Abstract Submission Form
The 2020 PCOS Awareness Symposium Program Committee (“Program Committee”) welcomes your abstracts for talks and panel presentations. The submission period is February 15 – March 15, 2020. All submissions should be made online, using the form below.

Abstract Selection and Notification
The Program Committee will meet in late-March 2020 to select abstracts and to finalize the symposium program. If your abstract is accepted for presentation, you will be notified by email on or around April 1, 2020.

Conflict of Interest (COI) Policy
PCOS Challenge requires that all presentations be noncommercial in a nature and devoid of any specific brand mentions. PCOS Challenge also requires everyone who is in a position to control the content of a PCOS Challenge CME or non-CME educational activity (including faculty, planners, reviewers, speakers, moderators, and staff), disclose all relevant financial relationships with any commercial interest. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers or other corporations whose products or services are related to the subject matter of the presentation topic. The Accreditation Council for Continuing Medical Education (ACCME) defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

COI information is obtained through a standard COI form and is disclosed to learners prior to an educational activity. COI disclosure forms are analyzed by the Program Committee and a mechanism to resolve reported conflicts is implemented.

Presentation Format
25-35 Minute Talk or PowerPoint Presentation

Travel
Presenters are responsible for their own travel and lodging for the event.

Presenters’ Consent and Release
As a PCOS Awareness Symposium speaker you grant permission to:
1) Have your talk video recorded.
2) Distribute your slides and the video recording of your talk to our members.
3) Make the video and/or audio recording of your talk available through the PCOS Challenge paid membership site.
Presenter's First Name *
Presenter's Last Name *
Post-Nominal Letters (If applicable)
(e.g., MD, PhD, RN, ND, RD, CPE, MPH, MHA, CHC)
Email Address *
Phone *
Please use format XXX-XXX-XXXX
Organization/University/Company
If Applicable
Address *
Suite/Apartment/Unit
City *
State *
ZIP Code/Postal Code *
Country *
How did you hear about the PCOS Awareness Symposium? *
(Please be specific)
Presenter’s Educational Background / Degrees *
Presenter’s Biography *
(Up to 200 Words)
Presentation Title *
Presentation Objectives *
(List 2-5 Objectives of Talk)
Why do you feel this is an important topic for this year’s PCOS Awareness Symposium? *
(Up to 200 Words)
This presentation is best suited for: *
Social Media
If you are selected to present at the PCOS Awareness Symposium and would like us to tag you on social media or include your links in the event mobile app, please include your social media handles and pages below.
Twitter
@username
Instagram
@username
Facebook URL
LinkedIn URL
Additional Comments (Optional)
Privacy Statement
PCOS Challenge: The National Polycystic Ovary Syndrome Association is committed to keeping your personal information confidential. We respect your privacy and will not sell, share or rent your personal information without your permission.


Submit
Never submit passwords through Google Forms.
This form was created inside of PCOS Challenge, Inc.. Report Abuse