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University at Sea®

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Cruise Conference Planning For Your Association

Topics in Women's Health, Critical Care, and Hospital Medicine

7-Night Western Caribbean & Coco Cay Cruise
Round-trip Miami, Florida
February 12 - 19, 2023
Royal Caribbean's <em>Oasis of the Seas</em>
Royal Caribbean's Oasis of the Seas
16.0 AMA PRA Category 1 Credits™
16 ACPE Credits
16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
16.0 Contact Hours
Course Fees
$995 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$795 for Physician Assistants
$595 for Nurses, Residents, Students & Others

Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists
Program Purpose / Objectives
Physicians everywhere face growing pressures from the ever-increasing complexity of clinical medicine. In addition, we are being held accountable for the efficiency and effectiveness of our respective health services systems and for the measured satisfaction of our patients. These system demands can sum to staggering personal and professional pressures.

With the power and influence that we physicians have in our respective spheres comes the great responsibility to meet the challenges at hand. It goes without saying that we accept the challenge of maintaining our clinical knowledge, skill, and ability. But to tackle the aggregate of these formidable challenges, we each have to learn to operate within the context of high-functioning teams and we require effective leadership skills to harness and steer these forces of change in the right directions.

This lecture series will summarize some of the key forces that are driving the changes that we are all experiencing. We'll discover ways to improve our own practices so as to achieve better outcomes. We'll also discern and analyze the underpinnings high-functioning teams and effective physician leadership.

Along more traditional, clinical learning pathways, we will discover that there is a wealth of evidence that reveals the burden of diagnostic error. We'll ascertain and learn to apply techniques suggested by experts in the field that can help us to improve our diagnostic acumen. There is good evidence that we are missing opportunities to identify the deteriorating condition of hospitalized patients in a timely manner. We'll examine and integrate ways to better frame and manage such patients so as to achieve better outcomes. We will explore a common Internal Medicine and Critical Care diagnosis, venous thromboembolism, and we shall clarify which of these patients can be safely managed on the general ward and which are better suited to Critical Care admission and advanced management. And we will learn to apply cutting-edge interventions to manage post cardiac arrest patients so as to improve their neurological and overall outcomes. Finally, we'll assess the current state of Physician Assisted Death in Ontario, Canada, a service offering desired by a surprising number of patients that may actually improve outcomes and system performance as well as patient and family satisfaction while challenging the core ethics and beliefs of many physicians and other care-providers.

Topics:
  1. Forces of Change: The Physician's Place in the Evolution of Modern Healthcare
    • Identify salient forces that are driving rapid and uncomfortable health system evolution.
    • Leverage new insights into a more rewarding practice, renewing connections with core motivators, and contributing to system improvement.
  2. Physician Leadership: The Mirror and the Lamp. What is Takes to be an Effective Leader in Today’s Health Services Environment
    • Recognize and apply suitable leadership insights and skills.
  3. Venous thromboembolic disease and Massive PE
    • Apply the current evidence base to diagnosing VTED and discerning between and appropriately managing sub-massive and massive PE
  4. Diagnostic Error and Cognitive Bias
    • Cite and discern, in oneself and in others, the cognitive biases and heuristics that lead to diagnostic errors.
  5. Mayday! Mayday! Identifying and Managing the Crashing Inpatient
    • Review the data on the merits of Rapid Response Systems.
    • Identify and cite diagnostic categories of deteriorating patients.
    • Apply the available evidence to recognize and improve such patients' outcomes and avoid using common techniques that can actually make things worse!
  6. Post Cardiac Arrest Management: Update on Targeted Temperature Management
    • Explain why the main focus in the post cardiac arrest scenario must be on optimizing brain function and advocate for and institute temperature control in this circumstance to achieve that goal.
  7. MAiD in Ontario: Medical Assistance in Dying, The Ontario Experience
    • Cite the Canadian and Ontario legislative and clinical history leading up to the legalization of MAiD, relate our experience in advocating for and providing MAiD and evaluate the process whereby this service is provided.
  8. Well Women Examinations: What is Needed and What is Not?
    • Modify current practices to align with evidence-based screening guidelines for women's health examination
    • Integrate newest ASCCP guidelines into cervical cancer screening
  9. Abnormal Uterine Bleeding
    • Demonstrate familiarity with FIGO classification of AUB
    • Determine appropriate laboratory/imaging testing needed for diagnostics
    • Manage AUB with appropriate treatment (med/surgical)
  10. Amenorrhea
    • Recognize common causes of primary / secondary amenorrhea
    • Interpret lab results and determine the etiology
    • Utilize appropriate treatment regimens for diagnosis
  11. Imaging in Pregnancy
    • Differentiate between ionizing radiation and non-ionizing imaging modalities
    • Relate absolute risks of imaging to pregnant patients
    • Choose appropriate studies based on clinical scenario
  12. Hereditary Cancer Screening
    • Review genetic cancer syndromes and how they affect women's health
    • Demonstrate ability to counsel at risk women on screening and management options
  13. Contraceptive Options: Pregnancy Prevention and Other Medical Uses
    • Understand differences in contraceptive options with regard to mechanism of action, efficacy, side effect profiles, and utilization for medical uses
    • Utilize MEC guidelines when choosing a contraceptive
  14. Sexually Transmitted Infections: Screening and Treatment Guidelines
    • Review common STD symptoms and long-term clinical implications
    • Utilize current CDC guidelines for treatment of STDs
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

Ameigh Worley, MD, MMS, FACOG

Ameigh Worley, MD, MMS, FACOG
Board Certified OBGYN
Pediatric & Adolescent Gynecologist
OB Hospitalist
Assistant Professor

Alliance Obstetrics & Gynecology Group
OB Hospitalist Group
Wake Forest University
University of Central Florida
Florida State University Dr. Worley is a Board Certified OB/GYN serving women of all ages. A highly skilled and compassionate physician, Dr. Worley has extensive training in high risk obstetrics, minimally invasive gynecologic surgery, and infertility.

Dr. Worley’s outstanding credentials include her medical degree from the University of South Florida College of Medicine in Tampa where she had a scholarly concentration in research. She then went on to complete an internship at Emory University School of Medicine in Atlanta and residency training at Wake Forest University in Winston-Salem, North Carolina. Prior to medical school, she earned a Bachelor’s degree in Psychology with Honors and completed a Post-Baccalaureate Pre-Medical Program at Rollins College in Winter Park, Florida. She then continued on to earn a Master’s of Medical Sciences degree at Boston University School of Medicine in Massachusetts.

Following her residency training in 2014, Dr. Worley joined Wake Forest University as an Assistant Professor for the Department of Obstetrics and Gynecology. In 2016, she returned to her Central Florida roots where she currently works as an OB/GYN Hospitalist at Halifax Medical Center in Daytona Beach and in a small boutique-style private practice (Alliance Obstetrics & Gynecology) in Winter Park. In 2018, Dr. Worley received certification from the American Board of Obstetricians and Gynecologists as a Focused Practice Designation in Pediatric and Adolescent Gynecology.

Dr. Worley’s commitment to helping women extends beyond the hospital and clinic. She has extensive experience in resident and medical student education, is involved in simulation training and quality improvement initiatives at various locations, and is a dedicated researcher. Additionally, as an experienced lecturer, Dr. Worley is frequently called to educate other medical professionals and the public. She is also an avid volunteer in her community, proving that her compassion and skills extend far beyond the exam room.

Dr. Worley is certified by the American Board of Obstetricians and Gynecologists as well as the American Institute of Ultrasound in Medicine. She is licensed to practice in Florida and North Carolina.

Barry Nathanson, BA, MD, MHCM, FRCPC, FACP

Barry Nathanson, BA, MD, MHCM, FRCPC, FACP
Chief of Staff
Stevenson Memorial Hospital
Alliston, Ontario, Canada

Medical Director, Critical Care Services
Southlake Regional Health Centre
Newmarket, Ontario

Adjunct Lecturer
Faculty of Medicine
University of Toronto

Board Member
Physician Payment and Review Board
Ontario Medical Association and The Ministry of Health and Long Term Care

President and CEO
True North Health Care Consulting Inc. In 1982, Dr. Nathanson earned a BA (English Lit.) from Yeshiva University in New York City and he graduated in 1990 from the University of Toronto Faculty of Medicine where he also completed his internal medicine training in 1995. In 2010 Dr. Nathanson completed a Master of Science degree in Health Care Management at the Harvard University Graduate School of Public Health and in 2011 he earned a certificate in Health Law from Osgoode Hall Law School.

In 1995, he began practising internal medicine and critical care medicine at York County Hospital in Newmarket which, in 2000, became Southlake Regional Health Centre. Early on, Dr. Nathanson served as Medical Director of the inpatient Palliative Care Unit. He later founded the Southlake Heart Function Program. He was president of the Southlake Medical Staff Association for four years. He then helped develop Southlake’s Clinical Resource Utilization Management Program. From 2008 to 2017 he was Southlake’s Physician Leader (Medical Director), for Acute Medicine Programs. During that time Dr. Nathanson helped modernize Southlake inpatient services by founding and developing Southlake’s Hospital Medicine Program. In 2017 Dr. Nathanson completed a two-year term as co-chair of Southlake’s Quality, Utilization and Resource Management Committee. In 2018 Dr. Nathanson began an additional 5-year term as Medical Director of Critical Care Services at Southlake where he has helped introduce Southlake’s Physician-Led Critical Care Outreach Team.

