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2022 5th Annual Interprofessional Innovations Symposium (IPS) Abstract Submission Form

Please type all answers before pasting into survey. If you leave the survey before submitting, your answers will be deleted. 
Step 1
2. Is the first author a trainee/student? *This question is required.
Step 2
7. Please select ONE category that most closely describes your abstract. *This question is required.
Step 3
8. Was IRB approval required for this project? *This question is required.
9. Are you interested in obtaining American Board of Pediatrics MOC Part 4 credit for your submitted abstract? 
Please review the ABP determined qualification criteria for MOC part 4 credit: http://www.rchsd.org/documents/2018/06/moc-small-group-qi-projects-checklist.pdf/
Step 4:  Submissions to include the below (2500 character limit total):
  1. Background - 500 characters
  2. Purpose or Methods/Design - 1000 characters
  3. Results - 700 characters
  4. Conclusions - 300 characters
14. One table or figure may be uploaded.
Step 5:  Disclosures by the author
The first author submitting this abstract acknowledges that he/she and all coauthors have seen and agree with the following: the contents of the abstract; responsible use of clinical data (HIPAA/confidentiality/privacy); that the abstract will not be published in a peer-reviewed journal prior to the meeting date; disclosures of financial interest in or support from, or equity positions in, manufacturers of drugs, services, or products mentioned in the abstract; trial registry information. Finally, all authors and coauthors acknowledge understanding that plagiarism will not be tolerated and result in withdraw of the abstract. As first author, I attest to the above for myself and on behalf of all of my co-authors (sign and date below):
 
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