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Article History

Received: 24 May 2025

Accepted: 21 July 2025

First Online: 1 September 2025

Declarations

:

: The authors declare no competing interests.

: The study protocol received exemption from the Lake Erie College of Osteopathic Medicine Institutional Review Board (Protocol #32 − 016). The research was conducted in accordance with the ethical principles of the Declaration of Helsinki. As part of the IRB-approved protocol, the requirement for written informed consent was waived due to the anonymous nature of the survey. However, all participants were provided an introductory information sheet outlining the study’s purpose, risks, and confidentiality protection and were required to indicate understanding and agreement before beginning the survey.

: Not applicable.