University at Sea®
5700 4th St. N.
St Petersburg, 
Office Hours
Monday - Friday
8:30 am - 6:00 pm EST
9:00 am - 5:00 pm EST
1:00 pm - 5:00 pm EST
Cruise Conference Planning For Your Association
Support Doctors Without Borders

Primary Care and Geriatrics: Addressing Issues of Aging Patients - 2018 Update

Royal Caribbean's Marvelous Explorer of the Seas
Royal Caribbean's Explorer of the Seas

7-Night Alaska Cruise Conference
Round-trip Seattle, Washington
August 3 -10, 2018

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

Course Fees:
$895 for Physicians, Attorneys, Psychologists & Doctors of Pharmacy
$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.

Dr. LeVine is currently an Adjunct Clinical Associate Professor of Lake Erie College of Osteopathic Medicine (LECOM) and previously was a Clinical Associate Professor of Kansas City University of Medicine and Biosciences College of Osteopathic Medicine. He is Certified in Geriatrics by the American Board of Family Practice and Internal Medicine and has been asked this year to participate in the blueprint review for the Geriatric Medicine examination. He is also the clinical preceptor of Geriatrics for 3 different residency programs in St. Petersburg, Florida.

In addition to his private geriatric clinical practice, he is the Medical Director at Arden Courts of Seminole (ALF specializing in memory care), Dementia specialist for the IDEAS (The Imaging Dementia‐ Evidence for Amyloid Scanning) Study, Medical Director of the Geriatric Assessment Program at Menorah Manor, Medical Director of Menorah Manor's Marion and Bernard Samson Nursing Center and Chief Medical Officer of Menorah Manor. In 2016, he was awarded Medical Director of the Year by AMDA-The Society for Post-Acute and Long-Term Care Medicine 2016.

Eric G. Tangalos, MD, FACP, AGSF, CMD

Dr. Eric Tangalos is Professor of Medicine at the Mayo Clinic in Rochester, Minnesota. He was Chair of Primary Care Internal Medicine from 1997 to 2006. Dr. Tangalos received his undergraduate training from the University of Michigan, is a graduate of the Loyola University Stritch School of Medicine in Chicago, and was a resident and fellow in Internal Medicine at Mayo.

He is a past president of the American Medical Directors Association (AMDA) and is a fellow and past governor of the American College of Physicians. He is a past director of the American Geriatrics Society and served on their Foundation for Health in Aging. He served eight years on the national board of the Alzheimer's Association and was a member of their executive committee. He is a delegate to the AMA and is the immediate past chair of the AMDA Public Policy Committee.

Dr. Tangalos has been continuously funded with the Mayo Clinic Alzheimer's Disease Research Center since 1987. He was responsible for the recruitment of volunteers that first defined Mild Cognitive Impairment and was an author on those seminal publications. He currently serves as chair of the Mayo formulary committee responsible for all neurologic and psychiatric drugs. He is an Internist and Geriatrician, teaches on the Mayo campus and lectures both nationally and internationally.

Our staff can assist you with all your travel arrangements.

