Mid-Atlantic Infectious Diseases Fellows' Forum
April 20th, 2015
Perelman School of Medicine
Philadelphia, PA
http://www.uphs.upenn.edu/idd/registration.html
Abstract Submission Form
Eligibility: Abstracts submitted with completed form by March 8th, 2015 will be accepted for poster
presentation. Abstracts must include material in which the submitting author was directly involved. All study
formats will be considered, including case reports, systematic reviews and presentation of original research.
Abstracts presented elsewhere in the 12 months preceding the Mid-Atlantic Infectious Diseases Fellows’ Forum
are eligible for presentation.
Oral Presentation: A committee will review all abstracts submitted and select approximately six abstracts of the
highest quality for 10-minute oral presentations. If your abstract is selected for oral presentation, you will be
notified by March 31st, 2015.
Please submit completed form to Dr. Stephen Gluckman: stephen.gluckman@uphs.upenn.edu
Title: Include concise title representative of the abstract content.
Click here to enter text.
Authors: Include complete name, degree, affiliated institution, city, state, and country of all authors listed.
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Abstract Text: Include brief description of the relevance of your submission, following general format of
background, experimental and/or analytical methods, results, and conclusions where appropriate. Please limit
to 300-500 word count.
Click here to enter text.
Contact Information: Please provide contact information for your “presenting author”. All communication
will be relayed thought the presenting author.
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Changes/Modifications: Changes/modifications, including author and affiliation changes, are allowed for
submitted abstracts until the abstract submission deadline of March 8th, 2015.
Have you obtained approval for abstract submission from all co-authors listed above (check one)?
☐ Yes
☐ No
Please select one subject category for your abstract submission (check one):
☐ Global Topics in Infectious Disease
☐ Immunosuppressed Hosts
☐ HIV
☐ General Infectious Disease
Thank you for your submission. We look forward to seeing you on Monday, April 20th, 2015.
Sincerely,
Dr. Stephen Gluckman
Professor of Medicine, Hospital of the University of Pennsylvania
Medical Director, Penn Global Medicine
University of Pennsylvania
Perelman School of Medicine
| University of Pennsylvania
| Philadelphia, PA
| stephen.gluckman@uphs.upenn.edu