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Kenora, Ontario September 21-22, 2018 LATE BREAKING ABSTRACT SUBMISSION FORM Abstracts must be saved in a MS Word format and sent via email to: [email protected] no later than August 3, 2018. NAME: <Insert First and Last Name> PROFESSIONAL DESIGNATION: <Physician, Professor, Other Health Care Professional, Resident, Undergraduate Student, Graduate Student> MAILING ADDRESS: <Insert Street Address, City, Province, Postal Code> PHONE NUMBER: <Insert Area Code and Phone Number> EMAIL: <Insert Email> I agree to present as a: Poster Presentation Ethics approval, if applicable, for this research must be in place. Please indicate: REB approval: <Name of REB and date of approval> Animal Care Committee approval: <Name of committee and date of approval> Use the format from the following sample to fill in the categories on the second page: SAMPLE ABSTRACT TITLE: A Clear Title for the Abstract PRESENTING AUTHOR: John Smith (1) AUTHORS: Smith, J (1), Jones, B (2) and Ross, JG (1, 2)

NOSM | Northern Ontario School of Medicine€¦ · Web viewAnimal Care Committee approval: < N ame of committee and date of approval > Use the format from the following sample

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Page 1: NOSM | Northern Ontario School of Medicine€¦ · Web viewAnimal Care Committee approval: < N ame of committee and date of approval > Use the format from the following sample

Kenora, Ontario September 21-22, 2018

LATE BREAKING ABSTRACT SUBMISSION FORM

Abstracts must be saved in a MS Word format and sent via email to: [email protected] no later than August 3, 2018.

NAME: <Insert First and Last Name>PROFESSIONAL DESIGNATION:

<Physician, Professor, Other Health Care Professional, Resident, Undergraduate Student, Graduate Student>

MAILING ADDRESS: <Insert Street Address, City, Province, Postal Code>PHONE NUMBER: <Insert Area Code and Phone Number>EMAIL: <Insert Email>

I agree to present as a: Poster Presentation

Ethics approval, if applicable, for this research must be in place. Please indicate:REB approval: <Name of REB and date of approval>Animal Care Committee approval: <Name of committee and date of approval>

Use the format from the following sample to fill in the categories on the second page:SAMPLEABSTRACT TITLE: A Clear Title for the Abstract

PRESENTING AUTHOR: John Smith (1)

AUTHORS: Smith, J (1), Jones, B (2) and Ross, JG (1, 2)

AFFILIATIONS: (1) Department of Biochemistry, Lakehead University, Thunder Bay, ON, (2) Department of Pharmacology, Laurentian University, Sudbury, ON

ABSTRACT: 300 words maximum. Typically a sentence or two of introduction, a description of methodology and research findings. A conclusion to the study.

Page 2: NOSM | Northern Ontario School of Medicine€¦ · Web viewAnimal Care Committee approval: < N ame of committee and date of approval > Use the format from the following sample

Kenora, Ontario September 21-22, 2018

LATE BREAKING ABSTRACT SUBMISSION FORM

Abstracts must be saved in a MS Word format and sent via email to: [email protected] no later than August 3, 2018.

ABSTRACT TITLE: <Insert abstract title>

PRESENTING AUTHOR: <Insert the first name and last name of the author who will be presenting the abstract>

AUTHOR(S): <Insert the last name and initials of all authors listed on the abstract><Also number their affiliation accordingly with the information provided below>

AFFILIATIONS: <Insert all relevant affiliations and number them accordingly>

ABSTRACT: <Insert abstract – MAXIMUM 300 words>