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Please see the following link: . Participants consented verbally to participate in the interviews for the qualitative portion of the study. The quantitative data was obtained from the National Institute of Public Health of Mexico Continuing Education database. Databases are not available to the general public but are guarded by Cynthia Rosas Magallanes who is a co-author for this article.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"111"}}