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CONFERENCE DESCRIPTION
This exciting cruise conference on Current Issues in Pediatrics is designed to provide physicians, nurses, nurse practitioners, and physician assistants with the most recent information on common pediatric problems and issues, and offer practical evidence-based solutions to problems that can be applied in pediatric care. The primary goal of the conference is to enhance the knowledge of providers, resulting in improved patient care.

Conference topics have been selected based on past participant conference evaluation requests, clinical expert practice guideline input, literature review, and our online needs assessment surveys of health care providers specializing in pediatrics.

An outstanding, nationally prominent faculty has been selected based on their individual areas of expertise, their ability to communicate first-hand knowledge to others, their commitment to address issues of current concern, and their willingness to interact with participants.

CONFERENCE OBJECTIVES
Upon completion of this continuing education activity, participants should be able to...

distinguish between innocent or guilty heart murmurs in the febrile child, and identify & manage arrhythmias, heart failure, or shock in pediatric cardiology

describe current diagnostic & therapeutic management of asthma & bronchiolitis in children

evaluate & manage dehydration in children

recognize knee injuries in the skeletally immature child, & shoulder instability in the pediatric or adolescent athlete

discuss pediatric office preparedness for pediatric emergencies

ACCREDITATION
This educational activity was planned and produced in accordance with the ACCME and ANCC essentials and standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council on Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).

CONTINUING EDUCATION CREDIT

Physicians
Symposia Medicus designates this educational activity for a maximum of 15 AMA PRA Category 1 Credits™.

Application has been made with the American Academy of Pediatrics. Determination of credit is pending.

Application has been made with the American Academy of Family Physicians. Determination of credit is pending.

Nurse Practitioners, Physician Assistants, and Nurses
The ANCC contact hours awarded for the completion of this educational activity are 15.

The American Academy of Physician Assistants accept Category 1 CME approval from organizations accredited by the ACCME.

Provider is also approved by the California Board of Registered Nursing, Provider # CEP2335, for 18 contact hours.

Pharmacology Credit for Prescriptive Authority
A maximum of 2 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx.

Each participant should claim only those hours of credit that he/she actually spent in the educational activity.

Certificates of completion/credit will be given to participants at the conclusion of the conference.

CRUISE RATES, DEPOSITS & FINAL PAYMENT REQUIREMENTS
All cruise rates quoted are per person, based on double occupancy, and do not include conference tuition, cruise fees of $159 per person, taxes of $59.13 per person (subject to change), a fuel surcharge of $5 per person/per day (for 1st and 2nd cabin occupants only), airfare, gratuities, ground transportation to/from the cruise ship, nor optional Royal Caribbean CruiseCare® Protection Plan. All fares are per person in U.S. dollars.

A deposit of $250 per person (including 3rd and 4th passengers in cabin, if applicable), is due to Symposia Medicus at the time of booking. Final payments are due to Symposia Medicus no later than Friday, July 25, 2008. Payments not received by the due date are subject to cabin cancellation with no refunds.

Royal Caribbean will provide travel documents to Symposia Medicus approximately two weeks prior to sailing. Travel documents are issued only after final payment has been received. Symposia Medicus will forward your travel documents to you after we have received and reviewed them for accuracy. You will receive your final documents approximately 10 days prior to the sailing date.

WHAT IS INCLUDED IN CRUISE FARE?
The price of your cruise includes ship accommodations, around the clock dining options, some beverages, nightly entertainment and most onboard ship activities. The cruise fare does not include taxes, cruise fees, fuel surcharge, airfare, ground transfers, gratuities, nor items of a personal nature such as shore excursions, telephone calls, laundry and dry cleaning, medical, barber and beauty shop services, alcoholic beverages, some non-alcoholic beverages, and meals at specialty restaurants on the ship.

CANCELLATION POLICY
Per Royal Caribbean's policy, a full refund (except amounts paid for CruiseCare® Protection Plan) will be made for written cancellations received by Symposia Medicus by July 25, 2008. Passengers, who cancel after that date, for any reason, including medical or family reasons, are subject to the following per person cancellation fees:

Up to July 25: Full Refund

Between July 26 and September 4: $250 per person

Between September 5 and September 26: 50% of total price paid

After September 26: No Refunds

Name changes require the prior approval of Royal Caribbean International and are subject to additional fees. Cruise tickets are non-transferable. Name changes are considered reservation cancellations and are subject to cancellation fees.

CRUISECARE® VACATION PROTECTION PLAN
Royal Caribbean's CruiseCare® Vacation Protection Plan provides reimbursement of non-refundable cancellation penalties up to the total value of your cruise should you cancel your cruise for certain specified reasons. As a special feature, if you voluntarily cancel your cruise for any other reason not covered by the insurance portion of CruiseCare®, Royal Caribbean may give you up to 75% of the normally non-refundable cancellation charges in future cruise credits.

Royal Caribbean CruiseCare® rates vary depending on the cost of your cruise, and airfare (if you book your air through Symposia Medicus/Royal Caribbean). Below is a chart showing the cost per person for CruiseCare® Insurance. PLEASE NOTE: Prices are subject to change.

COST OF CRUISE AND AIR (if booking air through Symposia Medicus/ Royal Caribbean): CRUISECARE® INSURANCE RATES

$0 - $500: $29/person
$501 - $1,000: $59/person
$1,001 - $1,500: $79/person
$1,501 - $2,000: $109/person
$2,001 - $2,500: $139/person
$2,501 - $3,000: $179/person
$3,001 - $3,500: $209/person

For a detailed written description of the benefits of the Royal Caribbean CruiseCare® Cancellation Protection Program, please call Symposia Medicus at (800) 327-3161 and we will be glad to send or fax it to you. You may also call Royal Caribbean's CruiseCare® Desk at BerkelyCare, Ltd. at (800) 453-4022 for additional information.

PASSPORT INFORMATION
Passports are required for this cruise. If you don't have a passport, please allow yourself 6-8 weeks to receive it after you complete and submit the application. Your passport cannot expire within 6 months of the voyage termination date.

Guests who do not possess the proper documentation may be prevented from boarding their flight or ship, disembarking or entering a country, and may be subject to fines. No refunds will be given to guests who fail to bring proper documentation. For additional passport requirements and information on obtaining or renewing a passport, visit the State Department's website http://www.travel.state.gov/passport.

AIR TRAVEL INFORMATION
You may take advantage of Royal Caribbean's Air Arrangements by calling Symposia Medicus for information, rates, and reservations. Samples of round-trip, per person, fares to Miami, Florida, from select cities:

Approximate Rates as of December, 2007 (These rates do not include taxes or fees):

Atlanta, GA: $359
Boston, MA: $449
Chicago, IL: $449
Dallas, TX: $439
Denver, CO: $629
Houston, TX: $439
Kansas City, MO: $419
Los Angeles, CA: $529
Minneapolis, MN: $449
New York, NY: $439
Phoenix, AZ: $629
Portland, OR: $529
San Francisco, CA: $549

When you purchase Air Arrangements through Royal Caribbean (Air/Sea Package), you can expect the following:

Round-trip air transportation to and from the port of embarkation and debarkation.

Ground transportation from your arrival airport to and from the pier and from the pier to your departure airport.

Airport Greeting: You will be met by a Royal Caribbean representative at either the baggage claim area, or outside of customs for international flights, and escorted to your ground transportation vehicle.

Typically, your flights will be assigned by Royal Caribbean 60 days prior to the date of your departing flight. Guests are advised to re-confirm flights and times within 48 hours of departure directly with the assigned air carrier.

Royal Caribbean International's Custom Air Department can handle special requests. Options include scheduling your travel to allow for extended stays or early/late flight schedules, booking guests who wish to be sure they will travel together, booking premium-class air seats on your preferred carrier, competitively priced business-class upgrades (subject to availability), booking preferred airlines/schedules, or requesting an alternate airport if you do not live near one of the offered gateways. Custom air tickets may not be available fewer than 7 days prior to the sailing date. For custom air requests fulfilled and accepted, there will be a $75 per person non-refundable service charge and additional airfare costs may be applied. Any changes to a custom air request may be subject to additional fees.

