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Building the Next Generation of Academic Physicians

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Abstract Proposal Form

2023 LGBT HWC Conference Abstract Submission

  • Primary presenter
  • Primary Presenter
  • Primary Presenter
  • Primary Presenter
    Examples: B.A., M.P.H., M.D., P.A.-C.
    Please also include your field of study, if applicable (e.g., Ph.D. psychology).
    If you are currently enrolled in a degree-granting program, please indicate that here (e.g., high school student, B.S.N. student, M.D. student).
  • Primary Presenter
  • Primary Presenter
  • Primary Presenter (check all that apply)
  • Primary Presenter
  • Primary Presenter
  • Primary Presenter
  • Primary Presenter
  • Please list co-presenters/authors, their degrees, their primary affiliation, race/ethnicity, sexual orientation, and gender identity in the following format:

    Jane Smith, R.N. (New York University School of Nursing) Latina lesbian woman

    No more than 2 co-presenters for oral presentations. There is no limit to the number of co-authors on poster presentations.
  • Please indicate for which type of presentation(s) you would like your abstract considered.
  • Select all that apply
  • Maximum 700 characters (approximately 100 words)
  • Maximum 2450 characters (approximately 350 words)
  • If submitting for Panel Presentation, please upload CV for primary presenter and co-presenter. Files can be in MS Word format or PDF format.
    Drop files here or
    Accepted file types: pdf, doc, docx, Max. file size: 32 MB, Max. files: 5.
    • This field is for validation purposes and should be left unchanged.

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