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Continuing Education, Inc.
University at Sea^™
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St Petersburg, Florida 33703

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Pulmonary Medicine, Occupational Medicine, and Adult & Pediatric Emergency Medicine

7-Night Eastern Caribbean Cruise Conference
Round-trip Miami, Florida
January 11 - 18, 2020

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

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
4 Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Acutely ill pediatric patients can be challenging and anxiety provoking at times to emergency medicine phyisicans and general pediatricians. This lecture series will address common illness complaints with up to date evidence based practices on a variety of topics including asthma, bronchiolitis, DKA, non-accidental trauma, novel ingestions, and seizure.

Additionally, one lecture will focus on helping physicians and their teams deal with difficult outcomes which can be stressful particularly when involving pediatric patients.

The Pulmonary content will provide updates on commonly encountered clinical problems and syndromes for primary and consulting providers who are not pulmonary specialists. After attending the program, the audience will have the latest recommendations and tools to evaluate, treat and partner with pulmonary specialist in the care of patients.

Topics:

Bronchiolitis and Pediatric Asthma: When is the right time to get aggressive?
- Cite current literature for management of bronchiolitis
- Apply aggressive asthma management to appropriate patient populations
Ins and Outs: What's new in pediatric ingestions
- Employ evidence based guidelines for emergent, urgent and outpatient management of several common pediatric ingestions
Second Victim Syndrome: Helping you and your staff recover from adverse events
- Describe effective team strategies for dealing with the emotional aftermath of a bad outcome
The Pain Free Pediatric ED
- Determine medication administration strategies to minimize pain in the pediatric emergency department
Victims of Violence: Interpartner violence and child abuse
- Synthesize concerning complaints, injuries, or social risk factors which can help identify children who have been injured by a caregiver
Pediatric Hyperglycemic Emergencies
- Cite current literature on fluid resuscitation in DKA
Nuts and Bolts of Neurologic Emergencies
- Describe which patients and on what timeline patients should be evaluated by a neurologist following a seizure
COPD Update
- Apply updated guidelines for patient diagnosis and management
Lung Cancer Highlights
- Describe the newest approaches to lung cancer treatment
Diffuse Parenchymal Lung Disease (interstitial lung disease)
- Diagnose various DPLD and categorize approaches to work up
Work related illnesses
- Outline etiologies and exposures implicated in work related lung disease
Solitary Lung Nodule work-up and Screening
- List criteria and methods for screening for lung cancer
Asthma
- Appraise treatment strategies and alignment with recommended guidelines
Respiratory Failure
- Diagnose and triage respiratory failure in a timely manner

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

Jennifer Mitzman, MD, FACEP

Professor of Emergency Medicine and Pediatrics
The Ohio State University College of Medicine
Columbus, OH

Dr. Mitzman is a Professor of Emergency Medicine at The Ohio State University Wexner Medical Center in Columbus, Ohio. She is also involved in resident and student education serving as a core faculty member and the director of the 3rd year medical student selective. She has an interest in simulation and has developed a Pediatric Emergency Medicine resident simulation curriculum.

In addition, she has a faculty appointment in the Department of Pediatrics, Division of Emergency Medicine at Nationwide Children's Hospital in Columbus, Ohio. There she has an opportunity to work with residents from a variety of disciplines including Emergency Medicine, Pediatrics and Family Medicine as well as fellows in Pediatric Emergency Medicine.

Dr. Mitzman completed her medical education at Wright State University in Dayton, Ohio. She went on to complete residency in Emergency Medicine at Case Western University Hospitals in Cleveland. There she discovered passions for pediatric patients and education. After residency, she elected to complete a fellowship in Pediatric Emergency Medicine at Wake Forest University Baptist Medical Center - Brenner Children's Hospital. Following her training she returned to Ohio and joined The Ohio State University faculty.

She enjoys free time with her husband and young children.

What Participants Are Saying:

Well done. Lectures were concise and relevant.

Feroza Daroowalla, MD, MPH

Associate Professor, Pulmonary/ Critical Care Medicine
Department of Medical Education
University of Central Florida COM

Dr. Feroza Daroowalla received her M.D. degree from SUNY Upstate Health Sciences University and completed her Internal Medicine residency at the University of Connecticut. She continued on to complete fellowship training in Pulmonary Disease, Critical Care Medicine. Dr. Daroowalla has been in academic clinical practice in pulmonary and critical care for most of her career. Her current position is as an Associate Professor in the Department of Medical Education at the University of Central Florida College of Medicine and in Pulmonary and Critical Care Medicine at the Orlando VA.

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
Sat Jan 11	Miami, Florida	-	4:30 pm
Sun Jan 12	At Sea - Cruising	-	-
Mon Jan 13	At Sea - Cruising	-	-
Tue Jan 14	Basseterre, St. Kitts	8:00 am	5:00 pm
Wed Jan 15	Charlotte Amalie, St. Thomas, U.S.V.I.	7:00 am	4:00 pm
Thu Jan 16	At Sea - Cruising	-	-
Fri Jan 17	Coco Cay, Bahamas	10:00 am	7:00 pm
Sat Jan 18	Miami, Florida	6:00 am	-

Royal Caribbean Symphony of the Seas Map

PORTS OF CALL

Miami, Florida

Miami is far more than the world’s busiest cruise port; it’s a destination that deserves its own chapter in your vacation story. We strongly encourage our clients to view Miami not as a logistical hurdle before their cruise, but as the vibrant, culturally rich opening act. Arriving a day or two early does more than just eliminate the stress of same-day travel—it allows you to immerse yourself in the energy of one of America's most dynamic cities, ensuring you step onto your ship already relaxed and in a vacation state of mind.

**Your Pre-Cruise Miami Itinerary**

Upon arriving at Miami International Airport (MIA) or Fort Lauderdale-Hollywood International Airport (FLL), a rideshare or taxi can have you settled into your hotel in South Beach, Brickell, or Downtown in under 30 minutes. We recommend choosing your neighborhood based on your preferred style: South Beach for the iconic Art Deco glamour and beach access, or Brickell for a sleek, modern urban experience with a fantastic dining scene.

**Day 1: Arrival, Architecture, and Atmosphere**

After checking in, spend your first afternoon acquainting yourself with the iconic scenery of South Beach. This isn't just a party destination; it's a protected architectural district. Take a leisurely stroll along Ocean Drive to admire the pastel-hued Art Deco masterpieces. For a more tranquil experience, head to South Pointe Park at the southern tip of the island. Here, you can watch ships glide through Government Cut against the backdrop of the downtown skyline—a perfect, low-key introduction to the city's maritime soul.

For dinner, bypass the tourist-heavy spots on Ocean Drive and explore the sophisticated restaurants in the South of Fifth (SoFi) neighborhood or the diverse, international options in Brickell. This is your chance to enjoy a world-class meal without a schedule, from fresh, locally-sourced seafood to innovative Latin American cuisine.

**Day 2: A Tale of Two Cultures**

Start your day the way Miamians do: with a shot of authentic Cuban culture. Head to Little Havana and walk the famous Calle Ocho. Find a *ventanita* (a small walk-up coffee window) and order a potent, sweet *cafecito* and a flaky *pastelito* (guava pastry is the classic). The experience is about more than just the coffee; it's about the sounds of Spanish, the rhythm of salsa music, and the sight of locals debating over a game of dominoes at Máximo Gómez Park. It’s an accessible, genuine cultural immersion.

In the afternoon, witness the city’s stunning contrasts. First, visit the Wynwood Walls, an extraordinary outdoor museum of large-scale murals by some of the world's best street artists. The surrounding neighborhood is a canvas in itself, with vibrant art on nearly every building. It’s a visual feast that’s both contemporary and completely approachable.

From there, travel back in time at the Vizcaya Museum & Gardens. This Gilded Age estate, with its Italian Renaissance-inspired villa and sprawling formal gardens on the edge of Biscayne Bay, offers a glimpse into Miami's opulent past. The juxtaposition of Wynwood's modern grit and Vizcaya's timeless elegance perfectly encapsulates the city's multifaceted character.

**Embarkation Day**

Wake up refreshed and without pressure. Enjoy a final Miami breakfast before taking a short 15-20 minute ride to the Port of Miami. You’ll arrive calm and collected, having already banked two days of enriching travel experiences. By treating the start of your journey with this much intention, you don't just see a port city—you connect with it, making your entire vacation more memorable from the very first moment.

At Sea - Cruising

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.

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 Symphony 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.

Outside

Oceanview Stateroom (6N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft. Please note that some staterooms in this class have obstructed views. Note: This stateroom category when located on the bow, has an obstructed view.

614.00
per person

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

Outside Ultra Spacious Oceanview (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. Note: This stateroom category when located on the bow, has an obstructed view.

Call
800-422-0711
for Pricing

Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Sofa bed. Stateroom: 179 sq. ft.

Call
800-422-0711
for Pricing

Outside Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 179 sq. ft.

Call
800-422-0711
for Pricing

Outside Oceanview Stateroom (4N)
Two twin beds that convert to Royal King, private bathroom and sitting area. Most 4N Staterooms face the front of the ship and have the angled window (pictured), but some have the traditional porthole window. Stateroom: 179 sq. ft.

Call
800-422-0711
for Pricing

Inside

Interior Stateroom (6V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

554.00
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.

Call
800-422-0711
for Pricing

Inside Central Park View Interior (1S)
Two twin beds that convert to Royal King, boardwalk view, sitting area, and a private bathroom. Stateroom: 191 sq. ft.

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800-422-0711
for Pricing

Inside Promenade View Interior (1T)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 194 sq. ft.

Call
800-422-0711
for Pricing

Inside Interior Stateroom (1V)
Two twin beds that convert to Royal King, private bathroom and sitting area with sofa bed. Stateroom: 149 sq. ft.

Call
800-422-0711
for Pricing

Inside Interior Stateroom (2V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 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 with sofa bed. Stateroom: 149 sq. ft.

Call
800-422-0711
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.

Call
800-422-0711
for Pricing

Inside Interior Stateroom (4V)
Two twin beds that convert to Royal King, private bathroom and sitting area. Stateroom: 149 sq. ft.

Call
800-422-0711
for Pricing

Balcony Ultra Spacious Oceanview 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.