2018 Medical Students Abstract Submission Form

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To ensure that your abstract is considered for judging, please complete all information requested and submit this form no later than midnight (11:59 p.m. Central Standard Time) on Wednesday August 29, 2018. Any abstracts received after this deadline will not be accepted.  Please read complete rules and regulations before submitting.

Author Information

First Name: *
Last Name: *
Degree: *
Institution Name: *
E-Mail Address: *
Home Address: *
City: *
State: *
Zip: *
Preferred Phone: *

Abstract Information

ACP Member Type: *

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ACP Member Number (You must be a current member of the ACP) *
Abstract Classification: *

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Be sure to limit your TOTAL abstract to no more than 450 words. 

The text boxes below are suggested formatting only.  If you have a Case Description, Materials and Methods, or have formatted your abstract in any other way, please keep your original text and fit it into the provided boxes.  Each text box allows for no more than 200 words. 

NO EDITS ARE ALLOWED ONCE AN ABSTRACT HAS BEEN SUBMITTED.

Title of Abstract: *
Introduction
Discussion *
Discussion (cont'd.)
Conclusion
References
Upload your Abstract (PDF, DOC, DOCX) Rename file with 'Last Name_Title'
Co-author 1:
Institutional Affiliation:
Co-author 2:
Institutional Affiliation:
Co-author 3:
Institutional Affiliation:
Other Co-authors or Insitutional Affiliations should be recognized at the time of poster presentation.

Program Director/Faculty Advisor Information

Program Director/Faculty Advisor: *
Email: *
Phone Number: *
My Program Director/Faculty Advisor has reviewed and approved my abstract. *

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