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Topics in Cardiology, Preventive Cardiology, and Women's Health
12-Night Best of Japan Cruise
Round-trip Tokyo (Yokohama), Japan
October 10 - 22, 2021
Celebrity Solstice
21.0 AMA PRA Category 1 Credit(s)™ 21 ACPE Credits 21.0 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program 21.0 Contact Hours
Course Fees
$1095 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists $850 for Physician Assistants $695 for Nurses, Residents, Students & Others
The overall purpose of these lectures is to provide clinicians in general adult medicine with useful, updated information of management of their patients with risk factors for cardiovascular disease.
We will cover evidence based information on the ideal diet for patient with coronary artery disease and those at risk. We will discuss the epidemic of obesity and the effect of the cardiometabolic syndrome on the cardiovascular system.
We will delivery a comprehensive and evidence-based lecture on the management of congestive heart failure. We will provide the clinician with the newest information on the evaluation and management of hypertension and on the new class of drugs for the treatment of hypercholesterolemia-PCSK9 inhibitors.
We will explore issues and treatment strategies for patients who could benefit from statins but who are intolerant of these medications. We address a very common issue for midldle-aged men, erectile dysfunction. We will discuss prevalence, mechanisms and potential therapies for ED. We will present new recommendations for patients who require antiplatelet and anticoagulation therapy for cardiovascular conditions.
We will explore Point of Care Ultrasound (POCUS) a new technology that will potentially expand and enhance the physical exam. Finally we will review evidence based guidelines for the pre-operative evaluation of adult patients with and without cardiovascular disease.
As medical and pharmaceutical breakthroughs are frequent in today's society, primary care providers must call upon the evidence-based knowledge and talents of a variety of allied healthcare professionals to effectively meet the complex needs of their patients.
For a perimenopausal woman, her medical provider may call her pharmacist to determine if there is a less costly yet equally effective hormonal preparation for her vasomotor symptoms. Additionally he or she may inquire about compounding for atrophic vaginitis, vulvodynia and chronic Candida vulvovaginitis.
Beyond conferring with a gynecologist and other specialists, the primary care provider must network with a physical therapist for patients with pelvic organ prolapse and levator myalgia.
Patient-specific and dynamic communication among nutritionists, psychologists, team physicians and exercise physiologists is essential to the diagnosis and treatment of the female patient with amenorrhea with the Female Athlete Triad or an Eating Disorder.
Equally important as a gynecologist identifying a patient with PCOS and the provider managing her hyperinsulinemia and hyperlipidemia is the dietician who directs her weight loss.
The health department nurse providing the HPV vaccine to a 13-year old girl benefits the teenager with more protection from future cervical, oropharyngeal, anal cancer than Pap smears alone performed by a women’s healthcare specialist.
Topics
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Obesity and Cardiometabolic syndrome
Describe the pathophysiology of the cardiometabolic syndrome
The Mediterranean diet and other heart healthy diets
Describe the evidence supporting the beneficial effects of the Mediterranean diet
Hypertension-new treatment recommendations
Outline the major changes in the new AHA/ACC guidelines regarding the treatment of hypertension
Erectile Dysfunction-The hard evidence
Explain the prevalence and the pathophysiology of erectile dysfunction.
Describe three treatment strategies for ED
Statin intolerance-the tricks of the trade
Describe the prevalence of statin intolerance
Describe three treatment strategies for statin intolerance
Alirocumab and Evolocumab–PCSK9 inhibitors
Explain the pharmacologic mechanism of PCSK9 inhibitors in the treatment of hypercholesterolemia
Pre-Operative evaluation for noncardiac surgery
Explain the risk stratification for patients anticipating noncardiac surgery
Congestive Heart Failure-Update
Describe a comprehensive and evidence-based approach to the medical management of congestive heart failure
Antiplatelet and anticoagulation Therapy
Explain new strategies for the CV use of antiplatelet and anticoagulation therapy
Point of Care Ultrasound (POCUS)
Describe new uses of POCUS in clinical practice
THE FUTURE Of CERVICAL CANCER: The Legacy of Screening and the Prophecy
Of Eradication
The healthcare provider will recognize the development of modern day cervical cancer screening, the role of high risk HPV in male and female lower genital tract, oropharyngeal, anal carcinogenesis, and the importance of promoting HPV vaccination. Additionally the attendee will be able to properly manage the patient with abnormal cervical cancer screening testing according to the 2019 ASCCP Guidelines.
