Submission Form - 4th IWHC

Submission Type

Date

Which Congress theme would this activity address?

Artificial intelligence in Healthcare

Capacity Building in Health Research

Climate Change

Collaborative Heath Research

Communicable and Chronic Diseases

Innovation and Technology

Interdisciplinary Community Health Approach

Maternal and Child Health

Mental Healthcare: Novel Paradigms

Navigating the World of Publication

Noncommunicable Diseases and their Determinants

Public Health Challenges and Policy Reform

Redefining Ethical Standards

Student Education Exchange Programs

Simulation Training

Transforming Healthcare Education

Other:

Abstract Title (200 character limit)

0 / 200

Panel Title (200 character limit)

Workshop Title (200 character limit)

Primary Speaker

Degree

Institution

Email

Phone

Primary Speaker Birth Day

Primary Speaker Birth Month

Submit your Abstract here (10000 character limit)

Please submit the writeup as you would like it to appear in the Proceedings. Include rationale, background, findings, discussion, outcome, lessons learned, and future directions as appropriate.

0 / 10000

Submit your Panel here (10000 character limit)

Please submit the writeup as you would like it to appear in the Proceedings. Include rationale, background, findings, discussion, outcome, lessons learned, and future directions as appropriate.

Primary Speaker Bio (300 word limit)

This Bio will be published in the Congress Booklet. Please provide a consice summary of your professional achievements.

0 / 250

0 / 2500

Submit your Workshop here (10000 character limit)

Please submit the writeup as you would like it to appear in the Proceedings. Include rationale, background, findings, discussion, outcome, lessons learned, and future directions as appropriate.

Primary Speaketr: Fill and Save Conflict of interest (COI) Form then upload here

Access COI form at https://www.unmc.edu/cce/rss/coi.pdf

Primary Speaker: Upload a recent headshot here

Additional Speakers or Co-authors

Second Speaker or Co-author


Name
Email Address
Institution

Third Speaker or Co-author


Name
Email Address
Institution

Fourth Speaker or Co-author


Name
Email Address
Institution

Fifth Speaker or Co-author


Name
Email Address
Institution

Sixth Speaker or Co-author


Name
Email Address
Institution

Submission Form - 4th IWHC - SousseAll expenses related to Congress registration, airfare, lodging, extended social program, and other fees associated with any submission and/or presentation are the responsibility of the presenter or their institution.

Additional Speakers or Co-authors