ABMS Conference 2016 Poster Abstract Submission Form

Thank you for your interest in submitting a poster abstract for ABMS Conference 2016. The Poster Session will be held at The Global Center for Health Innovations in Cleveland, Ohio, on September 27^th, 2016 from 5:00 pm - 6:30 pm.

Please complete this form by August 26th, 2016 at 12:00 am ET. Acceptance notices will be emailed on or before August 30^th, 2016. For questions or more information, please contact Ilya Samovskiy at posters@abms.org.

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* 1. Presenter Name, Organization and Contact Information

Organization:

Primary Author Contact Name:

Primary Author Contact Email:

Primary Author Contact Phone:

The information you enter here will appear (exactly as entered) on printed conference materials.

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* 2. Poster Title:

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* 3. Poster Author(s): (Please include all applicable credentials and affiliations)

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* 4. Poster Presenter(s): (This is the person or persons who will be attending to the poster at the session)

Poster Abstract

Poster abstracts may be of original research, evidenced-based practices or encore (repeat) presentations of previously presented abstracts from the identified core subject areas (above). Poster abstract submissions should range between 700-900 words. Maximum section word counts are defined below. Please note: title, author names, affiliations, author and poster disclosure information are not included in final abstract word counts.

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* 5. Purpose/Need: 250 words (maximum)

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* 6. Methodology: 250 Words (maximum)

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* 7. Results: 200 Words (maximum)

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* 8. Conclusion/Discussion: 200 Words (maximum)

Please send an electronic PDF version of your poster to posters@abms.org by Friday, September 23^rd, 2016.

Poster Presenter Disclosure

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* 9. All ABMS Conference poster presenters are required to disclose relevant financial relationships. The purpose of disclosure is to ensure a financially transparent presentation. It is not intended to prevent a speaker with a financial or other relationship from making a presentation.
Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. There is no set minimum dollar amount for financial relationships; therefore, any amount is considered an incentive to maintain or increase the value of a possible commercial interest.

No, neither I, nor the institution(s) with which I am affiliated, have received anything of value from a commercial or other party related to the content of my poster presentation.

Yes, I do or the institution(s) with which I am affiliated, have a financial relationship, or have received payment for services related directly to the content of my poster presentation within the last 12 months or during the time of research.

If yes, please identify and briefly describe the commercial interest:

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* 10. Participation in the ABMS Conference 2016 gives ABMS permission to record and/or post abstracts and other materials on the ABMS website and other digital properties. By clicking "YES" you provide permission for ABMS to post an electronic version of the poster on our website, so that it may be shared with colleagues who cannot be at the conference. Poster session presenters will be noted as the appropriate contacts for inquiries unless otherwise indicated.

Yes, share electronic version

No, do not share electronic version

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* 11. By typing in your name and date, you certify that the information you have provided is factually true, complete and honestly presented:

Name:

Date:

Thank you for completing this ABMS Conference 2016 Poster Abstract Submission Form. Acceptance notices will be sent via email on or before August 30^th, 2016.