Evidence map›Paper›PMID 37538081›Full record

ArticleATS scholar2023

A Longitudinal Study of Multimodal Bronchoscopy Training in Uganda.

Dipan N Karmali, A Christine Argento, Bruce Kirenga, Hitesh Batra, Hans J Lee, Christina R MacRosty, Guil R Lerner, Trishul Siddharthan, William Worodria, Peter Jackson

Abstract read
In one paragraph

Article in ATS scholar, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Bronchoscopy in children: A review of services in sub-Saharan Africa.African journal of thoracic and critical care medicine · 2024
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dipan N KarmaliDivision of Pulmonary and Critical Care, University of Miami Health System, Miami, Florida.ORCID https://orcid.org/0000-0003-4806-3695
A Christine ArgentoDivision of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, Maryland.ORCID https://orcid.org/0000-0002-3807-7690
Bruce KirengaCollege of Health Sciences and.ORCID https://orcid.org/0000-0002-2023-2840
Hitesh BatraDivision of Pulmonary and Critical Care, University of Alabama Birmingham, Birmingham, Alabama.ORCID https://orcid.org/0000-0002-4934-1434
Hans J LeeDivision of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, Maryland.ORCID https://orcid.org/0000-0003-0134-8917
Christina R MacRostyDivision of Pulmonary and Critical Care, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; and.ORCID https://orcid.org/0000-0001-6344-4408
Guil R LernerDivision of Pulmonary and Critical Care, University of Miami Health System, Miami, Florida.
Trishul SiddharthanDivision of Pulmonary and Critical Care, University of Miami Health System, Miami, Florida.ORCID https://orcid.org/0000-0001-9914-1839
William WorodriaCollege of Health Sciences and.ORCID https://orcid.org/0000-0002-8531-5567
Peter JacksonDivision of Pulmonary and Critical Care, Virginia Commonwealth University, Richmond, Virginia.ORCID https://orcid.org/0000-0001-5108-9381

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Flexible bronchoscopy is an essential tool in diagnosing and managing pulmonary diseases. However, there is limited capacity for bronchoscopy in low and middle income countries (LMICs). In 2019, a pilot program for flexible bronchoscopy training was launched for local physicians in Kampala, Uganda. We then conducted a follow up multimodal bronchoscopy course after 2 years. Objective: The aim of this study is to assess a longitudinal multimodal bronchoscopy training in an LMIC setting. Methods: A multimodal follow up curriculum was developed with pulmonologists from Uganda and the United States. The training was delivered to Ugandan providers who attended previous bronchoscopy training and new participants. The training included a prepared curriculum consisting of lectures, simulations, and deliberate practice-based proctoring. A 12-question multiple-choice exam was administered at the beginning and end of the course, assessing knowledge. Procedural competency was measured using a validated assessment tool called the BSTAT (Bronchoscopic Skills and Tasks Assessment Tool). Results were analyzed to evaluate the retention of knowledge among those who took part in previous training and the efficacy of the follow-up curriculum for participants without previous training. Results: Among the participants who attended didactic training in 2022 (11), mean exam scores were improved after training, from 43.9 (standard deviation [SD], 11.3) to 59.8 (SD, 16.1) (mean difference [MD], +15.9; SD, 13.9; Conclusion: This study provides an example of how a longitudinal multimodal bronchoscopy curriculum can improve competency and proficiency for local physicians in an LMIC.

Indexed as

coronavirus disease (COVID-19)global health educationlow–middle-income countries

Identifiers

PMID37538081
PMCPMC10394594

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.