FLASH!!!
To Treat or Not To Treat with Estrogen
The clinician will address the concerns of perimenopausal women including their complaints of mood disturbance, vasomotor symptoms, insomnia, diminished sexual desire, vaginal atrophy. He/She will offer patients a variety of behavioral, hormonal, nonhormonal therapeutic modalities during this perimenopausal window.
THE ADNEXAL MASS
The provider will describe the new model of ovarian carcinogenesis and the obstacles encountered in trying to develop ovarian cancer screening. The participant will assess the malignant potential of a palpable mass in a woman using present day imaging and ovarian tumor markers and direct appropriate conservative, medical, or surgical intervention.
Additionally, the attendee will identify, counsel and if indicated refer women who are at risk of hereditary predisposition to ovarian cancer for genetic testing.
THE PCOS LOOK-ALIKES
Participants will generate a differential diagnosis for females of various reproductive ages presenting with signs of hyperandrogenism and order appropriate laboratory, radiologic imaging and timely referral to an endocrinologist, gynecologic oncologist, or general surgeon.
POLYCYSTIC OVARY SYNDROME
Upon completion of this didactic activity, the attendee will identify patients with PCOS, initiate recommended metabolic screening endorsed by the 2013 Endocrine Society and employ treatment for signs of hyperandrogenism. The participant will also prescribe risk reducing behavioral and pharmacotherapeutic measures for long term sequela of this disorder.
PUTTING OUT
"THE BURNING VULVA"
The participant will give examples of the variety of infectious, inflammatory, neoplastic, and neurologic disorders that cause vulvar burning/ pruritus, and make timely decisions on proper treatment and need for biopsy.
THAT PESKY VAGINAL DISCHARGE
The participant will draw from historical and physical exam findings, culture and new quantitative PCR based assays to properly detect and treat a variety of recurrent infectious and non-infectious causes of vaginal irritative symptoms.
GETTING TO THE RIGHT CAUSE AND RIGHT CLASSIFICATION OF ABNORMAL UTERINE BLEEDING
Attendees will adopt the PALM-COEIN classification system in defining the etiology of abnormal uterine bleeding in a nonpregnant woman of reproductive age. Additionally, participants will be able to select the most appropriate and cost effective imaging studies to confirm a specific disorder and direct endometrial biopsy based on patient specific risk factors.
The provider will recognize the potential role of new GnRH receptor antagonists, selective progesterone receptor modulators and the levonorgestrel-IUD in treating AUB-L
WHAT'S UP WITH FIBROIDS?
Having acquired an understanding of fibroid tumorigenesis, the health care provider will select from a variety of pharmacotherapeutic agents among them continuous GnRH agonists, GnRH antagonists, SERM's, SPRM's, Aromatase Inhibitors, Tranexamic acid, Levonorgestrel IUD, as well Interventional Radiological Interventions to best meet the individual needs of his/her patient.
ADDRESSING FEMALE DIMINISHED LIBIDO WITHOUT FEAR
The attendee will openly discuss problems of a sexual nature with his/her patients, define the type of sexual dysfunction and offer behavioral, pharmacologic therapy or referral to sex therapist
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
Frank B. Marsalisi, MD, FACOG
Director of Gynecology
Bayfront OB/GYN Residency Program
Bayfront Health St. Petersburg
Orlando Health Inc.
