ABSTRACT APPLICATION FORM
First Name: Last Name: Degree:
Institution/Affiliation: Department:
Street Address:
City: State: Zip:
Telephone: Fax Number:
Mobile: Email:
Trainee: Post-doctoral Fellows: Faculty:
Other:
Abstract/Poster Contact:
Abstract/Poster Contact Email Address:
Abstract/Poster Title:
Abstract/Poster Category:
Complete the Abstract Application Form and Confirmation Form and submit them with your abstract/poster. These forms confirm that authors agree to allow abstracts/posters to be duplicated for conference meeting materials.
DEADLINE FOR SUBMISSION: Deadline for abstract/poster submission is January 21, 2013.
Notifications will besent tosubmittingauthorby January 28, 2013.
Completed application should be emailed to:
Ginny Sukenik at .
Ginny can be reached at 216.448.0791 for questions.
ABSTRACT SUBMISSION GUIDELINES
Opening
The Call for Abstracts submission process for the Palliative Medicine and Supportive Oncology 2013 is open. Go to www.ccfcme.org/pm2013 for the abstract application.
Submission Deadline: January 21, 2013 Notification tosubmittingauthors:
Review Process
Abstracts will be reviewed for compliance with the instructions then assigned a number to ensure anonymity. Each abstract/poster is reviewed by the organizing committee for quality and content. Submitting authors of selected abstracts/posters will be notified of acceptance via email. Authors must be present at their posters during the assigned sessions(s) to talk with Conference participants. Authors of abstracts selected for podium presentation are required to give an oral presentation with slides. Slides must be submitted by February 13, 2013. Authors must submit their financial disclosure.
Registration
Authors of accepted abstracts must register for the Conference by February 13, 2013. If you need a formal acceptance letter for visa, contact Ginny Sukenik at 216.448.0791.
General Abstract/Poster Information
Authors may submit abstracts/posters of completed work, work in progress, or work presented at a local or regional level. Abstracts presented elsewhere within the 12 months prior to the submission deadline will be accepted. The primary author is responsible for obtaining written consent from all authors and appropriate institutions prior to submitting an abstract/poster.
Abstracts/posters must be free of commercial bias. In addition, they may not imply an endorsement of any service by their institution or the Cleveland Clinic.
Authors should pay close attention to formatting instructions.All research papers submitted must be formatted according to guidelines.
Suggested Topic Categories – (not limited to these suggestions)
• Communication
• Decision-making
• Symptom Control
• Psycho-oncology
• Care of the Dying
• Hospice
• Complications and Comorbidities
• Care Coordination
• Psychosocial Care
• Oncology Nursing
• Supportive Oncology
• Chemotherapy Toxicities
Abstract/Poster Submission:
Submissions by fax or mail are not permitted. Upon abstract/poster acceptance, submitting author will be notified.
Official Language: Papers must be submitted and presented in English.
Author Affiliation: Authors from different institutions should be identified by a numeral within the process.
Text of the Abstract/Poster:
A. Text, including headings, may not exceed 2 letter size (8 ½” x 11”) pages. Please use 11-point Arial font.
B. The use of standard abbreviations is acceptable. Other abbreviations should be placed in parentheses, after the first appearance of the full word(s) for which it stands.
C. Topic:Abstracts/posters must relate to Palliative Medicine and Supportive Oncology
To submit, please email your completed abstract and forms to Ginny Sukenik at . If your submission is larger than 10 MB, please call Ginny for further instructions.
ABSTRACT CONFIRMATION FORM
This form needs to be submitted with your abstract/poster
Date:
Abstract/Poster Contact:
First Author email address:
Abstract/Poster Title:
Planning Committee may consider research for: Oral Presentation and Poster
Poster ONLY
As first author, I agree to publish my email address as the contact person associated with this abstract/poster. Email address will be published in the conference meeting materials.
This form is completed and submitted by: