Topics in Primary Care and Gastroenterology

Royal Caribbean's Freedom of the Seas — Royal Caribbean's *Freedom of the Seas*

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ANCC Contact Hours
4½ Hours of Pharmacology for NPs

COURSE FEES

$895.00

$695.00

$495.00

TARGET AUDIENCE

Physicians, Nurse Practitioners, Physician Assistants, Nurses

PROGRAM TOPICS

Topics:

Bootcamp for Elevated Liver Function Tests
- Describe why fatty liver disease is becoming the number one source of cirrhosis and hepatoma in the US
- Manage the treatment of fatty liver
Celiac Disease, or Something Else?
- State the usefulness of celiac genetic testing
Clinical Dilemmas in GI Bleeding
- Identify the risk factors that leads to GI bleeding
Colon Cancer Prevention 2018
- Define the best practices that lead to colon cancer prevention
Dysphasia/Dyspepsia/GERD and the Primary Care Provider
- Describe the difference between dyspepsia and GERD
- Develop a clinical approach when PPIs fail
Irritable Bowel Syndrome: Tools for Successful Treatment
- Select the "appropriate" workup for Irritable Bowel Syndrome
Probiotics 2018: Fulfilling the Promise
- Recognize the proven uses of Probiotics
Health Promotion: Encouraging a Healthy Body, Mind, and Spirit
- Assess the patient's current state of physical, psychological, and spiritual health.
- Analyze the patient's current dietary and exercise practices.
- Discuss an individualized health-promotion strategy for each patient.
Sleep Disorders: Insomnia and Excessive Daytime Somnolence
- Describe the four stages of sleep and identify sleep disorders associated with each stage of sleep.
- Discuss elements of a sleep hygiene program.
- Explain the appropriate use of stimulant medications for patients with excessive daytime somnolence.
"Ooh, My Aching Head!": Managing Migraine, Tension-Type and Cluster Headaches
- Discuss the appropriate use of brain imaging in evaluating patients with headache.
- Describe the appropriate use of abortive and preventive medications in the treatment of migraine.
- Describe the distinguishing clinical characteristics of tension-type and cluster headaches.
Male Sexual Disorders: Hypogonadism, Erectile, and Ejaculatory Dysfunction
- Elicit a through, non-judgmental sexual history.
- Describe appropriate laboratory and radiologic testing in the evaluation of male sexual problems.
- Discuss the effects, risks, and benefits of testosterone replacement and medications for erectile and ejaculatory dysfunction.
Hypertension: "What Goes Up Must Come Down"
- Describe the appropriate measurement and classification of hypertension.
- Discuss the laboratory testing and imaging needed to diagnose the most common causes of secondary hypertension.
- Describe the major classes of anti-hypertensive treatment and discuss the particular type of patient likely to benefit from each class of medication.
Enhancing Clinician-Patient Communication: Becoming a Healer
- Distinguish the technical , biomedical aspects of the clinician's role from the personal and psychosocial aspects of care.
- Describe specific attitudes and values needed to create a healing environment with patients.
- Apply techniques for establishing and maintaining rapport with patients and enhancing clinician-patient communication.
The Faith Factor: Practicing Spiritually-Sensitive Care
- Elicit a spiritual history in an ethically-appropriate manner.
- Analyze the physiologic, psychological, social, and lifestyle effects of religious beliefs upon health outcomes.
- Describe the spectrum of possible interventions available for addressing patients" spiritual needs.

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through University at Sea^®. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Peter S. Buch, MD, FACG, AGAF, FACP

Clinical Professor of Medicine
University of New England College of Osteopathic Medicine
Associate Professor of Medicine
University of Connecticut School of Medicine
Frank H. Netter, MD School of Medicine at Quinnipiac University
Manchester, CT

Dr. Peter Buch is a highly regarded medical educator and double board-certified clinical gastroenterologist with over 35 years of experience. His passion is teaching, and his style is famously case-based, practical, and interactive.

He is a Clinical Professor at the University of New England College of Osteopathic Medicine and an Associate Professor at both the University of Connecticut School of Medicine and the Frank H. Netter, MD School of Medicine. Demonstrating his leadership in medical education, he is the host of the GI Insights podcast on ReachMD and serves on the American College of Gastroenterology’s Education Affairs Committee.

Dr. Buch has been honored to present at dozens of national and international conferences. He always learns from his audience and looks forward to learning with you.

Dale A. Matthews, MD, FACP

Dale A. Matthews, MD, FACP
Associate Professor of Medicine (retired)
Georgetown University School of Medicine
Executive Healthcare Services (retired)

Dale A. Matthews, MD, FACP has served on the faculties of Yale University, the University of Connecticut, and Georgetown University and has lectured at over 30 medical schools. He gives lectures on primary care general internal medicine, the doctor-patient relationship, and the psychological and spiritual dimensions of medicine, including the role of religion, faith, and prayer in clinical care. He is the author of The Faith Factor: Proof of the Healing Power of Prayer (Viking, 1998), a four-volume research work (The Faith Factor: An Annotated Bibliography of Clinical Research on Spiritual Subjects), three documentaries, and over 65 peer-reviewed scientific articles, book chapters, and other publications.

