AAPM Abstract Submission Form
Submit your pain medicine abstract to PainConnect and share your research with top professionals. Expand the wealth of knowledge and shape the future of pain care. Abstract submissions provide new insights to improve the knowledge, competence, and performance of Pain Medicine practice, offering innovative solutions to current challenges and furthering the overall mission of the Academy.
Abstract Title
Primary Presenter
Primary Presenter Name
*
First Name
Last Name
Credentials
*
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Clinical Category
*
Please Select
Basic Science
Acute Pain
Technology Innovation
Chronic Pain
Epidemiology/Healthcare Policy/Education
Pharmacological
Procedures
Psychosocial
Rehabilitation
Translational
Other
If other, please specify
Type of Abstract
*
Please Select
Case Study/Case Report
Investigator Initiated Independent Study
Industry Sponsored Study
Retrospective Review
Other
If other, please specify
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Industry Poster Submission Fee
If your poster is not accepted, you will receive a full refund.
$
2,500.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Co-Presenter
Co-Presenter Name
First Name
Last Name
Credentials
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Co-Presenter 2
Co-Presenter 2 Name
First Name
Last Name
Credentials
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Co-Presenter 3
Co-Presenter 3 Name
First Name
Last Name
Credentials
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
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Please attach your abstract which includes: Introduction, Objectives, Materials and Methods, Results, Conclusion, References (Author 1, Author 2, Author 3 et al. Title. Journal Year. Volume: start page-end page), Acknowledgements - please acknowledge any funding source and contributors to the research, Figure and Table Legend. Abstract should be no more than 300 words. References can be separate to not go towards the word count.
*
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of
Originality Score (1 being least & 5 most likely)
Appropriateness of Methodological Approaches (1 being least & 5 most likely)
Appropriateness of Conclusions to Results (1 being least & 5 most likely)
Appropriateness for Presentation at AAPM (1 being least & 5 most likely)
Score
Please upload and also send abstract to rosa.scorah@gmail.com
Disclosures
Do any of the authors of this abstract have any commercial relationships to disclose? - If yes, please complete the Disclosure of Commercial Relationships.
*
Yes
No
Is any device or drug required FDA approval identified as an important component of your presentation? - If yes, please complete the FDA Disclosure Form.
*
Yes
No
Signature
*
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
By submitting this abstract, the presenting author certifies the following:
The identical abstract has not been submitted to any other meeting. The material has not been accepted for publication prior to this submission. All the listed presenters have reviewed this abstract and agree to its submission. Upon acceptance, the presenting author accepts the commitment to possibly present the abstract at the AAPM 2026 Conference.
Presenter Biographical Form
This information must be submitted for the Primary Presenter only. Please type the information with your name and credentials exactly as you want them to appear in the published materials.
Name
*
First Name
Last Name
Credentials
*
Professional Title
*
Facility
*
Work Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone Number
Please enter a valid phone number.
Work Fax Number
Please enter a valid phone number.
Mobile Phone Number
Please enter a valid phone number.
Email
example@example.com
Academic Preparation/Institution
Please include Relevant Training and Experience in this Area
Preferred Social Media
Please Select
LinkedIn
Twitter
Instagram
Facebook
Social Handle
Disclosure of Financial Relationships
All authors submitting abstracts for publications are required to disclose any relationships with industry that may direct bearing on relevant subject matter. The primary presenter must disclose any author/presenter who has relevant financial interest or other relationships occurring with the past 12 months with commercial companies or organizations.
Author Name
First Name
Last Name
Company
Company
Company
Company
Board Member/Trustee
Consultant/Advisor
Employee
Investigator
Investment/Stock Options/Shares
Meeting Participant/Lecturer
Owner
Scientific Study/Trial
Other (please specify)
Additional Form if needed
Author Name
First Name
Last Name
Company
Company
Company
Company
Board Member/Trustee
Consultant/Advisor
Employee
Investigator
Investment/Stock Options/Shares
Meeting Participant/Lecturer
Owner
Scientific Study/Trial
Other (please specify)
Additional Form if needed
Author Name
First Name
Last Name
Company
Company
Company
Company
Board Member/Trustee
Consultant/Advisor
Employee
Investigator
Investment/Stock Options/Shares
Meeting Participant/Lecturer
Owner
Scientific Study/Trial
Other (please specify)
Additional Form if needed
Author Name
First Name
Last Name
Company
Company
Company
Company
Board Member/Trustee
Consultant/Advisor
Employee
Investigator
Investment/Stock Options/Shares
Meeting Participant/Lecturer
Owner
Scientific Study/Trial
Other (please specify)
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FDA Disclosure
If a device or drug requiring FDA approval is identified as an important component of your presentation, please list the device/drug and indicate the FDA status as either: Approved, Investigational Device/Drug, Not approved for distribution in the United States.
Device/Drug
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Status
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Device/Drug
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Submit
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