Current Topics in Primary Care, Palliative Care, and Emergency Medicine is organized by Continuing Education, Inc. and will be held from Oct 31 - Nov 07, 2020 at Royal Caribbean's Rhapsody of the Seas, Venice, Veneto, Italy. Target Audience: Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists Accreditation: • 14 AMA PRA Category 1 Credits™ • 14 ACPE Credits • 14.0 Contact Hours Program Purpose: The purpose of these lectures is to update the diagnosis and management of various clinical conditions that present to the emergency department. As a front-line provider, emergency physicians must be able to assess, stabilize, and diagnosis patients who present to the emergency department. These lectures will provide personal experiences and current recommendations in the literature allowing the emergency physician to impact patient care and well-being.  Topics: • Dementia ○ Participants will Evaluate and treat patients with various types of Dementia • Osteoporosis ○ Participants will know the criteria to evaluate for osteoporosis and initiate treatment for the primary prevention of fractures • Hospice and Palliative Care < ○ Participants will be able to join the TEAM process and strategies of both Hospice and Palliative Care, which they can incorporate into their practice • Impaired Healthcare Professionals ○ Participants will recognize Impaired Health Care Professionals and their obligations for reporting. • Common Outpatient Problems in Primary Care ○ Participants master some common conditions that can easily be managed by Primary Care Providers as an outpatient. • Case Studies in Primary Care ○ Participants will analyze some unusual presentations of interesting medical conditions along with some alternative treatments. • Choosing Wisely ○ Participants will identify an International program with a mission of justifying the elimination of some "unnecessary" medical testing and procedures. • Concussion ○ Upon completion of this session, participants should be able to assess patients for a concussion and make appropriate referrals for follow up. • Update on Burns ○ Upon completion of this session, participants should be able to manage acute thermal injury and make appropriate referrals. • Doorway Diagnosis 1 ○ Upon completion of this session, participants should be able to use visual clues in order to establish a differential diagnosis. • Doorway Diagnosis 2 ○ Upon completion of this session, participants should be able to use visual clues in order to establish a differential diagnosis. • How to Read a Head CT ○ Upon completion of this session, participants should be able to assess the findings on a head CT. • Dermdilema ○ Upon completion of this session, participants should be able to utilize the clinical presentation and history to diagnose their disease. • Orthopedic Pitfalls ○ Upon completion of this session, participants should be able to recognize and manage acute orthopedic injuries. Additional details will be posted as soon as information is available.

Update in Rheumatology is organized by Continuing Education, Inc. and will be held from Nov 08 - 22, 2020 at Celebrity Millennium, Tokyo, Kanto, Japan. Target Audience: Primary Care Physicians, Internists, Physician Assistants, Nurses, Nurse Practitioners Accreditation: • 20 AMA PRA Category 1 Credits™ • 20 ACPE Credits • 20.0 Contact Hours Description: The aim of the course is to review the essence of Rheumatology for the primary care physician. We will cover updates and the new therapeutic modalities available today for the treatment of rheumatic conditions, including various aspects of biological therapy, the introduction of small molecules (tyrosine and JAK kinases inhibitors) and the important utilization of conventional disease modifying drugs. We will go over the basic autoimmune mechanisms that stand behind the pathogenesis of the autoimmune /rheumatic disorders. In addition, the course will cover our modern understanding of pain syndromes and old and new management methodologies. Given the common use of modern therapies among patents with rheumatic conditions, recognition of these mentioned topics will improve health care team performances and outcomes when managing these patients. Topics: • Rheumatoid arthritis updates ○ Understanding the disease pathogenesis and modern therapeutic modalities. • Ankylosing spondylitis ○ Understanding the disease pathogenesis and modern therapeutic modalities. • Psoriatic arthritis ○ Understanding the disease pathogenesis and modern therapeutic modalities. • Osteoarthritis ○ Understanding the disease pathogenesis and manner we can alter disease progression. • Fibromyalgia ○ Understanding the complexities of managing patients with chronic pain syndromes, the pathogenic mechanisms behind their emergence and the challenges health care teams and patients alike phase. • Systemic lupus erythematosus ○ Understanding the disease pathogenesis and heterogeneity. • Crystal induced arthritis ○ Understating the mechanisms behind gout and calcium pyrophosphate disease. • Smoking and Autoimmunity ○ introducing smoking as a facilitator of autoimmune disorders

