This 7-night cruise features Saturday departure round-trip from Miami, Florida, giving you the opportunity to experience this amazing city in depth if you so choose. Enjoy ports of call in Basseterre, St. Kitts, Nevis; Charlotte Amalie, St. Thomas, USVI; and Cococay, Bahamas, all while cruising aboard Royal Caribbean's beautiful Symphony of the Seas.


  Day Date Port Arrive Depart
  Sat April 4 Miami, Florida - Embark 4:30 PM
  Sun April 5 At Sea    
  Mon April 6 At Sea    
  Tue April 7 Basseterre, St. Kitts, Nevis 8:00 AM 5:00 PM
  Wed April 8 Charlotte Amalie, St. Thomas, USVI 7:00 AM 4:00 PM
  Thu April 9 At Sea    
April 10 Cococay, Bahamas 10:00 AM 7:00 PM
April 11 Miami, Florida - Disembark 6:00 AM  

Saturday, April 4 - Board ship in Miami, Florida

MiamiFlorida has been called the American Riviera and an Art Deco playground, yet there’s more to experience here than fine white sand and exuberant architecture. South Beach offers an eclectic mix of world-class boutiques, galleries, and also rates as a culinary hot spot for gourmet to casual cuisine. For the intrepid shopper, numerous specialty shops are here for the picking.

Numerous museums, such as The Wolfsonian, offer visitors a thought-provoking journey through the modern age. Showcasing American and European decorative and fine arts produced between 1885 and 1945, the array of objects is an eclectic mix including everything from propaganda posters to World’s Fair memorabilia. The Jewish Museum of Florida is comprised of two restored synagogues connected to a skylighted bistro. The museum opened in the 1936 Art Deco synagogue which features 80 stained glass windows, Deco chandeliers, and a Moorish copper dome.

Many first-rate spas and golf courses are located in Miami as well. Stroll the beautiful grounds of the Miami Beach Botanical Gardens or banish your winter blues lying on the beach. Play a game of beach volleyball, sail, snorkel, or float. The southern tip of South Beach is a great place to watch cruise ships sailing out to sea.

Sunday, April 5 - At Sea

Monday, April 6 - At Sea

Tuesday, April 7 - Basseterre, St. Kitts, Nevis

St. KittsSituated amongst dazzling Caribbean waters and mountains covered in tropical foliage, Basseterre is a picturesque island retreat with a surprising history of colonial struggle reflected in its architecture and cultural monuments. The Circus is a flurry of activity and a perfect spot for a snapshot with the Berkeley Memorial Clock. The National Museum, St. George’s, and Independence Square are also popular attractions in addition to the beaches, resorts, and marinas. You can of course enjoy plenty of snorkeling, windsurfing, diving, sunbathing and golfing while in Basseterre.

Wednesday, April 8 – Charlotte Amalie, St. Thomas, USVI

St. KittsCharlotte Amalie is the capital and major passenger port of the island of St. Thomas, which together with St. Croix and St. John form the principal islands of the United States Virgin Islands. Charlotte Amalie has always attracted large mercantile ships, even before the arrival of the transatlantic passenger cruisers, and tourism has been the major maritime activity for the last few years. Discover duty-free shops, historical buildings, and stunning waterfront views. Small boutiques offer high fashions and cozy bistros serve delectable cuisine. Ferry to nearby St. John where you can take a scenic tour of this gorgeous island including the beautiful Virgin Islands National Park that covers over half of the island of St. John.

Thursday, April 9 - At Sea

Friday, April 10 - Cococay, Bahamas

St. KittsSurrounded by the gentle, translucent waters of the Bahamas chain lies the secluded island of CocoCay®, an eco-certified private destination. Reserved exclusively for cruise ship guests, this 140-acre tropical paradise was awarded a Gold-Level Eco-Certification by Sustainable Travel International™ for its environmentally friendly activities and tours.

With its white-sand beaches and spectacular surroundings, CocoCay is a wonderland of adventures. Explore new aquatic facilities, nature trails, and a ton of great places to just sit back, relax, and enjoy a tropical drink. Discover many ways to relax or go on a unique adventure in CocoCay. One of the most popular things to do is to take a thrilling ride on a waverunner.

Enjoy Caylana’s Aqua Park, a fun-filled floating playground for kids of all ages. Take an exhilarating ride in the skies on a parasail. Spend the day relaxing in a hammock on the beach and enjoy island-style seaside barbecue. Explore the island through eco-tours, from a guided nature walk that ends in a secluded beach to leisurely kayaking and snorkeling adventures.

Saturday, April 11 - Miami, Florida - Disembark

The Ship: Symphony of the Seas®

The world's biggest ship with the world’s best features just got even better. There's no turning back once you take the plunge 10 stories into the mysteries of the deep on the tallest slide at sea, Ultimate Abyss, as well as the exhilarating multilevel Perfect Storm slides. As the kids explore Splashaway Bay, take a tree-lined stroll through Central Park, or find your own haven in any of the other seven iconic onboard neighborhoods. Sip a post-dinner cocktail crafted by a robot in our unique Bionic Bar, and share every moment with not just your family onboard, but friends back home with VOOM - the fastest Internet at sea. Discover the biggest, boldest family vacation ever on a ship unlike anything else on the ocean.