Dr. Matthews is a graduate of Princeton (AB, cum laude, Romance Languages, 1976) and Duke University School of Medicine (1980). His internship and residency in internal medicine took place at the University of Connecticut (1980-3) and he completed the Robert Wood Johnson Foundation Clinical Scholar Program and Fellowship in Clinical Epidemiology at Yale (1983-5). In 1989, he was named the George Morris Piersol Teaching and Research Scholar of the American College of Physicians. He has received many awards for his compassionate patient care, including Washingtonian Magazine Top Doctor recognition. He has appeared on numerous television shows, including the Oprah Winfrey Show, Larry King Live, and Good Morning America.

He lives in McLean, Virginia with his wife, Demetra, a certified public accountant. He has two adult children and three grandchildren. He enjoys family and church activities, Bible study and teaching, golf, baseball, piano, singing, songwriting, ballroom dancing, travel, and photography.

Accreditation

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 12 contact hours. 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.

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians 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).

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. 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^TM as needed. Pharmacology credits are identified on individual activities.

	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

	Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

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.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits^TM as needed.
Pharmacology credits are identified on individual activities.

	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours. 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.

MOC ABIM

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.

In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation for Physicians: Continuing Education, Inc./University at Sea® designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Practitioners: Nurse practitioners may claim either ANCC contact hours or AMA PRA Category 1 Credits™, but not both for the same content. Where pharmacology hours are offered, they are stated separately.

The American Board of Internal Medicine (ABIM) accepts certificates of participation for self-assessment purposes in its Maintenance of Certification (MOC) program.

Credit Designation for Nurses: This activity provides 14 ANCC contact hours. 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.

Cruise Itinerary

DATE	PORT OF CALL	ARRIVE	DEPART
Sunday, November 4	San Juan, Puerto Rico	-	8:30 pm
Monday, November 5	Basseterre, St. Kitts Lectures: 7:00 am - 9:00 am	9:00 am	6:00 pm
Tuesday, November 6	St. John's, Antigua Lectures: 4:00 pm - 6:00 pm	8:00 am	5:00 pm
Wednesday, November 7	Castries, St. Lucia Lectures: 7:00 am - 9:00 am	9:00 am	6:00 pm
Thursday, November 8	Bridgetown, Barbados	8:00 am	7:00 pm
Friday, November 9	*At Sea - Cruising Lectures: 8:00 am - 12 Noon; 1:00 pm - 5:00 p	12:00 am	12:00 am
Saturday, November 10	Philipsburg, St. Maarten	8:00 am	6:00 pm
Sunday, November 11	San Juan, Puerto Rico	6:00 am	-

*Tentative course schedule, actual class times may differ.

Ports of Call

San Juan, Puerto Rico

Man kayaking in ocean of Puerto Rico; Caribbean; blue sky, blue water ocean sea; yellow kayak and paddle; blue life vest jacket; back view of man or view from behind, shore excursion

San Juan offers one of the most sophisticated and accessible experiences in the Caribbean. Unlike ports requiring long transfers to see anything of value, Old San Juan greets you immediately upon disembarkation. This 500-year-old walled city is a UNESCO World Heritage site best explored independently on foot, allowing you to bypass crowded bus tours and move at your own pace.

Puerto Rico, family walking in San Juan, exploring, sight-seeing, adventure, culture, family fun,

Your priority should be the two massive citadels guarding the coast. Start at Castillo San Cristóbal, the largest Spanish fortification in the New World, before walking the scenic coastal trail to the iconic Castillo San Felipe del Morro. The sheer scale of these defenses is humbling, and the expansive green lawn leading to El Morro—often dotted with kites—provides a dramatic contrast to the deep blue Atlantic.

May 2017 Allure Instameet shoot, Oliver Vegas, Ovunno, Old San Juan, Puerto Rico, wide shot of island with El Morro Fort, national historic site, history, culture, national park, architecture, sunset in background,

Between the forts lies a grid of blue cobblestone streets (adoquines) lined with vibrant colonial architecture. The joy here is aimless wandering, though the heat can be intense; stay hydrated and wear sturdy walking shoes to navigate the hills. For a cultural pause, visit the Cathedral of San Juan Bautista, the resting place of Ponce de León.

Culinary exploration is essential. Skip the generic tourist traps near the pier and head deeper into the city. Seek out mofongo (garlicky mashed plantains) at a local staple like El Jibarito or Café Puerto Rico. While the nearby beaches of Condado are beautiful, they require a taxi and contend with traffic. Unless you have visited before, we advise dedicating your day entirely to the history and atmosphere within the city walls, finishing perhaps with a Piña Colada at Barrachina, right in the heart of the old town.

Instameet, Puerto Rico, Old San Juan, Colorful Buildings, Architecture, Woman walking past cars, down winding old brick street, exploring, adventure,

Instameet, Puerto Rico, Old San Juan, Moro Fort, history, Architecture, Woman wearing wide sun hat looking out to sea over the fort wall, scenery, ocean horizon,

Instameet, Puerto Rico, Old San Juan, Iguana, Kid, Boy holding iguana, Child, wildlife, excited, fun,

May 2017 Allure Instameet shoot, Puerto Rico, tropical landscape, scenic, rainforest, forest, trees, guest, man climbing on rocks by waterfall, nature, relax, relaxing, adventure,

May 2017 Allure Instameet shoot, Puerto Rico, mother holding small child, toddler, standing on bridge walkway in jungle, forest, looking down over rocks below, fun, adventure, nature,

