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Cruise Conference Planning For Your Association

Sensitive Topics in Women's Health: Sexuality, Menopause and Mental Health

7-Night Western Mediterranean Cruise
Round-trip Barcelona, Spain
April 20 - 27, 2025
Royal Caribbean's <em>Allure of the Seas</em>
Royal Caribbean's Allure of the Seas
14 AMA PRA Category 1 Credits™
14.0 Contact Hours
14 APA CE Credits
14 ASWB ACE Credits
14 ABIM MOC Points
Course Fees
$995.00 for Physicians & Psychiatrists
$795.00 for PAs, NPs, & Psychologists
$595 for Nurses, Students, Social Workers, and Others

Target Audience
Physicians, Physician Assistants, Psychologists, Social Workers, Nurses
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

Karen E. Adams, MD, NCMP, IF

Karen E. Adams, MD, NCMP, IF
Clinical Professor of Obstetrics and Gynecology Director, Program in Menopause & Healthy Aging Stanford Medicine Stanford, CA Karen Adams MD, FACOG, DipACLM, NCMP, IF is Clinical Professor of Obstetrics and Gynecology at Stanford University. She is the Director of The Stanford Program in Menopause and Healthy Aging, a program that connects specialists in many fields to provide world-class care for women in the second half of life. Dr. Adams is double-board certified in Obstetrics and Gynecology and Lifestyle Medicine, a Menopause Society Certified Menopause Practitioner, and a fellow of the International Society for the Study of Women's Sexual Health. She is the course director for the Oregon ECHO Program in Menopause, a state-wide program to educate primary care and women's health providers in menopause care. Dr. Adams is an award-winning educator and has lectured to medical audiences locally, nationally, and internationally, including a January 2020 TEDx talk entitled "Sleep, Sex, and Menopausal Zest" with over 150,000 views on YouTube.

Nicole H. Cirino, MD, IF, CST, PMH-C

Nicole H. Cirino, MD, IF, CST, PMH-C
Reproductive Psychiatrist Endowed Chair of Reproductive Psychiatry, Maureen Hackett Foundation Director, Division of Reproductive Psychiatry Professor, Department of Obstetrics and Gynecology Professor, Menninger Department of Psychiatry and Behavioral Sciences Baylor College of Medicine/ Texas Children’s Hospital Houston, TX Dr. Nicole H. Cirino is a nationally recognized Reproductive Psychiatrist, clinical scientist, and international educator. She is a Professor in both the Department of Obstetrics and Gynecology and the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine. She also serves as the Division Director for Reproductive Psychiatry and holds the Maureen Hackett Foundation Endowed Chair of Reproductive Psychiatry at Texas Children’s Hospital Pavilion for Women. A pioneer in her field, Dr. Cirino has founded and directed women's mental health programs at several leading academic institutions, including Oregon Health & Science University and Loyola University, before joining Baylor in 2022. Her clinical expertise focuses on treating women across the reproductive lifecycle, including during the perinatal period, the menopausal transition, and for issues related to female sexual health. She completed her psychiatry residency and a fellowship in Reproductive Psychiatry at Northwestern University, Feinberg School of Medicine. In addition to her clinical practice, Dr. Cirino is a specialist in Female Sexual Medicine. She is a Certified Sex Therapist (CST) through the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and an International Fellow (IF) with the International Society for the Study of Women’s Sexual Health (ISSWSH), making her one of the few physicians in the country with both distinctions. Dr. Cirino is a prominent national leader in women’s mental health. She serves as the Chairman of the Executive Board for Postpartum Support International (PSI) and holds leadership positions in the American Psychiatric Association (APA) and other scientific organizations. An acclaimed educator, she teaches over 800 clinicians annually, develops curricula for medical students and residents, and is a sought-after speaker at national and international conferences. She is also a trusted media expert, having been featured on NPR, CNN, and Today.com.

