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Cruise Conference Planning For Your Association

Palliative Medicine and End of Life Care,
Including Related Topics in Neurology

Royal Caribbean's <em>Anthem of the Seas</em>
Royal Caribbean's Anthem of the Seas
8-Night Spain & Portugal Cruise
Round-trip Southampton (London), England

June 20 - 28, 2020
14.0 AMA PRA Category 1 Credits™
14 ACPE Credits
Up to 14 MOC (Part II) points in the American Board of Anesthesiology® (ABA) Maintenance of Certification (MOC) program
14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
 3½ 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

Charles S. Mills, MD, FACP, FAAHPM, HMDBC

Charles S. Mills, MD, FACP, FAAHPM, HMDBC
Assistant Professor of Medicine, University of Massachusetts Medical School, Worcester, MA
Medical Director, Palliative and Hospice Medicine, Elliot Health System, Manchester, NH
Medical Director, Manchester VNA and VNA of Southern NH Hospice
Medical Director, Inspiris/Optum Care of United Health, Massachusetts
Fellow, American College of Physicians
Fellow, American Academy of Hospice and Palliative Medicine Dr Mills is a board certified internist and palliative care specialist with over 35 years of medical experience and practice. He practiced for many years both clinically and with administrative positions at the former Fallon Clinic/Fallon Community Health System. It was here that he built a strong interest in and knowledge of the impact of health care systems and economics on the delivery of care. In these various rolls, he became a strong advocate for physician education to assist the evolution of the care models necessary for success in the developing health care market.

Dr Mills's extensive work in geriatrics in his clinical practice led to his growth in palliative and hospice medicine. Taking on a medical directorship at a local hospice, he gained practical knowledge of this field and went on to complete additional study in this area leading to his successful completion of board certification in 2008. 

He is a zealous proponent of interactive learning processes and enjoys leading/mentoring invigorated medical education forums. He has lectured and taught broadly at both a community/ lay level, medical school level , residency/fellow level and at attending level of audience

Joel M. Kaufman, MD, FAAN

Joel M. Kaufman, MD, FAAN
Clinical Professor of Neurology
Warren Alpert Medical School of Brown University and Department of Neurology
Rhode Island Hospital, Providence, RI. Dr. Joel M. Kaufman is Clinical Professor of Neurology at the Warren Alpert Medical School of Brown University and a member of the Department of Neurology at Rhode Island Hospital, where he is the Medical Director of the Neurology Resident Teaching Clinic. 

Dr. Kaufman graduated from Boston University, majoring in mathematics, and from Boston University School of Medicine. He completed his medical internship at Presbyterian Hospital at Pacific Medical Center in San Francisco (now California Pacific Medical Center) and his Neurology residency at Boston City Hospital (now Boston Medical Center). He then joined Fallon Clinic (now Reliant Medical Group) in Worcester, Massachusetts. From 1988 through 1996 he was Medical Director of Fallon Community Health Plan. From 1997 to early 2014 he was Executive Director of the Lifespan/Physicians Professional Services Organization.

Dr. Kaufman is a Fellow of the American Academy of Neurology and active with the Academy, currently chairing the Payment Alternatives Team. He is also serving or has served on many other professional boards and committees.

Dr. Kaufman's interests include physician advocacy, quality improvement in medical practice, provide-payer interaction, and clinical teaching.

Our staff can assist you with all your travel arrangements.

Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists
Program Purpose / Objectives
The lectures will cover neurologic aspects of palliative care with a focus on disorders of consciousness, stroke, Parkinson's Disease, Multiple Sclerosis and brain death.

These topics were selected as examples of conditions where clinicians should be thinking of patient values and goal and the discussion they and the entire clinical team should be having with their patient. The desired outcome fo the lecture series is that those attending will have the awareness to initiate a discussion about care goals, be able to identify the course and associated symptoms of neurologic illness, have the tools to have a meaningful and comfortable discussion with a patient and family, and leave with a plan to implement change on their return home.