Glimpse of Hawaii, GoH influencers, Sage Stephens, Puerto Rico, young woman standing on top of old wall, building, overlooking city of San Juan, church in background, fun, adventure, culture,

Glimpse of Hawaii, GoH influencers, Sage Stephens, Puerto Rico, young woman hiking on top of rocks near tropical waterfall over rock wall, large tree roots in foreground, fun, adventure,

Glimpse of Hawaii, GoH influencers, Sage Stephens, Puerto Rico, tropical waterfalls over large rocks, man standing on rock at side, POV from below, fun, adventure,

Glimpse of Hawaii, GoH influencers, Sage Stephens, Puerto Rico, young woman at top of high rock cliff, looking down into rocks and waves, ocean in background, fun, daring, adventure,

Glimpse of Hawaii, GoH influencers, Sage Stephens, Puerto Rico, dramatic shot of diver doing back flip in air over large rocks by sea, rock cliffs, waves on rocks below, daring, courage, fun, adventure, athletic, strength,

Glimpse of Hawaii, GoH influencers, Nate Ancheta, Puerto Rico, large waterfall in tropical forest, young woman standing on rocks, taking photo of falls, water flowing over large rock wall, fun, adventure,

Glimpse of Hawaii, GoH influencers, Nate Ancheta, Puerto Rico, large waterfall in tropical forest, motion blur of water flowing down over rocks, man at bottom of stream, looking down, fun, adventure,

Glimpse of Hawaii, GoH influencers, Nate Ancheta, Puerto Rico, large waterfall in tropical forest, water flowing over large rock wall, man below standing on rock, holding up arms toward waterfall, fun, adventure,

Glimpse of Hawaii, GoH influencers, Nate Ancheta, Puerto Rico, young woman climbing up rocks at waterfall, tropical forest, fun, adventure,

GoH, Dan Worden, influencers, San Juan, PR, Puerto Rico, young woman standing on rocks overlooking rapids, rushing water, stream below, tropical foliage

GoH, Dan Worden, influencers, San Juan, PR, Puerto Rico, hikers, tourists, guests, walking across old bridge, POV from rocks and rushing water below, tropical foliage,

Come Seek December 2015 shoot, nightlife, Old Town, San Juan, Puerto Rico,

San Juan, PR, Puerto Rico, Caribbean, natural water slide, adventure, fun, man on slide, couple watching, Las Playas

Instameet, Puerto Rico, Old San Juan, Street, Colorful Buildings, Architecture, perspective shot down center of street,

CSDec2015, Come Seek AN shoot, man, smiling, sitting by natural waterslide, water flowing over large rocks, Las Playas, San Juan, Puerto Rico, fun, adventure

Basseterre, St. Kitts

St. Kitts stands out in the Caribbean for its dramatic topography and deep colonial history, offering a richer experience than the standard beach-only destination. The island is dominated by dormant volcanoes and lush rainforests, providing a backdrop that feels wilder and more rugged than many of its neighbors.

The premier attraction is undoubtedly Brimstone Hill Fortress National Park. A UNESCO World Heritage site, this massive British fortification sits high atop a volcanic hill. It requires a bit of a climb, but the panoramic views across the Caribbean Sea to Sint Eustatius and Saba are spectacular. It is a genuine highlight for history enthusiasts and photographers alike, well worth the entry fee and the drive.

Marina at Basseterre, St. Kitts, Caribbean

For a more relaxed tour of the landscape, the St. Kitts Scenic Railway is unique in the region. Originally built to transport sugar cane, the double-decker train loops around the coast, offering a comfortable way to see the villages and countryside that are otherwise hard to access. Alternatively, a stop at Romney Manor offers a blend of nature and culture; the botanical gardens feature a magnificent 400-year-old Saman tree and house Caribelle Batik, where you can watch local artisans at work.

If a beach day is your priority, we advise skipping the Atlantic side and heading to the Southeast Peninsula. The drive itself is scenic, crossing the narrow isthmus with views of both oceans. South Friars Bay and Cockleshell Bay offer the best calm waters and soft sands, lined with casual beach bars facing the peak of Nevis.

Basseterre itself is a bustling, authentic Caribbean town rather than a sanitized tourist trap. While Port Zante is filled with standard duty-free shops, a walk into the town center reveals the Circus—modeled after Piccadilly in London—and Independence Square, a poignant reminder of the island's history as a former slave market. We recommend prioritizing the island tour or the peninsula beaches, using the town primarily for a brief historical stroll before returning to the ship.

St. John's, Antigua

Glimpse of Hawaii, GoH influencers, Sage Stephens, Antigua, underwater, stingray, ray, POV at waterline showing above and below, clouds in background, marine life,

Walk past the standard duty-free shops at the St. John's pier and hire a taxi to head south. The island's standout is Nelson's Dockyard at English Harbour, a 30-minute ride away. As the world's only continuously working Georgian dockyard, this UNESCO site warrants an hour of walking the original cobblestones and viewing the restored 18th-century naval buildings. Have your driver continue up to Shirley Heights for the island's best vantage point over the harbor.

Antigua claims 365 beaches. If you want proximity and amenities, Dickenson Bay is a 15-minute ride from the pier, offering calm water and active beach bars. For quieter sand, head southwest to Valley Church Beach or Ffryes Beach. Negotiate a fixed rate with a taxi dispatcher at the cruise terminal to easily combine the dockyard with an afternoon beach stop.