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 Apr 20 Barcelona, Spain
- 6:00 pm
Mon Apr 21 Palma De Mallorca, Spain
8:00 am 6:00 pm
Tue Apr 22 *At Sea - Cruising
Lectures 8:30 AM - 12:30 PM, 1:30 PM - 4:30 PM
- -
Wed Apr 23 La Spezia, Italy
7:00 am 8:00 pm
Thu Apr 24 Civitavecchia (Rome), Italy
7:00 am 7:00 pm
Fri Apr 25 Naples, Italy
7:00 am 7:00 pm
Sat Apr 26 *At Sea - Cruising
Lectures 8:30 AM - 12:30 PM, 1:30 PM - 4:30 PM
- -
Sun Apr 27 Barcelona, Spain
5:00 am -
*Tentative course schedule, actual class times may differ.

Ports of Call

Barcelona, Spain - Barcelona is far too significant to be treated merely as a logistical waypoint. While it serves as a primary embarkation hub for Mediterranean voyages, treating it solely as a departure lounge is a missed opportunity. This is one of Europe’s most visually arresting and culturally distinct cities, possessing an energy that blends Spanish vitality with deep-rooted Catalan pride. We strongly advise arriving at least two to three days prior to your cruise. This buffer does more than insulate you from flight delays; it allows you to adjust to the time zone and absorb the city’s rhythm before stepping aboard your ship. **Arrival and Logistics** Upon landing at Barcelona-El Prat Airport (BCN), reaching the city center is efficient. The Aerobus is a reliable shuttle service connecting the terminals to Plaça de Catalunya. However, for a seamless transfer with luggage, the city’s black-and-yellow taxis are plentiful and strictly regulated. For accommodation, location is key to an efficient short stay. The Eixample district offers grand boulevards and proximity to high-end shopping and architecture. Alternatively, the Gothic Quarter (Barri Gòtic) places you in the historic center, while El Born offers a trendier, boutique atmosphere with excellent nightlife. **A Curated Two-Day Pre-Cruise Itinerary** **Day 1: The Vision of Gaudí** Start your immersion with the city’s crown jewel: the Sagrada Família. Antoni Gaudí’s unfinished basilica is unlike any other religious structure on earth. The interior, designed to mimic a stone forest bathed in light through vibrant stained glass, is profoundly moving. *Critical Advice:* This is not an attraction you can visit spontaneously. Tickets sell out weeks, sometimes months, in advance. Secure your entry time online as soon as your travel dates are confirmed. Afterward, travel to Passeig de Gràcia. This elegant avenue hosts the “Block of Discord,” featuring clashing architectural styles by Modernista masters. Admire the skeletal balconies of Gaudí’s Casa Batlló and the undulating stone facade of Casa Milà (La Pedrera). While the interiors are fascinating, the exteriors alone are a feast for the eyes. Spend your evening in the Eixample, where the dining scene ranges from Michelin-starred innovation to traditional Catalan establishments serving *fideuà* (a noodle-based cousin to paella). **Day 2: Medieval Streets and Culinary Soul** Devote your morning to the Barri Gòtic. The best strategy here is to wander without a map through the labyrinth of medieval alleyways. You will inevitably encounter the imposing Barcelona Cathedral and the hauntingly beautiful Plaça de Sant Felip Neri, which bears the scars of the Spanish Civil War. Keep a close watch on your belongings here; the narrow streets are prime territory for pickpockets targeting distracted tourists. For lunch, experience the Mercat de la Boqueria off La Rambla. It is crowded and chaotic, but the sensory experience is worth it. Bypass the fruit smoothies at the entrance and head deep into the market to find counter-service bars (*barras*) serving razor clams and fresh prawns. If the crowds are too intense, the Mercat de Santa Caterina in the nearby El Born district offers a more local, less frenetic experience under a colorful mosaic roof. Spend your afternoon in El Born. This neighborhood balances medieval architecture with a bohemian spirit. It houses the Picasso Museum (book ahead), showcasing the artist's formative years, and the Basilica de Santa Maria del Mar, a stunning example of Catalan Gothic purity. As evening falls, partake in a *tapeo*—a tapas crawl. Move from bar to bar, enjoying a glass of vermouth or Cava with small plates of *patatas bravas*, *jamón ibérico*, and *pan con tomate*. **Embarkation Day** Enjoy a slow morning. If time permits, a walk along the Barceloneta boardwalk offers fresh sea air and views of the Mediterranean. When it is time to embark, take a taxi directly to the Moll Adossat cruise terminals. It is the only stress-free way to navigate the port with luggage. By arriving early, you board your ship not as a tired traveler rushing from the airport, but as someone who has already begun to unravel the rich tapestry of the Mediterranean.

