Faculty & Conference Details
Dr. Robyn Houlden
Specialty:
Endocrinology
About The Speaker
Dr. Robyn Houlden is Professor and Chair of the Division of Endocrinology at Queen’s University, Kingston, Canada and a consultant in adult endocrinology at the Kingston Health Sciences Centre. She earned her MD at the University of Ottawa and completed internal medicine residency at Queen’s. In 1988, she completed subspecialty training in Endocrinology, followed by a research fellowship at the University of Toronto. She joined Queen’s University as a faculty member in 1990 in the Department of Medicine. Dr. Houlden has served as a diabetes advisor for the Canadian Optimal Medication Prescribing and Utilization Service of the Canadian Agency for Drugs and Technologies in Health, and the Ontario Ministry of Health. She is a member of the eConsult/eReferral Clinical Advisory Group for the Ontario Ministry of Health, and a provincial provider for eConsults in Endocrinology. She has been an investigator in a number of clinical trials of new therapies for diabetes, and has a research interest in innovative models of diabetes health care delivery. She has published 146 peer reviewed papers. Dr. Houlden played a steering role in the 2003, 2008 and 2013 Canadian Diabetes Association Clinical Practice Guidelines for the management of diabetes and was chair of the 2018 Diabetes Canada edition. Throughout her career, she has been the recipient of several honours and awards. She has been recognized with 20 teaching awards including the Queen’s Department of Medicine Master Educator Award and the Canadian Society of Endocrinology and Metabolism Educator Award. She was awarded the Charles H. Best Award by Diabetes Canada for her advocacy work in diabetes.
Dr. Peter Rockwood
Specialty:
Orthopedics
About The Speaker
Dr. Rockwood is a Clinical Associate Professor of Surgery (Orthopaedics) at Memorial University. He is an Active Staff at Eastern Health. Dr. Rockwood’s practice includes general orthopaedics but he also has an interest in Adult Reconstruction and Sports Medicine. He was previously a Royal College Examiner and currently teaches at an Under-Graduate and Post-Graduate level. Dr. Rockwood has also been the Chair of Anatomy for MUN Medical School and an ATLS Instructor.
CME Topics
Endocrinology & Orthopedics
CME AWAY® by Sea Courses is pleased to invite you on a 12 Night CME Program Cruise in the Caribbean, through the Panama Canal and onto Ecuador & Peru. Dr. Robyn Houlden (Endocrinology, Ontario) and Dr. Peter Rockwood (Orthopedics, Newfoundland) have developed an educational program that will be of interest to family physicians, specialists and allied health professionals. Their programs are designed to be evidence based with interactivity and attendee participation strongly encouraged.
Dr. Houlden is Professor and Chair of the Division of Endocrinology at Queen’s University, Kingston. She is a member of the eConsult/eReferral Clinical Advisory Group for the Ontario Ministry of Health, and a provincial provider for eConsults in Endocrinology. Dr. Houlden has been recognized with 24 teaching awards including the Queen’s Department of Medicine Master Educator Award and the Canadian Society of Endocrinology and Metabolism Educator Award.
For this CME program, Dr. Houlden’s topics will include Obesity, Osteoporosis Gynecomastia, Type 2 Diabetes, Thyroid Disease, Dyslipidemia and Anabolic Steroid Misuse.
Dr. Rockwood is a Clinical Associate Professor of Surgery (Orthopedics) at Memorial University. He is an Active Staff Member at Eastern Health. Dr. Rockwood’s practice includes general orthopaedics, but he also has an interest in Adult Reconstruction and Sports Medicine. He was previously a Royal College Examiner and currently teaches at an Under-Graduate and Post-Graduate level.
For this CME Program Dr. Rockwood’s topics will Include Orthopedic Emergencies, Upper and Lower MSK Injuries, Shoulder Pain, Hip disease and Foot and Knee Conditions.
Dr. Houlden and Dr. Rockwood are looking forward to seeing you on this CME AWAY® Cruise.
