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Cruise Conference Planning For Your Association
Support Doctors Without Borders

Medical Management of Pain: 2018 Update

Royal Caribbean's Stupendous Freedom of the Seas
Royal Caribbean's Freedom of the Seas

7-Night Southern Caribbean Cruise Conference
Round-trip San Juan, Puerto Rico
May 19 - 26, 2018

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
10 Hours of Pharmacology for NPs

Course Fees:
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$695 for Physician Assistants, Nurse Practitioners
$495 Nurses, Residents, Students & 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.
Harold Goforth, MD
Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Staff Physician, Cleveland Clinic
Section of Headache and Facial Pain Medicine

Dr. Harold Goforth is a member of the Center for Neurological Restoration at the Cleveland Clinic in Cleveland, OH. He has been a member of the Cleveland Clinic Medical Staff since August 2012. He worked previously in the Section of Palliative Medicine in the Department of Hematology/Oncology.

He is an Assistant Professor of Medicine in The Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, and is board certified in Hospice and Palliative Medicine, Psychiatry, Geriatric Psychiatry, Pain Medicine, and Addiction Medicine.

Mellar Davis, MD, FCCP, FAAHPM
Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Editor-in-Chief, Progress in Palliative Care
Chairman, Palliative Section, Multinational Association of Supportive Care in Cancer
Scientific Subcommittee, American Academy of Hospice and Palliative Medicine
Reviewer, journals Cancer, Palliative Medicine, British Journal of Cancer, Journal of Pain and Symptom Management, Chest, Journal of Palliative Medicine, Journal of Supportive Care in Oncology

Dr. Mellar Davis is a member of the Palliative Care Department, and Section Head, Geisinger Medical System Danville, PA.
He has been a member of the Geisinger Medical Staff since August 2016. In his role as Section Head, Dr Davis is responsible for developing palliative care services throughout the Geisinger Medical System including outpatient and inpatient services. In addition, Dr Davis works with the Geisinger Hospice Services to develop and coordinate care within the central region.

Dr Davis was a member of the Cleveland Clinic Palliative Care section, Taussig Cancer Institute and fellowship director until joining the Geisinger Medical System. He was the co- chair of the Palliative Care Study Group of the Multinational Association of Supportive Care (MASCC) and a past board member since 2010.

He is a Professor of Medicine in The Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, since 2009 and elected as a Fellow to the American Academy of Hospice and Palliative Medicine in 2010. He is Editor in Chief of Progress on Palliative Care.

His present duties within the Associate Editor in Chief of PC FACS (Fast Article Critical Summary for Clinicians in Palliative Care).

Our staff can assist you with all your travel arrangements.

Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners. Attorneys, Psychologists
Program Purpose / Objectives
Topics :
  • Opioids in the management of pain due to neoplasm
    • Better manage cancer pain syndromes to provide relief to the individual
  • Psychiatric correlates to chronic pain
    • Better understand the role of psychiatric disease that complicate chronic pain syndromes vs. mask as chronic pain syndromes.
  • Methadone and Buprenorphine for Pain Control
    • Better understand the unique features of these molecules and how they may be used to better control painl
  • Opioids and Addictions: Part 1
    • Better understand the risks and epidemiology of addictions in the presence of chronic opioids.
  • Opioids and Addictions: Part 2
    • Better understand the biology of addictions and the treatment of addicted individuals needing pain control.
  • Headache and Facial Pain Syndromes
    • Better understand common facial pain syndromes including migraine, cluster headaches, and trigeminal neuralgia.
  • Non-drug approaches to chronic pain
    • Better understand current pain management techniques not based on pharmacotherapy in chronic pain.
  • Levorphanol, tapentadol
    • Participants will be albe to differentiate the actions and pharmacokinetics of tapentadol and tramadol, levorphanol and methadone.
  • Nalbuphine
    • Participants will be able to employ nalbuphine in clinical situations for which it has an advantage.
  • Visceral pain
    • Participants will be able to recite the neuroanatomical differences between somatic and visceral pain and the difference in pain characteristics.
  • Neuropathy
    • Participants will be able to recite the reasons why neuropathic pain is relatively opioid resistant.
  • Opioids: The Good, Bad and Ugly
    • Participants will be able to recognize the role mu receptor subtypes and bias signaling have lead to the potential of better analgesics.
  • Opioids: Where is the balance
    • Participants will be able to recite the lesser known risks with opioids such as depression, infections, primary hypogonadism, falls , fractures , impaired wound healing and myocardial infarction.
  • Opioid Induced Hyperalgesia: Does it Exist, What Does It Mean
    • Participants will be able to discuss the evidence for opioid induced hyperalgesia based on a review of 10-14 studies.
  • Opioid Dosing Strategies for Cancer PainOpioid Dosing Strategies for Cancer Pain
    • Participants will apply the WHO stepladder to cancer pain management.
  • Link between psychiatric illnesses and pain
    • Participants will be able to discuss the close connection between the presence of chronic pain depression and analgesic responses.
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.

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
Sat May 19 San Juan, Puerto Rico
- 8:30 pm
Sun May 20 Charlotte Amalie, St. Thomas, USVI
7:00 am 6:00 pm
Mon May 21 At Sea - Cruising
- -
Tue May 22 Willemstad, Curacao
8:00 am 8:00 pm
Wed May 23 Oranjestad, Aruba
7:00 am 11:00 pm
Thu May 24 At Sea - Cruising
- -
Fri May 25 Basseterre, St. Kitts
8:00 am 5:00 pm
Sat May 26 San Juan, Puerto Rico
6:00 am -
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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