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Participant Consent Form

Project Title: Twitter in Medical Education: An Exploration of Medical Students' Views on Twitter Researcher: Christopher Mysko Supervisor: Laura Delgaty Please tick to confirm

Statements
1. I have read and understand the participant information document. 2. I have had the opportunity to consider the information and had any questions answered to a standard that is satisfactory. 3. I understand that participating in this study is entirely voluntary and I have the right to withdraw at any time without reason. 4. I understand that what I say during the interview will be audio recorded and I give permission for this. 5. I understand that the academic supervisor Laura Delgaty will also have access to the information and I give permission for this. 6. I give permission for the researcher to use the anonymised data for other academic purposes. 7. I understand that the researcher is obligated to breach confidentiality if something unprofessional is disclosed during the interview which suggests others may be at significant risk of harm. 8. I agree to take part in the research study. 9.

_________________________________ Name of Student (Printed)

_________ __________________________________ Date Signature

__________________________________ Name of Researcher (Printed)

_________ __________________________________ Date Signature

Researcher Contact Information


Christopher Mysko Mob: 07899942078 Email: christopher.mysko@ncl.ac.uk

Supervisor Contact Information


Laura Delgaty Tel: 0191 246 4522 Email: l.e.delgaty@ncl.ac.uk

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