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Cruise Conference Planning For Your Association

Skin, Bones, Hearts & Private Parts

7-Night Southern Caribbean Cruise
Round-trip San Juan, Puerto Rico
October 20 - 27, 2019
Royal Caribbean's <em>Freedom of the Seas</em>
Royal Caribbean's Freedom of the Seas
16 CME Hours
$595 for Physicians
$595 for Physician Assistants  & Nurse Practitioners

Target Audience
Nurses, Nurse PractitionersNurses, Nurse PractitionersPhysicians, Physician Assistants, Nurse Practitioners
Program Purpose / Objectives

Session Descriptions

Orthopedic Radiology

Musculoskeletal Imaging encompasses the essentials of musculoskeletal radiology and other common imaging modalities. This course is designed to help participants’ confidence grow in the areas of common radiographic views and radiographic presentation of common musculoskeletal conditions.

Oh My Aching Back

Back pain is the second most common cause of disability and the most common cause of job-related disability in the U.S. It has been reported by Healthy People 2010 that 8 out of 10 people in the U.S. will experience at least one episode of back pain, at one point in their lives. Interestingly the individuals aged 30-50 tend to suffer an increased incidence of back pain because of the greater amount of time spent sitting. Recently, Children are reporting back pain and as their activity levels rise, so do the reports. The majority of back pain reported by children is not serious; however, it does need to be worked up thoroughly to ensure a more serious condition is not left undiagnosed. This session will guide the clinician through a comprehensive understanding of back strain, radicular back pain and some of the red flag pains that we need to watch for in clinical practice.

Every Breath You Take: Respiratory Cases

This presentation will provide an overview of the distinctive types of acute respiratory failure, as well as, an overview of mechanism and pathophysiology. Emphasis will be placed on initial evaluation including oxygen supplementation techniques and indications/contraindications for the use of NIPPV. Finally, this presentation will provide an overview of acute respiratory distress syndrome with a focus on diagnostic criteria and a review of evidence-based treatment guidelines.

Managing Airline Emergencies

While exact numbers are not known, it is estimated that approximately 1 in 10,000 passengers have a medical event on board aircraft each year. 75% of these are minor medical events that can be treated with simple first aid. While serious medical events are rare, physician assistants need to be aware of how to respond to such emergencies. Using a case based format, this presentation will review the common medical conditions encountered in flight, resources available to providers, and the legalities surrounding responding to out of hospital emergencies. In addition to general concepts, this presentation will focus problem specific treatments.

Evaluating Chest Pain: Approaches and Controversies

Chest pain is one of the most common chief complaints to the emergency departments with definitive diagnosis elusive in most cases. However, who gets to be sent home? Who requires admission? This presentation addresses those specific questions with a review of the challenges in delineating cardiac vs. non-cardiac chest pain. A heavy emphasis will be placed on risk stratification methodologies for patients with suspected cardiac chest pain and an evidence-based approach to initial evaluation. Finally, this presentation will provide a review of optimal testing strategies for both cardiac and non-cardiac etiologies of chest pain including current controversies and guidelines.

Pediatric Sports Injuries

Sports injuries in kids are quite different by age in injury diagnosis, type, and body area involved. Children continue to engage in physically demanding sports predisposing themselves to a higher incidence of injury. Overuse injuries, overtraining, and exposure to excessive levels of physical activity can present an increased risk of injury. Research has shown that when not managed properly, overuse injuries can affect normal physical growth and maturation.

Injury Prevention is the key; gradual rather than sudden increases in stresses and intensity can usually avoid physical break down. This session will discuss the epidemiology of sports injuries in children and their differences in physiology /development. Injury evaluation and management of the child athlete and return to play criteria will be discussed as it pertains to common athletic injuries.

Alphabet Soup: Evaluation and Management of CAP, HAP, and VAP

Trouble remembering the right acronym for the type of pneumonia your treating? Not to worry, this presentation will differentiate the types of pneumonia including community-acquired, hospital-acquired, ventilator-associated, and aspiration. Emphasis will be placed on a cost-efficient diagnostic approach and strategies to identify patients that require admission or higher level of care. Finally, a review of the guidelines including antibiotic selection will be discussed for each type of pneumonia.

GI Cocktails: Cases to Remember

GI and liver disease account for a disproportionate amount of emergency room visits. Despite recent updates in care guidelines and evidence-based recommendations, the management of patients admitted with these disorders is often variable. This presentation will focus on the updated guidelines and management protocols for acute gastrointestinal bleeding, acute hepatitis, small bowel obstruction, and diverticulitis. While this presentation will focus on the acute management, specific recommendations and best practices for a safe transition to home will also be reviewed.

Not for the Faint of Heart: Evidence-Based Evaluation & Management of Syncope

This presentation will review the common cause of syncope and pathophysiologic mechanisms that commonly lead to syncope. With a focus on initial evaluation and management, this presentation will review the guidelines and risk stratification tools available to aid in diagnosis. Finally, this presentation will provide an evidence-based approach to disposition and follow-up.

DATE TIME PORT/ACTIVITY SPEAKER
10-20-2019 8:30 PM    
10-21-2019 8:00-10:00 AM At Sea / Orthopedic Radiology Vacala
  10:00 AM - 12:00 PM Oh My Aching Back Vacala
  1:00-2:00PM Every Breath You Take: Respiratory Cases Hartsell
  2:00-3:30PM Managing Airline Emergencies Hartsell
  3:30-5:00PM Evaluating Chest Pain: Approaches and Controversies Hartsell
10-22-2019 8:00AM-9:00PM Oranjestad, Aruba  
10-23-2019 8:00AM-8:00PM Willemstad, Curacao  
10-24-2019 8:00AM-5:00PM Kralendijk, Bonaire  
10-25-2019 8:00-10:00AM At Sea /Pediatric Fractures Vacala
  10:00AM-12:00PM Pediatric Sports Injuries Vacala
  1:00-2:00PM Alphabet Soup: Evaluation and Management of CAP, HAP, and VAP Hartsell
  2:00-3:30PM GI Cocktails: Cases to Remember Hartsell
  3:30-5:00PM Not for the Faint of Heart: Evidence-Based Evaluation & Management of Syncope Hartsell
10-26-2019 8:00AM-5:00PM Phillipsburg, St. Maarten  
10-27-2019 6:00 AM    
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

Mary Vacala, PA-C, ATC, MSPAS

Mary Vacala, PA-C, ATC, MSPAS
Practicing as a Physician Assistant and specializing in Orthopaedic sports medicine for 32 years, Mary Vacala resides in Savannah GA. Mary has extensive experience working with patients and athletes of all ages and professions. Mary started her sports medicine career in college where she was both a scholarship athlete and athletic trainer. Mary’s philosophy is to live your life with purpose and have fun doing it. Mary holds 2 Bachelor’s of Science degrees and 2 master’s degrees in Medical Science and Physician Assistant Studies. Mary has been certified as an athletic trainer for 41 years and a Physician Assistant for the past 32 years. Mary has coordinated several athletic training, sports medicine, and PA programs and served as department chair/program director of a Physician assistant program. She continues to mentor student PA and ATC interns, and Family Medicine Residents. Mary has been presenting guest lectures throughout the country and internationally for the past 25 years.

She has worked with the USA Olympic Committee since 1993. Mary was one of 3 medical coordinators and a Chief athletic trainer in the 1966 Atlanta Olympic games.She was selected to the USA medical Team in 2000, 2004, 2016 and 2020 where she covered the Paralympic games in Sydney Australia, Athens Greece Rio, Brazil and Tokyo,Japan.
She has been a part of several Paralympic Medal Teams most notably:
  • Trainer for 3 Gold Medal Americas Cup teams
  • Trainer for 2 silver medal world Championship teams
  • Trainer for 2 Gold medal ParaPan American Championship teams
  • Trainer for 2 Gold Medal Paralympic Teams
  • Trainer for USA men’s Paralympic 2020 Team
Mary has served as a secretary and a two-term president of the Georgia Association of Physician Assistants. Mary has served as a delegate for the AAPA House of Delegates for eleven terms. She was elected by her peers as the GAPA Physician Assistant of the year in 2015.

Mary has co-authored a Chapter on the Care of the Physically Challenged Patient in the book “Physician Assistant: A Guide to Clinical Practice. She has numerous honors of which most recent include; The Hu. C Myers Award, distinguished alumni PA award at Alderson Broaddus University, The 2017 Distinguished Alumni award from Western Illinois University and the AAPA Distinguished Fellow.

