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Cruise Conference Planning For Your Association
Support Doctors Without Borders

End‐of‐Life Caring Through Communication,
Law, & Ethics

Royal Caribbean's Amazing Independence of the Seas
Royal Caribbean's Independence of the Seas

8 Night Scandinavian Escape Cruise Conference
Round-trip Southampton, England

Royal Caribbean's Independence of the Seas
June 29 - July 7, 2017

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours

Course Fees:
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$695 for Physician Assistants, Nurse Practitioners
$495 Nurses, Residents, Students & Others

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the University at Sea® meeting group through University at Sea® at 800-926-3775 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.
Kathy L. Cerminara, JD, LLM, JSD,

Professor Kathy Cerminara bridges the medical and legal professions with her work on patients" rights in the end-of-life decision-making arena. She co-authors the nationally known treatise, The Right to Die: The Law of End-of-Life Decisionmaking, and is a reviewer for several medical and medical-legal journals. Her scholarship most recently has focused on the intersection between end-of-life care, palliative care, and health care coverage policy. At the Nova Southeastern University Shepard Broad Law Center, she is a full professor.

Professor Cerminara teaches Torts; Health Policy, Bioethics & Quality of Care; Administrative Law; Civil Procedure; Bioethics; and other health-law-related courses. She also created and was the initial director of the online Master of Science in Health Law program for non-lawyers.

Since 2012, she has been a member of the International Scientific Committee for the International Academy of Law & Mental Health, based in Montreal, Canada. In that position, she has co-organized the stream of therapeutic jurisprudence presentations for three of the Academy"s bi-annual Congresses: one in Amsterdam in 2013, one in Vienna in 2015, and one upcoming in Prague in 2017.

Prior to joining the College of Law faculty, Professor Cerminara taught at the University of Miami School of Law and St. Thomas University School of Law, clerked in the Western District of Pennsylvania and the United States Court of Appeals for the Third Circuit, and practiced law with Reed Smith Shaw & McClay in Pittsburgh, Pennsylvania.

Professor Cerminara received her J.D. magna cum laude from the University of Pittsburgh and her LL.M. and J.S.D. from Columbia University. She is an affiliate member of the Health Law and Tort Trial and Insurance sections of The Florida Bar, a retired member of the Pennsylvania Bar, and a member of organizations such as the American Bar Association, the American Society of Law, Medicine & Ethics and the American Health Lawyers Association.

Monica Broome, MD, FACP, FAACH

Dr. Monica Broome is an international speaker for medicine, law, and business. Her interest is the neuroscience of communication. She is the CEO of Arete Medical Enterprise and the Director of the Communication Skills Program for University of Miami Miller School of Medicine. The scope of this program includes the undergraduate, graduate, and faculty development levels.

Dr. Broome, formerly Dr. Harris, is an alumnus of the University Of Miami School Of Medicine. Her specialty is Internal Medicine for which she has received recognition and accolades from colleagues and patients, including a service award from the State of Virginia Department of Disabled American Veterans. She was the Founder and former Medical Director of the Women's Veterans Comprehensive Health Program, in Hampton Virginia.

Dr. Broome was selected as one of the representatives from the state of Florida to participate in a National Summit on Women's Veterans Health Issues at the White House which resulted in a position paper for Congress. To continue her interest in promoting women's health, Dr. Broome currently serves on the Institute for Women's Health Education/Academic Training Subcommittee at the University Of Miami Miller School Of Medicine. In 2016 she was elected to serve on the Board of Directors for the American Medical Women's Association. She is a Diplomat of the American Board of Internal Medicine, a Fellow of the American College of Physicians, a Fellow of the American Academy of Communication in Healthcare.

Dr. Broome completed a three-year fellowship in Medical Education at the University of Miami Miller School of Medicine. During her fellowship, she participated in programs in healthcare communication at the Macy Institute. She is an educational director and master trainer for the Institute for Healthcare Communication. Her scholarly work includes presentations and workshops nationally for the Association of American Medical Colleges, Society of General Internal Medicine, Southern Group on Educational Affairs, and MGMA Medical Group Management Association.

Her international presentations include the International Conference on Communication in Health Care and the International Academy of Law and Mental Health. She serves on the American College of Physicians Legislative Action Program for Health Care Reform, the Editorial Board of Medical Encounter, the Advisory Board for Florida International University Graduate School of Business Healthcare MBA program, and the test writing committee of the National Board of Medical Examiners for the United States Medical Licensing Examination.

Dr. Broome chaired the Committee on Communication and technology for the 2006 American Academy on Communication in Healthcare Annual Research and Teaching Forum and co-chaired the International Conference on Communication in Healthcare held in the USA in Miami, October 2009.

