Ethics Committee 2 - Alma Mater Europaea forms

I undertake to conduct the research solely in accordance with the approved research protocol and in compliance with the following principles and obligations:

Statement of Ethical Principles of Research
By signing this declaration, I confirm that I am aware of the ethical principles of research and that I will conduct my research in accordance with the following international and professional documents:

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Principles of the World Medical Association's Declaration of Helsinki,

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Council of Europe Convention for the Protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine (Oviedo Convention),

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A code of ethics for researchers (e.g. ALLEA European Code of Conduct for Research Integrity or a national code),

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The general ethical principles of respect for human dignity, human rights, the well-being of participants, voluntariness and informed consent,

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Principles of data protection, privacy and confidentiality,

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The principles of risk minimisation and proportionality between benefits and risks.

I undertake to act professionally, honestly, impartially and responsibly and in accordance with the highest standards of research integrity.

A STATEMENT BY THE RESEARCHER OF HIS/HER RESPONSIBILITY TO CARRY OUT THE RESEARCH

Declaration of Conduct before the start of the survey
By signing this declaration before the start of the survey, I explicitly confirm that I will respect and comply with the following statements:

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Duty of care
"I undertake to carry out the research conscientiously, professionally and with due diligence and in accordance with all instructions given by the supervisor, the person in charge and applicable professional standards."

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Respecting the competences and limitations
"I understand that as a student I am only obliged to carry out activities for which I am duly qualified and for which I have been expressly authorised. I will not independently perform any clinical interventions or actions that are beyond my competence."

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Following institutional protocols
"I commit to strictly adhere to all safety, clinical and organisational protocols of the research environment in which I am conducting my research, including instructions on monitoring, harm prevention and reporting of discrepancies or errors."

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Personal data protection and confidentiality
"I understand that I am obliged to process personal and health data only in accordance with the authorisations, the ethically approved research and the applicable data protection legislation. I undertake to maintain confidentiality and to notify any breaches immediately."

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Liability for own negligence
"I acknowledge that I may be liable for damages arising from my wilful or grossly negligent conduct in accordance with applicable law (including liability for recourse)."

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Duty to report and take immediate action
"I undertake to report any risk of harm, incident or deviation from protocols immediately to the person in charge or to the mentor and to follow any instructions received."

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Understanding the role of supervision
"I am aware that the research takes place in the working environment of an institution/organisation and I need to follow the instructions and constraints of supervision and adapt the work to my level of competence."

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Date of application

Application for Ethics Committee approval

A STATEMENT BY THE RESEARCHER OF HIS/HER RESPONSIBILITY TO CARRY OUT THE RESEARCH