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University at Sea®

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Cruise Conference Planning For Your Association

PLEASE NOTE: THIS IS NOT A CURRENTLY ACTIVE PROGRAM.

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Palliative Medicine and End-of-Life Care,
Including Related Topics in Neurology

7-Night City Break Explore Cruise
Round-trip Southampton (London), England
May 07 - 14, 2021
Royal Caribbean's <em>Anthem of the Seas</em>
Royal Caribbean's Anthem of the Seas
14.0 AMA PRA Category 1 Credits™
14 ACPE Credits
CLE Credit may be available.
Up to 14 MOC (Part II) points in the American Board of Anesthesiology® (ABA) Maintenance of Certification (MOC) program
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
14.0 Contact Hours
Course Fees
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$695 for Physician Assistants
$495 for Nurses, Residents, Students & Others

Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners, PharmacistsAttorneys
Program Purpose / Objectives
Purpose: To provide an up to date overview of palliative care in clinical practice.
Description: Palliative care medicine as a specialty has become established in the last eleven years. But for most clinicians its basic elements and science is opaque. Most frequently, providers and patients understand palliative medicine as predominantly about dying/hospice patients. Although this is a significant role that palliative providers play, palliative medicine has equal significance in critical conditions with life ending potentials but well before life finality.

The purpose of these talks will be to explore the range and science of palliative practice and in so doing, enhance the participants capacity to seek palliative consultation and apply palliative techniques to their patients with such conditions. Examples of the areas for skill gains will be in participants understanding of treatments/pharmaceuticals for meeting palliative needs in patients with CHF, COPD, ESRD and end of life situations.

Participants will gain from case reviews direct knowledge of interactive techniques to assist the human management of clinical situations of decline. Focus too will be on the specifics of pharmaceutical management of pain in these conditions.

Topics
  1. Palliative Care Overview: History, Range of focus and Relation to Hospice Care
    • To discover the roots of palliative medicine, its impact on traditional practice models and the relation/definition between palliative and hospice care
  2. Advanced Care Directives
    • To define the history/legalities of advanced care directives.
    • To differentiate the various formats and techniques to advance end of life discussions.
    • To examine the controversies in ACD such as surgical thirty day rules.
  3. Pain Management and Palliative Care: Pharmaceutical review and a Review of the Issues of the Opioid Crisis
    • To illustrate treatment options for critical and end of life medical conditions.
    • To examine the roots and solutions of the opioid crisis particularly as related to palliative and hospice care.
  4. COPD, CHF and ESRD in Palliative Care
    • To utilize palliative medicine skills in the planning/treatment of these common chronic conditions.
  5. Patient Driven Voluntary Cessation of Hydration and Nutrition
    • To identify the phenomena of patient's elective decision in non acutely mortal situations to terminate their lives through active decision.
    • To examine the practitioners role/obligations in such a situation
  6. End of Life Symptomology and Management
    • To summarize the common EOL symptoms.
    • To demonstrate pharmaceutical and behavioral management of these conditions.
  7. Issues in Palliative Care: The Opioid Epidemic/ Legalized Cannabis use /Rationing-COVID19-Palliative Care
    • To examine the impact of the opioid epidemic on palliative care.
    • To examine the use of cannaboids in palliative therapeutics.
    • To examine the role that palliative care played in the COVID 19 pandemic
  8. Reimbursement and Coverage Strategies
    • To examine the CMS rules of remuneration for non palliative/hospice providers in palliative/hospice patients
  9. Mental State - delirium, MCI and dementia
  10. Can the Patient Hear Me? - awareness, unresponsiveness and coma
  11. Stroke - follow-up and prognosis
  12. Gap Analysis - quality approach to practice improvement
  13. Multiple Sclerosis and Parkinson's in Palliative Care
  14. Brain Death - what is it and diagnosis
  15. The Plan for Monday - changes for ease of practice and improvement in care
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.
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.
Faculty

Charles S. Mills, MD, FACP, FAAHPM, HMDBC

Charles S. Mills, MD, FACP, FAAHPM, HMDBC
Assistant Professor of Medicine, University of Massachusetts Medical School, Worcester, MA
Medical Director, Palliative and Hospice Medicine, Elliot Health System, Manchester, NH
Medical Director, Manchester VNA and VNA of Southern NH Hospice
Medical Director, Inspiris/Optum Care of United Health, Massachusetts
Fellow, American College of Physicians
Fellow, American Academy of Hospice and Palliative Medicine Dr Mills is a board certified internist and palliative care specialist with over 35 years of medical experience and practice. He practiced for many years both clinically and with administrative positions at the former Fallon Clinic/Fallon Community Health System. It was here that he built a strong interest in and knowledge of the impact of health care systems and economics on the delivery of care. In these various rolls, he became a strong advocate for physician education to assist the evolution of the care models necessary for success in the developing health care market.

Dr Mills's extensive work in geriatrics in his clinical practice led to his growth in palliative and hospice medicine. Taking on a medical directorship at a local hospice, he gained practical knowledge of this field and went on to complete additional study in this area leading to his successful completion of board certification in 2008. 

