Abstract Submission Form

2016 Research & Innovation Forum – Saturday, March 12 HealthPartners in Bloomington

Abstractsare Due Friday, January 29, 2016

Please save this form to your computer, complete, and email as an attachment to

Note to MAC users: To check boxes on this form double click on the box and then when the dialogue box pops up change from checked to not checked.

Topics:

  • Projects are welcome that feature original research, innovation in family medicine, or quality improvement.
  • Highly desirable projects include those focused on practice-based research, community-oriented and participatory projects, and descriptive studies
  • Projects detailing quality improvement initiatives, clinical case studies, and literature reviews will be accepted if the author(s) generate original conclusions

Title of Research or Innovation Project

This research or innovation project is now “in progress” – the project will not be completed by the date of the Research & Innovation Forum but investigators will present on the progress of the research. Projects in progress will be considered for poster presentations only.

Posters:

  • Research, innovation, and quality improvement findings may be presented as posters
  • Poster submissions require a PDF of the proposed poster OR an abstract
  • Projects in progress may be presented as a poster
  • Visit to view poster specifications

This research or innovation project will be presented as a poster

Presenter Information

Abstracts can be submitted by medical students, residents, practicing physicians, academic physicians, and researchers.

Name (include designation, M.D., Ph.D., etc.)

Email

Phone

Address

Presenter Introduction (this is how you will be introduced when you present your abstract, i.e., Jenna Smith, M.D., Researcher, University of Minnesota Department of Family Medicine and Community Health)

Other Authors/Investigators (include designation, M.D., Ph.D., etc.)

(next page)

Abstract

Please limit your abstract to 500 words

(cumulative for the next five entries Objective or Hypothesis through Conclusions)

Objective or Hypothesis

Population

Methods

Main Results

Conclusions

IRB Approval OR IRB Exemption

HIPAA Compliance

Mentor(s)

Funding Sources

Deadline

Email your abstract to Friday, January 29, 2016.

You will be notified by Monday, February 8, 2016 if your abstract or poster has been accepted for presentation. Accepted abstracts, presentation PowerPoint slides, and poster pdfs will be published on the MAFP website and in Forum materials. Written feedback will be provided for presenters.

Presentations

Each presenter will be given 15 minutes, followed by a 5 minute question and answer period. Please email PowerPoint slidesto y Wednesday, March 9, 2016or bring the presentation to the Forum on a usb drive. A schedule will be sent to presenters on February 15, 2016.

Registration

All presenters must register for the Forum. Medical students and residents receive complimentary registration. Registration is not discounted for other presenters. Registration will be available in early 2016.