Dr. Frank Marsalisi is the Director of Gynecology at the Bayfront OB/Gyn Residency Program , Bayfront Health St. Petersburg -Orlando Health Inc.. Originally from New York, he preceded his medical degree from Michigan State University with two years of research with publication in Hypersensitivity Diseases at USV Pharmaceutical and the Upjohn Company.
After completing his Obstetrics and Gynecology residency as Chief resident at the University of South Florida, he went on to fulfill his four-year commitment with the National Health Service Corp as Director of Obstetrics and Gynecology at the Ruskin Migrant and Community Health Center in Ruskin, Florida. While at Ruskin, he was made a Clinical Assistant Professor of the Department of Obstetrics and Gynecology at the University of South Florida and received the U.S. Public Health Service Regional Health Administrator's Award.
Throughout his residency training and postgraduate career, Dr. Marsalisi has been the recipient of many prestigious university and national teaching awards, including the University of South Florida's Distinguished Professor Award and the John Turlich Medical Student Teaching Award, the Council on Resident Education in Ob/Gyn National Faculty Award for Excellence in Teaching, and many Bayfront Health Teaching Faculty of the Year awards.
He has been honored as being one of the "Top Obstetricians and Gynecologists in America" by the Consumer Research Council of America, and in 2017 he was recognized by Castle Connolly Medical Ltd to be among the"Leading Physicians of the World".
He is a medical community leader serving on the Board of his county medical association and is a delegate to the Florida Medical Association. He has been a speaker on women's health issues for the University at Sea since 2012.
George P. Rodgers, MD, MACC
Dr. Rodgers received the Distinguished Fellow of the American College of Cardiology Award in 2017
Associate Professor of Medicine
Associate Chief of Cardiology
The University of Texas Dell Medical School
Austin, TX.
Dr. Rodgers is an Associate Professor of Medicine and the Associate Chief of Cardiology for Education at The University of Texas at Austin Dell Medical School. He led the development of the cardiovascular curriculum for the new medical school. Dr. Rodgers teaches medical students, residents and cardiology fellows on a regular basis. Beyond medical education, he has a particular interest in prevention the early detection of heart disease, team-based care and innovative value based care for the safety net population.
Dr. Rodgers received his medical education at The University of Texas Southwestern Medical School in Dallas. He completed his fellowship training in cardiology at Baylor College of Medicine in Houston. He began his cardiology practice in Austin in 1989. Dr. Rodgers has been very active in the American College of Cardiology over the last 25 years. He has served as the Chair of the Board of Governors, the Board of Trustees and as Co-chair Leadership Council of the Cardiovascular Team.
He has also served on a number of other committees and writing groups within the College He received the Distinguished Fellow of the American College of Cardiology Award in 2017. This year he was awarded Master of the American College of Cardiology.
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
Sun Oct 10
Tokyo (Yokohama), Japan
-
6:00 pm
Mon Oct 11
Shimizu (Mt. Fuji), Japan
7:00 am
3:00 pm
Tue Oct 12
Kyoto (Osaka), Japan
10:00 am
8:00 pm
Wed Oct 13
Kochi, Japan
8:00 am
6:00 pm
Thu Oct 14
Hiroshima, Japan
8:00 am
5:00 pm
Fri Oct 15
Beppu, Japan
8:00 am
5:00 pm
Sat Oct 16
*At Sea - Cruising
-
-
Sun Oct 17
Jeju Island, South Korea
8:00 am
5:00 pm
Mon Oct 18
Busan (Pusan), South Korea
8:00 am
5:00 pm
Tue Oct 19
*At Sea - Cruising
-
-
Wed Oct 20
Aomori, Japan
8:00 am
5:00 pm
Thu Oct 21
*At Sea - Cruising
-
-
Fri Oct 22
Tokyo (Yokohama), Japan
6:00 am
-
*Tentative course schedule, actual class times may differ.