Glimpse of Hawaii, GoH influencers, Nate Ancheta, Antigua, young woman paddling kayak through narrow opening in mangrove tree roots, followed by another kayak, POV onboard kayak in back, fun, adventure,

Glimpse of Hawaii, GoH influencers, Nate Ancheta, Antiqua, couple kayaking in ocean, two kayaks, young man and young woman, mangrove islands in background, lagoon, paddling, fun, adventure,

GoH, Dan Worden, influencers, Antiqua, trio, three young people sitting on rocks by shore, waves splashing against cliffs, relaxing, fun,

GoH, Dan Worden, influencers, Antigua, young woman paddling kayak close to mangroves, fun, relaxing, adventure,

GoH, Dan Worden, influencers, Antigua, young man paddling kayak near shore, another person in kayak in background, fun, relaxing, adventure,

GoH, Dan Worden, influencers, Antiqua, trio, three young people sitting on rocks by shore, waves splashing against cliffs, POV from water, relaxing, fun,

Castries, St. Lucia

St. Lucia is defined by its dramatic topography, distinguishing it from flatter Caribbean neighbors. The island’s visual signature is the Pitons, twin volcanic spires rising from the sea—a UNESCO World Heritage site that creates one of the most spectacular backdrops in the tropics. However, visitors must understand the island's geography to maximize their time ashore.

Ships dock in Castries, located on the northwest coast, while the iconic Pitons, the drive-in volcano, and the therapeutic Sulphur Springs are located south in Soufrière. This presents a logistical reality: reaching the island's premier sights requires a commitment. The road to Soufrière is incredibly scenic but notoriously winding, taking over an hour each way. For those prone to motion sickness, or simply wanting to maximize sightseeing time, a water-based transfer or catamaran excursion is the superior choice. The reward is substantial: walking through botanical gardens, soaking in mineral-rich mud baths, and viewing the peaks from the water.

If a full day of travel feels too ambitious, the north offers excellent, accessible alternatives. Marigot Bay, a stunning natural harbor, is a short drive away and ideal for a relaxed lunch. Further north, Pigeon Island National Landmark is a standout, combining 18th-century British military ruins with approachable hiking trails and quiet beaches. Nearby Rodney Bay offers the island’s most popular stretch of sand, Reduit Beach. For a quick taste of local culture near the ship, the Castries Market remains a bustling hub for spices and local crafts, though it is best visited in the morning before the midday heat.

Bridgetown, Barbados

Barbados presents a polished and substantial Caribbean experience, anchored by its capital, a UNESCO World Heritage site. Historic Bridgetown and its Garrison offer a genuine sense of place, where British colonial architecture stands alongside vibrant Bajan life. The city core is compact enough to explore, with landmarks like the Parliament Buildings and the Careenage marina providing a backdrop that feels more like a historic town than a simple beach stop.

Beyond the city, the island's offerings are diverse. For a unique natural wonder, Harrison's Cave offers a stunning underground tram tour through crystallized limestone caverns. For a taste of the island's most famous export, a visit to the Mount Gay Rum Distillery provides both a history lesson and a tasting. Of course, the beaches are world-class. Just a short taxi ride from the port, Carlisle Bay is a magnificent crescent of white sand with calm, turquoise water, perfect for swimming and snorkeling over several shipwrecks teeming with marine life. For a more serene scene, the west coast, known as the "Platinum Coast," is lined with idyllic stretches like Paynes Bay and Mullins Beach.

Barbados is not a rugged, off-the-beaten-path destination; it is well-developed and organized. Taxis are plentiful and regulated (though it's always wise to confirm the fare beforehand). This makes it an excellent port for independent exploration, offering a rewarding balance of accessible history, natural beauty, and sophisticated relaxation.

At Sea - Cruising

Philipsburg, St. Maarten

St. Maarten offers a unique geopolitical curiosity: a 37-square-mile island divided between the Netherlands and France. While the cruise pier in Philipsburg (the Dutch side) is often crowded with multiple mega-ships, the island’s dual personality allows for a highly customizable day if you plan strategically.

Philipsburg itself is the commercial engine. Front Street is lined with duty-free jewelry and electronics stores; while convenient for shoppers, it can feel somewhat manufactured. For a more relaxed immediate option, the boardwalk along Great Bay offers decent beach bars and a view of the ships, though the water clarity here lags behind the rest of the island.

Instameet, St. Maarten, riding, Horse, Woman on horseback, POV from behind, looking out on horizon, seascape, trails, outdoors, fun, adventure,

To experience the island's true charm, cross the border to the French side (St. Martin). The atmosphere shifts perceptibly in the capital of Marigot, with its open-air markets and colonial architecture. For the sophisticated traveler, the village of Grand Case is the highlight. Known as the culinary capital of the Caribbean, it features exceptional French-Creole cuisine in open-air "lolos" (local barbecue stands) and high-end bistros alike.

Regarding beaches, you have distinct choices:

Maho Beach offers the famous, adrenaline-fueled spectacle of jumbo jets landing just overhead at Princess Juliana International Airport—it is noisy, crowded, and absolutely unique.
For a classic European beach day, head to Orient Bay on the French side for white sand and upscale beach clubs.

A critical note on logistics: Traffic on St. Maarten can be notoriously heavy, particularly in the late afternoon. If venturing to the French side, allow ample buffer time for the return trip to the Philipsburg cruise terminal.

