Gunlefinger, Amanda C.
Smith, Hannah R.
Klemens, Jeffrey A.
Tomicek, Nanette J.
Article History
Received: 14 August 2025
Accepted: 3 March 2026
First Online: 10 March 2026
Declarations
:
: This study was reviewed by the Institutional Review Board at Thomas Jefferson University and was determined to be exempt under 45 CFR 46.104(d), Category 4 (Secondary Data and Tissue Use). The study was conducted in accordance with institutional and federal guidelines and regulations. This study was reviewed and determined to be exempt by the Institutional Review Board at Thomas Jefferson University. Informed consent from individual participants was not required because the data were collected as part of normal educational practice and analyzed in de-identified form.
: This article does not contain any individual person’s identifiable data in any form. As the study analyzed de-identified data collected as part of normal educational practice, consent to publish from participants was not required.
: The authors declare no competing interests.