Ports of Call
Tokyo (Yokohama), Japan - Tokyo is a city that's unlike any other. For a first-time visitor, arriving in Japan's capital is an almost otherworldly experience. From a western point of view, there are few places on earth that are quite this foreign. The land of the rising sun is known for maintaining a wonderful balance of modernity and tradition, and nowhere is this harmonious contrast more apparent than in Tokyo.
Japan's most populous city is made up of several districts that each have their own unique atmosphere, not dissimilar to New York City's boroughs. From the serene and traditional Ueno to the super-chic shopping districts of Harajuku and Aoyama to the pop culture and technology mecca of Akihabara, Tokyo really does have something for everyone. Be sure to take advantage of the city's supremely efficient public transportation system; no need to limit your time in Tokyo to a single district when the Metro allows you to travel between them with ease. But no matter where you are in the city, there are a few things that can always be found within walking distance: outstanding food, fascinating architecture, and exceedingly polite locals.
To truly take in the scale of Tokyo, view this sprawling cityscape from above. While many tourists visit Tokyo Skytree or Tokyo Tower for a chance to see the skyline, more shrewd travelers tend to favor the Tokyo Metropolitan Government Building's Observatory. Of course, a stay at the Ritz-Carlton also offers a spectacular view from the privacy of your room.
Shimizu (Mt. Fuji), Japan - On clear days, particularly in winter, Mount Fuji (Fuji-san in Japanese) is visible from as far as Tokyo, 60 miles away. When Japan's highest mountain is capped with snow, it’s a picture-postcard perfect volcanic cone. One of the best-known symbols of Japan, this iconic mountain has been considered sacred since ancient times and was even forbidden to women until the early 1900s.
Kyoto (Osaka), Japan - Japan's past and traditions are well preserved in the former imperial capital. Your cultural exploration can include temples and shrines, elegant and peaceful gardens, palaces and museum. Bring an appetite to enjoy the city's famous cuisine.
Explore Kyoto’s ancient architecture, including the stunning Golden Pavilion and the mystical red torii gates of the Fushimi Inari shrine. Savor the city’s culinary scene, from hole-in-the-wall ramen joints to Michelin-starred restaurants.
Kochi, Japan - Kochi is the capital of Kochi Prefecture on the southern coast of Shikoku. The city is small and friendly, with a casual atmosphere and a dose of southern flair.
Kochi boasts several attractions of interest to travelers, including a well-preserved, original hilltop castle from the feudal period in Kochi's downtown.
Hiroshima, Japan - Hiroshima is now defined as a beacon of peace and prides itself on its exceptional natural beauty. See more than 300 cherry blossom trees in bloom at Peace Memorial Park, journey to the breathtaking Itsukushima Shrine on Miyajima Island, and take time to sample "okonomiyaki"—a delicious example of Japanese soul food.
Beppu, Japan - Beppu is a city and spa resort on the southern Japanese island of Kyushu. Set between Beppu Bay and volcanic mountains, it's home to more than 2,000 onsen (hot springs).
At Sea - Cruising - Cruising
Jeju Island, South Korea - Jeju is the capital of Jeju Province in South Korea and the largest city on Jeju Island. The city is served by Jeju International Airport. Located on an island off the Korean Peninsula, Jeju has mild, warm weather during much of the year. The city is a well-known resort, with prestigious hotels and public casino facilities
Busan (Pusan), South Korea - Find stillness at some of the largest Korean Buddhist temples, including Beomeo-sa, first constructed in the year 678 and home to over one thousand monks-it also contains seven different registered national and cultural treasures. Near the port, explore the famous Jagalchi fish market or the city's renowned beach resorts. Journey to the Dongnae area to soak in the city's healing hot springs.
Aomori, Japan - Aomori, a prefecture in the northern part of Japan’s main island of Honshu, is known for natural landscapes including volcanic mountain ranges. Towada-Hachimantai National Park, near the southern border, has hot springs, autumn foliage in Oirase Gorge, skiing at Mount Hakkōda and lava domes around Lake Towada. Aomori, the capital, is a laid-back port that hosts the Nebuta summer festival.
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.
