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Article History

Received: 1 April 2024

Accepted: 22 November 2024

First Online: 30 November 2024

Declarations

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: This study was approved by the Ethical Review Committee of the Japan Organization for Advancing Medical Education (approval no. 23–26). All participants provided informed consent before participating in the study. This study was conducted according to the ethical standards and principles of the Declaration of Helsinki.

: Informed consent was obtained from all participants for the publication of identifying information in an online open-access publication. All participants read and signed the informed consent document before participating in the study. To ensure confidentiality, all participant data were anonymized prior to analysis. No compensation was provided to the participants for their involvement in this study. In accordance with ethical standards and journal policy, we have obtained explicit informed consent from all actors appearing in the video material associated with this study. The actors have acknowledged and agreed that the video will be published as part of the study’s material.

: JAMEP was involved in collecting and managing data as the GM‐ITE administrative organization. It did not participate in designing and conducting the study, data analysis and interpretation, preparation, review, or approval of the manuscript, and the decision to submit the manuscript for publication. Dr. Nishizaki received an honorarium from JAMEP as the GM ITE project manager. Dr. Tokuda is the director of the JAMEP. Dr. Kobayashi received an honorarium from the JAMEP as a speaker for the JAMEP lecture. Dr. Shikino received an honorarium from the JAMEP as a reviewer of GM ITE. Dr. Shikino, Dr. Shimizu, and Dr. Yamamoto received honoraria from the JAMEP as exam preparers of GM ITE. No other authors possess any competing interests.