Conference Poster Submission Form

2013 Neonatal Conference

You are invited to submit a poster presentation abstract for the “2013 Neonatal/Perinatal Conference: Improving Safety and Quality in Perinatal and Neonatal Care: Current Concepts and Challenges”. The conference is devoted to exploring the evidence and challenges associated with achieving quality and safety goals for our families and sick newborns. This conference will be held May 22-24, 2013 at the Embassy Suites, Dublin, Ohio.

Please complete the form below or print and submit the form by April 1, 2013. Upon completion of the submission form, please email a copy of your abstract to Mary Gossard. You will be notified by April 30, 2013 if accepted. Poster presenters (or their delegates) are expected to participate in the poster viewing session on May 22nd from 5:15-7:00pm at the Wine and Cheese Reception. All poster presenters must be registered conference participants.

Submission Requirements:

1. A completed “Abstract Submission Form”
2. An abstract about your poster; limited to 250 words
3. The abstract should include the following content:
   Title
   Author Name(s) with credentials
   Statement of Problem
   Methods
   Summary of Results
   Implications and lessons Learned
4. Submission forms and other information can be obtained by contacting Mary Gossard at the information listed below.   
5. Complete the submission form below

Abstracts for consideration for poster presentation must be received by April 1, 2013 (with Abstract Submission Form). Submissions will be accepted by US mail, e-mail, fax or through the conference website.

Or, print and return this form with a copy of your abstract to:
Mary Gossard, RN, MSN, CNS
Neonatal Services
J4 NICU
Nationwide Children’s Hospital
700 Children’s Drive
Columbus, Ohio 43205
Phone: (614) 722-6502
Fax:  (614) 722-6988