May 2017 Allure Instameet shoot, St. Maarten, kids, young girl, teen, and young boy jumping off boat into ocean, shore, beach, island in background, fun, action,

HM Eastern Caribbean Content Creators shoot, photographer Jason Lisiewski, St. Maarten, drone shot, POV from top straight down on two people paddling in red kayak along shoreline, two snorkelers, divers nearby, ocean, sunlight sparkling on aqua blue-green

Eastern Caribbean Content Creator boomer shoot, December 2018, photographer Jason Lisiewski, drone shot, St. Maarten Kayak Tour, senior, AA, African-Amerian woman and male friend, paddling two-person ocean kayak in open water, kayaking, distant shoreline

Eastern Caribbean Content Creator boomer shoot, December 2018, photographer Jason Lisiewski, St. Maarten Kayak Tour, senior, AA, African-Amerian woman, smiling, pulling kayak into water from shore, fun, adventure, relaxing,

Glimpse of Hawaii, GoH influencers, Sage Stephens, St. Maarten, beach scene, diver back flip while plane flies directly overhead, people swimming in background, dramatic, fun, athletic,

GoH, Dan Worden, influencers, St. Maarten, snorkeling, diver climbing out of water into catamaran, crew member waiting at top of stairs, one snorkeler still in water, fun, adventure,

GoH, Dan Worden, influencers, St. Maarten, underwater, diver with mask, sitting in wrecked helicopter, coral reef, diving,

GoH, Dan Worden, influencers, St. Maarten, two young people sitting on opposite sides of a catamaran, sailing out to sea, horizon, hills on shore, in distance, fun,

Come Seek December 2015 shoot, Baie Nettle, Hotel Mercure; jet extreme, paddle board, Saint Maarten, St. Maarten, water sports, young AA, African American woman, sunglasses, sitting on paddleboard, fun, relaxing,

Caribbean, CS shoot Dec 2015, adventure, fun, FlyBoard, St. Martin, Saint Maarten, Baie Nettlé, Flamboyant Le Village, water sports, experience, water jetpack, personal watercraft (PWC), daring, extreme sports,

St. Maarten, dive into ocean, diver, diving, adventure, Caribbean, Baie Nettle; Le Flamboyant-Le Village; Saint Maarten; experience;

November HM instameet shoot, the Vons, young boy wearing diving mask, smiling, laughing, in water at Angilla beach, St. Maarten, family fun, island and ocean landscape in background,

Celebrity Cruises, SI, Silhouette, Solstice Class, jeep, Caribbean, shorex, shore excursion, scenery, activities, lifestyle imagery

A long stretch of white sand at Great Bay Beach in Philipsburg. Turquoise waters and beachfront hotels sit beneath rolling green hills, just a short walk from the St. Maarten cruise pier.

Aerial view of Little Bay Beach in St. Maarten, featuring upscale seaside resorts and white sands. The calm, azure water and verdant mountains create a picturesque tropical shore excursion.

Wide aerial view of Philipsburg, St. Maarten, showing the colorful town nestled between the deep blue Atlantic and a bright turquoise bay, surrounded by lush green hills and the cruise port.

Aerial top-down view of a red kayak gliding through crystal-clear turquoise water in St. Maarten. The vibrant, translucent sea reveals rocky reefs below, perfect for a tranquil eco-adventure.

A golden sunset over a peaceful bay in St. Maarten, filled with sailboats and catamarans. Lush tropical gardens and a seaside resort frame the shimmering Caribbean waters at dusk.

Questions? Call us at 800-525-9696.
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.

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through University at Sea^®. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates.

Request a Quote online or by voice at 800-525-9696 (US/Can) or direct/int'l tel +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match Cruise Line's Promotional Rates.*

Prices below are for the full cruise including meals and evening entertainment

STATEROOM DETAILS

PRICING PER PERSON

Suites

Junior Suite with Balcony (J4)
Two twin beds that convert to Royal King, private balcony, sitting area (some with sofa bed) and private bathroom. Stateroom: 320 sq. ft. Balcony: 65 sq. ft.

$1,179.00

Additional Suites Staterooms

Suite/Deluxe Royal Suite with Balcony RS. Grand entrance with doorbell. Separate bedroom with king-size bed, and private bathroom with tub, private balcony with whirpool, living room with queen-size sofa bed and baby grand piano. Stateroom: 1633 sq. ft. and Balcony 257 sq. ft.

Call
800-525-9696
for Pricing

Suite/Deluxe Villa Suite - 4 Bedrooms VS. Two master bedrooms with baths. Two additional bedrooms, each with two Pullman beds and two twin beds that convert to Royal King. Two additional bathrooms with showers and a spacious living area with a sofa bed and dining table. Private balcony with dining area, lounge chairs and whirpool. 1,302 sq. ft. Balcony 845 sq. ft.

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800-525-9696
for Pricing

Suite/Deluxe Owner's Suite - 1 Bedroom OS. Marble entry with door bell. Queen-size bed, bathroom with tub. Separate living area with a queen-size sofa bed. Stateroom: 622 sq. ft. Balcony: 160 sq. ft.

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800-525-9696
for Pricing

Suite/Deluxe Grand Suite - 2 Bedrooms GT. Two bedrooms with two twin beds that convert to Royal King (one room with third and fourth Pullman beds), a private balcony, two bathrooms and living area with double sofa bed. Stateroom: 616 sq. ft. Balcony: 208 sq. ft.