Signature features of Symphony of the Seas® include:

FlowRider®: Only Royal Caribbean gives you the chance to catch a wave right onboard. Grab a board and hang ten on our 40-foot-long surf simulator, or cheer on friends from stadium seating with prime wipeout views. Give it a go—it’s included in the cost of your cruise, no reservation required.

The Ultimate Abyss: There's no turning back once you take the plunge. Plummet 10 stories into the mysteries of the deep on the tallest slide at sea. Are you brave enough - or will you become a permanent resident of the Ultimate Abyss?

The Perfect Storm: This tremendous trio of water slides is our Perfect Storm. Typhoon, Cyclone and Supercell are their names, and they're here to take you on a wet, wild ride.

Zip Line: Brace yourself for a spine-tingling rush as you race across the Boardwalk®, suspended nine decks in the air. It’s a thrill you won’t find on any other cruise line.

Rock Climbing: Rise to the occasion and take on our signature rock climbing wall. From beginners to speed climbers, everyone can enjoy an unparalleled view from 40 feet above deck. Included in your fare, no reservation required.

Ice Skating: Put your vacation on ice with a spin on the ice rink, an onboard feature exclusive to Royal Caribbean. We provide the skates, you show off the moves. Included in your fare, no reservation required.

Recreation & Relaxation:
• Full-service VitalitySM Spa
• State-of-the-art Fitness Center
• Sports Court and Tournaments
• Adults-only Solarium pool, a glass-canopied retreat
• Mini Golf
• Whirlpools

Kids & Families:
• Complimentary Adventure Ocean® youth program
• Royal Babies® and Royal Tots® program
• DreamWorks® Experience
• Splashaway Bay kids water park

• Casino Royale®: Thousands of square feet of slots and tables
• Bionic Bar on the Royal Promenade, featuring robot bartenders serving up one-of-a-kind crafted cocktails while dancing to a fluid beat
• Comedy Club: An adults-only live comedic performances
• Music Hall: An edgy venue for live music performances
• AquaTheater Shows: Dancers, divers and acrobats pull off stunts against a backdrop of backlit fountains, big screens and the endless horizon of the sea.

Balcony Staterooms

Imagine opening your balcony door to see a new and breathtaking part of the world each morning. A stateroom with a balcony is a great way to make your cruise adventure even more memorable and lets you truly take in all the wonder and excitement of your destination.

Oceanview Staterooms

You'll never miss a moment of the breathtaking scenery on your cruise vacation with an Ocean View stateroom. Spend the day exploring the world, then come back onboard and take in the spectacular sights and amazing views from the comfort of your stateroom.

Interior Staterooms

Relax in all the comfort of our spacious interior staterooms. Spend your days onboard by the pool or on our sports deck, then enjoy some quiet and private time. Our interior staterooms include a wide array of amenities for your whole family to enjoy.

We have 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 us. We have all of the information regarding the cruise and seminar and can make your cruise reservations.


Reservations will be secured and cabins assigned upon receipt of passenger deposit in the amount of $500 per cabin. Final payment as instructed by our travel agent. Due to the number of details needed to complete a cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise!! See reservation form for details. Various promotional fares may also be available. ALWAYS CALL BEFORE BOOKING ANYWHERE ELSE: (800) 222-6927


Universal Travel. Be sure to mention Northwest Seminars when booking.

Contact: Kellee Gray, (858) 456-7962

Email:kellee@universaltravel1.com Booking fee applies


This course is designed for physicians, physician assistants, nurse practitioners, registered nurses, and all other medical care providers who must maintain state-of-the-art knowledge of the emergency medicine specialty or are impacted by it.


The practitioner of emergency medicine must possess evidence-based scientific background for competent clinical practice; maintain state-of-the-art knowledge of the specialty and all additional related disciplines; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures; manage self and colleagues to function toward common goals in providing consistent care in all settings in which emergency care is provided; serve as an expert in matters involving quality, safe and equitable health care delivery and support of other service providers, departments, institutions, and organizations dependent upon professional expertise. Presentations are designed to facilitate the acquisition of cognitive and technical skills as defined through evidence-based data translated to best practice standards by the pertinent governmental and professional organizations including the American College of Emergency Physicians, American College of Surgeons and the Emergency Nurses Association and abilities in one or more of the disciplines vital to the practicing professional.


