Submit an Abstract

Step 1: Enter Presenting Author and Abstract Category Preferences

Name*

First Middle Last

Degree*

If "Other," please describe*

Department*

Institution(s)*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Email*

Abstract Category*

Award Category*

(Use ctrl+click to submit for multiple awards)

Research Support

Would you like your abstract published in NAPGO?*

Yes
No

Step 2: Sponsoring Member

If the Presenting Author (above) is not a CAOG member, this abstract must be sponsored by a CAOG sponsoring member. The abstract submission is not complete without this sponsorship.

Is the presenting author a CAOG member?*

Yes
No

Thank you. You may continue to Step 3...

Sponsor's Name*

First Middle Last

Sponsor's Daytime Phone*

Sponsor's Email*

Step 3: Enter Conflict of Interest Information

a. Read the Conflict of Interest Statement below

To ensure balance, independence, objectivity and scientific rigor in all presentations at the CAOG Annual Meeting, all authors of submitted abstracts must disclose any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of their presentation. This includes relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic. This policy is not intended to prevent a presentation. It is merely intended to openly identify potential conflicts so the audiences may form their own judgments about the presentation with a full disclosure of the facts.

The Presenting Author is responsible for the information and statement as outlined under Step 3 and must complete this form on behalf of all co-authors. Abstracts will not be considered for the program if you do not complete this information.

b. Read the statement below and acknowledge your consent by placing a check in the box.*

As the Presenting Author, I certify that all abstract authors have read the abstract conflict of interest/disclosure policy stated in this submission program. I understand that checking this box and the boxes below is considered an "electronic signature" and is equivalent to a paper signature.

c. Check ONE of the following:*

I have read the Conflict of Interest Statement above and certify that all the abstract authors have no actual or potential conflict of interest in relation to this abstract.
I have read the Conflict of Interest Statement above and am disclosing that one or more of the abstract authors has a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this abstract. Conflicts may include: grant/research support, consultant positions, speaker's bureau affiliations, being a major stock shareholder, or other financial or material support.

d. Read the statements below and acknowledge your consent by placing a check in the box.*

I hereby verify that I have the approval of all authors to submit this work for presentation; any animal studies conform with the "Guiding Principles in the Care and Use of Animals" of the American Physiological Society and any human experimentation has been conducted according to a protocol approved by the institutional committee on ethics of human investigation or if no such committee exists, that it conforms with the principles of the Declaration of Helsinki of the World Medical Association (CLINICAL RESEARCH 14:193, 1966).