2018 Alaska Maternal & Child Health and Immunization Conference
Call for Abstracts Submission Form

Hilton Anchorage
September 26 (1pm-5pm)
September 27 (8am-5pm)
September 28 (8am- noon)

Thank you for your interest in presenting at the Alaska Maternal and Child Health and Immunization Conference.

Abstracts are reviewed by the conference planning committee. The collection of abstracts has been extended through April 27, 2018.

Please note that not all abstracts may be selected for presentations.

Please complete each item thoroughly to ensure that continuing education credit can be obtained.

Question Title

* 1. Primary Presenter Information:
PLEASE NOTE: As the primary presenter – you will be the point of contact for correspondence with the conference coordinator regarding logistics and coordination of this presentation.

Name: *

Credentials (ex: RN, MPH): *

Title:

Organization:

Address:

City/Town:

State:

Zip:

Email Address: *

Phone Number:

Question Title

* 2. If you are a student, please indicate the school you are attending and the degree you are seeking.

Question Title

* 3. Other Presenters:

Name:

Credentials (ex: RN, MPH):

Title:

Organization:

Address:

City/Town:

State:

Zip:

Email Address:

Phone Number:

Question Title

* 4. Other Presenters:

Name:

Credentials (ex: RN, MPH):

Title:

Organization:

Address:

City/Town:

State:

Zip:

Email Address:

Phone Number:

Question Title

* 5. Other Presenters:

Name:

Credentials (ex: RN, MPH):

Title:

Organization:

Address:

City/Town:

State:

Zip:

Email Address:

Phone Number:

Question Title

* 6. Session Title

Question Title

* 7. Session Description:
Please limit your description to no more than 750 words. Please include information about what the presentation will cover, who should attend, and how it relates to the conference theme, “Advancing Wellness Across the Lifespan”.

Question Title

* 8. Session Track
Tracks have two important functions: 1) to guide the selection and scheduling of sessions so a range of topics is presented during each session period and 2) to assist conference attendees with selecting which sessions to attend. Please keep these functions in mind as you choose the track(s) that best fit with the content of your proposed session. Please indicate one primary track and one secondary track (optional) that best describes your session’s focus.

	Primary	Secondary (optional)
Infant's and children's health	Infant's and children's health Primary	Infant's and children's health Secondary (optional)
Adolescent health	Adolescent health Primary	Adolescent health Secondary (optional)
Women's health	Women's health Primary	Women's health Secondary (optional)
Family Health or Health Across the Life Span	Family Health or Health Across the Life Span Primary	Family Health or Health Across the Life Span Secondary (optional)
Immunization	Immunization Primary	Immunization Secondary (optional)

Question Title

* 9. Format/Length:
Please indicate your preferred presentation format and length. Session length to include time for audience question and answers. We will do our best to match your preference with the assigned format/time but this will be subject to scheduling considerations.

60 minute panel discussion (please identify all co-presenters above)

30 minute individual presentation

60 minute individual presentation

90 minute workshop (intensive skill-building session)

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* 10. What engagement strategy or strategies do you plan on using during your session?
(Examples: case studies, ice breaker activities, role playing, quizzes, round table discussion, group brainstorming, videos, Ignite style session, TedTalk style presentation, Prezi, Poll Everywhere, etc.)

Question Title

* 11. Would you be interested in participating in an Ignite session? Speakers use 20 slides to talk on a subject in which the slides automatically advance every 15 seconds. The result is a fast and fun presentation which last just 5 minutes.

Yes

Other (please specify)

Question Title

* 12. Learning objectives:
Please specify which of the following conference goals relates best to your session (select all that apply):

Engage a multidisciplinary audience in sharing experiences and ideas that advance collaborative innovations.

Promote best practices and tools for the prevention of key and emerging maternal child and family health issues in Alaska.

Present up-to-date research and recommendations on issues of concern to health professionals and policy makers working in rural and urban Alaska.

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* 13. Presenter Bios:
Please provide a short bio for all presenters, limited to 150 words each.

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* 14. Terms and Conditions

I understand that the title and descriptions I submit will be on the MCH & Immunization conference website and in printed conference materials at the conference planning committee’s discretion and may be edited.

If this abstract is selected, I understand that all presenters must register for the conference in order to present at the 2018 MCH & Immunization conference.

By submitting an abstract, I agree for my session to be recorded and for it to be made available to the public for free of charge on the MCH & Immunization conference website. I agree to waive all rights of privacy and compensation in connection with the production and reproduction of such materials.

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50% of survey complete.

Question Title

* 1. Primary Presenter Information:PLEASE NOTE: As the primary presenter – you will be the point of contact for correspondence with the conference coordinator regarding logistics and coordination of this presentation.

Question Title

* 2. If you are a student, please indicate the school you are attending and the degree you are seeking.

Question Title

* 3. Other Presenters:

Question Title

* 4. Other Presenters:

Question Title

* 5. Other Presenters:

Question Title

* 6. Session Title

Question Title

* 7. Session Description: Please limit your description to no more than 750 words. Please include information about what the presentation will cover, who should attend, and how it relates to the conference theme, “Advancing Wellness Across the Lifespan”.

Question Title

Question Title

* 9. Format/Length:Please indicate your preferred presentation format and length. Session length to include time for audience question and answers. We will do our best to match your preference with the assigned format/time but this will be subject to scheduling considerations.

Question Title

* 10. What engagement strategy or strategies do you plan on using during your session? (Examples: case studies, ice breaker activities, role playing, quizzes, round table discussion, group brainstorming, videos, Ignite style session, TedTalk style presentation, Prezi, Poll Everywhere, etc.)

Question Title

* 11. Would you be interested in participating in an Ignite session? Speakers use 20 slides to talk on a subject in which the slides automatically advance every 15 seconds. The result is a fast and fun presentation which last just 5 minutes.

Question Title

* 12. Learning objectives:Please specify which of the following conference goals relates best to your session (select all that apply):

Question Title

* 13. Presenter Bios:Please provide a short bio for all presenters, limited to 150 words each.

Question Title

* 14. Terms and Conditions

* 1. Primary Presenter Information:
PLEASE NOTE: As the primary presenter – you will be the point of contact for correspondence with the conference coordinator regarding logistics and coordination of this presentation.

* 7. Session Description:
Please limit your description to no more than 750 words. Please include information about what the presentation will cover, who should attend, and how it relates to the conference theme, “Advancing Wellness Across the Lifespan”.

* 9. Format/Length:
Please indicate your preferred presentation format and length. Session length to include time for audience question and answers. We will do our best to match your preference with the assigned format/time but this will be subject to scheduling considerations.

* 10. What engagement strategy or strategies do you plan on using during your session?
(Examples: case studies, ice breaker activities, role playing, quizzes, round table discussion, group brainstorming, videos, Ignite style session, TedTalk style presentation, Prezi, Poll Everywhere, etc.)

* 12. Learning objectives:
Please specify which of the following conference goals relates best to your session (select all that apply):

* 13. Presenter Bios:
Please provide a short bio for all presenters, limited to 150 words each.