Video Abstract Submission

The deadline for submissions is September 1, 2011

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Guidelines for Submissions for the ASRA Interventional Pain Educational Video AND Poster Abstracts

Objective: To create comprehensive educational materials related to INTERVENTIONAL PAIN MEDICINE (i.e., procedures) to be used as a supplement to education for pain physicians.

Submission Criteria:

1. Only ASRA members may submit entries.
   
   
2. Resident/Fellow ASRA members who wish to submit must work with a faculty member who is also a member of ASRA
   
   
3. All submissions must be received by ASRA prior to the published deadline
   
   
4. Submissions must follow the established template detailed below
   
   
5. Content should be reviewed for quality such as accuracy, reliability, grammar, spelling, and composition before submitting
   
   
6. Submitted materials will be considered FINAL productions
   
   
7. All photos, videos, diagrams, patient participation, etc. must have appropriately documented patient consent
   
   
8. The author(s) must document appropriately cite previously published work
   
   
9. All accepted submissions will become property of ASRA and may be published on an educational website supported by ASRA
   

Video Requirements:

1. Duration may not exceed 10 minutes
   
   
2. Content must adequately demonstrate the techniques for performing the specific intervention. Content should include—but is not limited to—the preparation for the procedure, the steps involved with performing the procedure, and any imaging or significant details related to the completion of the procedure.
   
   
3. The content of the video should ONLY include instruction and demonstration of how to perform the given intervention.
   
   
4. All patient identifying characteristics (facial, in particular) must be appropriately masked

Poster Requirements (the poster is a supplement to the video that will include the following detail):

1. Brief history of procedure
   
   
2. Indications for the procedure
   
   
3. Contraindications
   
   
4. Technique including drugs, equipment, imaging, and discharge instructions, etc.
   
   
5. Complications
   
   
6. References

Criteria for Competition:

1. Accepted videos will be posted for viewing and voting for a period of 3 weeks
   
   
2. The authors of the top 5 videos will be notified prior to the beginning of the meeting
   
   
3. All posters and videos will be on display during designated times during the meeting
   
   
4. Author(s) must be presented at the time of viewing during their assigned time
   
   
5. The top 5 videos will be formally presented by the authors during a final judging session.
   

* 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. In consideration of ASRA reviewing this abstract submission, the authors hereby transfer, assign and otherwise convey all copyright in the abstract submission to the Society in the event it is published by the Society. The names of all authors and other information about the authors contained in the abstract submission will be maintained in the abstract submission in the event it is published by the Society. Yes   No 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