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800-525-9696
for Pricing

Suite/Deluxe Grand Suite - 1 Bedroom GS. Marble entry. Room has two twin beds that convert to Royal King, private balcony, sitting area and private bathroom with tub. Stateroom: 432 sq. ft. Balcony: 89 sq. ft.

Call
800-525-9696
for Pricing

Suite/Deluxe Junior Suite with Balcony J3. Two twin beds that convert to Royal King, private balcony, sitting area (some with sofa bed) and private bathroom. Stateroom: 320 sq. ft. Balcony: 65 sq. ft.

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800-525-9696
for Pricing

Suite/Deluxe Oceanview Panoramic Suite (No Balcony) VP. Two twin beds that convert to Royal King. Curtained section with bunk beds. Living area with double sofa bed, vanity and sitting area. One and a half baths with shower. Floor to ceiling wrap around panoramic windows, 76 inches high by 321 inches wide. Stateroom: 406 sq. ft.

Call
800-525-9696
for Pricing

Balcony

Oceanview Balcony with Balcony (6D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 189 sq. ft. Balcony: 46 sq. ft.

$609.00

Additional Balcony Staterooms

Balcony Spacious Oceanview with Balcony 1B. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 214 sq. ft. Balcony: 42 sq. ft.

Call
800-525-9696
for Pricing

Balcony Spacious Oceanview with Balcony 2B. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 214 sq. ft. Balcony: 42 sq. ft.

Call
800-525-9696
for Pricing

Balcony Spacious Oceanview with Balcony 3B. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 214 sq. ft. Balcony: 42 sq. ft.

Call
800-525-9696
for Pricing

Balcony Spacious Oceanview with Balcony 4B. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 214 sq. ft. Balcony: 42 sq. ft.

Call
800-525-9696
for Pricing

Balcony Spacious Oceanview with Balcony 6B. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 214 sq. ft. Balcony: 42 sq. ft.

Call
800-525-9696
for Pricing

Balcony Oceanview with Balcony 1D. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 188 sq. ft. Balcony: 46 sq. ft.

Call
800-525-9696
for Pricing

Balcony Oceanview with Balcony 2D. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 188 sq. ft. Balcony: 46 sq. ft.

Call
800-525-9696
for Pricing

Balcony Oceanview with Balcony 5D. Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 188 sq. ft. Balcony: 46 sq. ft.

Call
800-525-9696
for Pricing

Outside

Oceanview Stateroom (8N)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 180 sq. ft.

$519.00

Additional Outside Staterooms

Outside Ultra Spacious Oceanview 1K. Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 358 sq. ft.

Call
800-525-9696
for Pricing

Outside Spacious Panoramic Oceanview - Accessible 1L. Two twin beds that convert to Royal King. Double sofa bed. Vanity with sitting area. Private bathroom with shower. Floor to ceiling wrap around panoramic window, 76 inches high by 253 inches wide. Stateroom: 283 sq. ft

Call
800-525-9696
for Pricing

Outside Spacious Oceanview 1M. Two twin beds that convert to Royal King and private bathroom. Stateroom: 211 sq. ft.

Call
800-525-9696
for Pricing

Outside Spacious Oceanview 4M. Two twin beds that convert to Royal King and private bathroom. Stateroom: 211 sq. ft.

Call
800-525-9696
for Pricing

Outside Oceanview Stateroom 1N. Two twin beds that convert to Royal King and private bathroom. Stateroom: 180 sq. ft.

Call
800-525-9696
for Pricing

Outside Oceanview Stateroom 2N. Two twin beds that convert to Royal King and private bathroom. Stateroom: 180 sq. ft.

Call
800-525-9696
for Pricing

Outside Oceanview Stateroom 3N. Two twin beds that convert to Royal King and private bathroom. Stateroom: 180 sq. ft.

Call
800-525-9696
for Pricing

Inside

Interior Stateroom (4V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 256 sq. ft.

$439.00

Interior Stateroom (6V)
Two twin beds that convert to Royal King and private bathroom. Stateroom: 150 sq. ft.

$389.00

Additional Inside Staterooms

Inside Spacious Promenade View Interior 1Q. Two twin beds that convert to Royal King. Sofa converts to double, two Pullman beds, private bathroom and sitting area. Stateroom: 340 sq. ft.

Call
800-525-9696
for Pricing

Inside Spacious Interior 1R. Two twin beds that convert to Royal King and private bathroom. Stateroom: 338 sq. ft.

Call
800-525-9696
for Pricing

Inside Promenade View Interior 1T. A view of the Royal Promenade with bowed windows, two twin beds that convert to Royal King and private bathroom. Stateroom: 169 sq. ft.

Call
800-525-9696
for Pricing

Inside Interior Stateroom 1V. Two twin beds that convert to Royal King and private bathroom. Stateroom: 150 sq. ft.

Call
800-525-9696
for Pricing

Inside Interior Stateroom 2V. Two twin beds that convert to Royal King and private bathroom. Stateroom: 150 sq. ft.

Call
800-525-9696
for Pricing

Inside Interior Stateroom 3V. Two twin beds that convert to Royal King and private bathroom. Stateroom: 150 sq. ft.

