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Although the educational activity was institutionally characterised as a curricular practice exempt from formal ethics review under Brazilian regulations (CNS Resolution 510\/2016 [\n                      \n                      ]; CONEP Circular Letter 01\/2018 [\n                      \n                      ]), 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 Sulam\u00e9rica 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.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participant data and images have been anonymised.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1671"}}