Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Anesthesia Forum
Canada & New England Discovery Cruise
September 27-October 4, 2008

LOCATIONS

TARGET AUDIENCE

THE SHIP

PROGRAM PURPOSE

CRUISE RESERVATION

OBJECTIVES

 

PROGRAM SCHEDULE

FACULTY

ACCREDITATION

FAP

COURSE REGISTRATION


7-Day Canada & New England Discovery Cruise

Boston, Massachusetts to Montreal, Quebec

Spend a week absorbing the highlights of a Canadian and New England autumn. Discover places like Halifax, teeming with rugged seascapes, the Gaelic ambiance of Sydney, and Charlottetown with its distinctive English charm. Gliding through Saguenay Fjord, you might spot a Humpback, Blue, or even the endangered Beluga whale. Stroll through the cobblestone streets and grand chateaus in French speaking Quebec and Montreal.

Click for Interactive Map
Saturday, September 27 - Board ship in Boston, Massachusetts
The cradle of American history, Boston rests on its glorious cultural laurels - Trinity Church, Old Ironsides, the Freedom Trail - yet thrusts into the next millennium as a high-tech hub of the computer industry. Possible shore excursions: Freedom Trail Walking Tour; Historic Boston & Cambridge; Historic Salem & Seafaring Marblehead; J.F.K Library & Boston Highlights; Lexington & Concord with Harvard Yard; and Old Ironsides: USS Constitution & Navy Yard.
Sunday, September 28 - Bar Harbor, Maine
Once the summer-society rival of Newport, today Bar Harbor is rich in the legacy of the 19th century millionaires, including Acadia National Park, most of which was donated by the Rockefeller family. Clip clop along tranquil trails in a horse-drawn carriage. Possible shore excursions: Step Back in Time: Victorian Walking Tour; Acadia National Park & Carriage Ride; Acadia National Park & Lobster Bake; Bar Harbor Guided Bicycle Tour; Bar Harbor Whale Watch Cruise; Cadillac Mountain & Rinehart Pavilion; and Coastal Kayaking.
Monday, September 29 - Halifax, Nova Scotia
Halifax lies on a peninsula between one of the world's largest deep water harbors and an inlet known as the North West Arm. This hilly city, largest east of Montréal, rises from the harbor and the historic central district, to the upper ramparts of Citadel Hill, offering visitors splendid views of the city and waterfront. From there, explore the Halifax Citadel, a star-shaped fortress, built by the British in 1861 or tour the Historic Properties, a group of restored buildings dating back to the 1800s, now featuring boutiques, galleries, and restaurants. While in Halifax be sure to take in the Maritime Museum of the Atlantic, the Atlantic Marine Pavilion Aquarium, and historic Province House. Visitors will also enjoy Discovery Centre, a science centre featuring hands-on exhibits, Government House, dating back to 1807, and the beautiful beaches within easy driving distance of Halifax. Ocean scenery here is at its best: granite boulders pounded by crashing surf, lighthouses standing sentinel on rocky ledges, and a delectable lobster lunch caught fresh from the waters off Peggy's Cove. Possible shore excursions: Titanic Tour: The Halifax Connection; Artists & Artisans Gallery Tour; Cloud Nine-Nova Scotia Flightseeing; Garden & Garrisons; High Tides & Fine Wines; Historic Forts of Halifax; Historic Halifax by Amphibious Harbour Hopper; Legendary South Shore & Halifax Highlights; Lunenburg & Mahone Bay with Halifax Highlights; Peggy's Cove & Lobster Lunch; Peggy's Cove Lighthouse Route; Queen's Shilling Interactive Tour; Soldier for a Day Interactive Tour; and The Heart of Halifax-A Historic City Tour.
Tuesday, September 30 - Sydney, Nova Scotia
So green and Gaelic is Cape Breton Island that Scotsman Alexander Graham Bell called it home for the last 37 years of his life. See why as you follow the scenic 184-mile-long Cabot Trail. Or tour to the Fortress of Louisbourg, meticulously restored to its 1744 mint condition. Possible shore excursions: A Guided Walk in Old Sydney Town; Baddeck and Alexander Graham Bell Museum; Fortress of Louisbourg; Miners Museum and Maconi Trail Tour; Sailing on the Bras D'Or Lakes; Scenic Cabot Trail; and Sydney Area Historical Drive.
Wednesday, October 1 - Charlottetown, Prince Edward Island
A provincial capital with a distinctly English feel where red double- decker buses motor along streets lined with gingerbread-trimmed Victorian houses and tea is served promptly at three. Possible shore excursions: A Day in Dalvay by the Sea; Biking on the Confederation Trail; Greenwich Interpretive Centre & Trails; History and Culture - Charlottetown City Tour; North Shore City Tour and Anne of Green Gables; Prince Edward Island's Coastline Nature Walk; Sea Kayaking; and The Charlottetown Story: A Walking Tour.
Thursday, October 2 - Scenic Cruising Saguenay Fjord
Friday, October 3 - Quebec City, Quebec
Quebec City, the capital of the province, is a delightful blend of historic old world charm combined with all of the conveniences of a modern city. On a bluff, overlooking the St. Lawrence River, the Hotel Chateau Frontenac, with its impressive spires and turrets, sits adjacent to the Plains of Abraham, where important battles between the French and the British were fought. Visit the Old Fort, or take a horse drawn carriage ride down the cobbled streets of Old Quebec City with it's quaint shops, corner bistros, and art vendors in the market squares. Possible shore excursions: Bike the St. Lawrence; City Tour of Old and New Quebec; La Belle Mont Panoramic Tour; Quebec City Walking Tour with Tea at the Chateau Frontenac; Rafting Ride on the Jacques Cartier River; St. Lawrence Grand Tour with Lunch; and Ste. Anne de Beaupre & Montmorency Falls.
Saturday, October 4 - Wake up in Montreal, Quebec

