HAS26 - Abstract Submission & Disclosure Form

Please submit up to three (3) abstract(s) for consideration and complete the financial relationships and release sections. We will be in touch within 2 weeks of submission to advise if your abstract(s) have been accepted for presentation. PLEASE NOTE that abstract presenters must register for the course in order to give their presentations.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

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Abstract Presenter Contact Information
Please complete the following form to provide up to 3 abstracts for consideration. Completion of the disclosure and release forms does not indicate abstract approval. We will be in touch within 2 weeks to confirm if your abstract(s) have been selected by the program committee. PLEASE NOTE that in order to present an abstract, you must be free of any relevant financial relationships over the past 24 months.

All accepted oral abstracts will be presented in person during the Saturday, March 7th "Oral Abstract Session" between 8:30 - 11:30 AM. Electronic poster abstracts will consist of a self-explanatory PPT slide presentation of 5-10 slides that will be included in the online meeting syllabus for course participants.

Upload your abstract in Word document format.

20MB max

All accepted oral abstracts will be presented in person during the Saturday, March 7th "Oral Abstract Session" between 8:30 - 11:30 AM. Electronic poster abstracts will consist of a self-explanatory PPT slide presentation of 5-10 slides that will be included in the online meeting syllabus for course participants.

Upload your abstract in Word document format.

20MB max

All accepted oral abstracts will be presented in person during the Saturday, March 7th "Oral Abstract Session" between 8:30 - 11:30 AM. Electronic poster abstracts will consist of a self-explanatory PPT slide presentation of 5-10 slides that will be included in the online meeting syllabus for course participants.

Upload your abstract in Word document format.

20MB max

AA
ACNPC-AG
ADN
AGACNP-BC
ACNP-BC
APRN
BA
BS
BSN
CCP
CCRC
CCRP
CCTC
CGC
CNP
CRA
DMSc
DNP
DO
DPT
FACC
FNP-C
FRCSEd(CTh)
MA
MACC
MBChB
MBA
MBBS
MD
MDCM
MHDS
MPAS
MPH
MS
MSN
NP
PA
PA-C
PCCN
PharmD
PhD
PHN
RN
RNFA
RT
RT(R)
SM

Enter your Hospital/Institution(s) as you would like it to appear in the meeting materials.

Enter your mailing address

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Financial Relationships Description
As a prospective participant, we would like to ask for your help in protecting our learning environment from industry influence. Please complete and submit the form below. The ACCME Standards for Integrity and Independence require that we disqualify individuals who refuse to provide this information from involvement in the planning and implementation of accredited continuing education. Thank you for your diligence and assistance. If you have questions, please contact info@promedicacme.com.

Identify the prospective role(s) that you will have in the planning and delivery of this education (choose all that apply).

Speaker/Faculty
Moderator
Planner
Peer Reviewer
Course Director
Abstract Presenter
Financial Relationships Declaration
To be Completed by Planner, Faculty, or Others Who May Control Educational Content:

IMPORTANT: Please review the collection of financial relationships information. If you have had any financial relationships in the past 24 months with ineligible companies, please make the appropriate selection below and enter the name of the ineligible company(ies) and the nature of the financial relationship(s) on the following page.There is no minimum financial threshold; we ask that you disclose all financial relationships, regardless of the amount, with ineligible companies. You should disclose all financial relationships regardless of the potential relevance of each relationship to the education.

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Financial Relationships Declaration
To be Completed by Planner, Faculty, or Others Who May Control Educational Content:

Enter the Name of Ineligible Company

An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. For specific examples of ineligible companies visit accme.org/standards.

Enter the Nature of Financial Relationship

Examples of financial relationships include employee, researcher, consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and ownership interest. Individual stocks and stock options should be disclosed; diversified mutual funds do not need to be disclosed. Research funding from ineligible companies should be
disclosed by the principal or named investigator even if that individual's institution receives the research grant and manages the funds.

Has the Relationship Ended?

If the financial relationship existed during the last 24 months, but has now ended, please choose "no". This will help the education staff determine if any mitigation steps need to be taken.

If you need to add more than one company, click the "Add Row" button.

Enter the Name of the Ineligible Company Enter the Nature of the Financial Relationship Has the relationship ended?
Yes
No

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Financial Relationships Declaration
To be Completed by Planner, Faculty, or Others Who May Control Educational Content:
  • The financial relationship information I provided is correct as of this date of submission. 
  • Any clinical recommendations I make will be evidence-based and free of commercial bias (e.g., based on peer-reviewed literature and/or evidence-based practice guidelines). 
  • I will not discuss any unlabeled uses of products.

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Faculty Release
The Houston Aortic Symposium: Frontiers in Cardiovascular Diseases, the Seventeenth in the Series, taking place March 6-8, 2025, may videotape, audiotape, and/or reproduce portions of the symposium for the purpose of reference and/or teaching. Approved faculty slides will be made available online in PDF format for attendees to access after the symposium in the online meeting syllabus.

By choosing "YES" below, I authorize The Houston Aortic Symposium 2026 to videotape and audiotape my complete presentations(s) and consent to allow the use and reproduction of my name, presentation(s), and all materials contained in my presentation(s). My videotaped and audiotaped presentation(s) and materials will only be used, reproduced and distributed within the context of the conference program. To the best of my knowledge, use, and reproduction of the materials or information used in my presentation(s) will not violate any third party’s copyrights or other property rights. To the extent copyrighted or trade secret materials are used, reproduced or displayed with my presentation(s), I have obtained written permission to use, reproduce, and distribute such materials from the copyright owner.

YES, I give my permission for my presentation(s) to be videotaped and/or audiotaped
NO, I do not give my permission for my presentation(s) to be videotaped and/or audiotaped

YES, I give my permission to share my slides as a PDF online with meeting attendees
NO, I do not give my permission to share my slides as a PDF online with meeting attendees

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CV

The accredited provider, Promedica International CME, is required to keep speaker CVs in an accreditation file. Please upload your current CV in Word or PDF format.

20MB max
Faculty Resources
As an important contributor to our accredited education, we would like to enlist your help to ensure that educational content is fair and balanced.

Faculty Resources Page

Review the link above, covering clinical content validity, implicit bias, and cultural and linguistic competency. Check the box to attest to receipt of this information.