Palma De Mallorca, Spain - Palma de Mallorca is frequently the sleeper hit of a Western Mediterranean itinerary. While often anticipated merely as a beach resort, the Balearic capital reveals itself as a sophisticated urban center with an architectural pedigree rivaling mainland Spain. It offers a compelling blend of Gothic grandeur, modernist flair, and a relaxed island pace that appeals to those who appreciate culture without the frenetic energy of larger metropolises. The skyline is dominated by the Catedral-Basílica de Santa María, known locally as La Seu. This sandstone leviathan is essential viewing, not just for its exterior dominance but for the interior dialogue between history and modernity; Antoni Gaudí’s unfinished wrought-iron canopy hangs above the altar, while Miquel Barceló’s ceramic chapel adds a controversial contemporary layer. Just below, the Parc de la Mar offers the perfect vantage point for photography. Beyond the cathedral lies the Casco Antiguo (Old Town), a labyrinth of narrow streets best explored without a map. Look for the traditional Mallorcan courtyards (patios) visible through iron gates of aristocratic homes. A stop at the Banys Àrabs (Arab Baths) provides a quiet glimpse into the city’s Moorish past. For a pause, the tree-lined Passeig del Born is the city’s living room, ideal for coffee and people-watching. For panoramic context, a taxi to Castell de Bellver is recommended. As one of Europe’s few circular castles, it offers 360-degree views of the bay and pine forests. Regarding logistics: The cruise pier is an industrial stretch about three miles from the historic center. We strongly advise utilizing a taxi or the port shuttle rather than attempting the walk, maximizing your time for tapas and exploration.

At Sea - Cruising -

La Spezia, Italy - An overnight stay in La Spezia transforms this working naval port from a simple transit point into a strategic, stress-free command center for exploring two of Italy’s most celebrated regions. While La Spezia itself is an industrial city rather than a polished tourist hub, its logistics are unrivaled. The extended time in port removes the anxiety of the 'all-aboard' clock, allowing for a deep, two-part exploration of Tuscany and the Ligurian Riviera that single-day visitors simply cannot manage. For your first day, the extended hours make a trip to Florence (Firenze) a viable and rewarding option rather than a rushed blur. Direct trains from La Spezia Centrale take approximately two and a half hours. With the luxury of a late return, you can move beyond a quick photo of the Duomo. Pre-book entry to the Accademia to see Michelangelo’s David or explore the Uffizi Gallery without panic. The true advantage of the overnight is the ability to enjoy an authentic Florentine dinner—perhaps a *Bistecca alla Fiorentina*—after the day-trippers have fled, catching a late train back to the ship in comfort. Alternatively, for a more relaxed pace, consider the walled city of Lucca, located about an hour away. Renting a bicycle to ride atop the Renaissance-era city walls offers a civilized, sophisticated experience that contrasts sharply with the crowds of Pisa. Upon returning to La Spezia, or perhaps for your evening meal, embrace the local rhythm. The city comes alive during the evening *passeggiata* along the palm-lined Passeggiata Costantino Morin. This is the time to live like a Ligurian. Seek out a trattoria away from the immediate waterfront to try genuine Pesto alla Genovese—born in this region—served over fresh trofie pasta. Pair it with a glass of local Vermentino white wine or a Sciacchetrà dessert wine. Do not miss the chance to try *farinata*, a savory chickpea pancake that is a staple street food here. On your second day, the dramatic coastline of the Cinque Terre is the priority. The 'Cinque Terre Express' train is the most efficient way to hop between the five villages (Riomaggiore, Manarola, Corniglia, Vernazza, and Monterosso), running frequently from La Spezia Centrale. However, for a more scenic and sophisticated approach, we highly recommend taking the ferry from the La Spezia harbor. Approaching the villages from the water provides a breathtaking perspective of the colorful houses clinging to the cliffs that trains inside tunnels simply miss. For those who have already seen the Cinque Terre or wish to avoid the heaviest crowds, the village of Portovenere is a spectacular alternative. Accessible by ferry or bus (no train), it is a UNESCO World Heritage site that often feels more exclusive. The sight of the Gothic Church of San Pietro perched on the rocky headland and the imposing Doria Castle offers history and beauty on par with its famous neighbors, but with a slightly more relaxed atmosphere. Before departing, if time permits, the Naval Technical Museum in La Spezia offers a fascinating look at the city’s maritime heritage, featuring figureheads and naval weaponry that appeal to history enthusiasts. La Spezia may be the gateway, but with 36 hours, it becomes the key to an unforgettable Italian immersion.