Dr. Houlden-
- Obesity: an enlarging problem
- Prescribe weight loss medications
- Identify patients who would benefit from bariatric surgery
- Communicate the risks and benefits of bariatric surgery to these patients
- Assess and manage common medical problems and nutritional deficiencies pre- and postoperatively in patients undergoing bariatric surgery
- Counsel about weight loss diets
- Osteoporosis: the difficult questions
- Implement effective treatment and management plans to reduce risk of future fractures using the 2023 Clinical Practice guideline for the management of osteoporosis and fracture prevention in Canada
- Counsel patients on role of vitamin D and calcium supplementation
- Outline potential harms of medications for osteoporosis including the role of drug holidays
- Male hypogonadism + Gynecomastia
- workup up male hypogonadism,
- prescribe testosterone replacement therapy appropriately based on recent trials of androgen replacement therapy
- monitor men on testosterone replacement therapy
- workup gynecomastia
- What’s new in Type 2 Diabetes?
- outline the role of once weekly basal insulins in the management of type 2 diabetes
- describe the expanding role of GLP-1 receptor agonists
- describe the role of dual GIP/GLP-1 receptor agonist drugs
- understand GLP-1 receptor agonist combination drugs in development
- Thyroid Disease: guidelines and controversies
- Interpret thyroid function tests that don’t make sense
- Manage hyperthyroidism while patient is waiting to see endocrinologist
- Manage subclinical hypo- and hyperthyroidism
- Manage thyroid dysfunction during pregnancy
- Workup and follow thyroid nodules
- Parathyroid, Vitamin D, Pituitary, Adrenal Diseases and Menopause: just the need to know
- Workup and manage primary hyperparathyroidism in surgical and non-surgical candidates
- Manage Vitamin D deficiency
- Workup and manage hyperprolactinemia including related to anti-psychotic use
- Workup the adrenal incidentaloma
- Investigate primary aldosteronism
- Discuss the appropriate role for pharmacologic and complementary therapies for menopause
- Chewing the Fat. What’s new in the management of dyslipidemia
- List current and emerging treatment options for lipid lowering, including for hypercholesterolemia, hypertriglyceridemia, and elevated lipoprotein a
- Develop individualized treatment options for dyslipidemia, including lifestyle modifications, pharmacologic interventions, and potential benefits or risks of each class of lipid-lowering medications
- Anabolic Androgenic Steroid Misuse: more common than you might think
- Identify patients that may be using anabolic androgenic steroids
- Counsel about health risks
- Manage patients using these agents
Dr. Rockwood
1.
Approach to Orthopedic Emergencies
- Describe Management of common orthopedic emergencies
- Review Management if Open Fractures
2.
Principles of Splinting, Compartment syndrome
- Describe the Emergent presentations of common upper and lower extremity MSK injuries
- Illustrate management Options
3.
Office Management of Upper Extremity MSK Conditions
- Cite the presentation of common orthopedic conditions
- Review the Management
4.
Shoulder pain; What, why
- Describe how to recognize shoulder Rotator Cuff pathology, Instability,
- Illustrate diagnosis and management of Frozen shoulder
5.
The Hip Check
- Review the Diagnosis of hip disease
- Describe the office management of common hip pathology
6.
Knees to know
- Review the pathophysiology of common knee conditions
- Examine office management of common presentations of knee pain
7.
Accepting De'Feet'
- Cite the Approach to diagnose painful foot and ankle conditions
- Illustrate options for management
8.
Techniques of MSK Injections
- Cite Indications for MSK injections
- Illustrate techniques for MSK injections
Venue Information
Get ready for Silver Ray. Silversea’s second Nova Class ship arrives in summer 2024 and promises guests seamless destination connection. Silver Ray mirrors every aspect of her sister ship, Silver Nova, including a pioneering, asymmetrical design and extraordinary use of glass in both public areas and in suite for uninterrupted views wherever you are! What’s more, Silver Ray is one of the most spacious ships ever built, offering an exceptionally high space-to-guest ratio yet remaining nimble enough to offer purity in movement, as her name suggests. She is truly our ray of light.
