Financial and Competing Interests: DPM is an Associate Editor of the Journal of the Royal College of Physicians of Edinburgh (JRCPE) and serves as Editor/Editorial Board Member/ Reviewer for several other international journals. VR is the Editor-in-Chief of the JRCPE and serves as Editor/Editorial Board Member/Reviewer for several other international journals. This paper has undergone peer review in accordance with JRCPE's policies.
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