He is a zealous proponent of interactive learning processes and enjoys leading/mentoring invigorated medical education forums. He has lectured and taught broadly at both a community/ lay level, medical school level , residency/fellow level and at attending level of audience

Joel M. Kaufman, MD, FAAN

Joel M. Kaufman, MD, FAAN
Clinical Professor of Neurology
Warren Alpert Medical School of Brown University and Department of Neurology
Rhode Island Hospital, Providence, RI. Dr. Joel M. Kaufman is Clinical Professor of Neurology at the Warren Alpert Medical School of Brown University and a member of the Department of Neurology at Rhode Island Hospital, where he is the Medical Director of the Neurology Resident Teaching Clinic. 

Dr. Kaufman graduated from Boston University, majoring in mathematics, and from Boston University School of Medicine. He completed his medical internship at Presbyterian Hospital at Pacific Medical Center in San Francisco (now California Pacific Medical Center) and his Neurology residency at Boston City Hospital (now Boston Medical Center). He then joined Fallon Clinic (now Reliant Medical Group) in Worcester, Massachusetts. From 1988 through 1996 he was Medical Director of Fallon Community Health Plan. From 1997 to early 2014 he was Executive Director of the Lifespan/Physicians Professional Services Organization.

Dr. Kaufman is a Fellow of the American Academy of Neurology and active with the Academy, currently chairing the Payment Alternatives Team. He is also serving or has served on many other professional boards and committees.

Dr. Kaufman's interests include physician advocacy, quality improvement in medical practice, provide-payer interaction, and clinical teaching.

Our staff can assist you with all your travel arrangements.

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

DATE PORT OF CALL ARRIVE DEPART
Fri May 07 Southampton (London), England
- 5:00 pm
Sat May 08 Bruges (Zeebrugge), Belgium
7:00 am 7:00 pm
Sun May 09 Rotterdam, Holland
7:00 am 5:00 pm
Mon May 10 Paris (Le Havre), France
9:00 am 10:00 pm
Tue May 11 *At Sea - Cruising
- -
Wed May 12 Bilbao, Spain
7:00 am 7:00 pm
Thu May 13 *At Sea - Cruising
- -
Fri May 14 Southampton (London), England
5:30 am -
*Tentative course schedule, actual class times may differ.

Ports of Call

Southampton (London), England - "Sir, when a man is tired of London, he is tired of life; for there is in London all that life can afford." Samuel Johnson's famous words are as true today as when he spoke them. A visitor to London could fill a month with fascinating people, art, music, late-night dancing, fabulous shopping, an endless array of pubs and first rate meals.

Tourists should take in Victoria Station, the beauty of Westminster Abbey, Parliament, and the pomp of Buckingham Palace. And then, there are the "Elgin Marbles" at the British Museum and the Crown Jewels in the Tower of London. Or visit Sherlock Holmes' HQ on Baker Street (you know the address). After all that, make what might be the most important stop of all: grab a pint at one of the many corner pubs that's been hosting revelers since before America was a nation.

London is most certainly a place to "take in," not just "pass through." You won't be bored.

After your time in London, you'll transfer to Southampton to board your ship and start your cruise conference. Options for doing that from bus transport to the train (which is very near the cruise port in Southampton) to private taxi are all solid choices. When your cruise ends, you'll head back to take in more of London), or head home from Heathrow or Gatwick (if by taxi, consider an optional detour to visit Stonehenge).

Bruges (Zeebrugge), Belgium - Bordering the delta of the Scheldt, and the Maas and Rhine rivers, Zeebrugge could be one of the most unique seaports you visit in this lifetime. Zeebrugge is blessed with a picturesque network of canals and fields peppered with graceful windmills. Zeebrugge serves as a gateway port to the historic city of Brussels.

Rotterdam, Holland - Rotterdam is Europe's biggest port and one of the Netherlands' great surprises. Hit hard by World War II, the city was rebuilt gradually from the 1950s to the '70s — today, it's a lively, thriving metropolis that's home to a diverse, multicultural population. Get a taste of what the city used to look like at the Old Harbour or Delfshaven, a historic marina that survived the 1940 bombardment. Then, visit one of the many top-class museums, such as Boijmans, Van Beuningen or the Kunsthal in Rotterdam's Museum Park. Take a gander at the extraordinary cube houses and the sparkling market hall. Cruise to Rotterdam to relax at the Kralingse Plas lake and park, and snap a photo of the windmills.

Paris (Le Havre), France - Paris is an iconic city — a melange of everything artistic and sublime, with a worldwide reputation for excellence in cuisine, fashion, architecture and the fine arts. After you take the drive in from the port (just over two hours), hit the streets to see the city's monumental landmarks: Pass through the Arc de Triomphe, and stand in the presence of the Eiffel Tower. The beauty here is only matched by the history and culture. Cruise to Paris to feel the cool morning air outside Gothic Notre Dame cathedral, and see works from prehistoric to postmodern at the Louvre. At evening, walk the lamplit avenues as restaurants' wooden tables and rattan chairs spill onto the sidewalks and terraces. Pull up a seat, order a glass of vin rougeand a plate of pate on toast, and dive in.

At Sea - Cruising - Cruising

Bilbao, Spain - Bilbao, Spain's sixth-largest city, is being revitalized with the help of astounding strides in art and architecture. New life arrived in this commercial/industrial hub via the astonishing Bilbao Guggenheim Museum; the new, sleek glass and steel tube metro system; and the stunning glass-decked parabolic arch footbridge above the Nervion River. Bilbao also provides an excellent home base from which to explore the diverse Basque country, from the Atlantic Ocean to the Pyrenees.

Our staff can assist you with all your travel arrangements.

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.
SHORE EXCURSIONS
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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