ArticleJournal of bronchology & interventional pulmonology2019
Learning Electromagnetic Navigational Bronchoscopy and Percutaneous Transthoracic Needle Biopsy (LEAP): A Pilot Study.
Article in Journal of bronchology & interventional pulmonology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Interventional Pulmonary Fellowship Training: End of the Beginning.ATS scholar · 2023Article
- A Multicenter Study Assessing Interventional Pulmonary Fellow Competency in Electromagnetic Navigation Bronchoscopy.ATS scholar · 2022Article
- Learning Curves in Electromagnetic Navigational Bronchoscopy: What Do They Tell Us?ATS scholar · 2022Article
- Training in interventional pulmonology: the European and US perspective.European respiratory review : an official journal of the European Respiratory Society · 2021Article
- Standardizing education in interventional pulmonology in the midst of technological change.Journal of thoracic disease · 2020Review
- Virtual or reality: divergence between preprocedural computed tomography scans and lung anatomy during guided bronchoscopy.Journal of thoracic disease · 2020Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundPrior studies in pulmonology have examined the validity of procedural training tools, however, translation of simulation skill acquisition into real world competency remains understudied. We examine an assessment process with a simulation training course for electromagnetic navigational (EMN) bronchoscopy and percutaneous transthoracic needle aspiration (PTTNA).
methodsA cohort study was conducted by subjects using EMN bronchoscopy and PTTNA. A procedural assessment tool was developed to measure basic competency for EMN bronchoscopy and PTTNA at 3 different time points: first simulation case, final simulation case upon reaching a competent score, and at their first live case. The assessment tool was divided into 4 domains (total score, 4 to 16; competency ≥12) with each domain requiring a passing score (1 to 4; competency ≥3.0). Complication and procedural time were collected during their first live case.
resultsTwenty-two serial procedures (12 EMN bronchoscopies, 10 EMN PTTNA) were observed by 14 subjects. The mean first simulation score for EMN bronchoscopy (4.66±0.89) improved after cadaver simulation (12.67±0.89, median 3 simulations attempts). The subjects' mean score for their first live case was 13.0±0.85 (self-reported score 12.5±1.07). For EMN PTTNA, the mean first simulation score (4.3±2.40) improved after cadaver simulation (12.6±1.51, median 3 simulation attempts). The subjects' mean score for their first live PTTNA case was 12.5±2.87 (self-reported score 12.1±1.05). There was only 1 minor complication.
conclusionLearning EMN bronchoscopy/PTTNA is feasible using a structured simulation course with an assessment tool.
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Registered trials
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