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

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Women's Health, Menopause, and Sexual Medicine; Pediatric Urology

7-Night Southern Caribbean Cruise
Round-trip San Juan, Puerto Rico
March 04 - 11, 2023

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 Millennium</em> — *Celebrity Millennium*

COURSE CREDITS & HOURS

1 Hour of Pharmacology for Nurse Practitioners
16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

PROGRAM PURPOSE

Pediatric Urology Topics

Pediatric Urologic conditions are common and may persist into adulthood. The evaluation and management of many of these conditions has changed over the years to improve outcomes, yet education of primary care providers regarding these changes may be delayed. This educational activity is intended to provide current information on the evaluation and management of these common pediatric urologic conditions and identify indications for referral to a pediatric urologist

Evaluation and Management of Pediatric Urinary Incontinence
- Develop a behavioral therapy regimen for the management of urinary incontinence in children
Nocturnal Enuresis
- Be familiar with the treatment options for nocturnal enuresis
Adolescent varicocele: Who to treat? Who to follow?
- Perform an examination for evaluation of varicocele and indications for referral to a pediatric urologist
Common pediatric urologic problems: What is normal? When to Worry?
- Discuss the common pediatric urologic problems and identify when to refer to specialist
Pediatric Urologic Emergencies
- Discuss pediatric urologic emergencies and the impact of prompt referral to an emergency room
Urolithiasis: Evaluation and Management in Adults and Children
- Be aware of the signs/symptoms of urolithiasis, the recommended radiologic evaluation, medical therapy and metabolic workup of individuals with urolithiasis
Evaluation and Management of Hydronephrosis
- Differentiate different causes of hydronephrosis and develop an appropriate approach to management
Evaluation and Management of Vesicoureteral Reflux
- Discuss changes in the evaluation and management of vesicoureteral reflux

Topics:

Caring for perimenopause and menopause patients in 2023: diagnosis, common symptoms, treatments
- Understand the physiology of perimenopause and menopause
51 is Getting Younger all the Time: maximizing longterm health in menopause
- Explain the differences in cardiac response to HT in younger menopausal women versus older menopausal women
- Individualize care for symptomatic menopausal women with medical comorbidities
- Consider the effect of hormone therapy in promoting bone health
Mood and Menopause: diagnosis and treatment of Perimenopausal Mood Instability
- Differentiate perimenopausal mood instability (PMI) from major depressive disorder (MDD) and generalized anxiety disorder (GAD)
- List effective treatments for PMI including psychological and pharmacological approaches
I Canât Sleep and Iâm Getting Fat: evaluating and treating the twin scourges of midlife
- Recognize the signs and symptoms of common sleep disorders and list behavioral and pharmacologic treatments for them
- Define the common disease of obesity and list effective psychotherapeutic and medical treatments
Nutrition and the Aging Brain: can we prevent dementia?
- Understand how nutrition impacts brain changes with aging
- B. Describe what we can learn from the Blue Zones and other research about nutrition and healthy aging brain
- Develop skills to talk with patients and ensure a brain-healthy diet is accessible to them
Beyond Masters and Johnson: models of female sexuality
- Describe the four major models of female sexual behavior
- Utilize the four models to counsel patients with concerns regarding their sexual function
Female Sexual Dysfunction: disorders of desire, arousal, and orgasm
- Be familiar with the DSM-V diagnostic categories of female sexual dysfunction
- Utilize the ISSWSH Process of Care to manage hypoactive sexual desire disorder
- List at least 2 behavioral and 2 pharmacological treatment options for female sexual dysfunction
When Sex Hurts: causes and treatments of dyspareunia
- Utilize a stepwise approach to diagnosis of dyspareunia
- Explain and initiate treatment when appropriate

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

Karen E. Adams, MD, NCMP, IF

Clinical Professor of Obstetrics and Gynecology
Director, Program in Menopause & Healthy Aging
Stanford Medicine
Stanford, CA

