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Authors
Rajan, Arvind https://orcid.org/0000-0003-4833-845X
Alexander, Seth McKenzie https://orcid.org/0000-0002-2706-2696
Shenvi, Christina L. https://orcid.org/0000-0003-2944-8581
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Article History
Received: 4 September 2024
Accepted: 27 July 2025
First Online: 6 August 2025
Declarations
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: The project was reviewed and determined to be exempt by the University of North Carolina at Chapel Hill Institutional Review Board (UNC IRB 24-0164), with an approved waiver of informed consent. Approval to use and access the deidentified exam responses was granted by the UNC Office of the Registrar.
: The authors report no conflict of interest.
: None.
: None.
: None.
: None.
: The authors declare no competing interests.
