Abstract Submission Form

Please review the Abstract Guidelines on the Pendergrass Symposium website before submitting your abstract. The electronic file name should be your first and last name.

Name (This format will be used for the final agenda.) Name (This format will be used for the final agenda.) Title First Middle Last Suffix
Degree (These degrees will appear on the final agenda.)
Position

Position Medical Student Undergraduate Student Graduate Student Resident Clinical Fellow Post-doctoral Fellow
Primary location of your training program

Primary location of your training program HUP/PAH/PPMC CHOP
Which title best applies?

Which title best applies? Basic Science Trainee Clinical Trainee
Faculty Advisor/Mentor
Primary Work Email Address
Cell Phone Cell Phone - ### - ### ####
Please consider my abstract for:

Please consider my abstract for: Oral/Poster Presentation Poster Presentation only
Harvey Nisenbaum Award

Harvey Nisenbaum Award This work was completed at PPMC and I request it be considered for the Harvey Nisenbaum Award.
My abstract category is:

My abstract category is: 1. Image Generation and Quantitative Imaging – Basic Methodology 2. Image Analytics and Informatics – Basic Methodology 3. Molecular Imaging and Imaged-Guided Therapy – Basic Methodology 4. Clinical Research - Clinical Imaging Scholarship including Clinical Imaging Trials, Global Health and Teaching (BAIR, Global Health, TEACH) 5. Image Generation and Quantitative Imaging - Applications to Translational and Early Clinical Studies 6. Image Analytics and Informatics - Applications to Translational and Early Clinical Studies 7. Molecular Imaging and Image-Guided Therapy - Applications to Translational and Early Clinical Studies 8. Clinical Research - Clinical informatics, Care Delivery, and Clinical Practice Support (Healthcare Leadership in Quality, Informatics)
Abstract Title
Maximum of 100 characters allowed. Currently Entered: 0 characters.
Upload Abstract PDF

Attach Files

The PDF should be named using your first and last name. One (1) submission per person. Maximum 350 words.