Karen Adams MD, FACOG, DipACLM, NCMP, IF is Clinical Professor of Obstetrics and Gynecology at Stanford University. She is the Director of The Stanford Program in Menopause and Healthy Aging, a program that connects specialists in many fields to provide world-class care for women in the second half of life. Dr. Adams is double-board certified in Obstetrics and Gynecology and Lifestyle Medicine, a Menopause Society Certified Menopause Practitioner, and a fellow of the International Society for the Study of Women's Sexual Health. She is the course director for the Oregon ECHO Program in Menopause, a state-wide program to educate primary care and women’s health providers in menopause care.

Dr. Adams is an award-winning educator and has lectured to medical audiences locally, nationally, and internationally, including a January 2020 TEDx talk entitled 'Sleep, Sex, and Menopausal Zest" with over 150,000 views on YouTube.

What Participants Are Saying:

This was the most engaging and clinically useful lectures series I have ever attended. I was a bit sad at the end of the last session!

Pamela Ellsworth, MD

Professor of Pediatric Urology
University of Central Florida College of Medicine
Orlando, FL

Dr. Pamela Ellsworth is a Professor of Pediatric Urology at the University of Central Florida College of Medicine and the former Chief of Pediatric Urology at Nemours Children's Hospital in Orlando.

Dr. Ellsworth graduated Summa Cum Laude from Boston College and received her medical degree from the University of Massachusetts Medical School. She completed her urology residency at Dartmouth-Hitchcock Medical Center and her pediatric urology fellowship at the University of Florida/Nemours Jacksonville.

An accomplished educator, Dr. Ellsworth was awarded an Honorary AOA for her teaching skills while at Dartmouth-Hitchcock. She became the first female full-time surgeon to achieve the rank of full professor at Brown University, where she also received a resident teaching award.

She is the author of over 100 peer-reviewed publications, over 24 book chapters, and several books for the layperson, including the 100 Questions and Answers about Prostate Cancer series. Dr. Ellsworth is actively involved in the education of medical students, residents, and advanced practice providers and has presented her work regionally, nationally, and internationally.

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 16 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 16 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 16 hours of pharmacy continuing education credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Mar 04	San Juan, Puerto Rico	-	8:30 pm
Sun Mar 05	Charlotte Amalie, St. Thomas, U.S.V.I. Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Mon Mar 06	Basseterre, St. Kitts Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Tue Mar 07	St. John's, Antigua Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Wed Mar 08	Castries, St. Lucia Meeting 4:00PM - 6:00PM*	8:00 am	5:00 pm
Thu Mar 09	Bridgetown, Barbados	8:00 am	5:00 pm
Fri Mar 10	At Sea - Cruising Meeting 8:00AM - 12:00PM, 1:00PM - 5:00PM*	8:49 am	-
Sat Mar 11	San Juan, Puerto Rico	6:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

San Juan, Puerto Rico

San Juan offers one of the most sophisticated and accessible experiences in the Caribbean. Unlike ports requiring long transfers to see anything of value, Old San Juan greets you immediately upon disembarkation. This 500-year-old walled city is a UNESCO World Heritage site best explored independently on foot, allowing you to bypass crowded bus tours and move at your own pace.

Your priority should be the two massive citadels guarding the coast. We recommend starting at Castillo San Cristóbal, the largest Spanish fortification in the New World, before walking the scenic coastal trail to the iconic Castillo San Felipe del Morro. The sheer scale of these defenses is humbling, and the expansive green lawn leading to El Morro—often dotted with kites—provides a dramatic contrast to the deep blue Atlantic.

Between the forts lies a grid of blue cobblestone streets (adoquines) lined with vibrant colonial architecture. The joy here is aimless wandering, though the heat can be intense; stay hydrated and wear sturdy walking shoes to navigate the hills. For a cultural pause, visit the Cathedral of San Juan Bautista, the resting place of Ponce de León.