At the conclusion of this activity, the participant will be able to:

Apply the pertinent physical and behavioral sciences as they impact and are affected by the planning, delivery, and monitoring of services inherent in the professions

Explain the selection, dosing considerations with methods of administration, safe use, contraindications and precautions of drugs based on their chemical and pharmacologic properties

Outline comprehensive patient management plans for the special patient population discussed

Apply the principles of safety and asepsis in the performance of all aspects of patient care regardless of the clinical environment in which the practice resides

Incorporate the published tenets of pertinent, recognized external organizations, institutions, and professional groups defining medical, legal, philosophical, ethical, and health care management standards

Topics in Emergency Medicine7-Night Eastern Caribbean Cruise April 4-11, 2020

Saturday, April 4 - Miami, Florida

  1600 Ship Sails (subject to change)

Sunday, April 5 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Pulmonary Embolism: Part 1 Case Studies and Approach to PE S.Shroyer  
  1015 Pulmonary Embolism: Part 2 Standardizing Your Approach to Diagnosing PE S.Shroyer  
  1115 Epidural Abscess J.Gentling  
  1215 Lunch Break
  1330 Encephalitis J.Gentling  
  1430 Marine Toxicology J.Gentling  
  1530 To Scan or Not to Scan: An Approach to Closed Head Injuries S.Shroyer  
  1630 Back Pain: A Spine Infection Risk Stratification S.Shroyer  
  1730 Adjourn
0.6 Pharmacology Hours

Monday, April 6 - At Sea

  0900 Registration - Mandatory Sign In
  0915 The Toxic Ingestion Patient: Part 1 J.Gentling  
  1015 The Toxic Ingestion Patient: Part 2 J.Gentling  
  1115 STEMI and Cath Lab Activation: Resource Utilization and Cardiac Care S.Shroyer  
  1215 Lunch Break
  1330 Aortic Dissection: An Overview S.Shroyer  
  1430 Serious Infections in the Immunosuppressed S.Shroyer  
  1530 Thyroid Emergencies J.Gentling  
  1630 Stress in the ER J.Gentling  
  1730 Adjourn
0.7 Pharmacology Hours

Tuesday, April 7 - Basseterre, St. Kitts, Nevis - Day Open

Wednesday, April 8 - Charlotte Amalie, St Thomas, USVI - Day Open

Thursday, April 9 - At Sea

  0900 Registration - Mandatory Sign In
  0915 MRSA: its Not Just Another Abscess S.Shroyer  
  1015 Influenza-: It's Just a Virus, What's All the Fuss? S.Shroyer  
  1115 Wilderness Toxins J.Gentling  
  1215 Lunch Break
  1315 Fire Related Emergencies J.Gentling  
  1415 Trauma Basics Review J.Gentling  
  1515 High Risk Orthopedics S.Shroyer  
  1615 Adjourn
0.8 Pharmacology Hours

Friday, April 10 - Cococay, Bahamas - Day Open

Saturday, April 11 - Miami, Florida - Disembark


20 CME

20 Class A CE

2.1 Pharmacology Hours†



Steven Shroyer MD FACEP
Private Practice in Clinical Emergency Medicine
Southwest Texas Methodist Hospital System
San Antonio, Texas

Dr. Jessica Wentling, DO
Staff Emergency Medicine Physician
Greater San Antonio Emergency Physicians
San Antonio, Texas


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health and Northwest Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for 20 hour(s) of ACEP Category I credit.

American Board of Anesthesiology: CME credit will be sent directly to The American Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance of Certification in Anesthesiology Program (MOCA®).

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program. Participants must log into MAINPORT to claim this activity.

Certified Registered Nurse Anesthetists: This program has been prior approved by the American Association of Nurse Anesthetists for 20 Class A CE; Code Number 1038027 ; Expiration Date 4/9/2020.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) and the American Nurses Credentialing Center (ANCC) accept CME from organizations accredited by the ACCME.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 20 hours of Category I credit for completing this program.

Registered Nurses: NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), California Board of Registered Nursing (Provider Number 4833), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480). This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark Murphy, MD, MSN Education, Treasure Island, Florida and Medical Director, Northwest Seminars, Pasco, Washington


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.


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. NWS and NWWT are not responsible for any non-refundable cruise fare, airfare, hotel, or other expenses you may incur. We highly recommend purchase of travel insurance.


$100 between February 21, 2019 and March 23, 2019. No refund after March 23, 2019; however, 50% of tuition paid may be applied toward tuition for another NWS program within 12 months. Cancellation must be in writing.


Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Please be aware that premiums paid for insurance are non-refundable.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWS including net cruise, net hotel, and tuition booked through NWS (but not air). Once you have enough points to cover a full tuition they can be redeemed for tuition (no cash value). A great program to reward you for supporting NWS! FAP is an especially valuable bonus when you book your cruises through NWS. Not only do you receive the lowest fare, but you get a 1.5% of net cruise fare credit toward future tuition! Click here for more information.

Lecture notes will be provided via download in PDF format.

While we strive for accuracy at all times with our published information, we cannot be responsible for typographical and other errors.

Please note that children and non-registered guests are not allowed to attend the lectures.

For your airfare needs please call: Universal Travel. Be sure to mention NWS when booking. Contact: Kellee Gray, Phone: (858) 456-7962, Email: kellee@universaltravel1.com


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.