Deadline - Sunday, July 7, 2019WARNING: This form is programmed to reject all submission attempts after 5:00PM ET, Sunday, July 7, 2019 * 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 * Residency Program Select Program: * - Select -Ascension Macomb HospitalAscension Providence HospitalAscension St. John HospitalAuthority Health - DetroitBeaumont – Royal OakBeaumont Hospital – DearbornBeaumont Hospital – Royal OakCentral Michigan University - SaginawHenry Ford Allegiance HealthHenry Ford Health System – DetroitHenry Ford Health System – MacombHurley Medical Center – FlintHuron Valley Medical Center – DMCMcLaren Oakland / MSUMcLaren Regional Medical Center/MSU FlintMercy Health Grand Rapids/MSUMichigan State University – East LansingSinai Grace Hospital – DMCSpectrum Health/MSUSt. Joseph Mercy – Ann ArborSt. Joseph Mercy – OaklandSt. Mary Mercy Hospital – LivoniaUniversity of Michigan – Ann ArborWayne State University – DetroitWayne State University – Internal Medicine – RochesterWestern Michigan University School of MedicineOther If other program, please specify: * Program Director * - Select -Amitha Aravapally, MD, FACPAmmar Hatahet, MD, FACPDavid Steinberger, MD, FACPDevorah LaVan, DOEric Ayers, MD, FACPGeetha Krishnmoorthy, MD, FACPGhassan Bachuwa, MD, FACPJarrett Weinberger, MD, FACPJayne Barr, MD, FACPJeet Pillay, MD, FACPJoanne Baker, DO, FACPJoel Appel, DO, FACPJohn Delvalle, MD, FACPMark Spoolstra, MD, FACPMichael Lukela, MDMohamed Siddique, MD, FACPNancy Crossley, MD, MemberOdaliz Abreau Lanfranco, MD, FACPParul Sud, MBBS, FACPPatricia McNally, MD, FACPRaymond Hilu, MD, FACPRobert Bloom, MD, FACPRobert Switzer, MD, FACPRuaa Elteriefi, MD, FACPSandor Shoichet, MD, FACPSarwan Kumar, MD, FACPSethu Reddy, MD, FACPSupratik Rayamajhi MD, FACPTalawnda Bragg, MD, FACPVijay Naraparaju, MD, FACPVivek Kak, MD, FACPOther If other, please specify: * Abstract Category Submitting for: * - Select -Clinical VignetteResearchQuality Improvement Type * Poster Only Poster or Oral Additional Authors (please list) * 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 * If you have questions about the Abstract Competition, please contact Thea Lockard at firstname.lastname@example.org.