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PSRC 46th Annual Meeting Abstract Submission Form
Deadline: January 15, 2001 Noon EST
General Submission Guidelines and Information
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Please review the following information carefully:
Authors may submit any number of papers, but MUST submit a separate form for each abstract. No one may present more than one poster presentoral presentation at any PSRC Annual Meeting, although an individual may be an author of more than one paper presented. If multiple papers by the same author are accepted, the first author will be contacted to make his/her selection of the appropriate alternate presenter. The paper may be presented by one of the co-authors. If no alternate presenter is available, the paper will be replaced on the program.
If your paper is accepted for presentation, you will be required to pay registration fees to attend the meeting. Papers which are accepted must be presented in the order and at the time assigned by the program committee. There will be no allowance for changes in time, and papers not presented as announced in the program book will be withdrawn from the program.
Please be sure to follow the instructions on the submission form carefully and supply all information requested. Upon successful submission of an abstract, you will receive a confirmation email. If you do not receive an email, your submission was not successful.
All fields marked with an * are required for this form to process.
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Presenter Information
Please complete the fields in this section with information pertaining to the PRESENTER of the abstract.
All correspondence will be sent to the presenter who is responsible for communication
with other authors.
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Presenter's Name
Salutation* Dr. Professor Ms. Miss Mrs. Mr.
Other (please specify here)
First Name*
Middle Initial
Last Name*
Presenter's Suffix (e.g., Jr., Sr., III...)
Presenter's Degree* (e.g., MD, PhD, MS, BS...)
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Presenter's WORK Address
Presenter's Affiliation/Institution*
Department/Division* Division of Department of
Address 1*
Address 2
Address 3
City* State/Province*
Zip/Postal Code* Country*
Phone Country Code City or Area Code* # *
Fax Country Code City or Area Code* # *
Email*
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Presenter's Award Eligibility
Award Criteria: Please check any of the following which apply to you. Award criteria should be based on the first author who should also be the presenter. If you do not complete this section, we will assume you are not eligible for any awards. For descriptions and past winners of PSRC Awards, please visit the Awards link on the PSRC History page.
I, the presenter, am currently a:
High School Student
College Student
Medical Student
Non-Plastic Surgical Resident
Plastic Surgery Resident or Fellow
I attended medical school outside the U.S. and Canada
I am currently doing research in a Plastic Surgery program (not general surgery or another subspecialty)
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Abstract Information
Paper Title*
Type the complete title here using upper and lower case. Please DO NOT use all caps. Also, please type out scientific symbols (e.g., alpha, beta, etc.) to ensure the title is published correctly. Please refer to the chart below for symbol-to-text conversions. Those symbols not typed will not be printed.
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Authors
Please be sure to list authors in order in which they should appear in the program book.
Also, please follow the formatting carefully.
1. Do no put periods between the first and middle initials.
2. Use upper and lower case for the last names.
3. Do not use suffixes or degrees (e.g., MD, PhD, Jr., Sr., etc.)
Example: RJ Smith
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First Author
First Author's First and Middle Initials*
First Author's Last Name*
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Co- Authors
If the number of authors exceeds 12, please list additional authors in the notes field at the end of this form.
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Presentation Type*
Please select the type of presentation you would like to make.
We reserve the right to accept abstracts for a presentation other than that which you specify here.
Oral Presentation (6 minute presentation with 4 minutes of discussion)
Poster Presentation (4 minute presentation with 1 minute of discussion)
Either
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Research Category*
Please select the category which best describes your abstract from this pull-down list.
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Previous Presentation or Publication*
The Plastic Surgery Research Council will accept for presentation only previously unreported, unpublished works. Although similar abstracts may be submitted for presentation at other meetings, if an investigational work is accepted and planned to be presented at another national or international plastic surgery-related meeting held in North America prior to this Plastic Surgery Research Council Meeting (June 2 - 5, 2001), I agree to withdraw it from the scientific program of the Plastic Surgery Research Council.
I/We certify that the abstract submitted meets the above standards. yes no
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Disclosure of Interest*
Will you receive any financial support or do you have any proprietary interest or a consultant relationship regarding any product or technique relative to the material described in this abstract?
yes no
If yes, any of the above must be fully reported and clearly disclosed from the podium at the time of presentation if the abstract is accepted.
Funding provided by:
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Commercial Development*
Is any commercial product development based on this research? yes no
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Abstract Submission
Please read the following instructions carefully before submitting your abstract.
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Please paste your abstract carefully into the space below according to the following instructions. Carefully review your abstract and all other information for mistakes or typos. All information will be published as it is submitted here.
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Your abstract may not exceed 2150 characters.
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Do not type the abstract in the box below. Type it in your word processor, spell check it, etc. Then copy paste into the box.
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Do not indent paragraphs.
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Do NOT include the title or the authors in the space below.
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Spell out any scientific symbols using the chart below. If you do not spell out symbols, they will not be included in the published abstract.
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You will receive an automatic email confirmation when your abstract has been successfully submitted. If you do not receive an email, we have not received your abstract.
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The email confirmation will list your abstract title and assign a number to your abstract. The title and this number should be referred to when contacting our office regarding your abstract.
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All graphics must be attached and emailed to psrc@sover.net. We will accept black and white graphics in .tiff and Mac .eps format. We will NOT accept Microsoft Word graphics.
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Your abstract submission will not be sent until you hit the submit button at the end of this form.
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Please paste your abstract here.*
(Please note that the maximum number of characters allowable is 2150, which is approximately 325 words. This form WILL NOT accept more than 2150 characters. Please use the dynamic counter, below, for an ongoing character count.)
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Scientific Symbol Conversion Chart
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