You may also reserve and ticket your own air directly through the airlines or a travel agent of your choice. However, if you make your own air arrangements, you must allow a minimum of three hours at the beginning and end of your cruise to allow for transfers, customs clearance, and airport security checks.

GROUND TRANSPORTATION
If you choose to make your own air arrangements, you may buy a ticket to board a Royal Caribbean bus to and from the ship (on the day of boarding or departing the ship). Purchases must be made a minimum of two weeks prior to sailing, and flight information must be provided in order to confirm your transfers. You will be sent additional information and an enrollment form for transfers upon receipt of your registration.

DINING ABOARD SHIP
When you make your cruise reservations, you need to request dinner seating preference times of either 6:30pm or 8:30pm. Your seating time will be noted on your cruise ticket. If preferred dining is not available, you can be waitlisted for your preferred time. Please inform us of other passengers with whom you would like to sit at your table. On your cruise, you can expect two formal nights, and one smart casual night. All other nights are casual. Complimentary room service is also available 24 hours a day.

GRATUITIES ABOARD SHIP
Cabin gratuities of $68.25 per person or suite gratuities of $84 per person must be pre-paid and will be included in your final balance. This covers your stateroom attendant, head waiter, dining room waiter, and assistant waiters. An additional 15% gratuity will be added to your bar bills or wine checks on board the ship.

WHAT KIND OF CLOTHING/ITEMS TO BRING
Days onboard are casual, and you'll be most comfortable in everyday clothing and resort wear. Shoes should be low-heeled with rubber soles for strolling on the deck, comfortable walking shoes or sandals to wear while exploring and at least calf-length pants for ice-skating onboard. Bring a few swimsuits so you'll always have a dry one. Towels are provided. Also, don't forget your camera, binoculars, sunglasses, hat, and sunscreen. We recommend you bring a sweater or jacket for cool evenings.

For evening wear, count on three basic types of attire:

Casual: Dresses or slacks and blouses for women, sport shirts and trousers for men

Smart Casual: Dresses or pantsuits for women; jackets for men

Formal: Evening gowns or cocktail dresses for women; suits and ties or tuxedos for men Tuxedo rental service is available through Royal Caribbean.

FISHER-PRICE® PLAYGROUPS
These 45-minute interactive playgroup sessions are for babies and toddlers ages 6-months to 36-months:

"Aqua Babies" (6-18 months)

"Aqua Tots" (18-36 months)

These sessions were developed by early childhood experts at Fisher-Price. Each session offers age-appropriate activities that expose children to new experiences while combining playtime with learning time. Parents must accompany their children in playgroups.

ADVENTURE OCEAN® YOUTH PROGRAM
Adventure Ocean® is a complimentary program of fun and educational activities open to all guests ages 3-17. Children are separated by age:

"Aquanauts" (ages 3-5 years) - Note: Children must be 3 years of age, toilet trained, and pull-up diaper free to participate in the program.

"Explorers" (ages 6-8 years)

"Voyagers" (ages 9-11 years)

Young Teens (ages 12-14 years)

Teens (ages 15-17 years)

You can feel confident leaving your children knowing that every member of their Adventure Ocean staff holds a college degree in education, recreation, or related field and has experience working with children ages 3-17. All are certified in CPR.

BABYSITTING
Children must be at least 1 years old. Babysitting is offered both in a group setting, and individually in your stateroom. In stateroom babysitting must be booked through the Guest Relations Desk (Purser's Desk) at least 24 hours in advance. It cannot be booked prior to the cruise vacation and there is no guarantee that sitters will be available. The service is offered when personnel is available.

Approximate Rate: $8 per hour for one or two children within the same family or $10 per hour for three children within the same family. Times and prices are subject to change without notice. Payment must be made in cash.

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