Case Abstract Submission Form - American Osteopathic Academy of

Call for Case Presentations
AOASM 30th Annual Clinical Conference
April 22-25, 2015
Philadelphia, PA
The Program Committee of the 30th Annual Clinical Conference of the American Osteopathic
Academy of Sports Medicine invites you to submit a Case Presentation for the meeting in
Philadelphia, PA. The submission guidelines are listed below. All Case Presentations must be
received at the AOASM National Office by 10:00 pm PST on Sunday, March 1, 2015. Case
Presentations received after this deadline will be returned.
These should be complex cases, which involve complications or uncommon diagnoses. Case
Presentations will be either presented as a podium presentation or as a poster presentation. By
submitting your case, you agree to present it in the format chosen by the case review team. If your
case is not selected for podium presentation, we encourage you to present it as a poster. Please
indicate on this form which type of presentation you prefer. By checking one of these boxes, it is only
a preference, therefore, you will still agree to present in the format chosen by the Case Presentation
Reviewing Committee. (Case reviewers will be blinded to authors’ names and affiliated institutions.)
Case Presentations selected for podium presentation will be required to submit their
PowerPoint presentation in early April. Podium presentations will take place on Thursday, April 23,
2015. Each accepted podium presentation will be 12 minutes for the presentation. Case Submissions
selected for poster presentation will be presented on Wednesday, April 22. At least one Author must
be present. (The primary Author will be notified in late March of the review committee’s decision on
format if submission was selected to be presented at this year’s conference.)
Electronic Submission
To submit a Case Presentation, this form should be emailed as an attachment (in Microsoft Word or
PDF) to Brooke Miller, AOASM Senior Meeting Planner, at [email protected].
IMPORTANT: Please type “AOASM CASE PRESENTATION–Your Name” in the subject line of
the email.
The deadline for submission is
10:00 p.m. PST on Sunday, March 1, 2015!
Case Presentation Submission Form
AOASM 30th Annual Clinical Conference
April 22-25, 2015
Philadelphia, PA
The purpose of this form is to provide an efficient Case Presentation submission process. The
outline below will allow the reviewers to select cases for podium or poster presentation at the
meeting. Case reviewer will be blinded to authors’ names and affiliated institutions.
Abstract (THIS IS A FILLABLE FORM. YOU CAN TAB FROM FIELD TO FIELD.)
Lead Author’s Name
Mailing Address
Email Address
Phone Number
Affiliated Institution
Additional Authors
Date of Submission
Please complete the body of the case using the following key headings. Type in the fields to
the right of the headings. The fields will expand as you type. All fields must be completed. The
case must be limited to 600 words, excluding headings.
Title
Authors
History
Physical Exam
Differential
Diagnosis
Tests & Results
Final/Working
Diagnosis
Treatment
Outcome &
Follow-up
Return to
activity
Case Presentation Submission Form
AOASM 30th Annual Clinical Conference
April 22-25, 2015
Philadelphia, PA
Name of person completing this form if different from lead author:
I authorize my abstract to be published by AOASM and its affiliates.
Yes
No
Authors will be notified of the review committee’s decision by late March. Any additional
instructions for PowerPoint and poster presentations will be given at that time. Thank you for
your submission.
The form should be emailed as an attachment to Brooke Miller, AOASM Senior Meeting
Planner, at [email protected]. Please type “AOASM CASE PRESENTATION–Your
Name” in the subject line of the email.
The deadline for submission is
10:00 p.m. PST on Sunday, March 1, 2015!
AOASM
Attention: Brooke Miller
2424 American Lane
Madison, WI 53704
Phone: +1-608-443-2477, Ext. 148
Fax: +1-608-443-2474
[email protected]