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funding sources and no conflicts of interest related to this financial arrangement.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
The study was performed in accordance with the ethical principles as stated in the Declaration of Helsinki.
This study was reviewed and determined to be exempt by the Institutional Review Board (IRB) at the
University of California, San Francisco. The study met the criteria for exemption as it involved anonymous
survey data collection with minimal risk to participants. Participation was entirely voluntary, and all
participants provided informed consent electronically before beginning the survey. Participants were
informed about the purpose of the study, the approximate time commitment, and their right to withdraw at
any time without penalty.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2025.

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