EmailMe Form - Call For Submission 2023 (Poster)

ALL PRESENTERS, EXCEPT MEDICAL STUDENTS, ARE EXPECTED TO PAY A FULL REGISTRATION FEE

Deadline for Faculty/Resident/Student submissions (excluding student posters) is FEBRUARY 13, 2023.

NOTE: No faculty or resident submissions will be accepted After FEBRUARY 13, 2023.

Deadline for receipt of Medical Student POSTER Submissions is JULY 1, 2023.

To view the Sessions Description document, please cut and paste the following link into your address bar:
https://fmec.memberclicks.net/assets/2023/FMEC%20Session%20Descriptions%202023.pdf

DEFINITION OF A MEDICAL STUDENT PRESENTER AND SCHOLARSHIP RECIPIENT:
Only current full-time medical students are eligible to attend the FMEC meeting and they must apply for an FMEC scholarship. Please contact jennifer.stamper@fmec.net if you have questions about your eligibility before continuing your submission.

Please note:

The FMEC does not offer a one-day registration fee. All accepted presenters are required to register for the full meeting.

Only online submissions will be considered.

Space for up to 5 authors is provided, but it is not necessary to list 5 authors. Please list those who developed the session and expect to attend the Annual Meeting to present it. Maximum authors is five (5) per submission.

Communication will occur with each author for whom an e-mail address is provided.

Session ID #

Status of First Author *

If "Other", please describe below:

Location

Track

Date

Start

End

Title of Submission *

Title is limited to 200 characters or fewer

Tagline: In 10 words or fewer, describe your submission: *

Author Information: Up to Five (5) Authors will be printed in the final program.

First Author's Name *

First Last

First Author's Degree(s) *

First Author's Institution/Affiliation Name *

First Author's Department Name

First Author's Institution/Affiliation Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

First Author's Work Email *

First Author's Personal Email *

First Author's Work Phone *

### - ### - ####

First Author's Personal Cell Phone *

### - ### - ####

Second Author Information

Second Author's Name

First Last

Second Author's Degree(s)

Second Author's Institute/Affiliate Name

Second Author Work Email

Second Author Personal Email

Second Author's Work Phone

### - ### - ####

Second Author's Personal Cell Phone

### - ### - ####

Third Author Information

Third Author's Name

First Last

Third Author's Degree(s)

Third Author's Institute/Affiliate Name

Third Author Work Email

Third Author Personal Email

Third Author's Work Phone

### - ### - ####

Third Author's Personal Cell Phone

### - ### - ####

Fourth Author Information

Fourth Author's Name

First Last

Fourth Author's Degree(s)

Fourth Author's Institute/Affiliate Name

Fourth Author Work Email

Fourth Author Personal Email

Fourth Author's Work Phone

### - ### - ####

Fourth Author's Personal Cell Phone

### - ### - ####

Fifth Author Information

Fifth Author's Name

First Last

Fifth Author's Degree(s)

Fifth Author's Institute/Affiliate Name

Fifth Author Work Email

Fifth Author Personal Email

Fifth Author's Work Phone

### - ### - ####

Fifth Author's Personal Cell Phone

### - ### - ####

Abstract:
A 100-word or fewer summary of your submission that attendees can review prior to attending the meeting. *

Limit Abstract to 100 words or fewer. FMEC reserves the right to revise any Abstract over 100 words.

Please upload your CV/Resume *

Proposal

Note: Incomplete proposals will not be accepted into the requested category and will automatically be downgraded to another category.

POSTER Proposals MUST include:
• Learning Objectives
• Methods and Content
• Findings and Conclusions

Learning Objectives: ("By the end of the session participants will be able to..."): *

Methods and Content: *

Findings and Conclusions: *

Please upload any supporting documentation for your proposal

Accepted file types include, .pdf, .doc, .docx, .ppt, .pptx

Does the activity content have a direct impact on patient care?

Yes

No

Does the activity content relate to non-clinical topic(s) that support the physician's professional role in patient care, including but not limited to the following: (Mark all that apply)

AUDIO VISUAL EQUIPMENT:

No audio visual equipment is provided for poster presentations.

Disclosure Information

Within the past twelve months, I have received support from or have had a relationship with a commercial party related directly or indirectly to the subject of my presentation. *

Yes

No

Will you discuss any off-label uses? *

Yes

No

Please identify the product and the unlabeled uses:

Will you discuss any investigational uses? *

Yes

No

Please identify the product and the investigational use:

Have you been asked to promote or market any products? *

Yes

No

What product/s have you been asked to promote or market?

My participation does not infringe upon any copyright or other intellectual property or proprietary right of any third part. I have obtained appropriate permission to reprint any portion of my presentation. *

Affirm

If patient identifying information is used, I have obtained the necessary patient release signatures. *

Affirm

I give FMEC permission to video record my presentation: *

Yes

No

MORE INFORMATION: For questions regarding the receipt of your submission, contact Ms. Lisa Schwieterman, Email: lisa.schwieterman@fmec.net
For questions regarding conference information or to discuss your proposal, contact Scott Allen, MS, Email: Scott.Allen@fmec.net

ALL PRESENTERS, EXCEPT MEDICAL STUDENTS, ARE EXPECTED TO PAY A FULL REGISTRATION FEE

Author Information: Up to Five (5) Authors will be printed in the final program.

Second Author Information

Third Author Information

Fourth Author Information

Fifth Author Information

Proposal

AUDIO VISUAL EQUIPMENT:

Disclosure Information

MORE INFORMATION: For questions regarding the receipt of your submission, contact Ms. Lisa Schwieterman, Email: lisa.schwieterman@fmec.net For questions regarding conference information or to discuss your proposal, contact Scott Allen, MS, Email: Scott.Allen@fmec.net

MORE INFORMATION: For questions regarding the receipt of your submission, contact Ms. Lisa Schwieterman, Email: lisa.schwieterman@fmec.net
For questions regarding conference information or to discuss your proposal, contact Scott Allen, MS, Email: Scott.Allen@fmec.net