Call
800-525-9696
for Pricing

Before & After Your Cruise

Hotels

The inside of one of the en-suite bathrooms at San Juan's DREAMCATCHER Hotel by DW.

The inside of one of the many beautifully designed suites at San Juan's DREAMCATCHER Hotel by DW.

The interior of one of the impeccably decorated suites at the DREAMCATCHER Hotel by DW.

The private balcony attached to one of the suites at the DREAMCATCHER Hotel by DW in San Juan.

Three tacos lovingly crafted by the kitchen staff at the DREAMCATCHER Hotel by DW in San Juan, Puerto Rico.

The DREAMCATCHER Hotel by DW's courtyard. The centerpiece of the space is a blue fountain.

The exterior of the DREAMCATCHER Hotel by DW. An image of a dove is painted on the wall of the building, to the left of some text that says "The Dreamcatcher".

DREAMCATCHER by DW

A Design-Forward Boutique Hotel

2009 Cll España, San Juan, 00911, Puerto Rico — San Juan

Nestled in Ocean Park’s charming beach neighborhood, DREAMCATCHER is a multi-award winning full-service boutique hotel just a block from the beach and ten minutes by car to historic Old San Juan. Each of the hotel’s 19 suites are unique and thoughtfully designed to be both relaxed and reenergizing. Guests also have the opportunity to delight in the dappled light of a plant-strewn private courtyard, go snorkeling off Escambron beach, unwind with an in-room massage, chase hidden waterfalls with a local guide, and end the day with yoga under the stars.

The fitness center inside the Hotel Rumbao, a Tribute Portfolio Hotel.

A common area with seating inside the Hotel Rumbao. The floors are covered in checkered tile and an interesting painting hangs on the wall.

The pool at the Hotel Rumbao in San Juan. The water and the sky are both lovely shades of blue.

One of the bars at the Hotel Rumbao, a Tribute Portfolio Hotel. A large image of a woman wearing sunglasses hangs on a wall at the back of the room.

Hotel Rumbao, a Tribute Portfolio Hotel

The Newly Upgraded Historic Heart of Old San Juan

100 Brumbaugh Street, San Juan, Puerto Rico, 00901 — San Juan

Previously known as the Sheraton Old San Juan Hotel, the Hotel Rumbao San Juan is situated in the heart of historic and romantic old San Juan. The property is ideally located on the waterfront, just a few moments from the docking point of grand cruise ships and just steps away from world-class shopping, dining and entertainment. A myriad of restaurants, art galleries, museums and upscale stores will suit any taste. Plus, the Hotel Rumbao is only six miles from the International Airport; so you can spend your time relaxing, not traveling. Guests here will enjoy a unique combination of modern comforts and old-world charms.

A guest bathroom in San Juan's Condado Vanderbilt Hotel. The walls are entirely marble.

A tile-covered section of the spa at the Condado Vanderbilt Hotel.

A massage room at the Condado Vanderbilt Hotel. It looks like it's been set up for a couples massage.

A restaurant inside the Condado Vanderbilt Hotel in San Juan, Puerto Rico. The interior design is decadent, featuring large wooden roundtables and plush booth seating.

Condado Vanderbilt Hotel

San Juan’s Premier Luxury Beachfront Resort

1055 Ashford Ave, San Juan, 00907, Puerto Rico — San Juan

A monument to classic Spanish Revival architecture, this historic landmark is widely regarded as one of the Caribbean's finest resorts. Since opening its doors in 1919, Condado Vanderbilt has been the destination of choice for generations of heads of state, captains of industry and Hollywood royalty – creating a rarefied atmosphere of sophistication, elegance and grace.

Protect Your Trip with Allianz Travel Insurance

Allianz Travel Insurance plans can give you flexibility and support when your trip doesn’t go quite as planned. From unexpected flight issues to covered trip cancellations, travel emergencies, and more, travel insurance can help you manage unforeseen events that may impact your trip—giving you peace of mind from the moment you book your trip through your return home.

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Simply provide a few short details about your trip
Review the available protection plans
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Why Protect your Trip?

Whether you’re planning your next trip or you recently booked one, travel insurance can help smooth over many unexpected travel glitches—while putting your mind at ease, knowing you’re off the hook for covered expenses that could arise from them.

Allianz Travel Insurance plans can provide you benefits and professional support when a covered situation comes up before or during your trip. The following examples may qualify for benefits:

Cancelling your trip after unexpectedly becoming too sick to travel
Taking care of a sick or injured traveling companion
Having to end your trip early due to a family emergency
Dealing with a flight delay or cancellation
Needing to buy personal items if your luggage is lost or stolen
Missing your cruise departure after a covered flight delay

You also can contact our travel protection partner Allianz Global Assistance’s 24/7, award-winning customer service for on-the-go assistance with issues like a medical emergency, replacing your lost passport, or making reservations around the world. To be eligible for a time-sensitive waiver of pre-existing medical condition exclusions, purchase your travel insurance plan within 14 days of initial trip deposit (other purchase requirements and conditions apply). Specific plan benefits may vary. Please review your plan details for more information.

What Can Travel Insurance Help Protect?

Allianz Travel Insurance plans can protect you before and during your trip—keeping you, your loved ones, and your travel budget safer. Benefits vary by plan, and these are brief descriptions. Please read your plan documents for details.

