The SOPT has held an annual "Clinical Case Competition" since 2003. Fellowship Trainees, residents, and medical students can submit abstracts of interesting cases they have come across in their training through the Academy's online abstract submission process. The abstracts are judged by a committee of pediatric trainee leaders, and the top fifty (50) authors are invited to present their case in poster format at the National Conference and Exhibition. The first-place medical student, resident, and fellowship trainee winners are determined prior to the conference by the Editor-in-Chief of Pediatrics in Review (PIR) based on the abstracts alone. The Editor-in-Chief announces the winners at the SOPT program and following the peer-review process, will publish the cases in PIR as an Index of Suspicion article the following September.