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Article History

Received: 12 November 2025

Accepted: 29 June 2026

First Online: 23 July 2026

Declarations

Ethics approval and consent to participate: This study utilised anonymised pedagogical data collected within the curricular framework. Although the educational activity was institutionally characterised as a curricular practice exempt from formal ethics review under Brazilian regulations (CNS Resolution 510/2016 [50]; CONEP Circular Letter 01/2018 [43]), the present manuscript constitutes a secondary interpretive qualitative analysis of anonymised materials conducted after the completion of the curricular activity. The institutional ethics exemption declaration is provided as Supplementary File 2. Verbal informed consent was obtained from all participants at the outset of the immersion period, communicated by the supervising faculty member in a formal classroom session and documented in the course attendance record. Participants were informed of the voluntary nature of participation, the absence of any influence on academic evaluation, and the full anonymisation of all data prior to analysis. All materials were de-identified prior to analysis. The study adhered to the Declaration of Helsinki. The enrolment agreement at Sulamérica Faculty explicitly authorises student images for educational purposes (Clause Eight, Section IV). No identifiable images of patients, community households, or community members were included; all visual materials depict exclusively educational activities involving students. The institutional declaration of curricular integration is provided as Supplementary File 1.

Consent for publication: All participant data and images have been anonymised.

Competing interests: The authors declare no competing interests.