7 Day Caribbean Cruise - Urgent Care: Pearls of Practice is organized by Emergency Medicine Institute (EMI) and will be held from Nov 14 - 21, 2020 at Celebrity Apex Cruise Ship, Fort Lauderdale, Florida, United States of America. 7 Day Caribbean Cruise to Puerto Rico, St. Thomas, and St. Kitts Itinerary Day 1 Saturday, November 14, 2020 Port: Fort Lauderdale, Florida Departure: 3:30 PM Day 2 Sunday, November 15, 2020 Port: At Sea Session from 8am - 1pm Day 3 Monday, November 16, 2020 Port: San Juan, Puerto Rico Arrival: 3:30PM Departure: 11:00PM Day 4 Tuesday, November 17, 2020 Port:  Charlotte Amalie, St. Thomas Arrival: 8:00AM Departure: 6:00PM Day 5 Wednesday, November 18, 2020 Port: Basseterre, St. Kitts & Nevis Arrival: 7:00AM Departure: 5:00PM Day 6 Thursday, November 19, 2020 Port: At Sea Session from 8am - 1pm Day 7 Friday, November 20, 2020 Port: At Sea Session from 8am - 1pm Day 8 Saturday, November 21, 2020 Port: Fort Lauderdale, Florida Arrival: 7:00AM

Sports Medicine Beating Anxiety and Depression: 2020 Update is organized by Continuing Education, Inc and will be held from Nov 29 - Dec 06, 2020 at Celebrity Edge, Fort Lauderdale, Florida, United States of America. Target Audience: Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Psychologists, Social Workers Accreditation: • 14 AMA PRA Category 1 Credits™ • 14 ACPE Credits • 14 CE Credits for Psychologists • 14 ASWB ACE Credits • 14.0 Contact Hours • ½ Hours of Pharmacology for NPs Program Purpose: Topics: 1. Shoulder problems in the weekend athlete • To improve clinical diagnostic skills in the physical examination of the shoulder 2. Common knee problems are seen in primary care. • To improve clinical diagnostic skills in the physical examination of the knee 3. Concussion in sport: recognition and management for primary care providers. • To improve the level of comfort in the diagnosis and management of sports related concussions for primary care providers 4. Physical examination and joint injection techniques. • To improve skills in physical diagnosis and joint injection skills for primary care providers 5. Common foot and ankle problems in sports medicine. • To improve clinical diagnostic skills in the physical examination of the foot and ankle 6. Nutritional considerations for the young athlete- the female athlete triad. • To provide a rational approach to the diagnosis and management of the female athlete triad and nutritional issues 7. Exercise as medicine: The exercise prescription. • To help providers motivate their patients to do one of the best activities for their health:exercise! 8. Physicians in primary care need up-to-date, standardized and precise measuring tools for identifying SUD and their readiness for treatment • To assess levels of substance use in primary care. 9. In the last 20 years, physicians seek better strategies of managing Dual diagnosis (patients with mental health issues and SUD's) • How to manage a Dual Diagnosis. 10. Patient readiness for SUD treatment (or change) is often difficult to assess but is a very important variable in a successful outcome • Understand the conditions that facilitate change in addictive behavior? • Explain the stages of change model for primary care interventions. 11. Depression types and treatment • To use the most suitable cognitive-behavioral approaches to the treatment of depression. 12. Anxiety Types and treatmentatric disorders • To use most suitable cognitive-behavioral approaches to the treatment of anxiety.

Cardiology for PCPs is organized by Continuing Education, Inc. and will be held from Dec 06 - 13, 2020 at Celebrity Edge, Fort Lauderdale, Florida, United States of America. Target Audience: Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists Accreditation: • 14 AMA PRA Category 1 Credits™ • 14 ACPE Credits • 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program • 14.0 Contact Hours Additional details will be posted as soon as information is available.

