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University at Sea®
5700 4th St. N.
St Petersburg, 
Office Hours
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Cruise Conference Planning For Your Association
Support Doctors Without Borders

Topics in Cardiology and Mental Health for PCPs

Celebrity's Beautiful Celebrity Eclipse
Celebrity Eclipse

10-Night Ireland and Iceland Cruise Conference
Round-trip Dublin, Ireland
May 28 - June 7, 2018

16 AMA PRA Category 1 Credit(s)™
16 CE Hours for Psychologists
16 Contact Hours
3 Hours of Pharmacology for NPs

Course Fees:
$995 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$750 for Physician Assistants, Nurse Practitioners
$595 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 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.
John Carnes, PhD
Private practice, St. Petersburg, Florida.
Former Director of Medical Education, Bayfront Health Systems, St. Petersburg, Florida.

Dr. Carnes began his career in patient care and medical education approximately 3 decades ago.

He completed his Ph.D. at Indiana State University, and subsequently completed an internship at the Family Medicine Residency at Union Hospital in Terre Haute, Indiana. He was on the faculty of that residency until 1985, when he joined the faculty of the Family Medicine Residency at Bayfront Medical Center in St. Petersburg, Florida, and the Department of Family Medicine at the University of South Florida. He was active in the Society of Teachers in Family Medicine, serving as the co-chairman for a national task force on behavioral sciences in family medicine residencies. He developed an interest in trauma, and served as the state coordinator for disaster mental health services in the state of Florida.

He recently completed a 25 year teaching career with Bayfront Health System, where he was Director of Medical Education, and Chairman of the Institutional Research Review Committee.
During his tenure, he spoke nationally in the area of psychosocial aspects of geriatric care.

Now in full-time private practice in St. Petersburg, Florida, Dr. Carnes devotes his time to geriatric patient care, and teaching family medicine residents. His clinical interests include the psychological aspects of trauma, behavioral medicine, and geriatrics. He is also a regular speaker for University at Sea.

Helmut Jack Pyhel, MD, FACC

Dr. Pyhel joined The Heart and Vascular Institute in 2013. He has been in practice in St. Petersburg for over 35 years. He received his undergraduate degree came from Seton Hall University in South Orange, N. J. His Medical Degree was obtained from Drexel University (formally Hahnemann University) in Philadelphia, PA.
Dr. Pyhel completed his residency and internship at Hahnemann Hospital in Philadelphia and went on to do his Cardiology Fellowship at Indiana University School of Medicine in Indianapolis.

He is American Board certified in Internal Medicine and Cardiovascular Disease and a Fellow of the American College of Cardiology. Dr. Pyhel was formally Chief of Staff at St. Anthony's Hospital, a member of the Executive Committee and Director of the Coronary Care Unit.

He started the first Cardiac Rehab Program in Pinellas County in 1983 and served as Medical Director until 2013.

In 2004 he received the Allegany Franciscan Humanitarian Award, and in 2013 the Hippocrates Award. He was Clinical Assistant Professor, Department of Family Medicine, at the University of South Florida and taught cardiology to family practice residents from Bayfront Medical Center.
Previously, Dr. Pyhel was the cardiovascular team physician for the Tampa Bay Rays Major League Baseball Team.

Dr. Pyhel has been happily married to his wife, Gail, for 48 years. He has two children and three grandchildren.

Our staff can assist you with all your travel arrangements.

Target Audience
Primary Care Physicians, Internists, Physician Assistants, Nurses, Nurse Practitioners
Program Purpose / Objectives
  1. Atrial Fibrillation
    • Risk factors, management and use of newer anticoagulants.
  2. Atrial Fibrillation: case histories and management
    • Address management in office, hospital, or emergency room.
  3. Stress related cardiomyopathy syndromes
    • Define brain and heart relationship, assess and manage "cardiomyopathy" related to emotional stress, sepsis or subarachnoid hemorrage.
  4. Cardiovascular evaluation of the Athlete
    • Define normal and identify high risk individual
  5. Atrial Septal Defect and PFO
    • Explain pathophysiology and natural history of ASD
    • Explain relation of PFO to CVA, migraine and other potential disorders.
  6. Syncope: Diagnosis, management and case histories
    • Define simple from potentially lethal causes of syncope with appropriate management.
  7. Pre-Operative CV evaluation and post-op CV complications
    • Identify those at risk of CV complications and how to minimize risk.
  8. Things they never told you about grief
    • Describe the normal processes of grief after the death of a loved one.
    • Describe complicated grief.
    • Describe the similarities and differences between grief and depression.
    • Describe and discuss treatment of bereavement-related depression.
  9. Diagnosis and management of GAD and panic disorder
    • Describe the clinical characteristics of GAD and PD
    • Describe the relationship between GAD and PD and other medical conditions
    • Describe and discuss evidence based treatment for these anxiety disorders
  10. When to worry about memory
    • Distinguish between the cognitive changes seen in normal aging, mild cognitive impairment, and dementia
    • Describe the differential diagnosis of dementia
    • Discuss the interventions that could potentially reduce risk and impact of dementia
  11. Sorting out confusion
    • Recognize that confusion represents a crisis until proven otherwise
    • Be able to recognize four common underlying problems that present with confusion
    • Demonstrate familiarity with some common tools for evaluating confusion
  12. The Psych Toolbox: Office evaluation of memory, anxiety, and affective disorders
    • Demonstrate enhanced evaluation skills necessary to screen for and diagnose cognitive impairment/capacity, affective and anxiety disorders, and ADHD in the primary care setting
  13. They say I'm getting crispy around the edges
    • Self-monitor for symptoms of burnout.
    • Employ personal and organizational interventions to address the problem of high rates of burnout and depression among physicians
  14. Things I wish I'd known a year ago about primary care psych
    • Describe very recent developments in the diagnosis and management of mental disorders common in primary care medicine
  15. Depression, Anxiety, and Cardiovascular Disease
    • Describe the association between negative psychological states and cardiovascular health
    • Describe physiologic and health behavior mechanisms that may mitigate that relationship
    • Describe ways to diagnosis depression and anxiety
    • Describe safe and effective treatments for depression and anxiety
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 16 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.

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 16 hours of continuing education credit. Full attendance is required; no partial credits will be offered 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
Mon May 28 Dublin, Ireland-Overnight
Check-in between 4:30-8:30 pm (only)
- -
Tue May 29 Dublin, Ireland
- 1:30 pm
Wed May 30 At Sea
- -
Thu May 31 Reykjavik, Iceland
1:00 pm -
Fri Jun 01 Reykjavik, Iceland
- 3:00 pm
Sat Jun 02 Akureyri, Iceland
10:30 am 6:30 pm
Sun Jun 03 At Sea
- -
Mon Jun 04 Lerwick/Shetland, Scotland
10:00 am 6:00 pm
Tue Jun 05 At Sea
- -
Wed Jun 06 Cork (Cobh), Ireland
10:00 am 5:00 pm
Thu Jun 07 Dublin, Ireland
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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