Call for Abstract Submission Form Presenter InformationPrefixMr.Mrs.Ms.Dr.ProfessorOther, please specifyOther Prefix First Name* Last Name* Presenter Type (select all that apply)* Clinician Researcher Nurse Industry Other Please indicate presenter type DegreeDoctor of Medicine (M.D)Doctor of Philosophy (Ph.D.)Doctor of PharmacyDoctor of Veterinary MedicineOther, please specifyOther Degree Academic LevelAssociate ProfessorAssistant ProfessorFellowInstructorLecturerMaster StudentPhD StudentProfessorResidentOther, please specifyOther Academic Level Work PhoneCell Phone*Email* Enter Email Confirm Email Company/Institution* Address City State/Province Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweDo you have any disclosures* Yes No Please list disclosuresCoauthors (multiple)Please enter the name, email and associated institution of each co-author. For additional authors, click the "+" icon after the last text field.First NameLast NameEmail AddressInstitutionDisclosures Poster Type (select all that apply)* Basic Science Translational Research Clinical Research Industry Patient Advocacy Poster Sub-Type (select all that apply)* Developmental Therapeutics Case Study Encore Poster Epidemiology Clinical Trials in progress Patient-focused content Precision Medicine Early Detection Abstract Title - Briefly describe the focus and content of the abstract. (<125 characters, including spaces)*Background and Objective - Provide a statement of the objective of the study. (<500 characters, including spaces)*Methods - Describe who, what, where, when and how the study was done. (<1,000 characters, including spaces)*Results - Explain "data rich" results. (<1,000 characters, including spaces)*Conclusion - State what can be concluded from the study and its implications. (<250 characters, including spaces)*Will a 3rd party vendor, such as Parexel or Envision Pharma Group, be assisting with your poster? Yes No If yes, which company assisting you? Upload any supporting charts or diagrams.Accepted file types: ppt, pptx, jpg, gif, png, pdf, doc, docx, xls, xlsx, Max. file size: 36 MB. For any inquiries or concerns regarding abstract submission, please contact research@cholangiocarcinoma.org