Abstract & Marketplace of Ideas Submission Form
Submission Type
Abstract
Marketplace of Ideas
Submitter Name
*
First Name
Last Name
Submitter Email
*
example@example.com
Presenter Name (if different from submitter)
First Name
Last Name
Presenter Email (if different from submitter)
example@example.com
Presenter Degree(s)
*
Presenter Affiliation(s)
*
Example: University of Minnesota, Minneapolis, MN
Is Presenter a trainee? (trainees are defined as medical students, residents or fellows)
*
Yes
No
Is first author a trainee?
*
Yes
No
Abstract Title
*
Abstract
*
Abstract should not exceed 350 words and should include the following sections: Objective, Methods, Results, Conclusion.
0/350
Marketplace of Ideas Project Title
Marketplace of Ideas Abstract
MPI Abstract should not exceed 350 words and should include the following sections: Background, Hypothesis, Design, Timeline, Request.
0/350
Please list all authors by name and include their degree(s) and affiliation
*
Example: Denise S. Uyar, MD, Medical College of Wisconsin
Has this work been previously presented or published?
*
Yes
No
If yes, where?
Did you receive funding for this project?
*
Yes
No
If yes, please provide the funding source, including the organization name and award number:
Upload Blind Abstract
*
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