenges faced when treating these patient acutely and what can be done to overcome these obstacles.
    • LEARNING OBJECTIVE: Formulate an action plan to better manage these patients .
  13. Acute and Chronic Pain Management: D Baras MD: This presentation will review the pathophysiology of acute and chronic pain. It will give the practitioner an understanding of where medications in the pain matrix may be beneficial in specific pain disorders.
    • LEARNING OBJECTIVE: Define varying treatment options that enhance function and quality of life.
  14. Acute Respiratory Distress: M Barasz MD: Dyspnea is a complaint for which there is a host of clinical syndromes that must be considered. Using a case presentation, the unique aspects of potentially fatal clinical syndromes will be reviewed; with a particular emphasis on the recent literature in pulmonary emboli.
    • LEARNING OBJECTIVE: Cite and discuss relevant literature to develop a more uniform practice interventions.

This Live activity, Primary Care Update 2014 Common Illnesses and Injuries from Emergency Care through Rehabilitation Cruise Conference, with a beginning date of 07/21/2014, has been reviewed and is acceptable for up to 13.75 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Faculty
David H. Baras, M.D.,
Dr. Baras is Board Certified in Physical Medicine and Rehabilitation(PM&R) and a Fellow in the American Academy of PM&R since 1985.Besides maintaining an active practice, he continues to be a Clinical Preceptor for the University of South Florida College of Medicine(since 1994) teaching first and second year medical students.

After Dr. Baras received his undergraduate degree from Rensselear Polytechnic Institute, and then graduated with his medical degree, as a Chartered Member, from St. George's University School of Medicine in 1981.Dr. Baras completed his residency in PM&R at UCLA/V.A. Wadsworth Medical Centers in Los Angeles, California.

Dr. Baras has been the "Arthritis Walk Chair" for his local Arthritis Foundation as well as past Medical Director of Bayfront Rehabilitation Center in St. Petersburg, Florida and Outpatient Medical Director of HealthSouth Rehabilitation Hospital in Largo ,Florida where he developed programs and services for various medical and rehabilitation topics including Stroke,Fibromyalgia,Chronic Pain,Pain Management,Sports Injuries, Foot Disorders and Arthritis.

Presently, because of his expertise in Functional Lost and Disability, Dr. Baras is constantly asked to perform Independent Medical Examinations with special attention to motor vehicle accidents.

Mark Barasz, M.D., FACEP,
Dr. Barasz is Board Certified in Emergency Medicine and a Fellow in the American Academy of Emergency Medicine for over 25 years. He has practiced and taught Emergency Medicine in various settings from a level 1 trauma center to a 60,000 patient visit community hospital Emergency Department. He was chosen to receive the teacher's service award for Upstate Emergency Medicine Residency in 2004 as well as the Upstate Hospital President's teaching award.

Dr. Barasz received a biomed-MD degrees from Rensselear Polytechnic Institute of Technology and Albany Medical College in 1975. This was the first joint biomed-MD class for both these schools which required the students to finish both undergraduate and medical school in 6 years. He completed his residency in Family Medicine in 1978 and in 1980 started his 30 plus years emergency medicine at St Joseph Hospital Health Center in Syracuse, New York..

Dr. Barasz was the past Emergency Department Medical Director at St. Joseph's Hospital Health Center in Syracuse. During his time there, Upstate Hospital with St. Joseph Hospital developed an Emergency Medicine residency for which his emergency department acted as the community arm for the EM residents. He lead a team of physicians and mid level providers which developed an occupation medical practice, an urgent care practice, an observation medicine practice, the first emergency department ultrasound program,. and oversaw the growth of the department from 35,000 patient visits to over 52, 000 patients per year.

Presently, Dr. Barasz continues to practice Emergency Medicine.
Accreditation

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this 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.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Cruise Itinerary
DATE
PORT OF CALL
ARRIVE
DEPART
Mon Jul 21
Copenhagen, Denmark
-
5:00pm
Tue Jul 22
Berlin (Warnemunde), Germany
7:30am
10:00pm
Wed Jul 23
At Sea Cruising
Lectures 8:00am-12noon, 1:00pm-4:00pm
-
-
Thu Jul 24
Tallinn, Estonia
9:00am
5:30pm
Fri Jul 25
St. Petersburg, Russia - VISA REQUIRED
Overnight stay onboard
8:00am
-
Sat Jul 26
St. Petersburg, Russia
-
7:00pm
Sun Jul 27
Helsinki, Finland
7:00am
4:00pm
Mon Jul 28
Stockholm, Sweden
8:00am
4:00pm
Tue Jul 29
At Sea Cruising
Lectures 8:00am-12noon, 1:00pm-4:00pm
-
-
Wed Jul 30
Copenhagen, Denmark
7:00am
-

Ports of Call
Copenhagen, Denmark - Denmark's capital is sophisticated, saucy and friendly. Stroll the fairytale world of Tivoli Gardens to take in bright lights, castles that out-Disney Disney. See the city's 200- year-old Royal Palace, the lively Old Harbor - Hans Christian Andersen lived here. Salute the Little Mermaid, symbol of this light-hearted city.
Helsinki, Finland - Shaped by its bays and isles, it's one of Europe's most scenic capitals. Hear a Sibelius concert, tour across the Arctic Circle to Lapland, land of Santa Claus, reindeer and the Midnight Sun. Buy a birchbark basket.
St. Petersburg/Moscow - In Peter the Great's "Window on Europe", head for the fabulous Hermitage, with its renowned art collection from Raphael to Rembrandt, Titian to Tintoretto. Take in a concert--folkloric or grandly operatic. Make a flying trip to Moscow to view monuments from Soviet and pre-Soviet days: Red Square, the Kremlin, St. Basil's Cathedral, Lenin's Tomb.