CBT Canada is pleased to offer a CME cruise from December 12-19, 2020 aboard the pristine $1 billion Disney Fantasy. The Fantasy is the latest & greatest ship from an extraordinary cruise line. Travel+Leisure awarded Disney Cruise Line an incredible 97% rating for families. Royal Caribbean was a sad second at 82%. The 12.0 hour workshop is the award-winning three-credits-per-hour CBT for Depression module, certified by the College of Family Physicians of Canadaf or 36.0 Mainpro+ credits*. Please join us on the Disney Fantasy and you'll gain a plethora of ultra-brief techniques to help your patients defeat depression and be happy. General interest topics covered include procrastination, perfectionism, rumination, self-criticism, self-handicapping, letting go of the past, decision-making, and evidence-based marital enrichment. Head instructor Greg Dubord, MD is limber like a monkey from giving over 500 CBT workshops, and a University of Toronto CME Teacher of the Year.  *American Academy of Family Physicians (AAFP) members are eligible to receive up to 36.0 Prescribed credit hours for attendance at CBT Canada’s 12.0 hour (/36.0 Mainpro+ credit) workshops due to a reciprocal agreement with the College of Family Physicians (AAFP, 2016). Additional details will be posted as soon as information is available.

Topics in Sports Medicine, Mental Health, and Cannabinoid Medicine is organized by Continuing Education, Inc. and will from Dec 26, 2020 - Jan 02, 2021 at Celebrity Summit, San Juan, Puerto Rico, United States of America. Target Audience: Pharmacists Accreditation: • 16 AMA PRA Category 1 Credits™ • 16 ACPE Credits • 16 CE Credits for Psychologists • 16 ASWB ACE Credits • 16.0 Contact Hours Program Purpose: Improve primary care providers competence in identifying, evaluating, and managing sports medicine/musculosketal conditions. The health care team performance will be improved by improved communication and efficiency due to improved selection of diagnostic modalities and evidence based treatment options. Topics: • Concussion ○ Determine medical clearance and return to play recommendations following a concussion • Foot and Ankle Pain Evaluation and Treatment ○ Select the most effective and evidence based physical examination tests to establish the diagnosis for foot and ankle pain • Shoulder Pain Evaluation and Treatment ○ Select the most effective and evidence based physical examination tests to establish the diagnosis for shoulder pain • Knee Pain Evaluation and Treatment ○ Select the most effective and evidence based physical examination tests to establish the diagnosis for knee pain • Exercise Recommendations ○ Identify benefits of regular physical activity Additional details will be posted as soon as information is available.

Internal Medicine, Gastroenterology, and Hepatology is organized by Continuing Education, Inc. and will be held from Jan 02 - 09, 2021 at Royal Caribbean's Symphony of the Seas, Miami, Florida, United States of America. Target Audience: Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists Accreditation: • 14 AMA PRA Category 1 Credits™ • 14 ACPE Credits • 14 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program • 14.0 Contact Hours Program Purpose: The purpose of these lectures is to review and update knowledge on the mechanisms and pathogenesis, new developments in the diagnosis, treatment, and guidelines for important diseases involving the gastrointestinal tract and liver. Lectures will cover epidemiology, risk factors, clinical pearls, new methodology, imaging, and evidence-based recommendations to allow the audience to determine how best to alter clinical practices to improve health care team performance and outcomes with regards to digestive diseases. Topics: ○ Celiac disease • Identify risk factors, symptoms, signs, tests, treatment for celiac disease ○ C. difficile colitis • Define risk factors, symptoms, signs, tests, treatment for C. difficile colitis ○ Eosinophilic esophagitis • Describe risk factors, symptoms, signs, tests, treatment for eosinophilic esophagitis ○ Fulminant hepatic failure • Cite risk factors, symptoms, signs, tests, treatment for fulminant hepatic failure ○ Update, chronic hepatitis C • Identify risk factors, symptoms, signs, tests, treatment for chronic hepatitis C ○ Non-alcoholic fatty liver disease • Define risk factors, symptoms, signs, tests, treatment for non-alcoholic fatty liver disease ○ Cirrhosis and complications • Identify risk factors, symptoms, signs, tests, treatment for cirrhosis and complications ○ Health Promotion: Encouraging a Healthy Body, Mind, and Spirit • Assess the patient's current state of physical, psychological, and spiritual health • Analyze the patient's current dietary and exercise practices • Discuss an individualized health-promotion strategy for the patient. ○ "Oh, My Aching Head": Managing Migraine, Tension, and Cluster Headaches • Explain the classification of headaches • Discuss the appropriate use of brain imaging in evaluating patients with headache • Describe the appropriate use of abortive and preventive medications in the treatment of migraine. ○ "What Goes Up Must Come Down!": Diagnosis and Management of Hypertension • Describe the appropriate measurement and classification of hypertension • Discuss the laboratory testing and imaging needed to diagnose common causes of secondary hypertension • Describe the major classes of anti-hypertensive treatment and discuss the type of patient most likely to benefit from each class. ○ "Get Me Out of Here!": Panic Disorder and Agoraphobia in the Primary Care Setting • Elicit and assess symptoms of panic disorder and agoraphobia • Apply appropriate lifestyle modification and stress management skills, including muscle relaxation, breathing control, thought-stopping, and cognitive restructuring • Recognize and manage side effects of anxiolytics. ○ Male Sexual Disorders: Treatment of Hypogonadism, Erectile, and Ejaculatory Dysfunction • Elicit a thorough, non-judgmental sexual history • Describe appropriate laboratory and radiologic testing in the evaluation of male sexual problems • Discuss the effects, risks, and benefits of testosterone replacement and medications to improve the patient's erectile and ejaculatory function. ○ Enhancing Clinician - Patient Communication: Becoming a Healer • Distinguish the technical, biomedical aspects of clinician’s role from the personal and psychosocial aspects of care • Describe specific attitudes and values needed to create a healing environment • Apply techniques for establishing and maintaining rapport with patients. ○ The Faith Factor: Practicing Spiritually - Sensitive Care • Elicit a spiritual history in an ethically-appropriate manner • Analyze the physiologic, psychological, social, and lifestyle effects of religious beliefs upon health outcomes • Describe the spectrum of possible interventions available for addressing patients' spiritual needs.

