Macpherson Society application for scientific exhibit space at the Annual Postgraduate Convention

Application for scientific exhibit space: February/March

Return this form to Medical Alumni Association 11245 Anderson Street, Suite 200, Loma Linda, CA 92354, application deadline is January 12 of each year.

Title of exhibit (Please type of print clearly.)



(An 8' X 4' poster board will be provided for you exhibit. No "title of exhibit" sign is furnished. Please include the title of your exhibit on your poster presentation.) 

Sponsoring department and institution__________________________________




Name and degree of each author.
Rank or position and department.
Check if attending session

Mailing address of first author_____________________________________

Telephone number of first author_________________________________________

First author's position:

Medical student  MD/PhD student  Resident or postdoctoral fellow  Staff 

Study design:

Case report  Retrospective or literature review  Prospective

Descriptive summary of the presentation (Limit 25 words. This will be published in the convention program.)

Medical students, residents and fellows: Please type an abstract on a separate sheet of paper. Please submit an original and two copies of this abstract. If no abstract is submitted by January 12 of year, the presentation will not be eligible for the Macpherson Society awards.