AOAQUEENSLAND BRANCH 2018

Consultant

ABSTRACT SUBMISSION

Form

8-10 June 2018

Requirements

  • Please use this form to submit Consultant Abstract

•After completing this form, please upload it to the Abstracts area of the conference website: qld.aoa.org.au.

•Paper or facsimile copies will not be accepted.

•Abstract submissions must be received electronically by midnight (EST) on 30 March 2018.

•All abstract submissions must include a declaration of interest.

•The abstract must not exceed 450 words (excluding title, authors and institution)

Information

•Projection type: 16:9 Ratio

•Computers will be provided running Powerpoint for PC / Keynote & Powerpoint for Mac.

•Podium timers will be provided. Screens will switched off after expiration of allotted time.

Upload enquiries – Alison Fallon: T +61 2 8071 8000 | E

Section One: Applicant Details

  1. PRESENTERS name

(Last name, first name – eg Smith, John)

PRESENTERS NAME
  1. Hospital/institution/ Current Position
  1. Email address
  1. Mobile Number
  1. Declaration of interest

Please choose one:Mark with Y

a)None of the authors has received any payment or consideration
from any source for the conduct of this study.

b)In relation to the conduct of this study, one or more of the authors
is in receipt of a research grant from a non-commercial source.

c)In relation to the conduct of this study, one or more of the authors
is in receipt of a research grant from a commercial source.

d)In relation to the conduct of this study, one or more of the authors
have received, or are likely to receive direct material benefits.

  1. Title of project

In CAPITALS

  1. Institution(s)

1–4 centres where the work originated

Give only institution name and city – eg Princess Alexandra Hospital, Brisbane

  1. Body of Abstract

Maximum 400 words, excluding headings.

Do not include graphs or diagrams

Use abbreviations only for common terms; for uncommon terms give abbreviation in brackets after first full use of the term.

AOA QLD BRANCH 2018 Abstract Submission1