Infant Abusive Head Injuries

Second International Pediatric Abusive Head Trauma:
Medical, Forensic, & Scientific Advances & Prevention Programs
Snow King Resort & Conference Center • Jackson Hole, Wyoming
June 25-26, 2009 (optional reception: June 24, 2009)

Abstracts

Abstract deadline: March 15, 2009
Investigators who submit an abstract should receive a confirmation within 48 hours. If you have submitted an abstract but have not yet received a confirmation, please e-mail Ms. Bonnie Bixler at bbixler1@hmc.psu.edu.

To submit an abstract:

STEP 1 Prepare the abstract using the template provided. Abstracts must fit on one standard US 8.5 x 11 inch sheet of paper. Use 10-point type or larger. Allow one-inch margins on all sides. Abstracts will be reproduced exactly as submitted.
STEP 2 Complete the on-line Presenting Author(s) Information Form. You will receive a confirmation immediately upon submission of your form. Within 48 hours, you will receive an e-mail confirmation from ContinuingEd@hmc.psu.edu indicating that both your form & the abstract attachment have been received.
STEP 3 Abstracts must be submitted as an e-mail attachment using Microsoft Word or compatible software to ContinuingEd@hmc.psu.edu If you cannot submit your abstract as an e-mail attachment, camera-ready abstracts can be sent to:

Via US Mail:
Penn State Continuing Education, G220
PO Box 851
Hershey, PA 17033
USA

Via overnight delivery:
Penn State Continuing Education
44 E Granada Ave, Rm 1108
Hershey, PA 17033
USA

Presenting Author(s) Information

Please enter the information below concerning the presenting author(s) of the abstract. The presenting author must submit all required contact information and complete the section on disclosure of financial relationships. The Accreditation Council for Continuing Medical Education requires that CME providers identify & resolve any potential conflict of interest related to educational content. Abstract submissions will not be considered if disclosure is not provided.

By submitting an abstract, you are agreeing that if it is accepted, you are willing to pay the conference registration fee and all associated travel expenses to attend the conference.

PRESENTING AUTHOR (PRIMARY PRESENTER AND DESIGNATED CONTACT PERSON FOR THE PRESENTATION)

Corresponding author should be listed in the abstract document as per the template provided above.

Name:*	First Name	Last Name
Affiliation:*
Department:
Address Line 1:*
Address Line 2:
City:*		State/Province:*
Zip/Postal Code:*		Country:
Telephone:*		Fax:
Email Address:*	Enter only 1 email address

Disclosure of Financial Relationships
*Required field

1. The ACCME defines a commercial interest as any proprietary entity producing health-care goods or services, with the exemption of nonprofit or government organizations and non health-care related companies. The ACCME does not consider providers of clinical services directly to patients to be a commercial interest.

Within the past twelve months, I and/or my spouse/significant other have received support from or had a relationship with a/the following commercial interests (indicate all that apply). Disclosure should include relationships in any amount.

No	Yes (if Yes, provide complete information below)

Please describe any additional relevant disclosure below:

2. I will be using slides, scripts, or other teaching material that were provided from a commercial source

No
Yes (Describe Below)

Speaker/Planner Agreement

I attest to the following:

Yes	No	I understand that the information presented to the learner must be unbiased, scientifically balanced, and based on best available evidence and best practices in medicine. I agree to present all reasonable clinical alternatives when making practice recommendations. I attest that relationships with commercial interests will not influence or bias my presentation and/or planning of the CME activity.
Yes	No	All scientific research referred to, reported, or used in support or justification of patient care recommendations will conform to the generally accepted standards of experimental design, data collection, and analysis.
Yes	No	I attest that I will not accept any payment or reimbursement for this presentation directly from any commercial interest. I understand that all payments and reimbursements must be made by the accredited provider or authorized educational partner.

I agree to: