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Midwest Surgical Association
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  Online Abstract Submission Form
 
 

INSTRUCTIONS

  1. Please read instructions carefully.
  2. Human Subjects: Studies involving human subjects must be certified by choosing "yes" in designated space on form.
  3. Format: Your abstract should be informative and concise and must include a:
    1. Title
    2. Sentence stating the specific objective (unless stated in the title)
    3. Brief statement of methods
    4. Summary of results
    5. Statement of conclusion

    The entire abstract, including the title, author's sponsor (if any), hospital affiliation, medical school affiliation (if any), text and conclusions, must not exceed 500 words.
  4. Deadline: Abstracts must be submitted by March 5, 2010. NO abstract will be accepted after the deadline.
  5. Abstract Category: Please indicate on the form if the abstract is to be entered in the Resident Competition or New Member Competition, or if it is for the Spectacular Problems in Surgery session. (Note: New members are those elected at previous annual meeting.)
  6. Presentation: On submission, please indicate on the form if the abstract is to be considered for oral presentation, poster presentation, or no preference.
  7. Attendance: Member sponsors of non-member papers must be present at the meeting.
  8. Restrictions: You cannot enter graphs or tables in the online submission.
  9. Questions: Direct all questions to the office of the secretary: 216-844-5797

* indicates required fields.

Principal Author Information (Receives correspondence.)
  *Name
First:
Middle:
Last:
Credentials:
  Institution
  *Address (Line 1)
   Address (Line 2)
  *City
  *State
  *Zip Code
  *Phone
  *Fax
  *Email

Presenter Information
  *Name
First:
Middle:
Last:
Credentials:
  Institution
  *Address (Line 1)
   Address (Line 2)
  *City
  *State
  *Zip Code
  *Phone
  *Fax
  *Email

Sponsoring Institution Information
  *Institution Name
  If none of the authors is an MSA member, please add name and address of sponsor member.
First:
Middle:
Last:
Credentials:
  Institution
  Address (Line 1)
   Address (Line 2)
  City
  State
  Zip Code

Addiitonal Information
  *Presentation Category
  *This is to certify that the information contained in this abstract represents original work that has not been previously published and will not be presented at a national or international meeting prior to the dates of this meeting.
  *I certify that informed consent was obtained and, where indicated, approval received by the IRB or Committees on Human Experimentation.
   *ALL AUTHORS:
Principal Author, Presenter, and Co-Author(s): Please include last name and initials for each-author (ie, Smith KM, Johnson CA)
  *Abstract Competition
   *Title of Abstract
   *Abstract (limited to 500 words)
    Please do not include tables

    Spectacular Problems in Surgery Abstract
    (limited to 100 words)
    Please do not include tables
* What is 2 + 6?
(This is to ensure the form is being submitted by a person, not an automated spamming script.)
 
 
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