Zachary Hartsell, MHA, PA-C

Zachary Hartsell, MHA, PA-C

Zachary Hartsell is a Hospital Medicine PA and Adjunct faculty member at Wake Forest Baptist Medical Center in Winston Salem, North Carolina. Zachary also currently works as a healthcare consultant specializing in workforce design and optimization and had extensive healthcare administration experience.

Zachary originally graduated from Touro College in 1999 and has nearly 20 years of experience as a PA in hospital medicine, emergency medicine, and cardiology. Additionally, he participated in the initial pilot program introducing PAs to the National Health Service Scotland and worked outside of Glasgow in emergency medicine for a year.

Zachary serves on the Journal of the American Academy of Physician Assistants editorial board and is a frequent speaker nationally and at hospital medicine conferences. Zachary is completing his Doctorate in Health Administration and when not studying enjoys baseball and spending time with his family.

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 20 San Juan, Puerto Rico
- 8:30 pm
Mon Oct 21 *At Sea - Cruising
- -
Tue Oct 22 Oranjestad, Aruba
8:00 am 9:00 pm
Wed Oct 23 Willemstad, Curacao
8:00 am 8:00 pm
Thu Oct 24 Kralendijk (Bonaire), Antilles
8:00 am 5:00 pm
Fri Oct 25 *At Sea - Cruising
- -
Sat Oct 26 Philipsburg, St. Maarten
8:00 am 5:00 pm
Sun Oct 27 San Juan, Puerto Rico
6:00 am -
*Tentative course schedule, actual class times may differ.
Royal Caribbean Freedom of the Seas Map

Ports of Call

San Juan, Puerto Rico - In days of yore, the waters near Puerto Rico teemed with pirate ships commanded by the likes of Sir Francis Drake. Aye, they are long gone, but in their wake they have left an island of national treasures: La Casa Blanca, built in 1501 for the island's first governor, Ponce de Leon; the cobblestone streets of Old San Juan; the tropical rain forests of El Yunque.

At Sea - Cruising - Cruising

Oranjestad, Aruba - A Dutch jewel with a tropical touch. In Oranjestad, Aruba's capital, explore the colorful floating market and Nassaustraat, brimming with quaint shops. Head for the beach where water sports abound: snorkeling, rides on glass bottom boats and submarines. Or venture into the countryside to see the haunts of the huge green parakeet, the unique rock gardens of Casi Bari, the curious divi divi tree, forever bending in the tradewind breezes

Willemstad, Curacao - Curaçao is a treasure trove of cultural attractions, rich history, and natural scenery — from desert landscapes and rugged cliffs to 38 spectacular, and mostly secluded, beaches. Sint Anna Bay separates the two sides of the capital of Willemstad. Punda, the original settlement, is a tidy grid filled with shops and unique markets, restaurants and open-air cafes. Not to mention the famous tropicalized Dutch architecture in vibrant hues. Otrobanda (literally, “the other side”) is a maze of narrow streets and even narrower alleyways. And at only 40 miles long, a wide variety of island adventures are within easy reach during your Curaçao cruise.

Kralendijk (Bonaire), Antilles - Kralendijk is the sleepy capital of Bonaire, an island in the Dutch Antilles. Kralendijk is lined with delightfully pastel stucco houses, in pinks, oranges and lime greens. Famous for its diving - the island is surrounded by a Marine Park - Bonaire also offers such treats as flamingos, hiking and the only barefoot casino in the Caribbean.

Philipsburg, St. Maarten - The capital of the Dutch side of St. Maarten is the town of Philipsburg, though St. Maarten is an island with two distinct sides. To the north is the French side, whose capital is Marigot, while Philipsburg sits on the southern part of the island. When exploring on cruises that go to St. Maarten, it’s important to visit both sides to understand their customs and heritage.

You’ll quickly be charmed by all sides of the island. Of course, this Caribbean island is best known for its beaches, like Maho Beach or Great Bay Beach, one of the area’s best snorkeling spots. Sample local seafood or rum during your time in port, which have become symbols of St. Maarten life. There’s just enough to fill the day here, especially if you hop between the French and Dutch beaches.

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.
©2019 - University at Sea®