Medical Ethics and End-of-Life Care; ENT and Sleep Medicine
7-Night Alaska Dawes Glacier Cruise
Round-trip Seattle, Washington
July 07 - 14, 2023
16.0 AMA PRA Category 1 Credits™ 16 ACPE Credits CLE Credit may be available. 16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program 1.0 Hour of Pharmacology for Nurse Practitioners 16.0 Contact Hours
$995 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists $850 for Physician Assistants $695 for Nurses, Residents, Students & Others
increased awareness of common taste and smell disorders, testing methods and treatment options as well as awareness in association with systemic disorders
Increased awareness of analysis of breath disorders and halitosis. Providers will have treatments and testing strategies for halitosis
Rhinitis - Not Just Allergy
Formulate a treatment plan for the various forms of rhinitis and have increased awareness of conditions associated with nasal symptoms that are not true rhinitis disorders
Head and Neck Manifestations of Reflux
Increased awareness of the ENT disorders associated with reflux activity and be able to determine the likelihood that symptoms will improve with reflux treatments. The importance of non-pharmacologic treatments will be emphasized
Narcolepsy and Other Sleep Disorders
Increased awareness of symptoms of sleep disorders and have a diagnostic strategy for these disorders. Current treatment options will be discussed
Sleep Apnea Update 2023 (3hours)
Recognize the importance of screening all patients for sleep apnea and have an easy screening evaluation in their practice
Consider all treatment options including newer surgical treatments such as Hypoglossal nerve stimulators
Effectively manage sleep apnea with CPAP treatment in the primary care setting
The Modern End-of-Life Care Medical-Legal Landscape
Discuss ethically and legally appropriate end-of-life treatment choices with patients. Identify patients' options distinguish among legally appropriate and inappropriate choices
Dying and the Patient With Decision Making Capacity
"Define "advance directives" and identify their purposes
Differentiate between instructional and decisionmaker advance directives
Distinguish advance directives from physician orders such as DNRs and POLSTs
Identify contemporaneous (not advance) choices for end-of-life care that patients may make when terminally ill.
When the Patient Lacks Capacity (With or Without An Advance Directive)
Explain state laws that permit family members or others to make decisions on behalf of incapacitated patients
Analyze decision making standards governing those decisionmakers
Palliative Care and Hospice
Explain the difference between palliative care and hospice
Explain Medicare requirements for coverage of hospice care, both the traditional rules and the new value-based rules
Evaluate patients' requests or suggestions of hospice care made by other members of the are team or by hospice providers themselves
Death by Neurological Criteria
Explain how and why the law began recognizing medical professionals' use of neurological criteria to declare death
Explain multiple types of objections raised by the family members of patients physicians believe are dead by neurological criteria or may be subject to testing for satisfaction of the requirements of death by neurological criteria
Differentiate among various positions being taken during discussions of revision of the criteria to be satisfied
Futility: When Some Clinicians Favor Termination of Treatment But Others, or Family Members, Don't
Explain the concept of medical futility
Compare state laws describing specific procedures and time periods applicable when clinicians view a patient's treatment as futile with state laws that are less specific
Prepare for potential health care team members' or families objecting to withholding or withdrawal of life-sustaining treatment the majority of the team views as futile
Beyond Withholding and Withdrawing
Differentiate between medical aid in dying/medically assisted suicide and euthanasia
Explain the range of statutory requirements in states legalizing the practice
Identify trends in revisions to those state laws over time, as they guide practice
Case Discussions and Debriefing
Apply what was learned about end-of-life treatment choices to case studies
Evaluate the relevance of principles discussed to attendees' practices
Consider and respond to the viewpoints of other health care professionals, thus setting the stage for similar discussion as appropriate with interprofessional health care teams outside of the instructional setting
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.
J. David Cunningham, Jr., MD, FACS
Clinical Associate Professor of Surgery, Department of Otolaryngology, Campbell University Medical School; Board Certified in Otolaryngology and Sleep Medicine
Director of Sleep Diagnostics at UNC ENT, Goldsboro NC
David Cunningham MD completed his medical training at Thomas Jefferson University as well as an Otolaryngology-Head and Neck Surgery residency in 1984. He was in private practice in suburban Philadelphia and was an academic instructor in Otolaryngology with both the University of Pennsylvania and Thomas Jefferson until moving to North Carolina in 2001. He is presently practicing at UNC Ear Nose and Throat, associated with University of North Carolina since March of 2018 and is an associate Professor of Otolaryngology with Campbell University Medical College since 2014. He is board certified in Otolaryngology in 1984 and with subspecialty Sleep Medicine in 2008.
Kathy L. Cerminara, JD, LLM, JSD
Professor of Law
Shepard Broad College of Law
Nova Southeastern University
Ft. Lauderdale, FL
Professor Kathy Cerminara bridges the medical and legal professions with her work on patients' rights in the end-of-life decision-making arena. She co-authors the nationally known treatise, The Right to Die: The Law of End-of-Life Decision making, and is a reviewer for several medical and medical-legal journals. Her scholarship most recently has focused on the intersection between end-of-life care, palliative care, and health care coverage policy. At the Nova Southeastern University Shepard Broad College of Law, she is a full professor. She is also an affiliate faculty member at NSU's Dr. Kiran C. Patel College of Allopathic Medicine.
