Thursday, November 12, 2020, Virtual

Submission deadline is Wednesday, September 9, 2020 at 11:00 PM. Please visit this page before submitting your abstract: www.discoverbrigham.org/posters/.

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* 1. First Name

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* 2. Last Name

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* 3. Academic Degrees

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* 4. BWH Title

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* 5. Academic Rank (if applicable)

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* 6. E-Mail Address

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* 7. Phone Number

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* 8. BWH ID Number

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* 9. Department (Check all that apply)

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* 10. Division (Check all that apply)

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* 11. Gender

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* 12. Ethnicity (Please check all that apply)

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* 13. Twitter @ (if applicable)

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* 14. Website (if applicable)

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* 15. What type of research are you doing? (Check all that apply)

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* 17. Secondary Abstract Categories (please select ANY that apply)

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* 18. Abstract Title

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* 19. Authors

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* 20. Principal Investigator (PI)

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* 21. Scientific Abstract (MUST be limited to 200 words, anything beyond 200 words will be truncated for online).

DOC, DOCX file types only.
Choose File

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* 22. Lay Language/Patient-Friendly Abstract (MUST be limited to 200 words, anything beyond 200 words will be truncated for online). Please keep in mind - Discover Brigham is open to the public, this lay summary needs to be appropriate for lay audiences with NO scientific background.

DOC, DOCX file types only.
Choose File

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* 23. Clinical Implications (MUST be limited to 40 words and accessible to a lay audience) - please describe the clinical implications of your research.

DOC, DOCX file types only.
Choose File

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* 24. Do you want your email address (email used in this form) included in the program and online as a contact for those interested in reaching out to you?

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* 25. My scientific and lay abstracts have been reviewed by Partners/MGB Innovation

(If you are unsure of who your department licensing manager is, please visit the Research Navigator - Contact Directory and on the left you will see Institution - choose BWH, then Service - choose the department you are looking for eg: surgery and then for contact type chose Innovation Licensing Manager and you should have a name, email and phone number for the licensing manager.)

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