Abstract Submission Form

Abstract Submission Form
2010 Abstract Submission

Contact Information

Your Name:

Please include your full name and degrees, i.e., "John Doe, MD, PhD". Your name here should match your name in the authors section below.

Your Title:

Hospital / Organization / Agency:

E-mail:

Daytime Phone:

Mobile Phone:

Abstract Information

Area: 2010 Abstract Submission

Please consider this abstract for the Lenita Johnson Award. (Learn more about the award.)

Is the presenter a trainee?

Yes

If yes, what kind of trainee?

Abstract Title:

Authors:

Enter each author separately. Start with the first author at the top. Use the buttons to add, reorder, or remove rows.

Full Name	Degrees	Organization/Hospital	Email	Actions

Introduction/Background:

Methods:

Results:

Conclusions:

Abstract Word Count: (500 words maximum)

Objectives:

What are your objectives for this presentation, should it be accepted for the conference?

Graphic Attachments (optional):

Upload up to two charts, tables, or other graphics to be printed with the abstract. Accepted file types: JPG and PNG.

Attachment 1

Attachment 2

Social Media Information

If selected for and presented at the conference, I give my permission for the Social Media Committee to post about my presentation on Facebook, Instagram, LinkedIn, and other social media sites during the conference.

Social Media Handles:

Please provide your social media handles that should be tagged in social media posts about this presentation, should it be accepted and presented at the conference.

Sample Social Media Post:

Please provide a sample social media post that could be used to mention your presentation during the conference itself. There is no guarantee this text will be used, but it will help the Social Media Committee as they prepare content for the conference.

IMPORTANT NOTE: Please be sure to click the Submit button ONLY ONCE.