Allergan Latin American Research Incentive Award in Glaucoma

in conjunction with

The Pan-American Glaucoma Society and Pan-American Research Day

May 4, 2013

February 2013
A pioneer initiative by Allergan to create an exclusive award for Latin America, with the objective of recognizing and awarding investigators for their research work aimed at increasing the diagnosis of glaucoma, assessing its risk factors, and improving its control in the region.

NEW Submission deadline - March 15, 2013 April 19, 2013

Submit all requested materials to Write "Allergan Glaucoma Award Submission" in the subject line. The winning papers will be presented at the Pan-American Research Day on May 4, 2013.

Award

As an ophthalmology partner, Allergan aims to foster scientific research in Glaucoma in Latin America. Papers will be evaluated by a jury panel composed of recognized specialists in the field.

Four papers will be selected for the Award in risk factors, diagnosis or pathophysiology of glaucoma.

The four award-winning studies will receive:

-1st place - US$5,000

-2nd place - US$4,000

-3rd place - US$2,000

-4th place - US$1,000

Timeline

  • Deadline - Submission of Papers ...... April 12, 2013
  • Judging...... April 12-22, 2013
  • Award Ceremony ...... May 4, 2013 @ 5:30

Eligibility

  • Scientific papers or posters accepted for ARVO 2013
  • Candidates shall have earned a Medical degree by the deadline for submitting studies.
  • The first author will be the representative of the paper in the event it wins an award.
  • The first author should be from Latin America and be affiliated with a Latin American institution. The study, however, may be done in other centers.
  • An additional point will be added to the final score for studies performed in Latin American institutions.

Submission Criteria

Papers to be submitted shall comply with all the following requisites:

  • Submission form duly filled out and signed (personal data, address, information about the paper)
  • Digital photo of the author (taken within the past year), in either 3x4 or 5x7 format
  • Letter of acknowledgment issued by each member of the study recognizing the main author of the paper, for purposes of receiving the reward
  • Statement declaring that the paper has not been published
  • Resume/CV of the main author
  • Copy of the main author's diploma
  • Abstract, containing: title, authors, descriptive summary and conclusions. Size: 1 page. In English
  • Text, containing: title, authors, introduction, methods, results, discussion/comments, conclusions and references (*). In English.
  • Submit all requested materials to with Allergan Glaucoma Award Submission in the subject line.

* standard size complying with the standard defined by the organizing committee (8.5x11, 1 inch margins, double spaced). Follow the publishing instructions of the American Journal of Ophthalmology.

Evaluation Criteria

The evaluation of papers will follow a specific breakdown that will be reviewed by each member of the jury panel.

  • Evaluation breakdown
  • Clinical contribution ...... 40%
  • Originality ...... 40%
  • Discussion ...... 20%
  • Scores for each item in the evaluation breakdown will be attributed according to a 0-10 point scale, where 10 represents the maximum score. An additional point will be added to those studies performed in Latin America institutions.
  • The final score will compromise the simple average of all scores attributed by each member on the jury panelto the paper.

Judging

Fabian Lerner MD (Argentina) - Committee Coordinator

  • All scores will be shared among the jury members prior to divulging the respective winners.
  • The jury panel has absolute powers in deciding the award winners.
  • Only the names of the four award-winning papers will be divulged. The scores obtained by the papers, whether award-winning or not, will not be divulged.
  • Allergan has no role in the selection or judging of winners.

Award Ceremony

The four winners will participate in the scientific program of the Pan-American Research Day, presenting their papers. The four winners will participate in the Awards Ceremony that will take place at 5:30 pm on Saturday May 4, 2013 at the Sheraton Seattle Hotel, Seneca & Jefferson Ballrooms (4th Floor), Seattle, Washington USA, one day prior to ARVO 2013.

Pan-American Ophthalmological Foundation

2013 Allergan Latin American Research Incentive Award in Glaucoma

Application Form

NEW Receipt Deadline: April 19, 2013

Type all Information

PAAO ID: (please contact PAAO Office if you don’t know your membership ID number)

Name of Applicant/Main Author:

First Name, Middle Initial, Last Name (s)

Degree(s)

MD, PhD

Mailing Address:

City: State/Providence:

Country: Zip:

Office Phone: () Fax Number: ()

Home Phone: () Birth Date: / /

mmddyyyy

Email: Citizenship:

ARVO Acceptance/Event code:

Title of work accepted for presentation at ARVO:

Abstract (same as appears on ARVO webpage)

APPLICATION MATERIALS:

  1. Submission form (this form), duly filled out and signed (personal data and address information for the main author).
  2. Digital photo of the main author (taken within the last year), in either 3x4 or 5x7 format (jpg, gif or tif).
  3. Letter of acknowledgment issued by each member of the study recognizing the main author of the paper, for purposes of receiving the award.
  4. Statement declaring that the paper has not been published.
  5. Resume/CV of the main author.
  6. Copy of the main author’s diploma.
  7. Abstract, containing: Title, authors, descriptive summary and conclusions. Size: 1 page. English only.
  8. Text, containing: title, authors, introduction, methods, results, discussion/comments, conclusions and references (*). English only.
    (*) standard size complying with the standard defined by the organizing committee (8.5x11, 1 inch margins, double spaced).

APPLICANT AGREEMENT

I have read and accepted the above terms and responsibilities for the Allergan Latin American Research Incentive Award in Glaucoma.

(A) I understand that noncompliance will be grounds for termination of the award.

(B) I assume entire responsibility and hereby agree to protect, indemnify, defend, and save the Pan-American Ophthalmological Foundation (PAOF) and the Pan-American Association of Ophthalmology (PAAO) and their employees and agents, harmless against all claims, losses and damages to persons or property, governmental charges, or fines and attorney’s fees arising out of or caused by my participation in the Allergan Latin American Research Incentive Award in Glaucomaprogram.

Applicant’s Signature: Date

Disclaimer: Employees of the Pan-American Association of Ophthalmology (PAAO), Pan-American Ophthalmological Foundation (PAOF), members of the PAAO Executive Committee, members of the PAOF Board of Directors, their immediate family members and members of the same household, whether related or not, are not eligible to apply for scholarship/fellowship funding. All scholarships are subject to federal laws and regulations and are void where prohibited by law or regulation. Applicants agree to abide by the terms of these official rules and by decisions of the Review Committee which are final and binding on all matters pertaining to the scholarship/fellowship. The PAAO & PAOF reserve the right to disqualify any applicant that they determine, in their sole discretion, to be ineligible to participate in the scholarship/fellowship program. Individuals who have previously received scholarship/fellowship funding are ineligible to apply for additional scholarships/fellowships/funding.

Please return all requested materials to

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