Anesthesia Spectrum
7-Day Canada and New England Cruise
Boston, Massachusetts to Montreal, Quebec, Canada
September 29-October 6, 2012

Saturday, September 29 - Board Ship in Boston, Massachusetts

There is no better way to get a sense of the Revolutionary struggle that changed our nation's destiny than with a stroll along Boston's Freedom Trail. Along the way: Paul Revere House, Old North Church, the Old State House and Faneuil Hall, gathering place of the early revolutionaries. Farther afield: Lexington Green, where the minutemen and redcoats first skirmished, and bewitching Salem. Sample shore excursions: Freedom Trail Walking Tour; Lexington & Concord with Harvard Yard; Historic Salem & Seafaring Marblehead.

Sunday, September 30 - 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 are Step Back in Time: A Victorian Walking Tour; Acadia National Park and Lobster Bake; and Bar Harbor by Land and Sea.

Monday, October 1 - Halifax, Nova Scotia, Canada

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 center 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 are Titanic Tour: The Halifax Connection, Historic Halifax by Amphibious Harbour Hopper; Lunenburg: The Prettiest Town in Canada; Peggy's Cove and Lobster Lunch; and Soldier for a Day: A Parks Canada Interactive Tour.

Tuesday, October 2 - Sydney, Nova Scotia, Canada

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 are A Guided Walk in Old Sydney Town; Baddeck and Alexander Graham Bell Museum; Fortress of Louisbourg: 18th Century Life; Sailing on the Bras D]d'Or Lakes; A Taste of the Cabot Trail; and Spirit of the Fiddle: Sounds of Cape Breton.

Wednesday, October 3 - Charlottetown, Prince Edward Island, Canada

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 are Ultimate Anne of Green Gables Experience; Panoramic Island Drive; The Best of Prince Edward Island: Top 10; Scenic Nature Cruise; and Cinderella Carriage Ride and Lobster Lunch.

Thursday, October 4 - Scenic Cruising Gulf of St. Lawrence

Friday, October 5 - Quebec City, Quebec, Canada

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 its quaint shops, corner bistros, and art vendors in the market squares. Possible shore excursions are Quebec City Walking Tour with Tea at the Chateau Frontenac; Bike Adventure to Montmorency Falls; Rafting Ride on the Jacques Cartier River; Ste-Anne Canyon and Winery; The Ghosts of Old Quebec; and Old Quebec Walking Tour and Wine Tasting.

Saturday, October 6 - Montreal, Canada - Disembark

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.

The Ship:   MS Maasdam

The MS Maasdam is the fifth ship in Holland America Line's 135-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.

Some features of MS Maasdam:

• 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 trendy, 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

MS Maasdam Cabins

Deluxe Verandah Suite

556 sq. ft. with verandah, 2 lower beds convertible to 1 king-size bed, whirlpool bath and shower, large sitting area, dressing room, 1 sofa bed for 2 persons, mini-bar, refrigerator, and floor-to-ceiling windows.

Verandah Suite

292 sq. ft. with verandah, 2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, mini-bar, refrigerator, and floor-to-ceiling windows.

Large OceanView Stateroom

197 sq. ft., 2 lower beds convertible to 1 queen-size bed, bathtub, and shower.

Large or Standard Inside Stateroom

182 sq. ft., 2 lower beds convertible to 1 queen-size bed, and shower.

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. We 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 $12snec 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 BEFORE BOOKING ANYWHERE ELSE.

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 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 professions.

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, and 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, of 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

ACCREDITATION

The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, designates this live activity for a maximum of 20 AMA PRA Category 1 Credits™.

Physicians should claim only the 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.

Canadian Physicians The Royal College of Physicians and Surgeons of Canada recognizes A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas as an accredited organization and has determined that Canadian physicians may record Section 1 credits for their participation in this conference.

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 #1026161 Exp. Date 10/6/2012

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, MSN Education, Austin, Texas, and Medical Director, Northwest Anesthesia Seminars, Pasco, Washington.

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.

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.

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!!

Lecture notes will be provided on a CD in PDF format.

Please note that children and non-registered guests are not allowed to attend the lectures. Most hotel Concierges and the cruise lines we use can provide you with childcare information.

REGISTER EARLY

We recommend that you register early to assure your spot. We reserve the right to close registrations to a course at any time without notice. We may not be able to accommodate onsite registrations.

Click here for course and cruise registration