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 * Residency Program Select Program: * - Select -Allegiance HealthBeaumont Hospital – DearbornBeaumont Hospital – Farmington HillsBeaumont Hospital – Royal OakCentral Michigan University – SaginawGrand Rapids Medical Education Partners/MSU - Grand RapidsHenry Ford Health System – DetroitHenry Ford Health System – MacombHurley Medical Center/MSU – FlintHuron Valley Medical Center – WSU-DMCMcLaren Regional Medical Center/MSU – FlintMichigan State University - East LansingSt. John Hospital Providence - SouthfieldSinai Grace Hospital - DMC – DetroitSt. John Hospital and Medical Center - Grosse PointeSt. Joseph Mercy - Ann ArborSt. Joseph Mercy - Oakland - PontiacSt. Mary Mercy Hospital - LivoniaUniversity of Michigan - Ann ArborWayne State University - Crittenton Hospital - RochesterWayne State University - DMC - DetroitWestern Michigan University School of Medicine - KalamazooOther If other program, please specify: * Program Director * - Select -Vivek Kak, MD, FACP – Allegiance HealthSandor Shoichet, MD, FACP – Beaumont Hospital – Royal OakPatrician Dhar, MD, FACP – Central Michigan UniversityTalwanda Bragg, MD, ACP Member – Grand Rapids Medical Education PartnersSean Drake, MD, FACP – Henry Ford Hospital - DetroitAmitha Aravapally, MD – Henry Ford Hospital - MacombGhassan Bachuwa, MD, FACP – Hurley Medical CenterSusan J. Smith, MD, FACP – McLaren Regional Medical CenterJeet N. Pillay, MD, FACP – Huron Medical CenterSupratik Rayamajhi, MD, FACP – Michigan State University – East LansingRuaa Elteriefi, MD, FACP – Beaumont Hospital – DearbornRobert Bloom, MD, FACP – St. John Providence HospitalMohamed Siddique, MD, FACP – Sinai Grace Hospital – DMCRaymond Hilu, MD, FACP – St. John Hospital & Medical Center – Grosse PointePatrician McNally, MD, FACP – St. Joseph Mercy Hospital – Ann ArborBenjamin Diaczok, MD, FACP – St. Joseph Mercy Hospital – OaklandDavid Steinberger, MD, FACP – St. Mary’s Mercy Hospital - LivoniaJohn DelValle, MD, FACP – University of Michigan Hospital – Ann ArborKhalid Zakaria, MD, FACP – Wayne State University – CrittentonJarrett Weinberger, MD, Member – Wayne State University – DMCMark Loehrke, MD, FACP – Western Michigan University – KalamazooJoseph D’Ambrosio, MD, FACP – Western Michigan University – Med PedsNancy Crossley, MD, Member – Beaumont Hospital – Royal Oak – Med PedsStacey Shubeck, MD – Beaumont Hospital – Royal Oak – Med PedsVijay Naraparaju, MD, FACP – Hurley Medical CenterEric Ayers, MD, FACP – Wayne State University – Med PedsMichael Lukela, MD – University of Michigan – Med PedsOther If other, please specify: * Abstract Category Submitting for: * - Select -Clinical VignetteBasic Science ResearchClinical ResearchCQIEBM Type * Poster Only Poster or Oral 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 * If you have questions about the Abstract Competition, please contact Thea Lockard at firstname.lastname@example.org.