*Visas are included with most shore excursions. If you wish to explore St. Petersburg on your own, however, a visa will be required; obtaining one can take some time, so please begin the visa process immediately.
Stockholm, Sweden - So much to see in this charming city, sprawled on 18 islands, often called the "Venice of the North." Cruise the sparkling waterways. Navigate narrow medieval streets. Watch the snappy changing of the guard at the Baroque Royal Palace. Shop for elegant gifts--glassware, stainless steel. Work up an appetite so you can do justice to the lavish smorgasbords
Tallinn, Estonia - Medieval walls and towers still stand tall in Old Town. Stroll and shop along cobblestone streets, walk up to the Baroque palace, drop in at Alexander Nevsky Cathedral to find inspiration in the gleaming mosaics and icons.
Warnemunde/Berlin, Germany - In Berlin history awaits: Checkpoint Charlie, Unter den Linden, Brandenburg Gate, the Reichstag. Browse lively Kurfurstendamm for delicate hand-painted porcelain, a snack of beer and bratwurst.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Norwegian Star

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

STATEROOM
ACCOMMODATIONS
PER PERSON
3-Bedroom Garden Villa - These Villas can accommodate up to seven guests. With three bedrooms, each with a king- or queen-size bed and luxury bath and shower, you have plenty of space to revel in. Also includes a living room, dining room as well as a private garden with hot tub, outdoor dining area and terrace to enjoy the beautiful view from. Includes butler and concierge service.
Call
800-422-0711
for Pricing
Deluxe Owner's Suite - The Deluxe Owner's Suite sleeps up to six guests and offers a world of comfort with a living room, dining room, bedroom with king-size bed and some offer a separate children's bedroom. Guests will have an unforgettable experience in this suite with a convertible sofa, luxury bath with whirlpool tub and a wall of windows to enjoy the great view. Includes butler and concierge service. Approx. Size: 667 - 732 sq. ft.
Call
800-422-0711
for Pricing
Owner's Suite -The Owner's Suites with Double Balconies are great for up to four guests. They include a living room, dining room and separate bedroom with king-size bed. Along with a mini-bar, luxury bath with whirlpool tub and an amazing double balcony. Includes butler and concierge service. Approx. Size: 721 sq. ft.
Call
800-422-0711
for Pricing
2-Bedroom Family Suite with Balcony - With enough room for up to six people, these Penthouses are perfect if you want to bring the whole family. Includes a living area, dining area, separate bedroom with queen-size bed as well as a separate children's bedroom and a large private balcony so you can all enjoy the amazing view. Includes butler and concierge service. Approx. Size: 574 sq. ft.
Call
800-422-0711
for Pricing
Balcony Stateroom (BA) - With room for up to three guests, these staterooms have two lower beds that convert into a queen-size bed and a pull out sofa to accommodate one more. Along with a sitting area, floor-to-ceiling glass doors and a private balcony with an amazing view.
Call
800-422-0711
for Pricing
Balcony Stateroom (BB) - With room for up to three guests, these staterooms have two lower beds that convert into a queen-size bed and a pull out sofa to accommodate one more. Along with a sitting area, floor-to-ceiling glass doors and a private balcony with an amazing view.
Call
800-422-0711
for Pricing
Balcony Stateroom (BD) - With room for up to three guests, these staterooms have two lower beds that convert into a queen-size bed and a pull out sofa to accommodate one more. Along with a sitting area, floor-to-ceiling glass doors and a private balcony with an amazing view.
Call
800-422-0711
for Pricing
OceanView Stateroom (OB) - These staterooms have room for up to four guests, with two lower beds that convert into a queen-size bed and additional bedding to accommodate up to two more guests. You'll also have a window to enjoy an amazing view.
Call
800-422-0711
for Pricing
OceanView Stateroom (OK) - These staterooms have room for up to four guests, with two lower beds that convert into a queen-size bed and additional bedding to accommodate up to two more guests. You'll also have a port-hole to enjoy an amazing view.
Call
800-422-0711
for Pricing
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Inside Stateroom (IC) - These staterooms are the most affordable way to cruise. With room for up to four, you'll have two lower beds that convert into a queen-size bed and additional bedding to accommodate up to two more guests.
Call
800-422-0711
for Pricing
Prices are Per Person, Double Occupancy, Subject to change
Cancellation Policies vary by cruise line, destination and sailing date.
Please check with one of our cruise consultant for policies applicable to this cruise.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above; this link allows you to price out the insurance plan you prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.

What Our Travel Insurance Can Cover: