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Topics in Family Medicine and Primary Care

10-Night Italy & Greek Isles Cruise Conference
Round-trip Rome (Civitavecchia), Italy
August 31 - September 10, 2018

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 Reflection</em> — *Celebrity Reflection*

COURSE CREDITS & HOURS

AMA PRA Category 1 Credits™
14 ACPE Credits

COURSE FEES

TARGET AUDIENCE

Nurses, Nurse Practitioners, Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Nurses, Nurse Practitioners

PROGRAM PURPOSE

Topics:

Optimizing Results through Teamwork
- Apply the characteristics of successful teams and tools to build teamwork and improve outcomes
- Describe how teamwork can improve chronic disease metrics
- List and explain stages of team formation
Preparing Your Patients for a Successful Transition to their Golden Years
- Improve the wellness of the elder patients seen
- Address preventive measures for elder patients
- Provide appropriate medication management for the elderly
- Improve communication strategies in discussing advance directives with patients
Medical Error Reduction: Optimizing Outcomes and Patient Safety
- Discuss types of medical errors that can result in increased morbidity and mortality
- Minimize potential cognitive error risks to result in improved outcomes and patient safety
- Explain how diagnosis momentum can result in medical errors
Travel Medicine: Prevention Goes International
- Discuss the scope of US travelers abroad
- Assess appropriately the medical risk to the traveler
- List commonly needed Immunizations for travelers
- Implement helpful travel preventative treatments
- Utilize travel medicine related website resources
Optimizing Patient Safety - Appropriate Opioid Prescribing
- Appropriately evaluate a patient for Chronic Pain
- Utilize general guidelines for prescribing Controlled Substances / Opioids, including the new CDC guidelines
- Implement the use of multiple modalities in managing chronic pain
- Explain the added risks when prescribing opioids in excess of 100 mg Morphine Equivalent Dosing (MED)
- Implement strategies to improve patient safety and compliance with guidelines in prescribing opioids and other Controlled Substances
Health Promotion: Encouraging a Healthy Body, Mind, and Spirit
- Assess the patient's current state of physical, psychological, and spiritual health.
- Analyze the patientÃâs current dietary and exercise practices.
- Discuss an individualized health-promotion strategy for each patient.
"Oh, My Aching Head!": Evaluation and Treatment of Migraine, Tension-Type, and Cluster Headaches
- Discuss the appropriate use of brain imaging in evaluating patients with headache.
- Describe the appropriate use of abortive and preventive medications in the treatment of migraine.
- Describe the distinguishing clinical characteristics of tension-type and cluster headaches.
Male Sexual Disorders: Hypogonadism, Erectile, and Ejaculatory Dysfunction
- Elicit a through, non-judgmental sexual history.
- Describe appropriate laboratory and radiologic testing in the evaluation of male sexual problems.
- Discuss the effects, risks, and benefits of testosterone replacement therapy.
"I'm Sick and Tired of Being Tired!": Approach to Chronic Fatigue
- Describe the exclusion and inclusion criteria for chronic fatigue syndrome and distinguish this syndrome from other types of chronic fatigue
- Elicit and address the diagnostic beliefs of patients regarding the etiology of their fatigue
- Apply specific principles of cognitive-behavioral therapy and graded exercise therapy in the treatment of patients with chronic fatigue
Hypertension: "What Goes Up Must Come Down"
- Describe the appropriate measurement and classification of hypertension.
- Discuss the laboratory testing and imaging needed to diagnose the most common causes of secondary hypertension.
- Describe the major classes of anti-hypertensive treatment and discuss the particular type of patient likely to benefit from each class of medication.
Enhancing Clinician-Patient
- Distinguish the technical , biomedical aspects of the clinician's role from the personal and psychosocial aspects of care.
- Describe specific attitudes and values needed to create a healing environment with patients.
- Apply techniques for establishing and maintaining rapport with patients and enhancing clinician-patient communication.
The Faith Factor: Practicing Spiritually-Sensitive Care
- Elicit a spiritual history in an ethically-appropriate manner.
- Analyze the physiologic, psychological, social, and lifestyle effects of religious beliefs upon health outcomes.
- Describe the spectrum of possible interventions available for addressing patients" spiritual needs.

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Dale A. Matthews, MD, FACP

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

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

Tim Munzing, MD, FAAFP

Family Medicine Residency Program Director
Kaiser Permanente Orange County Family Medicine Residency Program
Santa Ana, California

Dr. Timothy Munzing has been a family physician with Kaiser Permanente in Orange County, California for the past 33-1/2 years, over 30 years as the founding Program Director of the KP-OC Family Medicine Residency Program. Dr. Munzing serves on the national ACGME Family Medicine Review Committee, responsible for the accreditation of over 600 Family Medicine residency programs. He has had a clinical practice for over three decades and has taught hundreds of Family Medicine residents and thousands of medical students. Dr. Munzing was the recipient of the 2017 National Family Medicine Outstanding Residency Program Director of the Year Award and the 2017 California Academy of Family Physicians Hero of Family Medicine Award. He holds the appointment of full Clinical Professor at the University of California, Irvine College of Medicine and Professor at the developing Kaiser Permanente School of Medicine, opening Summer 2020.

Dr. Munzing is a leading national expert on appropriate (legal vs. illegal) Opioid and Controlled Substance Prescribing, recently receiving a major national Medical Director’s Award by the National Health Care Anti-Fraud Association. He has served as a medical expert reviewer for the DEA, FBI, and Medical Board of California for 15 years, having reviewed over 200 cases (100+ criminal) in over sixteen states across the United States.

Dr. Munzing published a peer reviewed article entitled “Guide to Appropriate Opioid Prescribing for Noncancer Pain" in May 2017 in the Permanente Journal, which is now being used nationally by physicians, law enforcement, and prosecutors. Dr. Munzing has lectured on the subject to thousands of physicians and healthcare providers, law enforcement (DEA, FBI, other state and federal law enforcement), and prosecutors across the United States.

Accreditation

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 12 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™ as needed. Pharmacology credits are identified on individual activities.

	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). US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.
	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 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.
	College of Family Physicians of Canada (CFPC) The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits. Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.
	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

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.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed.
Pharmacology credits are identified on individual activities.

	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™ as needed. Pharmacology credits are identified on individual activities.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Fri Aug 31	Rome (Civitavecchia), Italy	-	5:00 pm
Sat Sep 01	Messina, Sicily	10:00 am	7:00 pm
Sun Sep 02	Valletta, Malta	8:00 am	6:00 pm
Mon Sep 03	At Sea - Cruising	-	-
Tue Sep 04	Mykonos, Greece	7:00 am	6:00 pm
Wed Sep 05	Rhodes, Greece	7:30 am	6:00 pm
Thu Sep 06	Santorini, Greece	7:00 am	6:00 pm
Fri Sep 07	Athens (Piraeus), Greece	6:00 am	6:00 pm
Sat Sep 08	At Sea - Cruising	-	-
Sun Sep 09	Naples, Italy	7:00 am	6:30 pm
Mon Sep 10	Rome (Civitavecchia), Italy	5:00 am	-

PORTS OF CALL

Rome (Civitavecchia), Italy - Rome, Italy’s capital, is a sprawling, cosmopolitan city with nearly 3,000 years of globally influential art, architecture and culture on display. Ancient ruins such as the Forum and the Colosseum evoke the power of the former Roman Empire. Vatican City, headquarters of the Roman Catholic Church, has St. Peter’s Basilica and the Vatican Museums, which house masterpieces such as Michelangelo’s Sistine Chapel frescoes.

Messina, Sicily - A beautiful sheltered harbor is your gateway to Taormina, a small town at heart despite its major tourist attraction: the sublime Teatro Greco, offering panoramic views of the coastline and snow-capped Mt. Etna.

Valletta, Malta - Tiny Malta abounds in forts and temples. In Valletta, wander through the ornate Grand Master's Palace of the Knights of St. John. Within the thick walls of Medina, the Silent City (no cars), visit the serene Baroque cathedral.

At Sea - Cruising - Cruising

Mykonos, Greece - For pure Mediterranean pizzazz, Mykonos can't be beat. Designer boutiques and beautifully bronzed Greek gods and goddesses lie on Mykonos' beaches. The city's five famouse white churches look down on it all in oblivious serenity.

Rhodes, Greece - The crusader Knights of St. John made Rhodes their headquarters. Explore the massive fortress of the Palace of Grand Masters, and peer into tiny rooms of the Inns which once housed the knights. See where the towering Colossus of Rhodes once stood -- it could be seen for miles at sea!

Santorini, Greece - Here on the island of Santorini, you'll find a classic Greek seascape‐whitewashed houses accented by sea-blue roofs. This is a treasure trove for both professional and amateur archeology buffs, with sites that include tombs that date back to the 9th century and the sanctuary of Apollo.

Athens (Piraeus), Greece - As the capital of Greece and one of Europe’s most bustling cities, Athens is powered by 5,000 years of history. At night, the city of Athens glows from afar, light reflecting off the ancient ruins. Today travelers flock from around the world to experience its history while on cruises from Athens. After all, the art, theatre, architecture, and philosophy of Athens had ripple effects through the fabric of entire civilizations.

Naples, Italy - Capital of Southern Italy and the largest city in Campania, Naples is the third most populated city in Italy (after Rome and Milan) with over a million inhabitants. It's the most important industrial center and trading port for the South. Naples itself can provide a day's fun and entertainment, if its somewhat rundown appearance doesn't dissuade you. Or, join a tour of incredible Pompeii, frozen in time since A.D. 79 when Mt. Vesuvius brought an end to that then-thriving city. Or, take a quick ferry across the bay to the flowery Isle of Capri. Or, (yes, there's more) visit fabulous Sorrento, vacation spot for the well to do.

Celebrity Reflection

COMPETITIVE PRICING PROMISE: We Will Beat or Match the Cruise Line’s Fares and Promotional Offers. *

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

Balcony Prime AquaClass Stateroom A1.Prime Staterooms are located in the most desirable locations on the ship. AquaClass Staterooms have world-class amenities included access to the specialty restaurant Blu, in-room health and wellness amenities, and complimentary bathrobes and slippers. 194 sqft with 54 sqft veranda.