PODIUM APPLICATION

YOU CAN ONLY BE A FIRST AUTHOR ON ONE PODIUM.
ALL APPLICATIONS ARE SUBMITTED BY FIRST AUTHOR ONLY.
*MEDICAL STUDENTS & FELLOWS CAN APPLY BUT WILL NOT BE ELIGIBLE TO WIN
Podium Competition: Friday, April 17th, TBD on times.

Application deadline for a poster is Friday, March 20th. Deadline for the abstract paragraph is Friday, March 27th.
 
This application is ONLY for the first author of the abstract. Those that are second, third authors do not need to submit an application. All communication & submissions are to be done by the FIRST AUTHOR ONLY.

Podium Competition:  All presenters must submit a typewritten, one-page, double‑spaced with Time New Roman font & 12pt font for the abstract booklet. This abstract does not have to include sources. If the sources fit within the one page limit, then they can be added. Prizes will be awarded for 1st ($500), 2nd ($300) and 3rd place ($200), as well as certificates.

Confirmations of if you are presenting will be sent after the Application Deadline.
Should there be a need for reviewing and selecting presenters, because of time constraints, medical students will be the first asked to not participate.

Please refer to the specific guidelines on www.texasdermatology.org under "Residents' Corner". 

*You may enter both competitions but the topics must be different.*
*You can ONLY submit ONE abstract for a poster & ONE abstract for a podium. Topics HAVE to be completely different for the poster & the podium.

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* 1. FIRST AUTHOR ONLY | Full Name:

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* 2. Names of Authors & Designations (MD, DO etc.) *Do not include first author:

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* 3. Email Address of First Author:

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* 4. I am a:

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* 5. Medical Program/Residency/Fellowship & City, State of First Author:

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* 6. Medical School/Residency/Fellowship Completion Date of First Author:

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* 7. Current Mailing Address of First Author:

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* 8. Title of Podium 

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* 9. Are you attending the TDS 2020 Conference? If not, you can still submit an abstract.

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* 10. Agreement: Read the following statements below.

I agree to submitting a typewritten PDF, double-spaced, one page abstract with Times New Roman font and 12pt font to alyssa.martinez@texmed.org by March 27th for the podium abstract competition. Does not have to include sources.

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* 11. Agreement: Read the following statements below.

I agree by doing a podium, my presentation will be between 5-7 minutes.

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* 12. Agreement: Read the following statements below.

I agree I will register for the TDS Meeting prior to the registration deadline, April 8th. (Registration is free.)

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* 13. Agreement: Read the following statements below.

I agree that I am a TDS Member and a current Texas resident. If not, I will fill out a membership form on TDS' website.

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* 14. Agreement: Read the following statements below.

As the first author, I agree to handling all communications and submitting the mandatory documents to the TDS Meeting Coordinator by email.

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* 15. Agreement: Read the following statements below.

I understand that only current Texas Residents that are TDS members are eligible to win.

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