FOMA Research Poster Competition

FOMA Student/Intern/Resident/Fellow Scientific Research Poster Competition is open to students, interns, residents and fellows who are members of the FOMA.

This is a Peer-Reviewed competition. Submitted abstracts will be reviewed and scored by a panel of judges selected by the FOMA.The top scoring abstracts will be invited to participate in the Poster Competition. Notification will be sent the first week of January.

The FOMA Poster Competition will be held at the Bonaventure Resort and Spa in Weston, FL. Click here for directions.

For Policies and Procedures - click here.

Please fill out the application and submit it by clicking "SUBMIT APPLICATION FORM" button at the bottom of this screen. You will receive a confirmation email sent to the "First Author's Email" that you enter on this form. Entries received after the deadline will not be accepted.

Note: All fields are required.

CASE STUDY EXPERIMENTAL RESEARCH

Note - your abstract and poster will be judged by different criteria depending on the research type.

Characters remaining (max. 240): 240

First Author's Year of Training:

List all additional authors - include for each their title, department, and institution:

NameOMS#, OGME#,
Fellow or Physician
Hospital/InstitutionDepartment/Program

Was this research funded by some agency?
No
Yes (If "Yes", please list below)

IRB approval has been:
Received
Not Applicable (If "Not Applicable", why not? Please explain below)

Upload the ABSTRACT of your poster/presentation (MsWord only):


Proprietary Statement/Disclosure

I certify that I have no affiliation/financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the abstract or presentation.

OR

I certify that I have an affiliation/financial involvement with:

which has a direct financial interest in the subject matter/materials discussed in the abstract or presentation.

Approval to attend - place a check next to one of the statements corresponding to you:

I am a Resident or a Fellow. I have the approval/permission from my Program Director.
I am M3 or M4. I have the approval/permission from my DME.
I am M1 or M2. I have the permission from the assistant dean of student services.

Signatures

Checking this checkbox is in lieu of the signatures of ALL AUTHORS, verifying that all authors significantly participated in the research product. This is required for the form to be submitted.

Please review this form before submitting.