Topics
  1. Palliative Care Overview: History, Range of focus and Relation to Hospice Care
    • To discover the roots of palliative medicine, its impact on traditional practice models and the relation/definition between palliative and hospice care
  2. Advanced Care Directives
    • To define the history/legalities of advanced care directives.
    • To differentiate the various formats and techniques to advance end of life discussions.
    • To examine the controversies in ACD such as surgical thirty day rules.
  3. Pain Management and Palliative Care: Pharmaceutical review and a Review of the Issues of the Opioid Crisis
    • To illustrate treatment options for critical and end of life medical conditions.
    • To examine the roots and solutions of the opioid crisis particularly as related to palliative and hospice care.
  4. COPD, CHF and ESRD in Palliative Care
    • To utilize palliative medicine skills in the planning/treatment of these common chronic conditions.
  5. Patient Driven Voluntary Cessation of Hydration and Nutrition
    • To identify the phenomena of patient's elective decision in non acutely mortal situations to terminate their lives through active decision.
    • To examine the practitioners role/obligations in such a situation
  6. End of Life Symptomology and Management
    • To summarize the common EOL symptoms.
    • To demonstrate pharmaceutical and behavioral management of these conditions.
  7. Reimbursement and Coverage Strategies
    • To examine the CMS rules of remuneration for non palliative/hospice providers in palliative/hospice patients
  8. Mental Status - delirium, MCI, dementia
    • Generally determine the mental status of patients with varying degree of impairment
  9. Can the Patient Hear Me? - awareness, unresponsiveness and coma
    • Describe an approach to patients with altered mental status
  10. Stroke - follow-up and prognosis
    • Explain to a patient or family member the post-stroke prognosis and treatment plan
  11. Gap Analysis - quality approach to practice improvement
    • Describe quality improvement approaches to improve their practice
  12. Multiple Sclerosis and Parkinson's in Palliative Care
    • Assess the need and issues for a Palliative Care plan for patients with MS and PD
  13. Brain Death - what is it and diagnosis
    • Assess Brain Death
  14. The Plan for Monday - changes for ease of practice and improvement in care
    • Successfully implement something that they have learned and found of value during the course
  15. Voluntary elimination/cessation of fluids and nutrition (Patient initiated cessation of sustenance)
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 Jun 20 Southampton (London), England
- 4:30 pm
Sun Jun 21 *At Sea - Cruising
- -
Mon Jun 22 Lisbon, Portugal
3:00 pm -
Tue Jun 23 Lisbon, Portugal
- 5:00 pm
Wed Jun 24 Vigo, Spain
10:00 am 8:00 pm
Thu Jun 25 La Coruna, Spain
8:00 am 5:00 pm
Fri Jun 26 Bilbao, Spain
9:00 am 6:00 pm
Sat Jun 27 *At Sea - Cruising
- -
Sun Jun 28 Southampton (London), England
5:30 am -
*Tentative course schedule, actual class times may differ.
8 Night Western Europe

Ports of Call

Southampton (London), England - "Sir, when a man is tired of London, he is tired of life; for there is in London all that life can afford." Samuel Johnson's famous words are as true today as when he spoke them. A visitor to London could fill a month with fascinating people, art, music, late-night dancing, fabulous shopping, an endless array of pubs and first rate meals.

Tourists should take in Victoria Station, the beauty of Westminster Abbey, Parliament, and the pomp of Buckingham Palace. And then, there are the "Elgin Marbles" at the British Museum and the Crown Jewels in the Tower of London. Or visit Sherlock Holmes' HQ on Baker Street (you know the address). After all that, make what might be the most important stop of all: grab a pint at one of the many corner pubs that's been hosting revelers since before America was a nation.

London is most certainly a place to "take in," not just "pass through." You won't be bored.

After your time in London, you'll transfer to Southampton to board your ship and start your cruise conference. Options for doing that from bus transport to the train (which is very near the cruise port in Southampton) to private taxi are all solid choices.

At Sea - Cruising - Cruising

Lisbon, Portugal - Make your own discoveries in the city that launched the Age of Discovery. Cross the River Tagus on its soaring suspension bridge. Wander the maze of streets in the Alfama, the old Moorish quarter, dominated by the medieval Castle of St. George where peacocks strut and shriek. Stroll the Baixa, shop for elegant shoes.

Vigo, Spain - Catholic pilgrims flock to the nearby sacred cathedral of Santiago de Compostela, built over the burial spot of St. James. In Vigo, Galicia province's most populated city, El Sireno, a gilded sculpture depicting a half-man-half-sea-creature, towers over your head and the city's lovely gardens and well-preserved historical buildings.

La Coruna, Spain - La Coruna has tons to offer the curious traveler. You can explore the delightful region of Spain known as Galacia, see a Roman lighthouse built in the second century which is still in use today, and glimpse La Coruna'a ancient past in the celtic stone monoliths. Appreciaters of nature can look out over the verdant countryside, small coves, and magnificent coastlines.

Bilbao, Spain - Bilbao, Spain's sixth-largest city, is being revitalized with the help of astounding strides in art and architecture. New life arrived in this commercial/industrial hub via the astonishing Bilbao Guggenheim Museum; the new, sleek glass and steel tube metro system; and the stunning glass-decked parabolic arch footbridge above the Nervion River. Bilbao also provides an excellent home base from which to explore the diverse Basque country, from the Atlantic Ocean to the Pyrenees.

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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