Culinary exploration is essential. Skip the generic tourist traps near the pier and head deeper into the city. Seek out mofongo (garlicky mashed plantains) at a local staple like El Jibarito or Café Puerto Rico. While the nearby beaches of Condado are beautiful, they require a taxi and contend with traffic. Unless you have visited before, we advise dedicating your day entirely to the history and atmosphere within the city walls, finishing perhaps with a Piña Colada at Barrachina, right in the heart of the old town.

Charlotte Amalie, St. Thomas, U.S.V.I.

Charlotte Amalie is the heavy hitter of Caribbean cruising—energetic, scenic, and frequently crowded. While often marketed solely as a duty-free shopping haven, the island offers substantial rewards for those willing to look past the jewelry stores lining Main Street. The town itself is a steep amphitheater of red-roofed Danish colonial buildings rising from the harbor. For history buffs, a walk up the "99 Steps" (built from ship ballast bricks) or a visit to the red-walled Fort Christian provides context often missed by the average shopper.

Most visitors are here for the water. Magens Bay is the headline attraction—a heart-shaped, protected cove that is visually stunning but often packed with fellow cruisers. For a more relaxed experience with superior snorkeling, we recommend Sapphire Beach or the pristine, protected sands of Smith Bay Park (Lindquist Beach). If your ship docks at Havensight, the Skyride to Paradise Point offers the classic Caribbean vista and a convenient spot for a local Bushwacker cocktail.

Crucial Logistics: St. Thomas has two distinct cruise piers: Havensight (closer to town/Skyride) and Crown Bay (further west). Be sure to check your docking location, as it dictates your walking options. Traffic in Charlotte Amalie can be gridlocked in the afternoons; always pad your return time. Getting around is best done via "safari" taxis—converted open-air trucks. They are efficient and affordable, but confirm the fare before boarding. For those who have visited St. Thomas before, the ferry to neighboring St. John offers a quieter, more natural escape, though it requires careful time management.

Basseterre, St. Kitts

St. Kitts stands out in the Caribbean for its dramatic topography and deep colonial history, offering a richer experience than the standard beach-only destination. The island is dominated by dormant volcanoes and lush rainforests, providing a backdrop that feels wilder and more rugged than many of its neighbors.

The premier attraction is undoubtedly Brimstone Hill Fortress National Park. A UNESCO World Heritage site, this massive British fortification sits high atop a volcanic hill. It requires a bit of a climb, but the panoramic views across the Caribbean Sea to Sint Eustatius and Saba are spectacular. It is a genuine highlight for history enthusiasts and photographers alike, well worth the entry fee and the drive.

For a more relaxed tour of the landscape, the St. Kitts Scenic Railway is unique in the region. Originally built to transport sugar cane, the double-decker train loops around the coast, offering a comfortable way to see the villages and countryside that are otherwise hard to access. Alternatively, a stop at Romney Manor offers a blend of nature and culture; the botanical gardens feature a magnificent 400-year-old Saman tree and house Caribelle Batik, where you can watch local artisans at work.

If a beach day is your priority, we advise skipping the Atlantic side and heading to the Southeast Peninsula. The drive itself is scenic, crossing the narrow isthmus with views of both oceans. South Friars Bay and Cockleshell Bay offer the best calm waters and soft sands, lined with casual beach bars facing the peak of Nevis.

Basseterre itself is a bustling, authentic Caribbean town rather than a sanitized tourist trap. While Port Zante is filled with standard duty-free shops, a walk into the town center reveals the Circus—modeled after Piccadilly in London—and Independence Square, a poignant reminder of the island's history as a former slave market. We recommend prioritizing the island tour or the peninsula beaches, using the town primarily for a brief historical stroll before returning to the ship.

