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Article History

Received: 15 January 2026

Accepted: 15 June 2026

First Online: 20 June 2026

Declarations

:

: Ethical review and approval for this study was granted by the Ethics Committee of the Rhineland-Palatinate State Medical Association, as the project was primarily focused on quality assurance in education and training. The procedure number for this study is 2023–17016. The Ethics Committee of the Rhineland-Palatinate State Medical Association is an independent institution responsible for all physicians working with the jurisdiction of the Rhineland-Palatinate State Medical Association. The study complies with the Declaration of Helsinki and informed consent for participation was obtained from all participants in accordance with the requirements of the ethics committee. All participants were fully informed about the study in advance and participated voluntarily.

: Not applicable. All data presented in this study are fully anonymized, and no identifiable personal information is included.All authors have given their consent to the publication of this article.

: The authors declare no competing interests.