PACEP SA24 Spivey Abstract Submission

PACEP SA24 Spivey Abstract Submission

*Please email emelnychuk@geisinger.edu with any questions. Please refer to the formatting instructions for abstract submission found on the call for abstracts email. Deadline for submission has been extended to Wed. January 17, 2024.
Submission Date:*

MonthDayYear
Primary Presenter First Name:*
Primary Presenter Last Name:*
Primary Presenter Email*
example@example.com
Primary Presenter Cell Number*

Area CodePhone Number
Primary Presenter Credentials:*
Primary Presenter Institution:*
Primary Presenter Institution Type:*

Academic/Residency ProgramCommunity Facility
Primary Presenter ACEP Number:
Primary Presenter Institution City and State:*
City, State
Contact information if submission is being completed by someone other than primary presenter.
Name, Email, Phone Number

Please list ALL authors in order and complete ALL fields. Do not forget to appropriately place the presenting author in this list.

Abstract Title*
Primary Mentor for this project:*
If no mentor, list the primary presenter
If accepted, would you like your abstract to be published in JACEP Open?*

YesNo
Has this abstract already been published, or is planned to be published, in a journal or in the proceedings of a different scientific assembly?*

YesNo
Do any authors listed on your abstract have disclosures? If so, please list author names and disclosures.*

YesNo
Author name and disclosures (if applicable)
If your abstract is published in JACEP Open, would you consider submitting the related manuscript to JACEP Open first, before any other journals?*

YesNo
Please upload abstract as a Word document or PDF file only. Please refer to the formatting instructions for abstract submission found on the call for abstracts email.*

Browse Files

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I certify that this research has been approved by and complies with my institution's review committee for human and animal experimentation, where appropriate. I also attest that the project was reviewed and approved by an IRB. IRB designation as exempt (i.e. HSRD) is acceptable.

If accepted, the primary presenter will register for the conference.
Signature*
Should be Empty: