Ethical considerations
Students were informed that the survey was optional and anonymous, and that they would provide consent for their information to be included in the study by submitting the questionnaires. No incentives were offered for participation. To ensure student anonymity, each student was responsible for creating their own unique ID number following a series of instructions (e.g., first Initial, last 3 letters from last name, birth month short form). Only composite data, without associated IDs, was shared with Program heads/chairs as an additional step to guarantee anonymity of all responses. The study protocol and aim underwent evaluation by the Hamilton Integrated Research Ethics Board, and a letter of exemption from requiring ethics approval was provided, considering the study’s classification as a quality assurance initiative.