Silver Ray preserves all our trademarks and delivers a new way of luxury cruising. Her revolutionary horizontal design ensures outstanding public areas, which fuse seamlessly together. Silver Ray will introduce a brand new selection of superb, spacious suites, many of which promise offer a 270˚ view from sea to sky. Eight restaurants and an unprecedented choice of bars complete the experience, offering delicious drinking and dining at any time of the day.
Itinerary & Schedule
Day |
Date |
Port / Location |
Arrival Time |
Departure Time |
Conference |
Day 1 |
January 20th |
Fort Lauderdale, Florida |
|
7:00pm |
|
Day 2 |
January 21st |
At Sea |
|
|
8:30AM - 12:00PM |
Day 3 |
January 22nd |
Cozumel Quintana Roo, Mexico |
8:00am |
|
|
Day 4 |
January 23rd |
Cozumel Quintana Roo, Mexico |
|
6:00pm |
|
Day 5 |
January 24th |
At Sea |
|
|
9:00AM - 12:00PM / 1:00PM - 4:00PM |
Day 6 |
January 25th |
At Sea |
|
|
|
Day 7 |
January 26th |
Panama Canal Transit |
5:30am |
7:30am |
|
Day 8 |
January 27th |
At Sea |
|
|
8:00AM - 12:00PM |
Day 9 |
January 28th |
Manta, Ecuador |
8:00am |
7:00pm |
|
Day 10 |
January 29th |
At Sea |
|
|
8:30AM - 12:00PM |
Day 11 |
January 30th |
Salaverry, Peru |
7:00am |
6:00pm |
|
Day 12 |
January 31st |
Lima (Callao), Peru |
12:00pm |
|
|
Day 13 |
February 1st |
Lima (Callao), Peru |
|
|
|
Detailed Itinerary
Day 1 -January 20 Fort Lauderdale, Florida
Miles of sandy beaches, lively outdoor events, and a charming web of waterways help to make Fort Lauderdale a relaxed, vacation capital of Florida. The excitement is palpable, as cruise ships and gleaming yachts gather in the harbour ahead of adventures and luxury journeys across the waves. Soak up the relaxed atmosphere in the canal-laced 'Venice of America,' as you enjoy big label shopping on Las Olas Boulevard - or visit fancy restaurants and bustling art galleries. For a wilder experience, the swampy wetlands of the Everglades sprawl away nearby. Fort Lauderdale Beach is a lively stretch of sand, bordered by palm trees, and sprinkled with crowds enjoying the Sunshine State's generous weather. The charming promenade of red-brick tiles extends right along the beach's length and rumbles with passing rollerbladers and cyclists. Flick across the waves while paragliding, or relax with a coffee or a margarita in a beachfront bar, as volleyball games play out in front of you. For a quieter beach option, Olas Beach lies a little down the coast towards Port Everglades, and has extra space to spread out and tan on acres of smooth white sand. Spot the backs of alligators waiting patiently, and the toothy grins of crocodiles patrolling the murky waters of the Everglades – the USA's biggest tropical wetlands. A haven of extraordinary wildlife, birds wade through its swamps, and black bears and panthers roam its wilds. Take to a plane to appreciate the full scale of the national park or purr along exploring its waterways in a fan powered boat.
Day 2—January 21 At Sea
Days at sea are the perfect opportunity to relax, unwind and catch up with what you’ve been meaning to do. So whether that is going to the gym, visiting the spa, whale watching, catching up on your reading or simply topping up your tan, these blue sea days are the perfect balance to busy days spent exploring shore side.
