63rd Annual Meeting of the GSDDS
November 30 – December 2, 2018
Ritz-Carlton, Amelia Island

Call for Resident Abstracts

The GSDDS Program Committee is calling for resident abstracts to be presented at the 63rd Annual Meeting of the GSDDS.
  • Abstracts will consist of short oral presentations (6-7 minutes).
  • Residents will ALL present on Friday, November 30, 2018. See agenda for timing.
  • IMPORTANT: If you submit an abstract, you MUST ALSO register to attend the 63rd Annual Meeting of the GSDDS. Submissions from those who have not registered will not be accepted.
To submit an abstract, please complete the following form.

All Abstracts must be submitted by November 1, 2018.

Full Name: *
Credentials: *
Institution: *
Mailing address:
City, State Zip:
Email Address: *
Phone:
Mobile: *
Fax:
Presentation Title: *


Educational Objectives

Objectives should include a verb that is chosen to describe something a physician will do in practice (and not what the teacher will teach). For example, do not use verbs such as "discuss" or "describe, learn or understand." Use words such as "apply, develop a strategy to..., etc." Ensure that the objective clearly states a standard against which one can judge the success in achieving the objective. You must provide objectives for each talk.

Upon completion of this lecture/workshop/panel, the participant should be able to:
1)
2)

AV Requirement

I will need the following equipment for my presentation(s):
LCD Projector/Wireless Remote/Laser Pointer
Other AV needed:

I will be presenting via Microsoft Power Point and have NO integrated video in my presentation(s) (a laptop will be provided)
I will be presenting via Apple Keynote or other software (outside of MS Power Point) (speaker must provide laptop to run onsite)
I have integrated video into my presentation file (speaker must provide laptop to run onsite)

I require ONLY voice amplification
I require sound amplification beyond my oration.  My presentation has sound that requires amplification.

Final Presentation
IMPORTANT: As you are preparing your final presentation(s), in accordance with accreditation requirements, be sure to include a slide stating your financial disclosures, placed just after the title slide.

If you are using Microsoft Power Point and your presentation has NO integrated video, please submit a copy of your final presentation(s) ahead of the meeting. Allowing the AV technician to have the presentations pre-loaded on our laptop ensures fewer delays and the meeting running on time.
I will email my presentation(s) to maryann@theassociationcompany.com 2 weeks prior to the activity.

Handouts
It is highly encouraged that you supplement your presentation slides with supporting documents, articles, research results, etc. Learners value and have come to expect at least a version of the speaker's presentation be made available to them, if not during the meeting, shortly after. In lieu of printed materials, handouts, in PDF format, will be uploaded to the meeting web app. The PDFs will be accessible only to attendees via user login/password.

Select one option below:
USE MY PRESENTATION: The GSDDS may PDF my final presentation to use as my handout. I WILL SEND A SEPARATE HANDOUT: I will email handout material at least 2 weeks prior to the activity to to maryann@theassociationcompany.com. NO HANDOUT: I do not authorize the use of my final presentation as handout material, nor will I provide supplemental handout material.

Faculty Disclosure

It is the policy of the GSDDS to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards for commercial support of CME activities.  A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. All faculty are required to disclose to the program audience any real or apparent conflict(s) of interest related to this meeting or its content.  Having an interest in or affiliation with the corporate organization does not necessarily prevent you from making the presentation, but the relationship must be made known to the audience.  Failure to disclose or false disclosure will require the GSDDS to identify a replacement for your participation.

Use the following categories to indicate the type of financial relationships you are disclosing either for yourself or for you immediate family as defined above.  If an individual is uncertain about what might constitute a potential financial conflict or interest they should err on the side of full disclosure.

Category Code Description
Consultant / Advisor C Consultant fee, paid advisory boards or fees for attending a meeting (for the past 1 year)
Employee E Employed by a commercial entity
Lecture Fees L Lecture fees (honoraria), travel fees or reimbursements when speaking at the invitation of a commercial entity (for the past 1 year)
Equity Owner O Equity ownership/stock options of publicly or privately traded firms (excluding mutual funds) with manufacturers of commercial dermatology products or commercial dermatology services
Patents / Royalty P Patents and/or royalties that might be viewed as creating a potential conflict of interest
Grant Support S Grant support for the past 1 year (all sources) and all sources used for this project if this form is an update for a specific talk or manuscript with no time limitation.


Please select one of the following two options
I DO NOT have any financial relationship to disclose.
OR
I have the following financial relationships to disclose:

Company/Organization:
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S
    Code(s): C    E    L    O    P    S

I intend to reference unlabeled/unapproved uses of drugs or products in my presentation (specify drug(s) or product(s) by name for which the unlabeled use will be discussed.


I have read the Disclosure Requirements and Faculty Agreement and to the best of my knowledge, the information provided on this form is true and correct and represents all items for disclosure.  I understand that failure to comply with the disclosure policy or the faculty agreement, when known and deliberate, may result in disqualification for two years in similar educational or related activities.

Entering your name in the following space acts as my signature and agreement to the above statement: *