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The study protocol was approved by the Vice Chancellor for Research at Mashhad University of Medical Sciences (Registration No. 992357) and the National Agency for Strategic Research in Medical Education (Registration No. 4000928). All procedures aligned with the School of Medicine of Mashhad University of Medical Sciences and Iran Research Ethics Committees of the National Agency for Strategic Research in Medical Education (\n                      \n                      ; Approval ID: IR.MUMS.MEDICAL.REC.1400.504 and IR.NASRME.REC.1401.029; Approval Date: 2021-08-10 and 2022-11-01, respectively).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1239"}}