Primary Care and Emergency Medicine is organized by Continuing Education, Inc. and will be held from Jan 09 - 16, 2021 at Royal Caribbean's Symphony of the Seas, Miami, Florida, United States of America. Target Audience: Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists Accreditation: • 14 AMA PRA Category 1 Credits™ • 14 ACPE Credits • 14.0 Contact Hours Program Purpose: The purpose of this CME activity is to review and discuss common general medical conditions and to provide guidelines for their management and prevention. Topics have been chosen to benefit the family physician, general internist and Advance Practice Professionals in an ambulatory care setting Emergency Medicine encompasses a wide variety of topics that usually need emergent intervention. During this CME course, we will discuss topics that are important to the specialty that have recently undergone a change in management. We will also discuss common topics with unusual presentations or commonly missed diagnosis. The topics covered in this series are also great topics for all physicians or advanced practice providers, regardless of specialty as they are commonly seen in all patient populations and great knowledge for all. Topics: • Identifying and Managing Low Health Literacy ○ Understand which patient groups are at greatest risk for low health literacy ○ Appreciate the role that low health literacy plays on health outcomes ○ Review a simple intervention to identify the low health literacy patient • Preoperative Assessment of Cardiac Risk in Non-Cardiac Surgery ○ To appreciate causes of preroperative cardiac events ○ To understand which patients require preoperative assessment • Hypertension in African Americans ○ To understand the prevalence of hypertension in African Americans ○ To review social determinants of health which impact on effective treatment in this population • Rheumatoid Arthritis: A Primer for Primary Care Clinicians ○ Review the role of the primary care clinician in the co-management of rheumatoid arthritis ○ Describe the role of disease-modifying drugs (DMARDs) on the clinical course of rheumatoid arthritis • Physician Wellness and Resilience: Old Problem; New Urgency ○ To define physician wellness and the impact of physician stress on physicians and their patients ○ To describe new interventions to help physicians cope with wellness issues. • Heart Disease in Women ○ Appreciate sex-related differences in symptoms of ischemia between men and women ○ Review non-traditional risk factors for CAD impacting women that deserve special attention ○ Discuss strategies to raise awareness and close the gaps to optmize treatment of heart disease in men and women • Resistant Hypertension - Review of Case Studies to Enhance Understanding ○ Through the use of case studies review the epidemiology the clinical presentation and evidence-based approaches resistant hypertension (HTN) ○ Use current guidelines and algorithms to develop treatment plans for patients with HTN with an emphasis on resistant HTN • Pain Management without Opioids ○ Identify non-narcotic medications to use for pain management • Ride the C-O-O-l Wave: use of end-tidal CO2 in ED setting ○ Demonstrate the use of end-tidal CO2 in the ED setting • Pediatric Fever ○ Evaluate the use of ancillary tests in pediatric fever • Commonly missed x ray finding ○ Review common missed findings on x-rays • Bronchiolitis: what do I do? ○ Discuss current management in patients with Bronchiolitis • Laceration Tricks of the trade ○ Demonstrate the variety of laceration repairs available • I hit my head: when should I order a Head CT? ○ Examine the proper use of Head CT in head injury

