Video Contest Submssion

ASRA 2010 Annual Pain Medicine Meeting and Workshops

The deadline for submissions is October 15, 2010

Also available as PDF (7.9MB)

Video Requirements:

• Duration should not exceed 10 minutes in length.
• Content should adequately demonstrate the conventional procedure/protocol for the specific intervention.
• All patient identifying characteristics should be masked in the final presentation.
• WMV, MPG, MPEG, AVI, MP4, FLV, MOV, MOOV video files only

Submission Criteria:

• Only ASRA members may submit entries.
• Resident/Fellow members must work with a faculty member who is also a member of ASRA.
• All submissions must be received by ASRA prior to the published deadline.
• Submissions must follow the established template.
• Content should be reviewed for quality such as accuracy, reliability, grammar, spelling and composition before submitting.
• All photos, videos, diagrams, patient participation, etc. must have the appropriate documented consent.
• The author(s) must document that the content is original or appropriately cite the previously published work.
• All accepted submissions will become property of ASRA and may be published on an educational website supported by ASRA.
• Not all submissions will be published on the ASRA website.  Rejected submissions will be returned to author(s).

Poster Requirements:

All written abstracts should include the following:

• Brief history of procedure
• Indications for the procedure
• Contraindications
• Technique including drugs, equipment, imaging, and discharge instructions, etc.
• Complications
• References
  
  

* Required   *Video title: Primary Author : * First Name: * Last Name:   Middle Initial: * Degree: * Institute:   Department: * Address: * City: * State: * Postal Code:   Country: * Email Address: Authors -- You may provide up to 4 additional authors.     Author 2 Author 3 Author 4 Author 5 * First Name * Last Name   Middle Initial * Degree * Institute   Department * Address * City * State * Postal code   Country * Email Disclosure Statement - Co-authors must agree with the Disclosure Statement? * Agree? Yes Yes Yes Yes Copyright License - TOP My presentation will comply with the Copyright License and I agree to the terms stipulated. General Information - TOP I/we have referred to all drugs consistently by generic names in the abstract. Yes No I/we verify that the above information is complete and accurate. Yes No   Disclosure Statements - TOP All authors must answer the following disclosures. See the Disclosure Statement for details.   Primary Author Author 2 Author 3 Author 4 Author 5 Speaker Bureau Yes No Yes No Yes No Yes No Yes No Research Support Yes No Yes No Yes No Yes No Yes No Consultant Yes No Yes No Yes No Yes No Yes No Shareholder Yes No Yes No Yes No Yes No Yes No Other Yes No Yes No Yes No Yes No Yes No Company My presentation will comply with the Disclosure Statement and I agree to the term stipulated. Video Description Abstract - TOP All video descriptions should include the following: Brief history of procedure Indications for the procedure Contraindications Technique including drugs, equipment, imaging, and discharge instructions, etc. Complications References Description length is limited to 3300 characters. You currently have characters left Most special characters display properly. If you need to use special characters and they do not translate properly, you can select the appropriate character from the list below, copy it, then paste it into the abstract body at the appropriate place. © ® ™ ± ≤ ≥ ≠ ≡ ≈ ≅ ∼ ∴ ∫ ⊂ ⊃ ⊄ ⊆ ⊇ Α Β Γ Δ Ε Ζ Η Θ Ι Κ Λ Μ Ν Ξ Ο Π Σ Τ Υ Φ Χ Ψ Ω α β γ δ ε ζ η θ ι κ λ μ ν ξ ο π σ τ υ φ χ ψ ω