Civitavecchia (Rome), Italy - Civitavecchia serves as the maritime gateway to Rome, and it's essential to approach a day here with a clear and realistic plan. The 'Eternal City' is a 60- to 90-minute journey from the port, a commute that requires factoring travel time into your precious hours ashore. The most common and efficient method is the regional train, which connects Civitavecchia's station (a short walk or shuttle from the port) with Rome's key transit hubs. For those seeking more comfort and a direct route to specific sites, pre-booked private transfers are an excellent, albeit more costly, alternative. With time being the most valuable currency, a successful day in Rome means choosing a focus. Attempting to conquer everything results in a frantic blur. We recommend choosing one of two paths. The first is a deep dive into Ancient Rome: pre-book tickets to explore the staggering scale of the Colosseum, walk through the ruins of the Roman Forum where emperors once stood, and marvel at the architectural genius of the Pantheon. This area is largely walkable and provides a cohesive historical narrative. Alternatively, focus on the grandeur of Vatican City. Stand in the embrace of Bernini's colonnades in St. Peter's Square and enter the breathtaking St. Peter's Basilica, a monument to faith and art. A visit to the Vatican Museums to see the Sistine Chapel is possible, but requires strict, timed-entry tickets and a significant time commitment that will likely preclude other sightseeing. Whichever path you choose, build in moments for the simple Roman pleasures that give the city its soul. Find a small piazza, order a quick espresso at a bar, toss a coin in the Trevi Fountain, or savor a scoop of authentic gelato. For those who prefer to avoid the journey altogether, Civitavecchia itself offers a pleasant waterfront, a bustling market, and the impressive Forte Michelangelo, providing a relaxed, local Italian experience.

Naples, Italy - Naples is a destination that demands a choice: do you dive into the chaotic, vibrant heart of the city, or use it as a strategic launchpad for the world-class treasures surrounding it? As a port of call, Naples offers an embarrassment of riches, but the sheer volume of options requires a disciplined itinerary. The most critical advice we can offer is to resist the urge to do everything; traffic in Campania is notorious, and overpacking your day often leads to stress rather than enjoyment. For history enthusiasts, the primary draw is the shadow of Mount Vesuvius. Pompeii remains the headline attraction, offering a sprawling, visceral look at Roman life frozen in time. However, we often direct clients toward the smaller, better-preserved site of Herculaneum. Because it was buried in mud rather than ash, Herculaneum retains multi-story buildings and wooden elements that perished in Pompeii, all within a footprint that is much easier to navigate in a few hours. If you prefer coastal glamour, the Bay of Naples is your gateway. A high-speed hydrofoil can transport you to the Isle of Capri, famous for the Blue Grotto and high-end boutiques, though be mindful of summer crowds. Alternatively, the cliffside town of Sorrento offers a refined, relaxed atmosphere perfect for a leisurely lunch of fresh seafood and limoncello. While the Amalfi Coast is spectacular, we advise caution when attempting it on a cruise stop; the winding roads are breathtaking but slow, leaving little room for error in your return schedule. Should you choose to stay in Naples itself, prepare for an experience that is gritty, loud, and profoundly authentic. The historic center, Spaccanapoli, is a UNESCO World Heritage site teeming with baroque churches and hidden courtyards. The National Archaeological Museum is essential viewing, as it houses the actual mosaics and artifacts removed from the excavation sites. Finally, this is the birthplace of pizza. Skipping a meal at a historic pizzeria here would be a missed cultural imperative.

