43rd UHMS ANNUAL SCIENTIFIC MEETING

CALL FOR ABSTRACTS

43rd UHMS ANNUAL SCIENTIFIC MEETING
Thursday 3 June – Saturday
5 June, 2010
Tradewinds Island Beach Resort, St. Pete Beach, FL


SUBMISSION DEADLINE EXTENDED:
MARCH 15, 2010


SUBMISSION FORM

You may receive an error message when submitting... I will email you when I receive, if you do not get an email from me, please email me to double check.  lisa@uhms.org


PRIMARY PRESENTER INFORMATION:
Primary Presenting Author Name:*
Primary Presentor's Degree*
Mailing Address:*
City
State/Province
Zip
Country
Telephone Number (with area code):*
Fax Number (with area code):
Email Address:*


ABSTRACT INFORMATION:

Abstract Text must be 300 words or less, exclusive of title, author(s) name, and institutional affiliation(s).  Must be Microsoft Word Format.

Abstract Title*
Primary Lab/Institution Name & Address*
Authors:(Last name then 1 or 2 initials. i.e. Dear GD, Hart B)*
ABSTRACT TEXT (NO graphs or images) copy from word doc & paste into form*
Keywords: List up to five (5) for database search*
CV/RESUME (ONE page long and indicate your training, degrees obtained and any representative publications, also indicate if you are an Associate or Regular member)*


TOPIC FOR PRESENTATION: (Select One)

Specify one of the following categories that best characterizes your presentation:*


PRESENTATION:
All abstracts must be presented in POSTER format, without exception.  In addition, presenters may be invited to present an abstract orally in the general meeting, resident's/trainee competition (if eligible), or in the Associates session (if eligible).

If invited, would you be willing to present your abstract orally (check  all that apply):

General Meeting*
Resident/Trainee Competition (if eligible)

Abstracts eligible for the Resident/Trainee competition are those to be presented by a medical student, resident, PhD trainee, or fellow.  This individual need not be the lead author, bu must present the work at the meeting.

Resident/Trainee Competition*


AUTHORIZATIONS (you MUST answer yes or no):

 


Permission to record is hereby granted (mandatory for oral presentations).

 

 

Does the research reported in this abstract follow the Principles embodies by the Declaration of Helsinki (stated in each issue of Undersea & Hyperbaric Medicine) with approval by the appropriate animal/human use committee, if appropriate?

 

 

 

Previously presented or published*
If yes, state where and when


DISCLOSURES (you MUST answer yes or no):

As an accredited sponsor of CME, the UHMS must ensure balance, independence, objectivity, and scientific rigor in all its directly sponsored or jointly sponsored educational activities. All speakers and planners participating in CME activities must disclose in writing to the UHMS, and verbally to their audiences, any real or apparent conflict of interest related to the content of their presentation. Disclosure must never include the use of a trade name or a product-group message.

Will your presentation include discussion of any commerical products or services?

If yes, do you have a significant financial interest or other relationship with the manufacturers of any of the products or providers of any of the services you intend to discuss? (Financial relationships can include employment, management, grants or research support, consultant, speaker’s bureau, advisory committees or review panels, board membership, and other activities from which remuneration is received.)


List the manufacturer or Providers by name and describe the nature of the relationship: 
Was your research supported by a grant?
If yes, grant originator:


ACKNOWLEDGEMENT



Please attach a copy of your abstract in WORD format.  If you have problems attaching, please email it to
scientificcommittee@uhms.org
Thank you.


File Size: 500KB Maximum
File Types: .doc .txt
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