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Cruise Conference Planning For Your Association

Topics in Emergency Medicine, Pain Management, and
Palliative Care

<em>NCL'S Pride of America</em>
NCL'S Pride of America
7-Night Hawaii Cruise Conference
Round-trip Honolulu, Oahu, Hawaii

April 18 - 25, 2020
14.0 AMA PRA Category 1 Credits™
14 ACPE Credits
10 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.
Faculty

Jason W. Wilson, MD, MA, FACEP

Jason W. Wilson, MD, MA, FACEP
Associate Facility Medical Director, Tampa General Hospital at TEAMHealth
Affiliate Assistant Professor, Core Faculty Member, Research Director
Division of Emergency Medicine, Department of Internal Medicine
Medical Director, Office of Clinical Research, Tampa General Hospital

Dr. Wilson is a board certified emergency medicine physician. He serves as at the Associate Facility Medical Director at Tampa General Hospital, a TEAMhealth location and a level 1 trauma center with an academic teaching program associated with the Morsani College of Medicine at the University of South Florida where he is an affiliate assistant professor and core faculty member. 

Dr. Wilson has presented at over 10 national conferences and has published numerous articles. He serves as the research director for the division of emergency medicine as well as the Medical Director for the Office of Clinical Research at Tampa General Hospital. His interests blood borne viruses and evolution of treatment strategies in HIV and HCV treatment in the ED, non-vitamin K oral anticoagulants as well as management of bleeding emergencies, atrial fibrillation and VTE as well as the operationalization of new research findings into hospital pathways and best practices.

In addition, Dr. Wilson is interested in primary care sports medicine and the treatment of common musculoskeletal complaints in the ED. He serves as a team emergency medicine physician with the NHL and NFL and covers NCAA events.

Mellar Davis, MD, FCCP, FAAHPM

Mellar Davis, MD, FCCP, FAAHPM
Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Editor-in-Chief, Progress in Palliative Care
Chairman, Palliative Section, Multinational Association of Supportive Care in Cancer
Scientific Subcommittee, American Academy of Hospice and Palliative Medicine
Reviewer, journals Cancer, Palliative Medicine, British Journal of Cancer, Journal of Pain and Symptom Management, Chest, Journal of Palliative Medicine, Journal of Supportive Care in Oncology Dr. Mellar Davis is a member of the Palliative Care Department, and Section Head, Geisinger Medical System Danville, PA.
He has been a member of the Geisinger Medical Staff since August 2016. In his role as Section Head, Dr Davis is responsible for developing palliative care services throughout the Geisinger Medical System including outpatient and inpatient services. In addition, Dr Davis works with the Geisinger Hospice Services to develop and coordinate care within the central region.

Dr. Davis was a member of the Cleveland Clinic Palliative Care section, Taussig Cancer Institute and fellowship director until joining the Geisinger Medical System. He was the co- chair of the Palliative Care Study Group of the Multinational Association of Supportive Care (MASCC) and a past board member since 2010. 

He is a Professor of Medicine in The Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, since 2009 and elected as a Fellow to the American Academy of Hospice and Palliative Medicine in 2010. He is Editor in Chief of Progress on Palliative Care.

His present duties within the Associate Editor in Chief of PC FACS (Fast Article Critical Summary for Clinicians in Palliative Care).

Our staff can assist you with all your travel arrangements.

Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists
Program Purpose / Objectives
These set of lectures is designed to provide important updates in emergency medicine with a focus on anticoagulation and the management of venous thromboembolism as well as bleeding emergencies that may occur in patients on new oral anticoagulants as well as those that present with bleeding peri-procedure. In addition, the relationship between patient safety indicators and quality metrics are discussed both as a separate lecture but also as a theme throughout other lectures - for example, how to approach fluid resuscitation in the context of changing sepsis core measures.

We will review the evolving role of the ED in the diagnosis of HIV and treatment of HIV related illnesses. In addition, a lecture on HCV considers a potential role for the ED in screening and linkage but also on the syndemics of HCV and other disease such as coronary artery disease and diabetes. The colocation of a burgeoning HCV epidemic in young people and the relationship to that epidemic and the ongoing opioid crisis is also discussed. Finally, a quality improvement approach will also be used to consider updated CDC guidelines for the management of STIs.

Opioids are commonly used for pain and opioid rotations are necessary in 20-40% of patients on opioid therapy because of side effects or lack of response. The next generation of conversion metrics will involve opioid utility which looks at risks versus benefits.

Knowing opioid equianalgesia is critically important and utility will help clinicians choose safer opioids. Certain opioids, such as nalbuphine and buprenorphine are finding a niche in pain management and it is important that clinicians know the pharmacology and clinical advantages to both. Methadone dosing has changed and the way it is being used has also been changed and levorphanol is making a come back.

