2025 WSC Abstract Submission Form

2025 Western States Conference Abstract Submission - Abstracts are Due by February 28, 2025

Please complete this form in its entirety. All information needed is included in this form. Do not email additional data. Please be sure to KEEP A COPY of all submitted information for your records. ALL SUBMISSIONS ARE FINAL. You will receive an auto-generated email when your abstract is successfully submitted. Be sure to check your clutter, junk or spam folders for your confirmation.
Presenter Information
Name (include capitalization)*

First NameLast Name
E-mail*
Phone Number*
Residency Program*
Please type in your full residency program name
I'm a:*

PGY1PGY2FellowOther
IRB Status*

PendingReceivedExempt - Quality Improvement ProjectOther
Do you have any conflicts of interest to disclose prior to your presentation? i.e., Do you or your spouse have any financial interest/arrangements, affiliation or relationship with organizations which might be a conflict of interest.*

YesNo
Platform Presentation Category
Abstract Information

Abstract Guidelines
Abstract Title*
USE ALL CAPS FOR YOUR TITLE! This title will appear in print and may be no more than 75 characters (including spaces).
Abstract Text*

Categories: Introduction, Metholodgy, Results, Conclusion0/500
Learning Objective #1*
Must begin with either list, describe or explain.
Presentation Keywords*
Please select 1 - 2 keywords you would use to classify your presentation. Use Ctrl or Cmd to select multiple terms.
Will off-label drug use be discussed?*

YesNo
Digital Signature - Please read the acknowledgement and type your full name into the box below.*
By typing your name in this box, you acknowledge this is your final submission, it is your original work, and you have kept a copy of your submission for your records.
Upload Abstract *

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2025 Western States Conference Abstract Submission - Abstracts are Due by February 28, 2025