Days 3—4 —January 22-23 Cozumel Quintana Roo
Dive into the exuberant, colourful world of Cozumel - a Mexican island of exceptional scuba diving, snorkelling and dazzling beaches. Abundant underwater ecosystems swirl among reefs of black coral - attracting experts and beginners alike to the azure waters of this island. Mayan mythology says Cozumel was the sanctuary of the Goddess of fertility and love, Ixchel - and this seducing Mexican island of adventure and allure leaves all visitors head over heels. Waiting across the Carribean waters from Playa Del Carmen, and a world away from its lively resorts, Cozumel is an idyllic land of gently curving palm trees and tropical shores. Playa Palancar occupies the western coast, with velvety powder and balmy Caribbean seas. Relax, with just the notes of the washing sea and whispering palm trees accompanying you during splashes through the shallow waves or tanning sessions on the soft sand. Playa El Cielo - or the appropriately named Heaven Beach - is home to a divine constellation of starfish resting on the seabed, below its glass-clear waters. Stingrays and sea turtles also swirl in the waters, as you snorkel through some of the island's most vibrant and diverse displays of marine life. Beach bars serve up spicy Mexican fare with a seaside twist - like delicious prawn fajitas, fish tacos and lime-squeezed ceviches. The crumbling San Gervasio ruins, meanwhile, offer cultural intrigue and a fascinating insight into the remarkable ancient Mayan civilisation. Despite the presence of majestic ruins from antiquity, it's the giant iguanas, soaking up the sun in clearings, who often unwittingly steal the show.
Days 5—6—January 24-25 At Sea
Days at sea are the perfect opportunity to relax, unwind and catch up with what you’ve been meaning to do. So whether that is going to the gym, visiting the spa, whale watching, catching up on your reading or simply topping up your tan, these blue sea days are the perfect balance to busy days spent exploring shore side.
Day 7— January 26 Panama Canal Transit
Enter the mighty Panama Canal, one of history’s most ambitious and spectacular stretches of waterway. Connecting the Atlantic and Pacific oceans, and slicing through the heart of a continent, the canal is a staggering engineering triumph, eliminating the need to traverse the treacherous waters of South America and Cape Horn. Sail one of the world’s great canals to appreciate the true scale of this achievement, as your ship manoeuvres between its vast, gushing locks and huge lakes. The French began construction in 1881, but the costly project was left abandoned and unfinished until the United States finally completed the work in 1914. Following the path of the Panama Railway of 1855, locks raise ships large and small 26 metres up above sea level to the canal’s elevated channel. New locks have recently been added, which allow the canal to accommodate ever bigger ships. Leaving the confinement of the locks, you will enter the canal’s channel, to sail through Panama’s core. Wide lakes are linked by painstakingly chiselled wedges of canal, which slice through the lush scenery. Look out for the Culebra Cut section, the most challenging stretch of the entire route to construct. The Bridge of the Americas is a vast arched landmark, which sweeps across the Pacific Entrance and was completed in 1962. It’s one of several huge bridges that you will sail below on the 51-mile journey, including the much newer Centennial Bridge, and the Atlantic Bridge, which spans the entrance close to Colon.
Day 8—January 27 At Sea
Days at sea are the perfect opportunity to relax, unwind and catch up with what you’ve been meaning to do. So whether that is going to the gym, visiting the spa, whale watching, catching up on your reading or simply topping up your tan, these blue sea days are the perfect balance to busy days spent exploring shore side.
Day 9— January 28 Manta, Ecuador
As home to Ecuador’s second-largest seaport, Manta is a one of the most important economic cities in the country. So, far from rustic shores and a sleepy village, visitors to Manta can expect a modern urban hub, complete with vast beach, high rises, city slickers and lots and lots of fish. This is the city that has a giant tuna statue welcoming its visitors, so it is no surprise that seafood is high on everybody’s list of important things. What was once a small fishing village has today grown into a mighty industry and ultra-fresh seafood – mostly tuna – takes pride of place. Thus, no trip to Manta is complete without sampling at least one of the local dishes. Foodies will salivate at the opportunity of tasting not only amazing tuna ceviche but also exquisitely prepared squid, octopus, lobster and inspired South American style tapas. If tasting the city’s legacy isn’t enough for you, then the Archaeological Museum of the Central Bank of Manta boasts an excellent collection of ceramics of the Manteño-Huancavilca culture that flourished here between 800 and 1550 A.D. Manta’s seafood, beaches and boutiques might be enough for some people, but it is worth noting that picturesque Montechristi is only about 20 minutes away. Jump on a colourful (and colourfully authentic) Chivas bus for the short ride to the home of the Panama hat – which does not originate anywhere near Panama! The enchanting village has retained much of its faded Spanish elegance with its milliners by far its star attraction.
Day 10— January 29 At Sea
Days at sea are the perfect opportunity to relax, unwind and catch up with what you’ve been meaning to do. So whether that is going to the gym, visiting the spa, whale watching, catching up on your reading or simply topping up your tan, these blue sea days are the perfect balance to busy days spent exploring shore side.
Day 11— January 30 Salaverry, Peru
Ancient cultures and magical ruins wait to be discovered along Peru’s compelling western coastline. With the Andes rising nearby, and the deep blue Pacific’s waves lapping against its sun-parched shores, this is a unique and inspiring place, where wonders from yesteryear exhibit amazing geometric patterns and stylised artwork. Salaverry welcomes you ashore close to Trujillo, Peru’s second-largest city, set in a land scattered with impressive ruins and archaeological treasures left by ancient civilisations. Sugarcane, pineapple and asparagus grow in the fertile Moche Valley, and this area is sprinkled with immense, impressive ruins from the Moche and Chimu cultures. The sprawling Chan Chan Ruins are all that's left of a mighty, pre-Columbian city, moulded from sand and mud. The city rose between 900 and 1470, and was the capital of the Chimor empire. One of the largest adobe cities in the world - and the biggest of the Americas - it would eventually fall to decline after the Incas conquered it. The temple of Huaca del Dragón is also close by, rising as a small pyramid, embossed with relief patterns of fire-breathing dragons and animals. South of the Moche River the remains of the Huaca del Sol y la Luna temples loom, built to honour the sun, moon and heavens by the Moche civilization. Trujillo itself is splashed with colonial colour and soaring palm trees, and there are plenty of cathedrals and museums to explore. You’ll want to taste traditional Huanchaco ceviche while you’re here, soft prawns or sea bass combined with spicy red chillies and a tangy squeeze of lime.
Days 11-12— January 31 –February 01 Lima (Callao) , Peru
Splashing colour and culture into the arid Peruvian landscape, Lima is a city bedecked with grand colonial splendour. Founded in 1535, this sprawling capital enjoys a breezy oceanfront location and forms one of the world's largest desert cities. A place of sharp contrasts, almost 10 million people are packed into the city, occupying vastly different living conditions. Visit for an unfiltered experience of this richly layered place of ancient history, colonial relics and dazzling flavours. Rising from the misty blanket of the garua - a persistent fog that cloaks Lima during winter - you'll find one of South America's most culturally vibrant cities. The former capital of the Spanish colonists - head to Plaza de Armas to immerse yourself in the heart of the old city. The Basilica Cathedral of Lima watches over Plaza Mayor - listen out for the stomps of boots outside, as the pomp and ceremony of the Changing of the Guards draws crowds to the Government Palace. The history of this area runs much deeper, however, and pre-Colombian cities and temples emerge from the dusty earth nearby. Grand museums showcase unearthed treasures from the extraordinary civilisations who built vast mud adobe cities across Peru's coastline, and incredible settlements in the country's valleys and mountains. The Barranco district is Lima's artsy area, and you can walk from modern art galleries to see the local muse, the Bridge of Sighs. This wooden bridge is an artist's favourite, and one of the city's most romantic spots. Afterwards, sample some of Lima's cuisine, and the zingy flavours of spicy, lime-marinated fish ceviche. So revered in these parts, ceviche even has its own national day on June 28th. Sipping a Pisco Sour is the perfect way to round off your visit to this engrossing, multi-layered city.
Pre-And-Post Conference Information
There are no Pre or Post tours created for this itinerary. To build your own, or simply add hotel nights, please speak with your Advisor!