Montreal is a 350-year-old, cosmopolitan, French-dominated metropolis. Located on an island in the majestic St. Lawrence river, Montreal successfully blends European flair and North American lifestyle immediately evidenced by its centuries-old, graceful cathedrals eclectically stirred among geometric modern skyscrapers. Whether by foot or horse-drawn carriage, meander the cobblestone streets of Old Montreal to Notre Dame Basilica, Place Jacques Cartier, Chateau do Remezay, and Pointe-a-Calliere Museum of Archeology and History, taking a respite by the beautiful fountain at Place d'Armes, or visit the Botanical Gardens. Discover unique antiques shops, some dedicated only to Asian, British or Quebecois items. Possible shore excursions: Province City Tour of Old and New Montreal.

See Holland America's Canada video

   
The Ship

ms Maasdam

The ms Maasdam is the fifth ship in Holland America Line's more than 130-year history to bear the name. Featuring an interior motif that pays homage to the historical Dutch East and West India companies of the 17th through 19th centuries, the centerpiece of this elegant ship features Luciano Vistosi's "Totem," a monumental sculpture using nearly 2,000 glimmering pieces of glass, prominently displayed in a soaring three-story atrium. She exudes a warm, elegant feel throughout by combining rich, polished woods and more than $2 million antiques and art collection. At 720-feet, the ms Maasdam is designed to carry fewer guests while providing them with more space for maximum comfort. Accommodating 1,258 guests, many staterooms feature commanding ocean views, and each of the 149 suites has a private verandah.

See Holland America's videos:
The ms Maasdam

Vista Visions

The Holland America Line Experience

SEE
VIRTUAL TOURS
STATEROOMS
DECK PLANS

Podcasts
The wooden figurehead in the Lido restaurant is a stunning example of maritime art that can be found throughout ms Maasdam. Other intriguing art featured on the self-guided art tour are two abstract murals painted especially for the Rotterdam Dining Room, display cases filled with a collection of seven iron teapots and a charcoal brazier from Japan, which date from the end of Edo period. Also of interest is the set of marvelously detailed gilt and lacquered chests and an 18th-century ebony cabinet from England with reversed painting behind glass.
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Duration: 24 minutes, 3 seconds
Preview
Duration: 24 seconds