Professor Cerminara teaches Health Policy & Bioethics, Bioethics and Law and Medicine seminars, Mental Health Law, and other health-law-related courses, in addition to Torts, Civil Procedure, and Administrative Law. She also created and was the initial director of the online Master of Science in Health Law program for non-lawyers.
Professor Cerminara has enjoyed nation and international recognition for her scholarship and service. Most recently, she was awarded the 2023 Distinguished Health Law Service Award from the Association of American Law Schools' Law, Medicine & Health Care Section. In 2017, she received a Scholars Award for innovative interprofessional work with the Broward County Mental Health Court. In 2013, she earned an American Health Lawyers Association 2012 Pro Bono Champion award for co-organizational work on Wounds of War: Meeting the Needs of Active-Duty Military & Veterans With Post-Traumatic Stress Disorder, a symposium taking place at NSU law school on February 1, 2013.
Additionally, since 2012, she frequently has been a member of the International Scientific Committee for the International Academy of Law & Mental Health, based in Montreal, Canada. In that position, she has co-organized the stream of therapeutic jurisprudence presentations for four of the Academy's bi-annual Congresses: one in Amsterdam in 2013, one in Vienna in 2015, one in Prague in 2017, and one in Rome in 2019. In recognition of that work, in 2017, the International Society of Therapeutic Jurisprudence awarded her and her co-organizer the first-ever Wexler/Winick Distinguished Service Award in Prague.
Prior to joining the College of Law faculty, Professor Cerminara taught at the University of Miami School of Law and St. Thomas University School of Law, clerked in the Western District of Pennsylvania and the United States Court of Appeals for the Third Circuit, and practiced law with Reed Smith Shaw & McClay in Pittsburgh, Pennsylvania.
Professor Cerminara received her J.D. magna cum laude from the University of Pittsburgh and her LL.M. and J.S.D. from Columbia University. She is an affiliate member of the Health Law and Tort Trial and Insurance sections of The Florida Bar, a retired member of the Pennsylvania Bar, and a member of organizations such as the American Bar Association, and the American Society of Law, Medicine & Ethics.
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.
PORT OF CALL
Fri Jul 07
Sat Jul 08
*At Sea - Cruising
Sun Jul 09
Mon Jul 10
Endicott Arm & Dawes Glacier
Mon Jul 10
Tue Jul 11
Tue Jul 11
Alaska Inside Passage
Wed Jul 12
*At Sea - Cruising
Thu Jul 13
Victoria, British Columbia
Fri Jul 14
*Tentative course schedule, actual class times may differ.
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
Ketchikan, Alaska - Ketchikan sits at the southern end of Alaska’s Inside Passage— a gateway to the wild landscapes and seascapes of Misty Fjords National Monument. The canned salmon capital of the world, it’s a hub for fishing and outdoor sports. It’s also home to three tribes of Northwest Coast Indians, making it a great place to get a taste for the local culture. You’ll see it in the colorful, hand-carved totems that line the city’s streets and parks, and in the unique stilted homes that cling to Deer Mountain’s slopes. If you want to get up close and personal with nature, venture into the Tongass National Forest, the largest in the United States. Or head to Ketchikan Creek Waterfall for amazing views of downtown Ketchikan and a glimpse at the yearly salmon runs.
Endicott Arm & Dawes Glacier - One of Alaska's lesser-known gems, Endicott Arm Fjord marks the southern edge of Fords Terror Wilderness area. As you drift through its 30 -mile-long stretch, you can't help but be awed by the sorrounding granite cliffs, mountain valleys and dozens of gushing waterfalls. Drifting icebergs, deep blue waters and a spectacular tidewater glacier only add to this natural spectacle's appeal.
Skagway, Alaska - The tiny town of Skagway still looks like it did during the Klondike Gold Rush over 100 years ago— and today it remains an outpost for thrilling Alaskan adventure. An old-time street car ride along bustling Broadway Street reveals well-preserved buildings, including the state’s oldest hotel. You can see engraved walrus tusks at the Corrington Museum, or get lost in riveting historical reenactments around town. If outdoor adventure is more your thing, there are plenty of ways to amp up the adrenaline, from sledding with Alaskan Huskies on Laughton Glacier to rafting Lynn Canal, the longest fjord in North America.
Victoria, British Columbia - Though Toronto and Vancouver are the more famous Canadian destinations, it’s high time for the sophisticated and beautiful city of Victoria, British Columbia (BC) to have its big moment. The quaint charm and English manners of Victoria will take you back in time to the days of British occupation in the 19th century. Victoria is known as “the garden city” for its lushness and its commitment to keeping the city beautiful. Head to Butchart Garden or Beacon Hill Park to enjoy nature during your time in port.
Of course, a little history lesson is another must while on a cruise to Victoria, BC. Tour the expertly maintained Craigdarroch Castle and the Parliament Buildings, or stop in the Royal BC Museum, a natural history museum dedicated to the history of human settlement in the region. There’s also the Emily Carr House, a museum dedicated to the life and works of the famous painter, Emily Carr. Victoria exudes an intellectualism where art galleries and afternoon tea await you, but so do long bicycle rides along the seafront. Stylish cafes and restaurants are modernizing the city, all while maintaining its signature look: something straight out of a postcard.