Target Audience
Physicians, Nurses, Nurse Practitioners, Physician Assistants
Program Purpose / Objectives
  1. "Whose Life Is It Anyway"
    Everything You Wanted to know about Advanced Directives and End of Life Care but Didn't Know Who To Ask?
    Objectives: After this session, the learner will be able to:
    • Review the origin of Advanced Directives from physician paternalism to patient autonomy to partnerships
    • Understand differences in health care surrogate, proxy, legal guardian, and durable power of attorney
    • Discuss Living Wills, Ethical Wills, POLST, CPR, DNR, CMO, and AND.
    • Be able to comfortably discuss end of life issues with your patient and families
    • Explain the role of the ethical committee
    • Define futility and physician obligations
    • Apply knowledge to challenging case scenarios
  2. "Get Smart" About Diabetic Management In The Geriatric Population
    Objectives: After this session, the learner will be able to:
    • Review prevalence and impact of diabetes in the geriatric populations
    • Discuss the vast number of medications for diabetes and when they are appropriate
    • Understand differences in treatment strategies and goals in the diabetic geriatric patient
    • Develop stepwise approach for the management of diabetes in the geriatric patient
  3. "Driving Miss Daisy": Driving Assessment of the Elderly
    Objectives: After this session, the learner will be able to:
    • Review aging changes that may affect driving skills
    • Learn how to evaluate geriatric patients through physical and cognitive testing
    • Discuss how to manage the issue of removing driving privileges from your patient
  4. How to Be A GENE-ius: An Entertaining Guide Through Genetic Drug Sensitivity Testing
    Objectives: After this session, the learner will be able to:
    • Review phase I drug metabolism and CYP450
    • Familiarize yourself with genetic testing and when it is appropriate to order
    • Understand how to use and interpret genetic testing in geriatric clinical practice using case scenarios
  5. C. difficile - Muy Dificil
    Objectives: After this session, the learner will be able to:
    • Explore the history of C. difficile and antibiotic associated diarrhea
    • Be knowledgeable regarding testing options for C. difficile
    • Discuss antibiotic stewardship and avoidance of unnecessary antibiotics in the geriatric population
    • Review the data regarding best treatment options and the role of probiotics
  6. The Ten Commandments of Medical Ethics
    Objectives: After this session, the learner will be able to:
    • Review the basic tenets of Medical Ethics
    • Discuss actual case scenarios that deal with end of life decisions
    • Apply medical ethics to geriatric clinical practice
  7. Osteoporosis
    Objectives: At the end of this session, the learner will be able to:
    • Evaluate screening recommendations and apply them to everyday practice
    • Utilize therapies that include bisphosphonates, PTH and inhibitors of the RANK/RANKL/OPG system
    • Recommend appropriate vitamin D therapy
    • Better advise patients on calcium supplementation
  8. Redefining Alzheimer's Disease
    Objectives: At the end of this session, the learner will be able to:
    • Define Mild Cognitive Impairment in both amnestic and non-amnestic disease states
    • Understand the potential implications of early diagnosis of dementia for patient care outcomes
    • Describe the clinical manifestations of Alzheimer's disease
    • Evaluate patients for symptoms of cognitive and functional loss
    • Apply appropriate drug and non-drug interventions for patients with dementia
    • Counsel families and caregivers at all stages of disease
  9. To Sleep: Perchance to Dream
    Objectives: At the end of this session, the learner will be able to:
    • Describe the age-related changes in sleep
    • Evaluate the psychiatric, medical, and neurological causes of sleep problems
    • Implement office-based and objective methods for evaluating sleep disordered breathing
    • Intervene with appropriate treatments for complaints of insomnia
  10. Management of Constipation
    Objectives: At the end of this session, the learner will be able to:
    • Understand the common barriers that hinder the optimal management of chronic constipation in health care settings
    • Define primary as well as secondary causes of hypertension in the older adult
    • Provide a rational strategy to manage constipation based on current best evidence of the drug classes currently available
  11. Where Pain Management Meets Addiction Medicine
    Objectives: At the end of this session, the learner will be able to:
    • Understand the pathogenesis of pain
    • Apply recent guidelines in pain management
    • Choose appropriate drug therapy and multimodal interventions for the relief of pain
    • Enroll in your state's Prescription Drug Monitoring Program (PDMP)
    • Balance the management of patients who present with both pain and opioid addiction
  12. Pulmonary Disease in the Elderly
    Objectives: At the end of this session, the learner will be able to:
    • Evaluate current trends in pulmonary disease in the elderly
    • Review current immunization guidelines and supportive therapy
    • Discuss the key components of managing respiratory illness
    • Implement the appropriate use of nebulizers, MDIs and oxygen
    • Apply guideline directed care to patients with COPD
  13. Nutritional Supplements: When East meets West
    Objectives: At the end of this session, the learner will be able to:
    • Understand that adequate nutrition is a prerequisite for the maintenance of good health and optimum efficiency
    • Find the on-line resources that provide the best evidence in support of dietary and nutritional supplements
    • Identify targeted supplements for heart disease, vision, depression/mood, and urologic disorders
    • Council patients on the risks of certain therapies in the presence of other disease
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.

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.

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
Fri Aug 03 Seattle, Washington
- 4:00 pm
Sat Aug 04 At Sea
- -
Sun Aug 05 Alaska Inside Passage
Scenic cruising
- -
Sun Aug 05 Juneau, Alaska
12:00 pm 9:00 pm
Mon Aug 06 Skagway, Alaska
7:00 am 8:30 pm
Tue Aug 07 Tracy Arm Fjord, Alaska
Scenic cruising
7:00 am 12:00 pm
Wed Aug 08 At Sea
- -
Thu Aug 09 Victoria, British Columbia
9:00 am 6:00 pm
Fri Aug 10 Seattle, Washington
6:00 am -
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
©2016 - University at Sea®