Our office will be closed Thursday, November 24th (all day) in observance of Thanksgiving Day. We will reopen on Friday, November 25th, at 8:30 am.
University at Sea®
5700 4th St. N.
St Petersburg, 
Office Hours
Monday - Friday
8:30 am - 6:00 pm EST
9:00 am - 5:00 pm EST
1:00 pm - 5:00 pm EST
Cruise Conference Planning For Your Association

Selected Topics in Geriatrics and Nephrology

Holland America's <em> Oosterdam</em>
Holland America's Oosterdam
7-Night Alaskan Explorer Cruise Conference
Round-trip Seattle, Washington

May 19 - 26, 2019
14.0 AMA PRA Category 1 Credits™
14 ACPE Credits
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
4½ Hours of Pharmacology for NPs
14.0 Contact Hours

Course Fees:

$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$695 for Physician Assistants
$695 for Nurse Practitioners
$495 for Nurses, Residents, Students & Others

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.

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)

Mohanram Narayanan, MD, FACP, FNKF, FASN, FRCP(C)
Clinical Associate Professor of Medicine, Texas A&M HSC COM
Director, Division of Nephrology & Hypertension
Chief, Section of Clinical Transplantation 

Dr. Narayanan received his medical degree at Christian Medical College, Ludhiana, India, and completed residencies in Internal Medicine at the Post Graduate Institute of Medical Education & Research, India and at Cook County Hospital, Chicago, Illinois. He completed clinical fellowships in Nephrology at the University of Illinois College of Medicine at Chicago, Illinois, and at the University of Texas Southwestern Medical Center at Dallas, Texas. He is board certified in Internal Medicine, Nephrology, and Geriatric Medicine and is a Certified Specialist in Hypertension by the American Society of Hypertension.

Dr. Narayanan is an Associate Professor of Medicine at the Texas A&M Health Science Center-College of Medicine and Baylor Scott & White Healthcare in Temple, Texas, where he serves as Director, Division of Nephrology-Hypertension and Medical Director of the Abdominal Transplant Program.

A fellow of the National Kidney Foundation, the American Society of Nephrology, the American College of Physicians and the Royal College of Physicians and Surgeons of Canada, Dr. Narayanan&apos's clinical practice focuses on all aspects of Nephrology as well as kidney and pancreas transplantation. 

A frequent lecturer, presenter, and author, Dr. Narayanan's work has been published in several peer reviewed journals including the American Journal of Kidney Disease, American Journal of Transplantation, Annals of Emergency Medicine, Hemodialysis International, Investigative Radiology, and Journal of the American Society of Nephrology , among many others. He is also the Principal Investigator for several industry sponsored clinical trials. Dr. Narayanan serves on the editorial board of the journal Advances in Chronic Kidney Disease and is a reviewer for the American Journal of Transplantation .

Allison Batchelor, MD, CMD, FAMWA

Allison Batchelor, MD, CMD, FAMWA

Associate Professor of Geriatrics
Ohio University Heritage College of Osteopathic Medicine
Athens, Ohio
Clinical Geriatrics Practice
Muntean Healthcare

Athens, Ohio

Allison J. Batchelor is a fellowship-trained geriatrician with more than 30 years of clinical experience in the primary care of older people. Presently, she serves an attending physician at Muntean Health Care in Athens, Ohio providing geriatric primary care. She has served as an Associate Professor of Geriatric Medicine at Ohio University for 15 years teaching medical students and residents in addition to prior academic appointments. 

She is trained as a Certified Medical Directorthrough the Society for Post-Acute and Long-Term Care Medicine and is a Fellow of the American Medical Women's Association.

Our staff can assist you with all your travel arrangements.

Target Audience
Nurses, Nurse PractitionersPhysicians, Physician Assistants, Pharmacists
Program Purpose / Objectives
Providing care to older patients can be challenging and complex. The goals of this activity are to help you recognize and treat common geriatric conditions like dementia, delirium, depression, and incontinence; identify physical findings to sort out normal from abnormal; help patients (and yourself) "stay sharp" despite aging, utilize "de-prescribing" to lessen drug interactions and improve compliance; implement new adult immunization guidelines; and enable patients to lessen fall risk.

The purpose of the nephrology lectures are to equip the attendees with the necessary clinical skills and strategies to identify, evaluate and manage either individually or as part of an interprofessional team, common clinical problems in Nephrology to overall improve patient care.

  1. Urinalysis - A Window into the Body
    • Describe methods of urine collection.
    • Interpret physical and dipstick examination of urine.
    • Identify microscopic elements in urine sediment.
    • Solve clinical cases with abnormal urinalyses
  2. Understanding Diuretics
    • Describe classification and mechanism of action of diuretics
    • Review clinical uses and adverse effects
    • Define diuretic adaptation and resistance
  3. Acute Kidney Injury
    • Review definition, epidemiology, course and burden of AKI
    • Recognize common causes of AKI and identify risk factors
    • Discuss the medical management of AKI in the hospitalized patient
    • Illustrate with case presentation
  4. Poisonings in Nephrology
    • Discuss different medications and poisonings seen in clinical practice
    • Review the clinical presentation of these poisonings
    • Describe the management of these poisonings
  5. Disorders of Water Balance
    • Define osmolality and tonicity
    • Describe approach to hypo and hypernatremia with case presentations
    • Review steps and pitfalls in management of hyponatremia
  6. Renovascular Hypertension
    • Review the pathophysiology of renovascular hypertension
    • Describe patients at risk for developing ischemic nephropathy
    • Describe diagnostic evaluation of renal artery stenosis
    • Discuss management of patients with atherosclerotic renal artery stenosis
  7. Chronic kidney Disease - A Call to Action
    • Facilitate timely testing and intervention in patients at risk for CKD.
    • Apply appropriate clinical measures to manage risk and increase patient safety in CKD.
    • Comanage and refer to nephrologists, when appropriate, to improve outcomes in CKD.
  8. Dementia vs. Depression (diagnosis/management)
    • Distinguish between dementia and depression.
    • Identify the main causes of dementia and apply appropriate diagnostic and treatment strategies.
    • Utilize the Alzheimer's Association Pocketcard App for an updated easily accessible resource in primary care settings.
    • Recognize and manage depression in older patients.
  9. Delirium (Prevention, diagnosis, and management)
    • Apply the Confusion Assessment Method to diagnose delirium
    • Identify and treat underlying causes of delirium
    • Maximize use of non-pharmachologic approaches to delirium.
  10. Wet and Worried: How you can help Patients with Urinary Incontinence
    • Identify the types of urinary incontinence.
    • Select practical appropriate treatment strategies for patients with urinary incontinence.
  11. Geriatric Physical Assessment: What is Normal and What is Not
    • Recognize the challenges to a quality geriatric physical examination.
    • Distinguish between clinical signs of normal aging and pathological findings in physical examination through a photographic review.
  12. Successful Aging-How to Stay Sharp and Fit as the Birthdays fly by
    • Discover top tips for keeping a sharp mind and body for yourself and your aging patients.
  13. Polypharmacy: More is not Better
    • Recognize polypharmacy and prioritize treatment medications
    • Select practical regimens for improved medication compliance.
    • Employ geriatric prescribing prinicples such as "start low and go slow" to lessen adverse outcomes.
  14. Preventative Care for Older Patients: Get your shots and don't fall!
    • Implement current adult immunization schedule for older patients
    • Analyze the root cause of falls and implement appropriate preventative strategies.
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.
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

Sun May 19 Seattle, Washington
- 4:00 pm
Mon May 20 *At Sea - Cruising
- -
Tue May 21 Stephens Passage
- -
Tue May 21 Juneau, Alaska
1:00 pm 9:00 pm
Wed May 22 Hubbard Glacier
2:00 am 6:00 pm
Thu May 23 Sitka, Alaska
8:00 am 4:00 pm
Sat May 25 Victoria, British Columbia
7:00 am 1:00 pm
Fri May 24 Ketchikan, Alaska
7:00 am 1:00 pm
Sun May 26 Seattle, Washington
7:00 am -
*Tentative course schedule, actual class times may differ.
Holland America Oosterdam Map

Ports of Call

Seattle, Washington - The Emerald City of the Pacific Northwest, Seattle is one of America's most vibrant cities. Stroll its bustling waterfront (including Pike Place Market), visit the Space Needle, and find a great coffee-shop to enjoy in this coffee-loving city (the home of Starbucks). One of America's tech centers (Amazon and Microsoft are both headquartered here), the city is abuzz with the interesting people attracted to the opportunities to be found there. There is more than enough to see and do here to keep you busy for a day or two. If you have a little extra time, Seattle is a great place to visit.

At Sea - Cruising - Cruising

Stephens Passage - Stephens Passage is a channel in the Alexander Archipelago in the southeastern region of the U.S. state of Alaska. It runs between Admiralty Island to the west and the Alaska mainland and Douglas Island to the east, and is about 170 km (105 mi) long. Juneau, the capital of Alaska, is near the north end, on Gastineau Channel.

Hubbard Glacier - Marching to the beat of a different drum, Hubbard Glacier is advancing while the rest of Alaska's ice rivers are receding rapidly. In 1986, Hubbard galloped forward, closing off Russell Fjord to create an entirely new lake. The phenomenon quickly passed and was followed by a short retreat, but the glacier is once again on the move and Russell Fjord is headed for another spell as an inland body of water.

Sitka, Alaska - Step back to the days of Russian Alaska as you watch lively performances of the New Archangel Dancers and view holy paintings of the Czarists' days.

Victoria, British Columbia - Stroll through the charming downtown of this very British city, with its double-decker buses, turreted castles, fine British woolens, tea and china. Or, just outside the city, visit the lush flora and fauna of Butchart Gardens.

Non-US/Canadian individuals, please Click here to determine if you'll need a visa to board this cruise which visits Canada.

Ketchikan, Alaska - Immerse yourself in Tlingit Indian culture as you view the world's largest collection of totem poles; kayak the colorful waterfront.

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.
©2016 - University at Sea®