Pediatrics, Pediatric Hospital Medicine, and Developmental & Behavioral Pediatrics is organized by Continuing Education, Inc. and will be held from Jan 16 - 23, 2021 at NCL'S Pride of America, Honolulu, Hawaii, United States of America. Target Audience: Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists, Psychologists, Social Workers, Pediatricians Accreditation: • 14 AMA PRA Category 1 Credits™ • 14 ACPE Credits • 14 CE Credits for Psychologists • 14 ASWB ACE Credits • 14 MOC (Part II) points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program • 14.0 Contact Hours • 4½ Hours of Pharmacology for NPs Description: Up to 20% of children in the United States have a developmental, behavioral or emotional disorder at any given time, as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Between 37% and 39% of children will have a developmental, behavioral or emotional disorder diagnosed by 16 years of age, regardless of geographic location in the United States. Prevalence rates of Autism Spectrum Disorder are currently estimated to be 1:59 and have continued to rise. These talks are designed to update providers on some of the most common neurodevelopmental problems facing children today including ADHD,ASD, and anxiety, and provide practical guidance to incorporate office-based strategies that include screening children for developmental, behavioral and emotional problems, including social determinants of health and providing brief counseling and management. Lastly, these talks are designed to help pediatric providers gain comfort and skill in prescribing psychotropic medications to children for problems including ASD, ADHD and anxiety disorders. The course will provide an overview of important pathologies seen commonly in Pediatric Hospital Medicine. It will empower the learners to gain skills that will allow them to manage illness in hospitalized children and to intervene in clinical scenarios commonly encountered. The learner will be able to recognize sepsis early and intervene appropriately. The learner will gain a basic understanding of asthma and how to treat it. The learner will gain tools to treat DKA effectively. Additionally, controversial topics such as vaccinations and ethics will be covered and explored. We will also review the guidelines for when lumbar puncture is indicated. Lastly, the topic of Kawasaki Disease will be covered. Topics: • ADHD update ○ Use behavioral screening tools to identify children with behavior and emotional problems ○ Apply evidence-based strategies to diagnose and treat children with ADHD including the use of psychotropic medication • ASD update ○ Use screening to identify children with possible ASD ○ Demonstrate increased comfort in managing children with ASD in primary care settings ○ Demonstrate increased comfort in prescribing psychotropic medications for children with ASD • Evidence based-positive parenting: Developing positive behaviors ○ Apply evidence-based positive parenting strategies as a part of routine well-child care ○ Identify specific places during the well-child visit to include discussion of evidence-based positive parenting strategies. • Evidence based-positive parenting: Managing challenging behaviors ○ Apply evidence-based positive parenting strategies as a part of routine well-child care ○ Identify specific places during the well-child visit to include discussion of evidence-based positive parenting strategies. • Office Based Strategies to Help Anxious Children ○ Increase techniques that can be used in the office to work with parents of anxious children ○ Identify office-based strategies to help children cope with anxiety • Pathophysiology and Treatment of Sepsis ○ List the current treatment goals for sepsis to be delivered in the early hours of therapy. • Vaccine-preventable Illnesses and their clinical manifestations ○ Describe the clinical manifestations of several vaccine-preventable illnesses. • Severe Asthma Management: From Home to the Hospital ○ List the most important treatments for severe asthma. • Ethical Issues in Pediatric Hospital Medicine ○ Discuss relevant ethical issues commonly encountered in the Pediatric Hospital Medicine • Endocrine Emergencies: Case Studies in DKA, Thyroid Storm and Adrenal Insufficiency. ○ Discuss the appropriate management of endocrine emergencies in the PICU. • To Tap or Not to Tap? That is the Question 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.