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Cruise Conference Planning For Your Association
Support Doctors Without Borders

2019 Update in Family Medicine and
Primary Care Psychology

Holland America Line's Lovely ms Zuiderdam
Holland America's ms Zuiderdam

11-Night Panama Canal Cruise Conference
Round-trip Fort Lauderdale, FL
March 20 - 31, 2019

21 AMA PRA Category 1 Credit(s)™
21 Contact Hours
21 CE Credits for Psychologists
Course Fees:
$1,095 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists $850 for Physician Assistants, Nurse Practitioners $695 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.
H. James Brownlee, Jr., MD
Faculty member
Bayfront Health Family Medicine Residency Program
St Petersburg, FL

H. James Brownlee, MD, is Professor Emeritus in the Department of Family Medicine at the University of South Florida Morsani College of Medicine in Tampa, Florida. He served as Chair of the Department of Family Medicine from 1992 to December 2011, after which time he served as the Medical Director of the Monsour Executive Health Center at USF Health until August 2015. He is now a part time faculty member at the Bayfront Health Family Medicine Residency Program in St Petersburg.

Dr. Brownlee earned medical degree from the State University of New York Upstate Medical Center in Syracuse, New York, he then went on to complete his residency training through the Williamsport Hospital Family Practice Residency Program in Pennsylvania. He completed his teaching fellowship in the Department of Family Medicine at the University of Miami in Florida, followed by a geriatric fellowship at the Geriatric Education Center of the University of North Carolina. Dr. Brownlee is board certified in Family Medicine.He is a member and fellow of the American Academy of Family Physicians.

Dr. Brownlee's accomplishments are:
  • Awarded the Educator of the Year, 2009 by the Florida Academy of Family Medicine Physicians.
  • Best Doctors in America by Best Doctors, Inc. since 2000
  • Osler Award for Best Faculty Role Model, presented by the 1996 graduating class at the University of South Florida Morsani College of Medicine

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.

Our staff can assist you with all your travel arrangements.

Target Audience
Primary Care Physicians, Nurses, Nurse Practitioners, Nurses, Physician Assistants, Psychologists
Program Purpose / Objectives
  1. Cardiovascular Disease in Women - Diabetes
    • To discuss some of the clinical presentation of cardiovascular disease in women compared to men.
    • To describe the American Diabetic Association (ADA) diagnostic and treatment guidelines for Type 2 diabetes
  2. Cardiovascular Disease in Women - Hypertension
    • To describe the Joint National Committee on Hypertension 8 guidelines for blood pressure.
    • To discuss the SPRINT Trial results and their impact on the JNC 8 guidelines
  3. Cardiovascular Disease in Women - Dyslipidemia and Unstable Plaque
    • To discuss the AHA/ACC guidelines for the treatment of lipid disorders in women, and the therapies available to improve them.
    • To review the role of unstable coronary artery plaque as a cause of acute cardiac death.
  4. Diagnosing and Treating Women with Monopolar and Bipolar Depression Disorders
    • To analyze the clinical nuances and differences between these two forms of depression.
    • To describe an overview of the benefits and limitations of the various medication classes presently available to treat monopolar and bipolar depression disorders.
  5. Diagnosis and Management of Headache in Women
    • To explain the similarities and differences between idiopathic intracranial hypertension, migraine, tension, cluster and sinus headaches in adults.
    • To discuss the more frequent incidence of vascular disease in individuals with migraine with aura.
    • To review the pharmacological therapies for migraine including “abortive” and “preventative” therapy, as well as discuss the therapies of the other more common headaches seen in women in the primary care and women's health clinical settings.
  6. Osteoporosis in Women
    • To review the medications that are associated with osteoporosis.
    • To discuss the lifestyle and therapeutic options for the prevention and treatment of osteoporosis.
    • To analyze the adverse effects that accompany the use of medications utilized in the treatment of osteoporosis
  7. Sexually Transmitted Diseases
    • To recognize the risk of sexually transmitted infections after a single unprotected sexual encounter.
    • To describe the rational use of pharmacologic agents for the treatment of common STDs, excluding AIDS, following the most recent guidelines from the Center of Disease Control.
    • To assess the role of expedited partner therapy in the treatment and prevention of STDs.
  8. Travel Medicine
    • To provide a general understanding of pre-travel health preparation including health documents, a travel health kit, travel insurance issues and immunizations.
    • To review the symptoms and signs of travelers' diarrhea, airplane travel including jet lag, cruise travel issues and altitude illness.
    • To discuss specific preventive guidance for traveler-related illnesses, as well as illness specific therapeutic regimens
  9. Movement Disorders: Parkinson's Disease, Essential Tremor, and Restless Leg Syndrome
    • List the common and less common symptoms and signs of Parkinson's disease and Essential Tremor.
    • Name the five basic criteria for diagnosing Restless Leg Syndromes (RLS).
    • Discuss the rational use of pharmacologic agents in the management of Parkinson's disease, RLS and Essential Tremor
  10. 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.
  11. 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
  12. 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
  13. 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
  14. 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 settinga
  15. 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
  16. 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
  17. 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
  18. The somatizing patient
    • Identify 3 common types of somatization seen in primary care setting
    • Know DSM 5 criteria used to diagnose Somatic Symptom Disorder
    • Identify at least 1 assessment tools used to diagnose somatic symptom disorder
    • List at least 4 treatment methods used to manage somatic symptom disorder.
  19. Behavior disturbances in dementia
    • Determine whether behavioral issues warrant pharmacologic treatment or hospitalization.
    • Individualize treatment for dementia based on symptoms and evidence of efficacy.
    • Identify medical and nonpsychiatric causes of behavioral disturbances.
    • Provide interventions capable of reducing behavioral disturbances in this population.
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 21 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 21 hours of continuing education credit. Each psychologist should claim only those hours of credit that he/she actually spent in the educational 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
Wed Mar 20 Fort Lauderdale, Florida
- 5:00 pm
Thu Mar 21 Half Moon Cay, The Bahamas
8:00 am 3:00 pm
Fri Mar 22 At Sea - Cruising
- -
Sat Mar 23 Oranjestad, Aruba
1:00 pm 11:00 pm
Sun Mar 24 Willemstad, Curacao
8:00 am 11:00 pm
Mon Mar 25 At Sea - Cruising
- -
Tue Mar 26 Cartagena, Colombia
7:00 am 1:00 pm
Wed Mar 27 Enter Panama Canal
5:00 am 5:00 am
Wed Mar 27 Cruising Gatun Lake and Panama Canal
- -
Wed Mar 27 Gatun Lake, Panama
9:00 am 10:00 am
Wed Mar 27 Cruising Panama Canal
- -
Wed Mar 27 Exit Panama Canal
1:00 pm 1:00 pm
Wed Mar 27 Colon, Panama
3:00 pm 8:00 pm
Thu Mar 28 Puerto Limon (San Jose), Costa Rica
6:30 am 4:00 pm
Fri Mar 29 At Sea - Cruising
- -
Sat Mar 30 At Sea - Cruising
- -
Sun Mar 31 Fort Lauderdale, Florida
7:00 am -
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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