| Session Chair? |
I would like to be considered to Chair a group of talks. |
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| Scientific Committee? |
I would like to be considered for the Scientific Committee at some time in the future. |
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| Poster Contest Interest? |
I am interested in the Trainee (academic only) Poster Contest. If selected as a SEMI-FINALIST you will be required to present a Poster Lightning Talk for further competitive consideration. ** A PDF of your poster MUST be uploaded by March 6 via Manage Abstract to be a contender in the first round of the competition ** |
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| *Topic: |
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| *Applicable to Clinic: |
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| *Presentation: |
Podium (considered for Poster if not selected for Podium)
Poster
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| *Presenting Author |
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| *First Name: |
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| *LAST Name: |
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| *Affiliation: |
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| *Address: |
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| Address: |
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| *City, State, Country Mail Code: |
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| *Primary Email: |
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| *Verify Email: |
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| *Phone: |
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| CC Email: |
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--> It is a good (great!) idea to include your personal email address here if it is not used as the Primary.
--> This way you will be more likely to receive automated abstract notifications.
--> Gmail addresses work particulary well to ensure you receive email notifications.
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Short Personal Biography:
This is your chance to provide more information about who you are. It will be accessible on-line next to your abstract information. It will also be used as an introduction for abstracts presented from the podium. |
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*Financial Disclosure Statement
I have read the
POLICY ON DISCLOSURE OF POTENTIAL BIAS OR CONFLICT OF INTEREST
and declare that:
I (or a member of my immediate family):
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*Title:
Limited to ~25 words (160 characters including spaces).
Formating : Please Try to Format Your Abstract Something Like This with First Letter Capitalization
DO NOT INCLUDE Authors here.
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Author(s):
List ALL authors here.
Example: John Smith (1), Sam Adams (2)
Use numbers (1, 2, etc) ONLY for multiple affiliations.
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Affiliation(s):
Example: (1) University of California, San Diego, CA (2) Max-Planck-Institut, Munich, Germany
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*Structured Abstract :
What is a Structured Abstract? (click here)
Your abstract must be in a Structured Format, unless you fall into one of the exceptions below.
Abstract Limited to 4000 characters, including spaces (~500 words).
Abstract of work to be presented.
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Following abstract submission, a Confirmation Email will be sent to the contact email address and will contain
a Confirmation link. It is critical that you confirm your submission. Any submissions not confirmed within 1
week are deleted from the system. If you do not receive a confirmation email please re-submit or contact MSACL directly at
chris.herold@msacl.org.
You will not have an opportunity to review your information before it is submitted. Instead, following confirmation,
you will be able to view your abstract through Manage Abstract where you may perform edits, or delete your abstract from consideration.
You may only present ONE abstract
(not including Practical Training and Troubleshooting)
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