TRIP CANCELLATION

Reimburses your prepaid, non-refundable travel expenses if you need to cancel your trip due to a covered reason, such as you, a family member, or traveling companion experiencing a covered illness or injury. Examples include:

A doctor says you or a traveling companion is too sick to fly
Your parent or child requires hospitalization
You need to attend the birth of a family member’s child
You have a traffic accident (not breakdown) on the way to the airport
A storm shuts down your airport for 24 hours or more

TRIP INTERRUPTION

Reimburses your unused, non-refundable travel expenses and increased transportation costs during your trip if you have to return home early due to a covered reason, for instance when a family member has a qualifying medical emergency and needs your care. Examples include:

You have a covered illness or injury and a doctor says you must return home
A family member has a qualifying injury and needs your care
A covered emergency, like a fire or flood, makes your home uninhabitable

TRAVEL DELAY

If you have a covered delay while traveling, travel insurance can reimburse you for meals, accommodations, and transportation expenses when your trip is delayed for a minimum number of consecutive hours for a covered reason. Minimum number of hours varies by plan.

EMERGENCY MEDICAL AND DENTAL CARE

Reimburses your expenses related to covered medical and dental emergencies* that might occur on your trip. This benefit can be especially helpful if you have a covered emergency outside the United States, as most health insurance policies won’t cover you outside the country. Examples include:

You slip and break your ankle while sightseeing
You get food poisoning while sampling the local cuisine
You lose a filling and need immediate dental treatment*

*A sublimit and maximum apply for this benefit. Check your plan documents for details.

EMERGENCY MEDICAL TRANSPORTATION

Arranges and pays for medically necessary transportation following a covered injury or illness to the nearest appropriate medical facility to receive care and get you home after treatment.

BAGGAGE LOSS, DAMAGE, or THEFT

Reimburses the replacement of your lost, damaged, or stolen luggage and personal items while traveling.

BAGGAGE DELAY

Reimburses essential items purchased during your trip if your baggage is delayed for a minimum number of hours (varies by plan).

CHANGE FEE

Reimburses fees if you need to change your flight itinerary due to a covered reason.

24-HOUR ASSISTANCE

Provides around-the-clock support during your trip. Allianz Global Assistance’s staff of multilingual problem solvers can help you with medical, legal, and travel-related emergencies whenever they happen. Medical assistance may include, but is not limited to:

Medical triage with referrals to local prescreened medical providers
Ongoing medical monitoring
Payment guarantee
Emergency medical transportation

Additional services for travel-related emergencies can help with:

Missed connecting flights
Lost/stolen travel documents
Pre-trip information
Prescription replacements

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Our Promise to You

When you purchase any Allianz Travel Insurance plan, you automatically get 15 days (or more, depending on your state of residence) to review your policy documents. Within that period, you can cancel your plan for a full refund if you’re not satisfied, as long as you haven’t filed a claim or departed on your trip.

Need Help Along the Way?

Contact Allianz Global Assistance’s award-winning team of travel experts. Call anytime for assistance navigating travel mishaps overseas or in the U.S.—or help with everything from reporting lost baggage to locating emergency medical treatment. They can also help you replace passports, refer you to legal assistance, secure cash from home in case of emergency, and guarantee payment when you need to be admitted to a hospital, in some instances.

Contact Allianz Global Assistance

Phone (24/7):
1-800-284-8300 (within the U.S., Canada, Puerto Rico, and the U.S. Virgin Islands)
1-804-281-5700 (outside of the U.S., call collect)

File or Track a Claim

It’s easy and convenient to file and track a claim, upload documents, and more online. Start your claim using your email address or policy number.

File a Claim

If you need help filing a claim or understanding the claims process, visit the Allianz Global Assistance Claims Center.

Update Your Plan

If you need to update your travel insurance plan, such as adjusting the dates of your plan to reflect itinerary changes, please contact us or manage your plan online so your plan reflects your entire itinerary and provides the right amount of protection for your travels.

Manage My Plan

About Allianz Global Assistance

Allianz Global Assistance is a world leader in travel insurance and assistance, helping millions of travelers across the globe every year. Allianz Global Assistance is owned by Allianz SE, the world’s largest diversified insurance company. For over 100 years, Allianz SE has helped protect important milestones in American history, insuring the Wright Brothers’ first flight and Golden Gate Bridge construction.

Terms, conditions, and exclusions apply including for pre-existing medical conditions. Insurance benefits underwritten by BCS Insurance Company (OH, Administrative Office: 2 Mid America Plaza, Suite 200, Oakbrook Terrace, IL 60181), rated “A” (Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series, or Jefferson Insurance Company (NY, Administrative Office: 9950 Mayland Drive, Richmond, VA 23233), rated “A+” (Superior) by A.M. Best Co., under Jefferson Form No. 101-C series or 101-P series, depending on your state of residence and plan chosen. A+ (Superior) and A (Excellent) are the 2nd and 3rd highest, respectively, of A.M. Best’s 13 Financial Strength Ratings. Plans only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are marks of AGA Service Company dba Allianz Global Assistance or its affiliates. Allianz Travel Insurance products are distributed by Allianz Global Assistance, the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between AGA Service Company and Jefferson Insurance Company. Plans include insurance benefits and assistance services. Any Non-Insurance Assistance services purchased are provided through AGA Service Company. Except as expressly provided under your plan, you are responsible for charges you incur from third parties. Contact AGA Service Company at 800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or customerservice@allianzassistance.com.

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