62nd Annual GSDDS Meeting
June 2-4, 2017
The Cloister at Sea Island

Call for Resident Abstracts

Past Recipients of the Donald C. Abele MD Award

The GSDDS Program Committee is calling for resident abstracts to be presented at the 62nd Annual CME Meeting. Abstracts will consist of short oral presentations (6-7 minutes). Emory residents and Medical College of Georgia / Augusta University residents will ALL present on Friday June 2. See agenda for timing. The Donald C. Abele, MD Award will be presented to the winner(s) of the Symposium on Sunday morning, June 4.

To submit an abstract, please complete the following form. This submission will also act as your meeting registration.

All Abstracts must be submitted by May 12, 2017.

Name: *
Medical College of Georgia / Augusta University Emory
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)
3)

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 1 week prior to the activity.

Handouts
It is highly encouraged that you supplement your presentation 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 1 week prior to the activity to the GSDDS office.
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:
req.


Activities - Click here for agenda times, sign me and/or my guests up for the following:

 Friday pre-meeting refreshments in exhibit hall (attendees only)

 Friday Reception with the Exhibitors, number attending

 Friday Resident's Dinner, (guests invited), number attending

 Saturday Breakfast in the exhibit hall (attendees only)

 Saturday MOC Self Assessment Session (attendees only)

 Saturday Live Demo Session (attendees only)

 Saturday Suturing Session (attendees only)

 Saturday Ice Cream Social (guests invited), number attending

 Saturday Dinner & Party (guests invited), number attending adults, children

 Sunday Breakfast & Pearls with the Masters (attendees only)