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Cruise Conference Planning For Your Association
Support Doctors Without Borders

Selected Topics in Geriatrics and Nephrology

Holland America Line's Majestic  Oosterdam
Holland America's Oosterdam

7-Night Alaskan Explorer Cruise Conference
Round-trip Seattle, Washington
May 19 - 26, 2019

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
Up to 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

Course Fees:
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$695 for Physician Assistants, Nurse Practitioners
$495 Nurses, Residents, Students & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.

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.
Allison Batchelor, MD, CMD
Geriatric Medicine Consulting
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.

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 .

Our staff can assist you with all your travel arrangements.

Target Audience
Physicians, Physician Assistants, Nurse Practitioners, Nurses
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 - AWindowintotheBody
    • Describemethodsofurinecollection.
    • Interpretphysicalanddipstickexaminationofurine.
    • Identifymicroscopicelementsinurinesediment.
    • Solve clinical cases with abnormal urinalyses
  2. UnderstandingDiuretics
    • Describe classification and mechanism of action of diuretics
    • Review clinical uses and adverse effects
    • Define diuretic adaptation and resistance
  3. AcuteKidneyInjury
    • Reviewdefinition,epidemiology,courseandburdenofAKI
    • RecognizecommoncausesofAKIandidentifyriskfactors
    • DiscussthemedicalmanagementofAKIinthehospitalizedpatient
    • Illustratewithcasepresentation
  4. PoisoningsinNephrology
    • Discussdifferentmedicationsandpoisoningsseeninclinicalpractice
    • Reviewtheclinicalpresentationofthesepoisonings
    • Describethemanagementofthesepoisonings
  5. DisordersofWaterBalance
    • Defineosmolalityandtonicity
    • Describeapproachtohypoandhypernatremiawithcasepresentations
    • Reviewstepsandpitfallsinmanagementofhyponatremia
  6. RenovascularHypertension
    • Reviewthepathophysiologyofrenovascularhypertension
    • Describepatientsatriskfordevelopingischemicnephropathy
    • Describediagnosticevaluationofrenalarterystenosis
    • Discussmanagementofpatientswithatheroscleroticrenalarterystenosis
  7. ChronickidneyDisease-ACalltoAction
    • FacilitatetimelytestingandinterventioninpatientsatriskforCKD.
    • ApplyappropriateclinicalmeasurestomanageriskandincreasepatientsafetyinCKD.
    • Comanageandrefertonephrologists,whenappropriate,toimproveoutcomesinCKD.
  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.

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician 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) .

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program . Participants must log into MAINPORT to claim this activity.

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

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

ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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.

MOC ABIM Accreditation
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.

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 Scenic cruising Stephens Passage
- -
Tue May 21 Juneau, Alaska
1:00 pm 9:00 pm
Wed May 22 Hubbard Glacier - Scenic Cruising
2:00 pm 6:00 pm
Thu May 23 Sitka, Alaska, US
8:00 am 4:00 pm
Fri May 24 Ketchikan, Alaska
7:00 am 1:00 pm
Sat May 25 Victoria, Canada
6:00 pm 11:30 pm
Sun May 26 Seattle, Washington
7:00 am -
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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