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Cruise Conference Planning For Your Association
Support Doctors Without Borders

Selected topics in ENT, Sleep Medicine, and the Medical Management of Pain

Royal Caribbean's Wonderful Symphony of the Seas
Royal Caribbean's Symphony of the Seas

7-Night Western Caribbean Cruise Conference
Round-trip Miami, FL
April 6 - 13, 2019

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
8 Hours of Pharmacology for NPs
Up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
14 MOC (Part II) Points in the ABA MOC program

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.
J. David Cunningham, Jr., MD, FACS
Clinical Associate Professor of Surgery, Department of Otolaryngology, Campbell University Medical School; Board Certified in Otolaryngology and Sleep Medicine; Director of Eastern ENT Sleep Diagnostics, Eastern ENT, Sinus and Allergy Center, Goldsboro, North Carolina.

Dr. Cunningham completed his medical training at Thomas Jefferson University as well as an Otolaryngology-Head and Neck Surgery residency in 1984.

He was in private practice in suburban Philadelphia and was an academic instructor in Otolaryngology with both the University of Pennsylvania and Thomas Jefferson until moving to North Carolina in 2001.

He is presently practicing at UNC Ear Nose and Throat, associated with University of North Carolina since March of 2018 and is an associate Professor of Otolaryngology with Campbell University Medical College since 2014.

He is board certified in Otolaryngology in 1984 and with subspecialty Sleep Medicine in 2008.

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
  1. Levorphanol, tapentadol
    • Participants will be able to differentiate the actions and pharmacokinetics of tapentadol and tramadol, levorphanol and methadone
  2. Nalbuphine
    • Participants will be able to employ nalbuphine in clinical situations for which it has an advantage
  3. Visceral pain
    • Participants will be able to recite the neuroanatomical differences between somatic and visceral pain and the difference in pain characteristics
  4. Neuropathy
    • Participants will be able to recite the reasons why neuropathic pain is relatively opioid resistant
  5. 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
  6. 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
  7. 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
  8. Opioid Dosing Strategies for Cancer Pain
    • Participants will apply the WHO stepladder to cancer pain management
  9. 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
  10. Facial Paralysis and Bell's Palsy
    • Participants should be able to differentiate the potential causes of unilateral facial paralysis and know the present AAO-HNS guidelines for diagnosis, treatment and follow-up
  11. Head and neck manifestations of Reflux
    • Participants should be able to list and associate symptoms that may be caused by reflux in patients that have no heartburn or GI symptoms
  12. Rhinitis- not just Allergy
    • Participants should be able to recognize allergic from non-allergic rhinitis and improve patient care with most appropriate treatment.
  13. Sinus headaches and Facial Pain syndromes
    • Participants should be able to differentiate facial pain arising from sinus disease from the many other causes of facial pain and headache. and determine symptoms that suggests other etiologies of headache.
  14. Narcolepsy and other sleep disorders
    • Participants should be able to diagnose other causes of daytime sleepiness and discuss diagnostic testing and treatment options.
  15. Sleep Apnea Update 2019
    • Participants should be able to Identify risk factors for OSA and co-morbidities. Treatment options and follow-up will be emphasized.
  16. Incorporating CPAP care into the primary care office
    • Participant should be able to understand positive airway pressure machines and the differences between CPAP, BPAP,ASV and autoPAP. Attendees will understand Medicare guidelines for treatment and follow-up.
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.

MOC Accreditation This activity has been registered to offer 14 ( Part II) MOC Points in the ABA MOC program.

MOC ABIM Accreditation
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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 Apr 06 Miami, Florida
- 4:30 pm
Sun Apr 07 At Sea - Cruising
- -
Mon Apr 08 Roatan, Honduras
9:30 am 6:00 pm
Tue Apr 09 Costa Maya, Mexico
8:00 am 6:00 pm
Wed Apr 10 Cozumel, Mexico
7:00 am 6:00 pm
Thu Apr 11 At Sea - Cruising
- -
Fri Apr 12 Nassau, The Bahamas
9:00 am 6:00 pm
Sat Apr 13 Miami, Florida
6:00 am -
Royal Caribbean SouthernCaribbean Itinerary Map
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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