What's Up Doc? Research Showcase Abstract Submission Form Please ensure that you have reviewed the submission guidelines before submitting. Once submitted, you will NOT have access to your abstract for changes. 1Presenter Information2Co-Presenter3Presentation Details4Program Information5Your Information A. Terms and ConditionsPlease read and accept the term and condition below.* I accept that there will be an administration fee of $50 + GST for each abstract accepted into the Research Showcase.Please read and accept the term and condition below.* I acknowledge that poster and oral presentations selected for adjudication (6 per category) will be required to present at an adjudication evening beginning of February (virtually) and onsite at the Family Medicine Summit in March. All accepted projects will be notified and directions will be communicated by mid January.B. Primary/Principal Presenter*Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Credentials City* Phone (daytime)*Email* C. Primary/Principal Presenter's Status** Academic Family Physician Community Family Physician FM Resident Medical Student Healthcare Professional in associated field D. Primary/Principal Presenter – Conflict of Interest (COI) disclosure*Please disclose any conflict or potential appearance of conflict, or relevant financial relationships with any competing interests related to the presentation topic(s).Primary/Principal Presenter – Conflict of Interest (COI) disclosure* None - There are no competing interests. Yes - There are competing interests. Please describe.*E. Co-Presenter*Will there be a Co-Presenter?Co-Presenter* No Yes Step 2: Co-PresenterA. Co-Presenter InformationName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Credentials City* Phone (daytime)*Email* B. Co-Presenter's Status** Academic Family Physician Community Family Physician FM Resident Medical Student Healthcare Professional in associated field C. Co-Presenter – Conflict of Interest (COI) disclosure*Please disclose any conflict or potential appearance of conflict, or relevant financial relationships with any competing interests related to the presentation topic(s).Co-Presenter – Conflict of Interest (COI) disclosure* None - There are no competing interests. Yes - There are competing interests. Please describe* Step 3: Presentation DetailsA. Presentation Main InformationTitle*(Must be typed in CAPITAL LETTERS) Authors*IMPORTANT: Must be formatted as – Last name, First name or initials, affiliation. Note: person presenting must be underlined. Preferred Presentation / Submission Type*Poster (Research in Progress)Poster (Completed Research)Poster (Practice Quality Improvement (PQI) Project with minimum 1-2 audit/PDSA cycles)Poster (Program Evaluation)Oral Presentation (Completed Research)Oral Presentation (Practice Quality Improvement (PQI) Project with minimum of 1-2 audit/PDSA cycles)Oral Presentation (Program Evaluation)If successful in your submission, do you give permission to have your oral or poster presentation posted on the virtual attendee hub for 90 days post-conference? (This platform is accessible only to paid participants of the Summit).* Yes (if yes, further details will be sent to you) No Step 4: Program InformationResearch Submission Type*Please check one that best represents your work.Research Submission Type* Quantitative Research Survey Research Qualitative Research Participatory Research Educational Research Mixed Methods Research Systematic Review Other Please describe.* Submission Type*Submission Type* Practice Quality Improvement (PQI) Ethics Approval – If above minimal risk, please provide HREB approvalARECCI Score HREB name and project # Submission Type*Please note that we are only accepting completed research for this category.Submission Type* Program Evaluation Research Project Status*Research Project Status* Completed Research (oral submissions must be completed) Work in progress (to be completed by February 2024) Work in progress (will NOT be completed by February 2024) PQI Project Status*PQI Project Status* Completed program Work in progress PQI Project Status Progress* Audit/PDSA Cycle 1 to be completed by February 2024 Audit/PDSA Cycle 1 completed; 2 to be completed by February 2024 Audit/PDSA Cycle 1 completed; 2 will NOT be completed by February 2024 HiddenProgram Evaluation Status*HiddenProgram Evaluation Status Completed program evaluation Evaluation in progress (to be completed by February 2024) Ethics Approval*Ethics Approval* Yes No Please provide name of HREB and project #* Please comment. Abstract*Max 350 words. PLEASE ADHERE TO THE TEMPLATE PROVIDED BELOW and provide all necessary information clearly. This will ensure the committee receives all pertinent information for consideration and decision. IMPORTANT - Your submission MUST include an evaluation of the program in order to qualify for review.Abstract* TEMPLATE Context: The abstract should begin with a sentence or two summarizing the rationale for the study, providing the reasoning behind the research question. Objective: State the primary objective of the study (e.g. “To determine…”). Design: State the basic design of the study (e.g., double-blind, cohort, study, survey research, before/after, program/practice evaluation, grounded theory, qualitative description, secondary data analysis). Participants: Explain the important eligibility criteria and key demographic characteristics of the participants. Provide sample size. Intervention/Instrument (as applies): Describe the essential features of any intervention, key instrument, or database used to complete the study. Outcome Measures: State the primary outcome measures of the study. Results: Provide the main results of the study. If the research is in progress, state the anticipated results. Conclusions: Report the study’s conclusions that are supported directly by the study results as well as their potential implications (avoid speculation and overgeneralization). If research is in progress, state the problem that is being posed. TEMPLATE Introduction: The abstract should begin with a sentence or two summarizing the problem. (e.g. what is the problem, why is it important?). Provide a brief description of the setting and the team (e.g. roles and positions of the project team members). Finally, provide an Aim Statement (e.g. articulate your project aim using the SMART acronym.) Methods: Describe: 1) what PQI measures you used to evaluate the interventions (e.g. outcome measures, process measures, balance measures). 2) describe change ideas and what change(s) were implemented. Where possible, describe why the proposed changes would be expected to address the problem. 3) Provide a detailed description of each iterative (PDSA) cycle used to implement the change ideas. 4) describe the analytic approach used to evaluate the impact of the intervention (e.g. check sheets, run chart, histograms, scatter plots, pareto charts, etc). Ethical implications: Provide the ARECCI Ethics Screening score of your project and if above minimal risk, provide REB approval. Results: Provide the main results of the PQI and/or anticipated results. Conclusions: State concisely what you are able to conclude, include implications of findings. Comment on limitations and future directions. TEMPLATE Context: The abstract should begin with a sentence or two summarizing the rationale for the study, providing the justification/need for the program or policy being presented. Objective: State the primary objective/goal of the program or policy being described. Target audience: Please describe the individuals the program or policy is meant to address. Description: Describe the essential features of the program or policy. Evaluation: Ensure information provided includes outcomes and how the program or policy will be evaluated for effectiveness. Conclusion: Summarize the progress of the program or policy to date.Keywords Please indicate 3 keywords that you feel best describe your submission:Keyword 1 Keyword 2 Keyword 3 Step 5: Your Information This form has been submitted by:Salutation* Name* Organization Email* HiddenOld ID ID from the old systemCAPTCHAConsent* I agree to the privacy policy.The following discloses our information gathering and dissemination practices for the Research Showcase website owned and operated by the Alberta College of Family Physicians (ACFP). Please note that when you access any external links, they may have different privacy policies specific to those sites. We encourage you to read all applicable privacy policies. When you visit our website, you may provide us with two types of information: personal information you knowingly choose to disclose, and information that we automatically collect as you browse our website. Δ