In 2008, Dr. Nathanson founded Southlake’s Post Graduate Education Program for senior Internal Medicine residents. The principle focus of this month-long rotation is easing and facilitating residents’ transition into independent community practice, optimizing the likelihood of a long and rewarding career in the challenging environment of Ontario health services.

Dr. Nathanson has served as Chief of Staff at Stevenson Memorial Hospital since 2016 with a principle focus of modernizing physician culture and supporting the community goal of a long-overdue redevelopment of the physical hospital and its clinical service offerings.

Dr. Nathanson has served on 3 provincial task forces, the ER/ALC Advisory Committee and the ALC Action Team. More recently he served in an advisory capacity in support of the Ministry of Health and Long term Care working group aimed at reducing hallway medicine in Ontario.

Dr. Nathanson’s additional professional interests include Medical Bioethics and Health Law, Health Policy and Health Economics including the impact of different payor systems on clinical systems design and on clinical decision making, the role of Physician Leadership and Engagement in driving system change toward improved clinical safety, efficiency and effectiveness, and physician health and wellness. Dr. Nathanson lectures widely on these topics and on a variety of additional clinical and health services related topics.

Dr. Nathanson’s many personal interests include travelling. He second favorite hobby is lecturing to international medical audiences on cruise ships. Above all, he especially enjoys riding his 2014 Indian Chief Classic, together with his wife, Genny, all over Ontario, Canada, the US, and beyond.

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 Feb 12 Miami, Florida
- 4:30 pm
Mon Feb 13 *At Sea - Cruising
- -
Tue Feb 14 Puerto Costa Maya, Mexico
8:00 am 5:00 pm
Wed Feb 15 Roatan, Honduras
8:00 am 4:00 pm
Thu Feb 16 Cozumel, Mexico
8:00 am 6:00 pm
Fri Feb 17 *At Sea - Cruising
- -
Sat Feb 18 Coco Cay, Bahamas
7:00 am 5:00 pm
Sun Feb 19 Miami, Florida
6:00 am -
*Tentative course schedule, actual class times may differ.

Ports of Call

Miami, Florida - South Florida's exciting, international city is much more than the gateway to Latin America, it's one of the world's most popular vacation destinations. Before departing from Miami, enjoy a tour that will highlight this "Magic City." Board an airboat and explore the wild Everglades--be ready to see gators. Experience the one-of-a-kind art deco district in South Beach. Discover a cuisine and culture that fits perfectly with your South American adventure.

At Sea - Cruising - Cruising

Puerto Costa Maya, Mexico - Past meets present in Costa Maya. Cruise to Costa Maya and find ancient Maya ruins and mysterious jungles just begging to be explored, as well as private beach clubs and trendy restaurants— all in one place. It’s 250 square miles of paradise packed with entertainment and history, all just 30 miles south of Cancun. The Great Maya Reef just off the coast is the second largest in the world— it’s a must-snorkel spot. Or you can kick back at the port village of Mahahual with an ice-cold michelada— a spicy beer cocktail— in hand. For a culture fix, head to the Kohunlick ruins to see the famous Temple of the Masks.

Roatan, Honduras - The island of Roatan is known for its glittering bays and colorful coral reefs perfect for outdoor adventures like snorkeling and scuba diving. Discover your inner pirate in Roatan, where you can taste local rum, swim among starfish at Starfish Alley, or sample fresh seafood at local restaurants.

The 40-mile-long island borders the second-longest barrier reef on the globe, which attracts many divers each year. Go horseback riding at Little French Cay or unwind in paradise at West Bay. Don’t forget to try conch fritters and rum cake during your visit.

Cozumel, Mexico - With its lively tropical reefs, crystal-clear waters and ancient ruins, Cozumel is ripe for one-of-a-kind adventures. Cruise to Cozumel and head to Chankanaab National Park, where you can snorkel among the colorful reefs and schools of tropical fish that give this island its premier diving status. Or travel back in time on an adventure through the towering Maya ruins of Tulum. When you’re done exploring, unwind with a beachside massage at Playa Mia. From culture savoring to soaking up sunshine, you’ll find a world of adventure waiting for you in Cozumel.

Coco Cay, Bahamas - Located in the middle of the Caribbean's bright blue water lies the secluded island of CocoCay. With its white-sand beaches and spectacular surroundings, CocoCay is a wonderland of adventure. Reserved exclusively for Royal Caribbean guests, this tropical paradise has recently been updated with new aquatic facilities, nature trails and a ton of great places to just sit back, relax and enjoy a tropical drink.

PERFECT DAY COCOCAY

Perfect Day Cococay

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.
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