Deadline - Sunday, June 25, 2017WARNING: This form is programmed to reject all submission attempts after 5:00PM ET, Sunday, June 25, 2017. * Required field First Author First Name * Last Name * ACP # * (If you have applied for membership, have not yet received your ACP#, please enter 'pending'. If you need to find your ACP number, log on to ACPonline and click on 'My Benefits and Products.' Once in this screen, click on 'My Member Profile' on the left hand side. The 'My Account' page will appear and list your ACP number.) Address * Address 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Home Phone * E-mail * Medical School Select School: * - Select -Central Michigan University School of MedicineMichigan State University - College of Human MedicineMichigan State University - College of Osteopathic MedicineOakland University William Beaumont School of MedicineRoss Medical EducationSt. George’s University School of MedicineUniversity of Michigan Medical SchoolWayne State University School of MedicineWestern Michigan University School of MedicineOther If other school, please specify: * Clerkship Director * - Select -Cyril Grum, MD, FACP – U of MDiane Levine, MD, FACP – Wayne State University School of MedicineChurlson Han, MD, ACP Member – Michigan State University College of Human MedicineRichard Thiede, MD, ACP Member – Michigan State University College of Osteopathic MedicineLynda Misra, DO, FACP – Oakland University William Beaumont School of MedicinePatricia Dhar, MD, FACP – Central Michigan UniversityMelissa Olken, MD, ACP Member – Western Michigan UniversityOther If other, please specify: * Medical School Year - Select -Year oneYear twoYear threeYear four Abstract Category Submitting for: * - Select -Clinical VignetteBasic Science ResearchClinical ResearchCQIEBM Additional Authors (please list, if any) Abstract Title * Please type or copy your abstract in its place. Limit your submission to 250 words or less. Type single-spaced. For electronic submission, you do not need to stay within the borders. The abstract form does not accept graphs, charts, tables, etc. PLEASE NOTE: Copying and pasting your e-mail content from Microsoft Word may cause formatting problems. We recommend that you copy your abstract from a text file.* Abstract Text *