A major issue that has arisen recently is whether cannabinoids should be combined with opioids or gabapentin with opioids. Knowing the pros and cons of these combinations will improve pain management. We have learned much about the long-term potential risks of opioids besides addiction which clinicians should be aware. Difficult pain cases from real life are useful tools to discuss how to manage such problems in a group. Palmitoylethanolamide is a cannabimimetic nutraceutical which is an analgesic for neuropathic pain but also arthritis. There is a rising interest in this agent as an analgesic or adjuvant to standard analgesics.

Topics:
  1. Sepsis Updates
    • Learn EBM supporting CMS Sep-1 Bundle and areas where data is still lacking to further guide therapy
  2. Updates on patient quality, experience, safety and satisfaction
    • Survey of the quality landscape including reviews of patient safety indicators and important hospital metrics
  3. Venous Thromboembolism
    • Diagnosis and treatment of VTE including DVT, SVT, and PE
  4. HIV
    • Review of HIV
    • Management of HIV
    • Linkage to care and treatment strategies in patients with HIV
  5. HCV
    • Extra hepatic manifestations of HCV
    • Linkage to care and treatment strategies in patients with HIV and HCV
  6. Bleed Management
    • Review of non-traumatic and traumatic bleed management
    • Consideration of bleeding on anticoagulant medications
  7. Management of Sexually Transmitted Infections (STIs) and other atraumatic GU pathology
    • Review of CDC guidelines for STI management
    • Review of common STIs
    • Review of other atraumatic GU emergencies
  8. Opioid Conversions
    • Clinicians will be able to use an updated conversion table and switch opioids successfully in practice.
    • Clinicians will have a basic understanding of the concept of opioid utility.
  9. Nalbuphine and buprenorphine
    • Clinicians will be able to clinically use nalbuphine and buprenorphine in clinically appropriate situations
  10. Methadone and levorphanol
    • Clinicians will understand the pharmacology and the different dosing strategies of these two opioids
  11. Opioids in combination with cannabis and with gabapentin
    • Clinicians will understand the strength of evidence and potential detriments to combining cannabis or gabapentin to opioid therapy.
  12. The Balance of Chronic Opioid Therapy
    • Clinicians will be aware of the multitude of long-term detriments to opioid therapy
  13. Palmitoylethanolamide as an Analgesic
    • Clinicians will be able to use palmitoylethanolamide as an analgesic
  14. Difficult Pain Cases
    • Clinicians will be able to manage difficult pain phenotypes such as tenesmoid pain, ischemic extremity pain, choose the appropriate opioids in organ failure and manage chronic persistent opioid dependence.
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

DATE PORT OF CALL ARRIVE DEPART
Sat Apr 18 Honolulu, Oahu, Hawaii
- 7:00 pm
Sun Apr 19 Kahului, Maui
8:00 am -
Mon Apr 20 Kahului, Maui
- 6:00 pm
Tue Apr 21 Hilo, Hawaii
8:00 am 6:00 pm
Wed Apr 22 Kona, Hawaii
7:00 am 5:30 pm
Thu Apr 23 Nawiliwili, Kauai, Hawaii
8:00 am -
Fri Apr 24 Cruise Napali Coast
- -
Fri Apr 24 Nawiliwili, Kauai, Hawaii
- 2:00 pm
Sat Apr 25 Honolulu, Oahu, Hawaii
7:00 am -
*Tentative course schedule, actual class times may differ.
7 Night Hawaii, round-trip Honolulu

Ports of Call

Honolulu, Oahu, Hawaii - Combine the languid allure of the tropics with big-city sophistication, then add the spirit of aloha, and you've got Honolulu. This Pacific crossroads features museums, dazzling beaches, historic Pearl Harbor and spectacular sunrises over Diamond Head. Gardenias and jasmine blanket the air with a heady fragrance, and pink sunsets cast a magical glow over fabled Waikiki Beach.

Kahului, Maui - A surplus of natural splendor and the genuine hospitality of its people have helped to make Maui Hawaii's second most popular island. Explore the fascinating history of the town of Lahaina. Plant yourself on a pristine beach, or play one of the world's most beautiful golf courses.

Hilo, Hawaii - Gaze up from this charming town and see snow-capped Mauna Kea volcano. It's just one of the scenic marvels in this exotic greenhouse of lush tropical plants, towering banyan trees, thundering falls and enough flowers to fill a rainbow. Arid deserts, steaming fissures and volcanoes that blow their tops are just as impressive.

Kona, Hawaii - The sun-blessed Kona coast stretches 80 miles along macadamia nut orchards, famous coffee plantations and some of the most important sites in Hawaiian history. Captain Cook came ashore here and died at the hands of angry natives. The coast is also famous for water sports, and the Hawaiian International Billfish Tournament is a world-renowned annual event.

Nawiliwili, Kauai, Hawaii - The Garden Isle, Kauai receives the most rainfall of all the Hawaiian Islands, which leads to lush vegetation and elegant hibiscus blossoms, as well as a huge canyon carved by wind and water erosion. Marvel at the narrow paths worn by the ancient Menehunes into the cliffsides of the steep Na Pali Coast, unmarred by roads and unapproachable except by foot trail or helicopter.

Cruise Napali Coast -

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