EmailMeForm
FMEC Call For Submission 2025:
This form will be open for 7 weeks:
Opens December 16, 2024
Closes February 3, 2025
USE THIS FORM TO SUBMIT A:
Workshop
Seminar
Research Paper
Quality Improvement (QI) Project
Lecture Discussion
Paper
Breakfast Table Discussion
Clinical Success Story
Speed Presentation
NEW THIS YEAR:
DO NOT USE THIS FORM TO SUBMIT POSTER PROPOSALS. A separate form for poster submissions will open May 15, 2025, and close July 1, 2025.
Please review the session requirements in the Session Description document BEFORE starting your submission. Highlight this link and open:
https://www.fmec.net/assets/2025%20FMEC%20Session%20Descriptions.pdf
PLEASE READ THIS BEFORE STARTING YOUR SUBMISSION.
• Recommended browser is Google Chrome
• Write out your submission and save it before completing this form.
• Choose the appropriate category for your submission. Pay attention to program lengths (which range from 5 to 60 minutes) and do not outline a submission that is longer than the category of submission. Do not submit a proposal that is primarily didactic as a Workshop, which must be experiential or “hands-on.” Do not reuse proposals you’ve submitted for other meetings without adapting them to the FMEC format(s).
• Don’t worry if your project (Research or QI) is in process, please complete the results and conclusions sections as best you can.
• Do not list yourself as First Author on more than one submission in any category. For instance, if you list yourself as First Author on two Lecture Discussions, the FMEC will remove one from consideration.
• Do not list yourself as First Author on more than four proposals total.
• Be prepared to upload the first author’s CV in PDF format.
• Collect complete contact information for all authors BEFORE starting your submission. You must include names, degrees, institutions, email addresses, and phone numbers for ALL AUTHORS on your submission.
• Provide UNIQUE email addresses for each author. Authors receive important information pertaining to scheduling, meeting registration, housing, presentation and handout preparation, and more. Proposals that submit the same email (such as a coordinator’s email) in multiple presenter fields will be returned for completion before review.
• Limit authors on your submission to 5. We understand more than 5 individuals may have contributed to the content, but please limit your list to 5 authors. Make sure to include those who intend to do the presentation at the meeting.
• Use this online form. The FMEC will not consider submissions received by email or other formats. You can save and come back to your submission within 24 hours of starting it. If you do not come back to and complete that submission within that 24-hour period, it will be deleted, and you will need to resubmit.
• All presenters attending the Annual Meeting are expected to register and pay a full registration fee (except those on medical student scholarships; see below). By submitting this proposal, you agree that at least one author listed will register and pay to attend the Annual Meeting. Full meeting registration is required. The FMEC does not offer a one-day registration fee. No payment is due with this submission form.
• Do not submit a proposal that requires more than a standard AV set up (laptop, projector, screen). The FMEC will provide a standard AV set up for all sessions except Breakfast Table Discussions. We will provide manipulation tables for osteopathic sessions that require them. We will not approve submissions that require video conferencing or other additional technology. If your submission will require props or supplies, you are responsible for providing them.
FMEC’s Annual Meeting is an opportunity for family medicine faculty and residents as well as medical students to present. Only current full-time medical students are eligible to present at the FMEC meeting. ALL SUBMISSIONS FROM MEDICAL STUDENTS AND RESIDENTS MUST INCLUDE AT LEAST ONE FACULTY CO-AUTHOR. The faculty co-author is strongly encouraged to attend and co-present when the submission is from a medical student. Submissions received without one clear faculty co-author will be returned to the student or resident author.
Scholarships are available to some medical students, but others must register. Please contact jennifer.stamper@fmec.net if you have questions about your eligibility before continuing your submission.
After submission, your proposal will be reviewed and rated by family medicine faculty throughout the northeast US. During review, the FMEC may suggest your proposal be accepted under another category, and/or we may request that it be combined with submissions on similar topics. We will communicate those and other required changes before final acceptance.
Session ID # (Office Use Only)
Select Only One (1) Category to Submit:
*
Please select one (1) category:
Workshop (60 minutes with 30 minutes of hands-on skills building)
Seminar (60 minutes didactic/instructional)
Research Paper Presentation (30 minutes)
Quality Improvement Presentation (30 minutes)
Lecture Discussion (20 minutes)
Paper Presentation (15 minutes)
Scholarly Breakfast Discussion (60 minutes)
Clinical Success Story (5 minutes)
Speed Presentation (5 minutes)
Select only one (1) submission category.
A First Author may submit only one (1) submission per category.
Status of First Author
*
Please select
Faculty
Resident
Fellow
Medical Student
Other
If "Other" please describe below:
Location (FMEC Use Only)
Track (FMEC Use Only)
Date (FMEC Use Only)
Start (FMEC Use Only)
End (FMEC Use Only)
Title of Submission
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Title is limited to 200 characters or fewer. FMEC reserves the right to shorten titles as needed to fit into the app.
Tagline: In 10 words or fewer, describe your submission:
*
Author Information: Up to Five (5) Authors will be printed in the final program
First Author's Name
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First
Last
First Author's Degree(s)
*
CAPITAL LETTERS ONLY: no periods in degree; if more than 1 degree, place a comma (,) between them
First Author's Institution/Affiliation Name
*
First Author's Institution Department Name
First Author's Institution Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
* 2 ST abbreviation only
* 5 digit zip code required
First Author Preferred Email
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First Author BackUp Email
*
First Author Preferred Phone
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First Author BackUp Phone
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Second Author Information
If the First Author is a medical student or resident, please name the Faculty Co-Author here as the Second Author:
Second Author's Name
First
Last
Second Author's Degree(s)
Capital letters only; no periods in degree; if more than 1 degree, place a comma (,) between them
Second Author Institution/Affiliation Name
Second Author Preferred Email
Second Author BackUp Email
Second Author Preferred Phone
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Second Author BackUp Phone
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Third Author Information
Third Author's Name
First
Last
Third Author's Degree(s)
Capital letters only; no periods in degree; if more than 1 degree, place a comma (,) between them
Third Author Institution/Affiliate Name
Third Author Preferred Email
Third Author BackUp Email
Third Author Preferred Phone
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Third Author BackUp Phone
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Fourth Author Information
Fourth Author's Name
First
Last
Fourth Author's Degree(s)
Capital letters only; no periods in degree; if more than 1 degree, place a comma (,) between them
Fourth Author Institution/Affiliate Name
Fourth Author Preferred Email
Fourth Author BackUp Email
Fourth Author Preferred Phone
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Fourth Author BackUp Phone
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Fifth Author Information
Fifth Author's Name
First
Last
Note: No more than five (5) authors will be accepted.
Fifth Author's Degree(s)
Capital letters only; no periods in degree; if more than 1 degree, place a comma (,) between them
Fifth Author Institution/Affiliate Name
Fifth Author Preferred Email
Fifth Author BackUp Email
Fifth Author Preferred Phone
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Fifth Author BackUp Phone
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Documents
Abstract:
All submissions must include a 100-word or fewer summary of your submission that attendees can review prior to attending the meeting, and is included in the app. FMEC reserves the right to shorten any abstract over 100 words.
*
Limit Abstract to 100 words or fewer. FMEC reserves the right to revise any Abstract over 100 words.
Upload your CV/Resume in PDF format
*
Proposal
ALL proposals must include:
• Learning Objectives
• Content of the presentation
• Methods for and extent of involving participants
• Breakdown of time utilization
Learning Objectives: ("By the end of the session participants will be able to ..."):
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Content of Presentation:
*
Methods for and Extent of Involving Participants:
*
Breakdown of Time Utilization:
*
QUALITY IMPROVEMENT SUBMISSIONS ONLY:
Does your project utilize a run chart?
Yes
No
RESEARCH PAPERS AND QI SUBMISSIONS ONLY: Statement of problem addressed and its significance:
RESEARCH PAPERS AND QI SUBMISSIONS ONLY: Background and summary of literature review:
RESEARCH PAPERS AND QI SUBMISSIONS ONLY: Methodology use and attention to research design and problems of measurement:
RESEARCH PAPERS AND QI SUBMISSIONS ONLY: Summary of results:
RESEARCH PAPERS AND QI SUBMISSIONS ONLY: Summary of discussion and conclusions:
RESEARCH PAPERS AND QI SUBMISSIONS ONLY:
Upload any supporting documentation for your proposal in PDF format:
If this session addresses osteopathic medicine, please confirm the intended audience:
Osteopathic
Allopathic
Any/All
Does the activity content have a direct impact on patient care?
*
Yes
No
Does the activity content relate to non-clinical topic(s) that support the physician's professional role in patient care, including but not limited to the following: (Mark all that apply)
Medical Ethics
Medico-legal
Patient Centered Advocacy
Physician-patient relations
Professional and/or academic leadership
Teaching and faculty development
Disclosure Information
Within the past twelve months, I have received support from or have had a relationship with a commercial party related directly or indirectly to the subject of my presentation.
*
Yes
No
Will you discuss any off-label uses?
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Yes
No
Please identify the product and the unlabeled uses:
Will you discuss any investigational uses?
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Yes
No
Please identify the product and the investigational use:
Have you been asked to promote or market any products?
*
Yes
No
What product/s have you been asked to promote or market?
My participation does not infringe upon any copyright or other intellectual property or proprietary right of any third part. I have obtained appropriate permission to reprint any portion of my presentation.
*
Affirm
If patient identifying information is used, I have obtained the necessary patient release signatures.
*
Affirm
I agree to FMEC's policy that no attendee will be charged a fee for kit materials used in my presentation.
*
Yes
No
I give FMEC permission to video record my presentation:
*
Yes
No
MORE INFORMATION: For questions regarding the receipt of your submission, contact Ms. Lisa Schwieterman, Email: lisa.schwieterman@fmec.net
For questions regarding conference information or to discuss your proposal, contact
Scott Allen, MS
Email: Scott.Allen@fmec.net