Surgical Video submission form

Please complete the form, taking care to fill in all the required information. If you have any questions about your submission, please contact the ESCP Secretariat

Main author details:

Full name

Email address

Affiliations

Please give: name of institution, city, country

Presenting author details:

Full name

Email address

Affiliations

Please give: name of institution, city, country

Additional authors and affiliations:

Please enter all other authors and their respective institutions, city and country, in the order that they should be printed.

Video

Please ensure that you have referred to the video submission guidelines provided

Title

URL

Paste the URL of your video here

Length of video

e.g. 05 minutes, 37 seconds

Please submit an abstract to accompany your video.

Abstracts should be no longer that 200 words maximum.

Tables should not be submitted on the form.

Abstract

Webcasting Authorisation

If my submission is accepted, I am willing for my presentation to be made available to ESCP members on the ESCP website after the meeting

Author declaration

Do the author(s) have any commercial interest or associations that might pose a conflict of interest regarding this submission?

If you answered 'Yes' above, please give details here:

Data collection

ESCP and its Event Organiser collect and handle your personal and business information for the purposes mentioned in the ESCP Abstract Privacy Notice. This may involve sharing data with appropriate third-parties in order to grade and publish accepted abstracts as noted in the ESCP Abstract Privacy Notice.

I give my consent

The ESCP Abstract Privacy Notice can be read here

I agree that ESCP can collect my personal data to process my abstract submission

If my abstract is accepted, I confirm my agreement that ESCP can use my personal data to publish my submitted abstract

I agree to ESCP sharing my personal information with the appropriate grading panel in order to process my abstract submission

By not agreeing to this, it will be impossible for us to process your abstract submission for the ESCP congress

If my abstract is accepted, I confirm my agreement that ESCP can share my personal data with the appropriate editing panel in order to process my submitted abstract

In submitting this abstract, I confirm that it has been approved by all authors.

Submitted by:

Please give full name

Email address

Please enter the code

Surgical Video submission form

Video

Webcasting Authorisation

Author declaration

Data collection

About ESCP

News & Events

Education

Research

Members

Contact Us

Surgical Video submission form

Video

Webcasting Authorisation

Author declaration

Data collection

About ESCP

News & Events

Education

Research

Members

Contact Us

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