Barcelona, Spain - While your cruise may have concluded, disembarking in Barcelona offers a rare opportunity to transition from a passenger to a true explorer. We strongly advise against rushing directly to El Prat Airport. Barcelona is not merely a logistical hub; it is one of Europe’s most visually and culturally distinct cities, defined by fierce Catalan identity, architectural daring, and a culinary scene that rivals any in the world. Extending your stay by two or three days allows you to decompress and engage with the city on your own terms, free from the ship's schedule. To help you navigate this sprawling metropolis efficiently, we have curated a post-cruise itinerary that balances the absolute must-sees with the atmospheric wandering that makes Barcelona so special. **Day 1: The Gothic Core & Picasso** After transferring from the port to your hotel—we recommend the Eixample district for Art Nouveau elegance or the Gothic Quarter for historic immersion—start where the city began: the Barri Gòtic. This is a neighborhood best explored without a map. Wander the labyrinth of medieval streets, eventually finding the Cathedral of the Holy Cross and Saint Eulalia (La Seu). Unlike the famous Sagrada Família, this is a classic Gothic masterpiece with a stunning cloister inhabited by 13 white geese. In the afternoon, cross Via Laietana into the El Born district. This area feels more bohemian and houses the Picasso Museum. Housed across five medieval stone palaces, the museum focuses heavily on Picasso’s formative years, offering context to his genius that you won't find elsewhere. For dinner, embrace the local rhythm. Dinner is late here (9:00 PM or later). Spend the evening hopping between tapas bars in El Born or Barceloneta. Look for *pintxos* bars (Basque-style tapas on bread), where you help yourself and pay based on the number of toothpicks left on your plate. **Day 2: The Architecture of Antoni Gaudí** Barcelona is synonymous with Antoni Gaudí, and seeing his work requires strategy. His unfinished masterpiece, La Sagrada Família, is the city's most visited site. **Critical Advice:** You must book tickets online weeks in advance for a specific entry time. Walk-up tickets are virtually non-existent. The interior, a forest of stone columns bathed in light from stained glass, is a spiritual and architectural marvel that justifies the hype. Afterward, head to Passeig de Gràcia. This broad boulevard is home to high-end shopping and two more Gaudí icons: Casa Batlló and Casa Milà (La Pedrera). Even if you do not tour the interiors, the exteriors are essential viewing. If you have the energy, end your day at Park Güell. Located further uptown, this garden complex offers whimsical mosaics and sweeping views of the city and sea. Like the basilica, advance booking here is mandatory to enter the Monumental Zone. **Day 3: Montjuïc Art or Mountain Retreats** If you have a third day, choose your own adventure. For art and views, take the funicular up Montjuïc Hill. Here you will find the Fundació Joan Miró and the palatial Museu Nacional d'Art de Catalunya (MNAC), which holds an incredible collection of Romanesque frescoes. The views from the museum steps at sunset are spectacular. Alternatively, for a complete change of pace, take the train from Plaça d'Espanya to Montserrat (approx. 1 hour). This Benedictine monk mountain retreat, nestled in serrated rock formations, offers superb hiking and the chance to see the Black Madonna. It is a profound contrast to the bustle of the city. **Logistics & Departure** **From Ship to City:** The cruise terminals at Moll Adossat are about 2km from the bottom of La Rambla. Walking with luggage is not recommended due to the bridge length and heat. A taxi is the most direct option (approx. €30-€40 to the center). The 'Cruise Bus' (Portbus) is a budget-friendly shuttle that drops you at the Columbus Monument, where you can catch a taxi or metro. **Getting Around:** Barcelona is very walkable, but the Metro is clean, safe, and efficient for longer distances. Be aware that pickpocketing is a genuine issue in tourist hubs (La Rambla, Metro stations); keep wallets in front pockets and bags zipped. **To the Airport:** When departing, the Aerobus is an excellent service running from Plaça de Catalunya to both T1 and T2 every 5-10 minutes. Taxis are also plentiful and offer a fixed rate or metered fare depending on luggage.

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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