St. John's, Antigua

St. John's is the vibrant gateway to Antigua, an island that offers a compelling blend of classic Caribbean leisure and significant British naval history. While the port city itself is a bustling hub of colorful colonial-era architecture and duty-free shopping at Heritage Quay, the island's true treasures require a short journey.

For anyone with an interest in history, the essential destination is Nelson's Dockyard. Located in English Harbour (a scenic 30-minute taxi ride), this meticulously restored 18th-century naval base is a UNESCO World Heritage Site and the only continuously working Georgian dockyard in the world. It’s a living museum where you can walk the same cobblestones as Admiral Nelson, explore the Dockyard Museum, and enjoy lunch at a waterside café. For a breathtaking perspective, arrange for your driver to take you up to the Shirley Heights lookout for one of the most iconic panoramic views in the Caribbean.

Of course, Antigua is legendary for its beaches. While the claim of 365 beaches is a charming piece of local lore, you only need one for a perfect day. Dickenson Bay is a popular choice, offering calm waters, beach bars, and water sports. For a more serene experience, ask a driver to take you to the powdery sands of Valley Church Beach or Ffryes Beach on the southwest coast.

Our advice: Plan your day. The best of Antigua lies beyond the immediate port. A pre-arranged taxi or a shore excursion is the most efficient way to experience the island's unique combination of historical depth and stunning natural beauty.

Castries, St. Lucia

St. Lucia is defined by its dramatic topography, distinguishing it from flatter Caribbean neighbors. The island’s visual signature is the Pitons, twin volcanic spires rising from the sea—a UNESCO World Heritage site that creates one of the most spectacular backdrops in the tropics. However, visitors must understand the island's geography to maximize their time ashore.

Ships dock in Castries, located on the northwest coast, while the iconic Pitons, the drive-in volcano, and the therapeutic Sulphur Springs are located south in Soufrière. This presents a logistical reality: reaching the island's premier sights requires a commitment. The road to Soufrière is incredibly scenic but notoriously winding, taking over an hour each way. For those prone to motion sickness, or simply wanting to maximize sightseeing time, a water-based transfer or catamaran excursion is the superior choice. The reward is substantial: walking through botanical gardens, soaking in mineral-rich mud baths, and viewing the peaks from the water.

If a full day of travel feels too ambitious, the north offers excellent, accessible alternatives. Marigot Bay, a stunning natural harbor, is a short drive away and ideal for a relaxed lunch. Further north, Pigeon Island National Landmark is a standout, combining 18th-century British military ruins with approachable hiking trails and quiet beaches. Nearby Rodney Bay offers the island’s most popular stretch of sand, Reduit Beach. For a quick taste of local culture near the ship, the Castries Market remains a bustling hub for spices and local crafts, though it is best visited in the morning before the midday heat.

Bridgetown, Barbados

Barbados presents a polished and substantial Caribbean experience, anchored by its capital, a UNESCO World Heritage site. Historic Bridgetown and its Garrison offer a genuine sense of place, where British colonial architecture stands alongside vibrant Bajan life. The city core is compact enough to explore, with landmarks like the Parliament Buildings and the Careenage marina providing a backdrop that feels more like a historic town than a simple beach stop.

Beyond the city, the island's offerings are diverse. For a unique natural wonder, Harrison's Cave offers a stunning underground tram tour through crystallized limestone caverns. For a taste of the island's most famous export, a visit to the Mount Gay Rum Distillery provides both a history lesson and a tasting. Of course, the beaches are world-class. Just a short taxi ride from the port, Carlisle Bay is a magnificent crescent of white sand with calm, turquoise water, perfect for swimming and snorkeling over several shipwrecks teeming with marine life. For a more serene scene, the west coast, known as the "Platinum Coast," is lined with idyllic stretches like Paynes Bay and Mullins Beach.

Barbados is not a rugged, off-the-beaten-path destination; it is well-developed and organized. Taxis are plentiful and regulated (though it's always wise to confirm the fare beforehand). This makes it an excellent port for independent exploration, offering a rewarding balance of accessible history, natural beauty, and sophisticated relaxation.

