7-Day Western Caribbean Cruise	Roundtrip Tampa, Florida
Savor days relaxing on white sand beaches and exploring the colorful underwater world at renowned diving and snorkeling sites. Search for rare species in the lush rainforests and steamy jungles of Honduras and Guatemala. Ponder the enigma of Mayan ruins and meet a modern Maya family.	Click for Interactive Map
Itinerary Day Date Port Arrive Depart Sun Apr 4 Tampa, Florida - Embark 5:00pm Mon Apr 5 Key West, Florida 1:00pm 6:00pm Tue Apr 6 At Sea Wed Apr 7 Puerto Cortes, Honduras 7:00am 8:00pm Thu Apr 8 Santo Tomas, Guatemala 7:00am 5:00pm Fri Apr 9 Costa Maya, Mexico 7:00am 3:00pm Sat Apr 10 At Sea Sun Apr 11 Tampa, Florida - Disembark 7:00am
Sunday, April 4 - Board ship in Tampa, Florida
A university town at heart, Tampa has a myriad of attractions: The palatial mansion and art museum of the king of the circus, John Ringling; the king of the jungle at Busch Gardens; the antique village of Ybor Square; the enchanting Sunken Gardens; and much more.
Monday, April 5 - Key West, Florida
Come visit the southernmost point in the continental USA where the sunset is celebrated everyday. This tropical area of Florida offers a breadth of options for visitors. It is a historical spot with fascinating architecture, unique shops, restaurants of assorted cuisine, unlimited water sports, deep-sea fishing, and spectacular sunsets. Sample shore excursions: Butterfly Conservatory and Aquarium; Catamaran Sail and Snokel; Key West Nature Kayak; Old Town Trolley and Conch Train; and Trails of Margaritaville Walking Tour.
Tuesday, April 6 - At Sea
Wednesday, April 7 - Puerto Cortes, Honduras
Founded as the Villa de Puerto Caballos in 1524, this city has become the most important port in Central America thanks to its outstanding seaport infrastructure and proximity to U.S. seaports in the Gulf of Mexico and on the East Coast. Take in the bustling maritime activities of the port, savor fresh seafood served beach side on the Caribbean Sea coast, and learn about the intriguing Garifuna culture at Travesia and Baja Mar.
Thursday, April 8 - Santo Tomas, Guatemala
Your portal to the fascinating Mayan ruins of Guatemala and Honduras: the mighty Acropolis of Quirigua National Park and Copan, Paris of the ancient Mayan world - each an enigma waiting to be solved. Sample shore excursions: Ak-Tenamit People, Cultural Exchange, and Eco-Adventure; Amitique BBQ and Beach Break; Mayan Ruins of Copan; Horseback Riding Adventure; Quirigua Archeological Ruins; Tikal, Maya City of Voices; and Waterfall Discovery.
Friday, April 9 - Costa Maya, Mexico
Enjoy the quiet side of Mexico. Here, along an unspoiled coastal paradise, archaeology buffs discover Mayan ruins shrouded in magic and mystery and divers find treasure in fantastic coral reefs. Sample shore excursions: Bacalar Highlights and the Seven Colors Lagoon; Beach Power Snorkel; Chacchoben Mayan Ruins; Discover Scuba Dive and Mahahual Beach Experience; Kohunlich Mayan Ruins with Lunch; and Mini Jeep Rhino Adventure.
Saturday, April 10 - At Sea
Sunday, April 11 - Wake up in Tampa, Florida
Prepare to disembark while making plans for the next great trip with Northwest Anesthesia Seminars! Our great cruise has come to an end, but you can stay over and enjoy more sun and fun in Tampa! Remember, NW-WWT has the best fares for Holland America Line and others. See Holland America's Caribbean Video Passport Required Click here for information.
The Ship	ms Ryndam
At 720-feet, the ms Ryndam is designed to carry fewer guests while providing more space for maximum comfort. Many staterooms feature commanding ocean views and have private verandahs. With a Dutch worldwide exploration theme, the decor of the ms Ryndam features art and artifacts from the 17th, 18th and 19th centuries. A muzzle-loading canon from the 17th Century, found on the floor of the North Sea is one of the more unusual pieces. At the heart of the ms Ryndam a three-story atrium features a monumental fountain created by sculptor Gilbert Lebigre in Pietrasanta, Italy. Guests aboard this spacious ship encounter elegance at every turn - from a string quartet serenade in the splendid Rotterdam Dining Room to the two-deck Vermeer Show Lounge. Explore the ms Ryndam Slide show of the ms Ryndam
Signature features of the ms Ryndam include:
• Rotterdam Dining Room - features impeccable service, an extensive wine list, and five-course menus including continental cuisine, vegetarian, and low-carb options
• Pinnacle Grill - intimate reservations-only venue offers an elegant, sophisticated dining experience featuring premium Sterling Silver beef, inspired seafood dishes, and many select wines rated "Excellent" by Wine Spectator - as well as distinctive Bvlgari® china, Riedel® stemware, and Frette® linens
• Lido Restaurant - offers a relaxed ambiance for all three meals and features a variety of fresh, cooked-to-order specialties
• The Culinary Arts Center, presented by Food & Wine Magazine - state-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by Holland America's own Master Chefs or culinary guests
• Explorations Café, powered by The New York Times - a comfortable, coffee house environment where you can browse through an extensive library, surf the Internet, check email, or simply read the morning paper
• Greenhouse Spa & Salon - features heavenly beauty and wellness rituals - enjoy a facial, hot stone massage, steam in a thermal suite, or have your hair and nails done for a special evening
• Vermeer Show Lounge - features talented vocalists, dancers, illusionists, comedians, and variety acts
• Crow's Nest - offers sweeping 270° views during the day, and a hip, fashionable nightclub each evening
• Club HAL® - our dedicated youth facilities and activities for kids ages 3 - 12
• The Loft and The Oasis - designed exclusively for teens (13 - 17) to have fun, socialize, and hang out with people their own age
The Holland America Line Experience Video
NW-WWT has a block of cabins for seminar participants. Once this block is sold, cabins are on availability only and may be at a higher rate.
Cruises sell out early.

