USCAP Abstract Submission

Abstract title *

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List of all authors *

Institution *

Name of the submitting author *

First

Last

Submitting author’s Email address *

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Trainee status of the submitting author *

PGY year of the submitting author

if applicable

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Are you currently an associate member of the PBPS? *

If no, please apply on our website

Are you the winner of the PBPS award last year? *

If yes, you are not qualified for submission this year.

Date / Timeof Presentation at USCAP *

Date

Time

Poster Number

if applicable

Abstract text *

Figures

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if applicable. Max file size 5mb. Allowed types: .png, .gif, .jpg.

Table

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