At Sea - Cruising

Celebrity Millennium

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

AquaClass Stateroom (A2)
AquaClass Staterooms are more spacious 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.

2,678.00
per person

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

Concierge Class Stateroom (C2)
Concierge Class Staterooms are more spacious veranda staterooms which include additional services and amenities. You’ll enjoy personalized concierge service, priority check-in, priority debarkation, restaurant seating time preferences, daily delivery of afternoon savories, and more! King bed that can be converted into two twin beds. 204 sq ft with 42 sq ft veranda.

1,919.00
per person

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

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.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class Stateroom (C1)
Prime Concierge Class Staterooms are spacious, centrally located veranda staterooms which include additional services and amenities. You’ll enjoy personalized concierge service, priority check-in, priority debarkation, restaurant seating time preferences, daily delivery of afternoon savories, and more! King bed that can be converted into two twin beds. 204 sq ft with 42 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Deluxe Veranda Stateroom (DV)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in your personal seating area and enjoy amenities that contribute to your modern luxury experience. Your personal veranda lets you greet the day, enjoy fresh sea breezes, and soak in breathtaking sunsets. King bed that can be converted into two twin beds. 175 sq ft with 44+ sq ft balcony.

Call
800-422-0711
for Pricing

Balcony Sunset Veranda Stateroom (SV)
Sunset Veranda Staterooms are spacious staterooms located in the aft of the ship, each with its own private veranda to enjoy the beautiful sunsets. King bed that can be converted into two Twin beds. 209 sq ft with 42 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Ultra Deluxe Concierge Class Stateroom (UC)
Ultra Deluxe Concierge Class Staterooms are extra spacious veranda staterooms which include additional services and amenities. You’ll enjoy personalized concierge service, priority check-in, priority debarkation, restaurant seating time preferences, daily delivery of afternoon savories, and more! King bed that can be converted into two twin beds. 204 sq ft with 88 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Ultra Deluxe Veranda Stateroom (UV)
Ultra Deluxe Veranda Staterooms are spacious staterooms located in the aft of the ship, each with its own extra-large private veranda to enjoy the beautiful sunsets. King bed that can be converted into two Twin beds. 296 sq ft with 210 sq ft veranda.

Call
800-422-0711
for Pricing

Balcony Prime Veranda Stateroom (V1)
Prime Veranda Staterooms are in the most desirable locations on the ship (Higher decks and more centrally located). Indoor and outdoor space come together to create your private sanctuary at sea. Relax in your personal seating area and enjoy amenities that contribute to your modern luxury experience. Your personal veranda lets you greet the day, enjoy fresh sea breezes, and soak in breathtaking sunsets. King bed that can be converted into two Twin beds. 175 sq ft with 38 sq ft balcony.

Call
800-422-0711
for Pricing

Balcony Veranda Stateroom (V2)
Indoor and outdoor space come together to create your private sanctuary at sea. Relax in your personal seating area and enjoy amenities that contribute to your modern luxury experience. Your personal veranda lets you greet the day, enjoy fresh sea breezes, and soak in breathtaking sunsets. King bed that can be converted into two Twin beds. 175 sq ft with 38 sq ft balcony.

Call
800-422-0711
for Pricing

Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite combines the wellness-focused benefits of AquaClass with the luxurious benefits of suites. You’ll enjoy benefits such as exclusive access to Luminae restaurant, as well as The Retreat Sundeck and Lounge, which rival any high-end resort. You’ll also enjoy unlimited access to the Persian Garden Thermal Suite, priority Spa reservations, in-room fitness amenities, bathrobes, slippers, included Premium drinks, Wi-Fi, Gratuities, and much more. These suites have a king-sized bed that faces the floor-to-ceiling window and sliding glass door leading to your private balcony. 319 sq ft. with 79 sq ft. veranda.