Abstract Submission Form - Pasifika Medical Association Conference 2021 'Reconnect, Reflect, Reframe, Re-energise'

1. Abstract Details

Please submit an abstract of no more than 250 words of your presentation and ensure you include the title of your abstract, your chosen conference theme, and full names of all authors. Presentations are 10 minutes long with Talanoa to follow.

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* 1. Have you read the Abstract Guidelines made available on our website www.pacifichealth.org.nz

Yes

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* 2. Title of abstract presentation

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* 3. Abstract (max. 250 words)

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* 4. Which conference theme/ stream aligns best with your abstract presentation?

RECONNECT: Mental Health Innovation and Integration

REFLECT: Humanitarian Assistance and Recovery

REFRAME: What’s New in Climate Change

REENERGISE: Moving Pacific Horizons Towards Equity

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* 5. Additional authors

Author 1

Author 2

Author 3

Author 4

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* 6. Presentation delivery requirements (Note that standard equipment will be made available if needed such as laptop, data projector, flip-charts, pens. Please specify any additional requirements not listed).

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* 7. Presenter Details

Title (Dr, Hon, Professor, Associate Professor, etc)

First Name

Last Name

Qualifications

Organisation/ Place of Work

Position title

Email (Required)

Contact number (Required)

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* 8. Postal Address

Street Address

Suburb

City

Postcode

Country

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* 9. Declaration of original work and informed consent
The following declaration must be provided by presenter (you) and on behalf of co-authors (if applicable) for abstract presentations to be considered.

I declare that this research/work is my/our original work and consent to publication in the official conference proceedings and related publications (Please select Yes or No).

Yes

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* 10. We also invite you to submit a paper for publication in the Pacific Health Dialog (PHD) Journal of Pacific Research. We promote all research relating to the Pacific region with a particular focus on Community Health and Clinical Medicine. It is the only MEDLINE listed Medical and Public Health journal published specifically for Pacific Island countries and covers a broad range of topics. For more information, please email submissions@pacifichealthdialog.co.nz.

Okay