 
Signature features of the ms Maasdam include:
• The two-tier Rotterdam Dining Room features impeccable service and an extensive wine list, and offers five-course menus, from continental cuisine to vegetarian and low-carb options
• The intimate reservations-only Pinnacle Grill offers an elegant, sophisticated dining experience and features premium hand-selected cuts of 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
• The 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, is the setting for gourmet cooking demonstrations and interactive classes
• Explorations Café*, powered by The New York Times, features the largest library at sea, as well as comfortable music listening stations and Internet access
• The Greenhouse Spa & Salon features thermal suites, a hydrotherapy and thalassotherapy pool, heated ceramic lounges, and more
• The Rembrandt Show Lounge features Las Vegas-style productions, talented vocalists, illusionists, comedians and variety acts
• The Crow's Nest, where sweeping views make this observation lounge a top choice for relaxing during the day, in the evening transforms into a hip, fashionable nightclub featuring top-notch DJs and great bands
• Club HAL®, dedicated youth facilities and activities for kids ages 3 to 12
• The Loft for teens, new areas designed exclusively for teens (ages 13-17) to have fun, socialize, and hang out with people their own age
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 the 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, pharmacological 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, 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 and 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 the incorporating, 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.

PROGRAM SCHEDULE
Anesthesia Forum
7-Day Canada & New England Discovery Cruise
September 27-October 4, 2008
Saturday, September 27 - Boston, Massachusetts
1700 Ship Sails
Sunday, September 28 - Bar Harbor, Maine - Morning Free
1530 Registration - Mandatory Sign-In - Half Moon Room
1600 Introductions NWAS Staff
1605 Safety in the OR and Beyond (3 hrs) D.Lin
1905 Adjourn
Monday, September 29 - Halifax, Nova Scotia - Morning Free
1645 Registration - Mandatory Sign-In
1700 Anesthesia, Analgesia, and Anticoagulation D.Hickman
1800 Intraarticular Injection for Knee Arthroscopy D.Hickman
1900 I.V. Regional Anesthesia and New Adjunct Medications D.Hickman
2000 Adjourn
Tuesday, September 30 - Sydney, Nova Scotia - Morning Free
1655 Registration - Mandatory Sign-In
1700 Office Based Anesthesia D.Lin
1800 Guidelines Everyone Should Know: Cardiac/Vascular D.Lin
1900 Guidelines Everyone Should Know: Glucose Management/Surgical Site Infection, Perioperative Antibiotics D.Lin
2000 Adjourn
Wednesday, October 1 - Charlottetown, Prince Edward Island - Morning Free
1345 Registration - Mandatory Sign-In
1400 Brachial Plexus Blocks: Techniques and Indications D.Hickman
1500 Use of Ultrasound in Regional Anesthesia D.Hickman
1600 Post-Op Visual Loss D.Hickman
1700 Break
1715 Breaking Down Perioperative Barriers D.Lin
1815 Necessary Disclosure D.Lin
1915 Question and Answer Session Faculty
2015 Adjourn
Thursday, October 2 - Cruising Saguenay Fjord - Afternoon Free
0700 Registration - Mandatory Sign-In
0710 PACU Management D.Hickman
0810 Breakfast Break
0910 What's New in Post Op Analgesia D.Hickman
1010 PONV D.Hickman
1110 Herbal Interactions in Anesthesia D.Lin
1210 Concluding Question and Answer Session Faculty
1310 Adjourn 20 CME I / 20 CEC
Friday, October 3 - Quebec City, Quebec, Canada - Day Free
Saturday, October 4 - Montreal, Quebec, Canada - Disembark

FACULTY
Gregory Hickman, MD
Medical Director and Anesthesia Director
Andrews Institute
Gulf Breeze, Florida

Della Ming Lin, MD
Chief Executive Director
Continuing Medical Education
Queen's Medical Center
Honolulu, Hawaii

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.

Certificates will be mailed following completion of the course.

AANA approved for 20 CEC Code #30746 EXP DATE 10/02/2008

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; Chief of Anesthesia, Mercy Medical Center, Durango, Colorado.

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 are not responsible for any non-refundable airfare, cruise fare, accommodations, or other expenses you may incur. Travel insurance is highly recommended.

SCHEDULE & 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 and net hotel as well as tuition (but not air). These points can later 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! *You must have enough credit to cover a full tuition.

NWAS, Inc. is going green! With over 8 tons of paper used, hundreds of toner cartridges and the shipping impact, we want to do our part for the environment. Therefore as of January 1, 2008, NWAS will replace the printed syllabus with a CD containing the lectures in PDF format. If you prefer a printed syllabus, we will be happy to provide one to you for a nominal fee.

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Last Update: 5/08/08
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