Trillium Primary Care Research Forum 2006
June 2, 2006, 8:30am to 3:30pm

On-line Abstract Submission Form

Abstract Submission Date Extension: May 19, 2006

Thank you for using the Trillium On-line Abstract Submission Form. While we encourage abstract submissions that present completed research, one of the goals of the Trillium conference is to offer a supportive environment for investigators to air their ideas. As such, we welcome abstracts that describe preliminary data or work-in-progress. We also invite submissions from a broad range of primary health care professionals, nurses, residents, and students.

Free-standing paper presentations will be 15 minutes in length. The first 10 minutes will be alotted for presentation of your work. The remaining 5 minutes will be reserved for questions and discussion.

Please fill out the information below and finish by clicking the "Submit" button. Your abstract will be sent to the conference planners. You will be contacted confirming receipt of your submission. As the meeting date approaches you will be sent details regarding the time and location of your presentation. Please remember to also register as participant here.

You are also welcome to FAX your abstract to Trillium 2006 at 905-527-4440 or mail to:


Department of Family Medicine,
McMaster University
Att: Debra Lockey
75 Frid Street, Building code T30
Hamilton ON L8P 4M3

TRILLIUM 2006 ABSTRACT FORM

Title:
First Name:
Last Name:
Institutional Affiliation/Company:
Street Address:
City/Town:
Province:
Postal Code:
Telephone:
Fax:
E-mail:

Presenter Status

Participating Physician

Nurse

Resident/Student

Other, please specify

Type of Presentation:

Paper

 Poster

Topic Area (Check one or more):

Clinical
Education
Health Care/Services
Family
Interdisciplinary Care
Other, please specify

Audio-Visual Equipment Required:

Data Projector (Please provide your own computer)
Slide Projector
Overhead Projector
Other, please specify

Please type the abstract in the space provided below (maximum 300 words). Start with the TITLE of the abstract in capitals, spelling out all words (no abbreviations) followed by the name of the presenter and co-author(s), if any (including title and degrees, M.D., Ph.D., etc.). The content of the abstract should include: a) statement of purpose; b)methodology; c)results; d) conclusions.



Trillium Home Registration
Dates & Deadlines Program Agenda
Abstract Submission Location of Conference
FOR FURTHER INFORMATION CONTACT:
Debra Lockey E-mail

Department of Family Medicine,
McMaster University,
75 Frid Street, Hamilton ON L8P 4M3
T: 905-521-2100 ext 28509   &   F: 905-527-4440

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