In 2014, the European Association on Communication in Healthcare elected her to be Deputy National Representative for the United States. She was reelected in 2016.

Our staff can assist you with all your travel arrangements.

Target Audience
Primary Care Physicians, Nurses, Nurse Practitioners, Physician Assistants, Psychologists
Program Purpose / Objectives
  1. End of Life Care and Refusal of Treatment
    • Discuss ethically and legally appropriate end-of-life treatment choices with patients.
    • Explain the lines the law draws between appropriate and inappropriate end-of-life treatment choices for patients with decision-making capacity.
  2. Dying and the Patient With Decisionmaking Capacity
    • Differentiate between instructional and proxy advance directives.
    • Explain the difference between advance directives and physician orders regarding end-of-life treatment choices.
    • Discuss these differences with patients with decision-making capacity so that their wishes are memorialized in case of loss of such capacity.
    • Identify the gaps that arise between advance directives and orders in patient charts.
    • Assess the utility of POLST as a way to fill in those gaps.
  3. When the Patient Lacks Capacity (and Has No Advance Directive)
    • Explain state laws that permit family members or others acting on behalf of patients lacking capacity to speak on their behalf.
    • Analyze decision-making approaches under the three possibly applicable legal standards: substituted judgment, best interests, and the legally disfavored subjective test.
  4. Futility: When Family Members Want It All
    • Explain legal recognition of death by neurological criteria and differentiate between issues involving patients satisfying that criteria and patients who do not, under the law.
    • Explain the concept of medical futility.
    • Distinguish between quantitative and qualitative futility.
    • Compare state laws specifically describing procedures to be followed when clinicians view a patientís treatment as futile with state laws that are less specific.
  5. Beyond Withholding and Withdrawing: Aid-in-Dying, Physician-Assisted Suicide, Death With Dignity
    • Differentiate between aid-in-dying and euthanasia.
    • Explain the statutory requirements in the states imposing strict procedural and reporting requirements regarding aid-in-dying there.
    • Describe the ways that courts in other states that have determined aid-in-dying is legal there.
    • Assess the clinical practice guidelines being developed regarding aid-in-dying.
  6. Case Discussions (Both)
    • Apply what was learned about patient capacity, withholding and withdrawing life-sustaining treatment, and brain death.
    • Relate principles to case scenarios.
    • Demonstrate communication techniques for addressing these issues.
  7. Course Debriefing (Both)
    • Evaluate the relevance of principles discussed to audience's own practice.
    • Conclude which of the principles and skills addressed to apply in that practice.
  8. Breaking Bad News
    • Select communication issues that need to be addressed when delivering bad news to patients
    • Demonstrate the use of a communication tool in specific patient scenarios
  9. The Neuroscience of Anger and the Angry Patient Encounter
    • Discover new concepts in the neuroscience of anger
    • Apply a communication tool to mitigate anger in oneself and others
  10. Advanced Care Planing and End of Life Care
    • Describe the differences in ACP & EOL
    • Explain ACP & EOL to patients and families
  11. Medical care options for terminally ill adults
    • Select treatment options that meet the patients wishes
  12. Case Discussions (Both)
    • Apply what was learned about patient capacity, withholding and withdrawing life-sustaining treatment, and brain death.
    • Relate principles to case scenarios.
    • Demonstrate communication techniques for addressing these issues.
  13. Course Debriefing (Both)
    • Evaluate the relevance of principles discussed to audience's own practice.
    • Conclude which of the principles and skills addressed to apply in that practice.
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.

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.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA) .

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.

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

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

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

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.

Approval: Continuing Education, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. Continuing Education, Inc. maintains responsibility for this program and its content.

Designation: As an organization approved by the American Psychological Association, Continuing Education, Inc. is offering this activity for a maximum of 14 hours of continuing education credit. Full attendance is required; no partial credit will be given for partial attendance.

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
Thu Jun 29 Southampton (London), England
- 4:30 pm
Fri Jun 30 At Sea - Cruising
- -
Sat Jul 01 Stavanger, Norway
7:00 am 7:00 pm
Sun Jul 02 Kristiansand, Norway
7:00 am 5:00 pm
Mon Jul 03 Oslo, Norway
7:00 am 5:00 pm
Tue Jul 04 Copenhagen, Denmark
10:00 am 8:00 pm
Wed Jul 05 Skagen, Denmark
7:00 am 3:00 pm
Thu Jul 06 At Sea - Cruising
- -
Fri Jul 07 Southampton (London), England
5:30 am -
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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