Travel Arrangements: To receive these discounted cruise fares you must book your cruise through Northwest-Worldwide Travel. Connie and Lisa have all of the information regarding the cruise and seminar and can make your cruise reservations.

Reservations: Reservations will be secured and cabins assigned upon receipt of passenger deposit in the amount of $350 of fare per person. Final payment as instructed by our travel agent.

Discounted Fares: We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise!! See reservation form for details. Discounted airfares are also available. Various promotional fares may also be available. ALWAYS CALL Connie or Lisa BEFORE BOOKING ANYWHERE ELSE.

Register early to reserve your cabin on this cruise!

TARGET AUDIENCE:
This course is designed for Physicians, CRNAs, Physician Assistants, Registered Nurses and other medical care providers who must maintain state-of-the-art knowledge of not only the specialty but also of all additional, related disciplines which may impact it.

PROGRAM PURPOSE:
The practitioner of anesthesiology must possess the scientific background for clinical practice; maintain state-of-the-art knowledge of not only the specialty but also of all additional, related disciplines which may impact it; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacologic agents and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, the clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting professional goals; and provide assistance with and support of other service providers, departments, institutions and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the physician and nurse specialist and other providers maintaining skills of the same kind to review and update knowledge and abilities in one or more of these areas vital to the practicing professional.

OBJECTIVES: At the conclusion of this activity, the participant will be able to:
Discuss the pertinent physical and behavioral sciences - to include but not be limited to advanced anatomy & physiology, pathophysiology, chemistry, physics, psychology, and social sciences - as they impact and are affected by the planning, delivery and monitoring of anesthesia and related services inherent in the anesthesia profession.

Explain the selection, dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses and more recently developed additional, related, similar drugs.

Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic requirements, clinical setting, adverse reactions, and/or goals of care.

Discuss the principles of safety and asepsis in the performance of anesthetic procedures and administrations, equipment use and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic or other more remote location of anesthetizing services.

Discuss incorporation, into practice, the appropriate recommendations and/or requirements of pertinent external organizations, institutions and professional groups - recognized as serving as the authority for and/or holding the responsibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical, ethical, or health care management standards.

Describe the new techniques in the clinical setting of the participant.

FACULTY
Laura D. Clark, MD
Associate Professor
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Christian Popa, MD
Major, Medical Corps, United States Army
Assistant Professor of Anesthesiology
Uniformed Services University of the Health Sciences
Chief, Critical Care Medicine Service
Walter Reed Army Medical Center
Washington, District of Columbia

ACCREDITATION:
The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this educational activity for a maximum of 20 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars, Inc. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

Physician Assistants AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

CME Certificates will be mailed following completion of the course.

AANA approved for 20 CEC Code #32510 Exp. Date 4/10/10

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 20 contact hours.

COURSE DIRECTOR:
Mark Murphy, MD; Anesthesiologist and Medical Director, NWAS, Pasco, Washington

COURSE CANCELLATION BY PROVIDER:
We reserve the right to cancel a course for any reason. In such case, a minimum of 60 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NW-WWT will not be responsible for any non-refundable cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance.

SCHEDULE AND FACULTY CHANGES:
Factors beyond our control sometimes necessitate changes in the schedule and faculty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.

FAP: (Frequent Attendee Points)
FAP lets you accumulate points based on dollars spent with NWAS including net cruise, net hotel and tuition booked through NWAS (but not air). These points can then be redeemed for tuition. A great program to reward you for supporting NWAS! FAP is an especially valuable bonus when you book your cruises through NWAS. Not only do you receive the lowest fare, but you get a 1.5% credit toward future tuition!!

Northwest Anesthesia Seminars, Inc. has gone green! The environment takes a heavy hit with our printed lecture materials - over 8 tons of paper, toner cartridges, and shipping. NWAS has replaced the printed lecture notes for our seminars with a CD containing the lectures in PDF format. If you would prefer to receive printed notes after returning home, we will be happy to provide them to you for a nominal fee.

Click Here for Course and Cruise Registration