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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 Information

2Co-Presenter

3Presentation Details

4Program Information

5Your Information

6

A. Terms and Conditions
Please read and accept the term and condition below.*
⁠I acknowledge that there will be a $50 administration fee per abstract for both virtual and in-person participation.*
*If you are a medical student or family medicine resident submitting an abstract and require financial assistance with the $50 abstract administration fee, please email us at research@acfp.ca before submitting your abstract.
Please read and accept the term and condition below.*
I acknowledge that poster and oral presentations selected for adjudication 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*
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
Name*
Prefix* First* Last*
A. Co-Presenter Information
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

Title*
(Must be typed in CAPITAL LETTERS)
Step 3: Presentation Details
A. Presentation Main Information
Authors*
IMPORTANT: Must be formatted as – Last name, First name or initials, affiliation.
Preferred Presentation / Submission Type*
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
If successful in your submission, do you consent to having your oral or poster presentation shared on the ACFP website for future promotional purposes?*
- Yes (if yes, further details will be sent to you)
- No

Research 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
Step 4: Program Information
Please describe.*
Submission Type*
Submission Type*
- Practice Quality Improvement (PQI)
Submission Type*
Please note that we are only accepting completed research for this category.
Submission Type*
- Program Evaluation
Ethics Approval*
While we encourage studies submitted to have ethics approval, we will also review studies without it. If your study does not require ethics approval, please provide a detailed rationale in the box below explaining why it was not obtained.
Does your study require ethics approval?*
- Yes
- No
Please provide name of HREB and project #
Please provide ARECCI score (if applicable)
Please explain why ethics approval was not required*
Research Project Status*
Research Project Status*
- Completed Research (oral submissions must be completed)
- Work in progress (to be completed by February 2026)
- Work in progress (will NOT be completed by February 2026)
PQI Project Status*
PQI Project Status*
- Completed program
- Work in progress
PQI Project Status Progress*
- Audit/PDSA Cycle 1 to be completed by February 2026
- Audit/PDSA Cycle 1 completed; 2 to be completed by February 2026
- Audit/PDSA Cycle 1 completed; 2 will NOT be completed by February 2026
This field is hidden when viewing the form
Program Evaluation Status*
This field is hidden when viewing the form
Program Evaluation Status
- Completed program evaluation
- Evaluation in progress (to be completed by February 2026)
Ethics Approval*
While we encourage studies submitted to have ethics approval, we will also review studies without it. If your study does not require ethics approval, please provide a detailed rationale in the box below explaining why it was not obtained.
Does your study require ethics approval?*
- Yes
- No
Please provide name of HREB and project #
Please provide ARECCI score (if applicable)
Please explain why ethics approval was not required*
Abstract*
Max 350 words. PLEASE ADHERE TO THE TEMPLATE BELOW and provide all information clearly. This will ensure the committee receives all pertinent information for consideration and decision.
Abstract
TEMPLATE

Introduction

Objective

Design or Methods (Include, as appropriate: Study Design; Participants; Intervention/Instruments; Outcome Measures; Analysis)
Results (If the research is in progress, state the anticipated results)

Conclusions
TEMPLATE

Introduction (Include, as applicable: the problem, the setting/team)
Objective/Aim
Methods: (Include, as appropriate: Interventions, Measures, PDSA cycles, Analysis)
Results

Conclusions/Recommendations
TEMPLATE

Introduction (Include, as applicable: the problem, the setting/team)
Objective/Aim
Methods: (Include, as appropriate: Design, Target Audience, Program Description)
Evaluation Results

Conclusions/Recommendations
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:
First Name*
Last Name*
Organization
Email*
Consent*
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.

Step 6: Payment
Coupon Code
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Abstract Administration Fee*
Price:
GST
Price: $ 50.00 CAD
Total
$ 0.00 CAD
Credit Card

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