Abstract Submission Form

Abstract Submission Form
2025 Abstract - Program Eval.

Contact Information

Your Name:

Please include your full name and degrees, i.e., "John Doe, MD, PhD". Your name here should match your name in the authors section below.

Your Title:

Hospital / Organization / Agency:

E-mail:

Daytime Phone:

Mobile Phone:

Abstract Information

Area: 2025 Abstract - Program Eval.

Please consider this abstract for manuscript publication in Injury Epidemiology. (Check the box if this applies.)

Please consider this abstract for the Lenita Johnson Award. (Learn more about the award.)

Preferred Format:

Platform Presentations (10 min) plus Q&A

Lightning Round (4 min) plus Poster

Consider the abstract for both

Abstract Title:

Authors:

Please include the names and degrees of all authors, i.e., "John Doe, MD, PhD". One name should be listed per line.

Background:

Methods:

Results:

Conclusions:

Abstract Word Count: (500 words maximum)

Objectives:

Three things attendees of this session will learn are:

Keywords:

Please provide three keywords to describe your abstract:

Social Media Information

If selected for and presented at the conference, I give my permission for the Social Media Committee to post about my presentation on X, Instagram, and other social media sites during the conference.

Social Media Handles:

Please provide your social media handles that should be tagged in social media posts about this presentation, should it be accepted and presented at the conference.

Draft Tweet:

Please provide a sample draft tweet that could be used to mention your presentation during the conference itself. There is no guarantee this text will be used, but it will help the Social Media Committee as they prepare content for the conference.

IMPORTANT NOTE: Please be sure to click the Submit button ONLY ONCE.