TY - JOUR
T1 - Basic Bronchoscopy Competence Achieved by a Nationwide One-day Simulation-based Training
AU - Gerretsen, Eveline C.F.
AU - Groenier, Marleen
AU - Annema, Jouke T.
AU - Van Der Heijden, Erik H.F.M.
AU - Van Mook, Walther N.K.A.
AU - Aldenkamp, Arnoud F.
AU - Citgez, Emanuel
AU - Crombag, Laurence M.M.J.
AU - Hagmolen Of Ten Have, Wanda
AU - Hiddinga, Birgitta I.
AU - Hoppe, Bart P.C.
AU - Ninaber, Maarten K.
AU - Van De Pol, Marianne A.
AU - Robberts, Bas
AU - Rutten, Marijke
AU - Sprooten, Roy
AU - Wagenaar, Michiel
AU - Smeenk, Frank W.J.M.
N1 - Publisher Copyright:
© 2024 The Author(s). Published by Wolters Kluwer Health, Inc.
PY - 2024/11/27
Y1 - 2024/11/27
N2 - Background: In 2020, a mandatory, nationwide 1-day bronchoscopy simulation-based training (SBT) course was implemented for novice pulmonology residents in the Netherlands. This pretest-posttest study was the first to evaluate the effectiveness of such a nationwide course in improving residents' simulated basic bronchoscopy skills.Methods: After passing a theoretical test, residents followed a 1-day SBT course, available in 7 centers, where they practiced their bronchoscopy skills step-by-step on a virtual reality simulator under pulmonologist supervision. Residents practiced scope handling efficiency (task 1) and navigational skills combined with lung anatomy knowledge (task 2). Task 1 outcome measures were navigational skill simulator metrics: percentage of time at mid-lumen, percentage of time with scope-wall contact, procedure time (PT), number of wall contacts and number of wall contacts per minute of PT. Task 2 outcome measures were PT, observational assessment scores of a validated tool with a 5-point scale (1 representing the worst and 5 the best competence) and blinded dexterity assessments.Results: The study included 100 residents. All outcome measures of task 1 improved significantly (P<0.001), except for the number of wall contacts per minute of PT (4.3 [IQR 3.0 to 6.2] pre vs. 3.5 [IQR 2.6 to 5.3] post, P=0.07). For task 2, PT was reduced by 54% (10.3±2.7 minutes pre vs. 4.7±0.9 minutes post, P<0.001) with an improvement in overall-competence scores (2.0 [IQR 1.0 to 2.0] pre vs. 4.0 [IQR 4.0 to 5.0] post, P<0.001) and all dexterity parameters (P<0.001).Conclusion: Nationwide implementation of a SBT course led to rapid improvement of residents' basic bronchoscopy skills while halving PT.
AB - Background: In 2020, a mandatory, nationwide 1-day bronchoscopy simulation-based training (SBT) course was implemented for novice pulmonology residents in the Netherlands. This pretest-posttest study was the first to evaluate the effectiveness of such a nationwide course in improving residents' simulated basic bronchoscopy skills.Methods: After passing a theoretical test, residents followed a 1-day SBT course, available in 7 centers, where they practiced their bronchoscopy skills step-by-step on a virtual reality simulator under pulmonologist supervision. Residents practiced scope handling efficiency (task 1) and navigational skills combined with lung anatomy knowledge (task 2). Task 1 outcome measures were navigational skill simulator metrics: percentage of time at mid-lumen, percentage of time with scope-wall contact, procedure time (PT), number of wall contacts and number of wall contacts per minute of PT. Task 2 outcome measures were PT, observational assessment scores of a validated tool with a 5-point scale (1 representing the worst and 5 the best competence) and blinded dexterity assessments.Results: The study included 100 residents. All outcome measures of task 1 improved significantly (P<0.001), except for the number of wall contacts per minute of PT (4.3 [IQR 3.0 to 6.2] pre vs. 3.5 [IQR 2.6 to 5.3] post, P=0.07). For task 2, PT was reduced by 54% (10.3±2.7 minutes pre vs. 4.7±0.9 minutes post, P<0.001) with an improvement in overall-competence scores (2.0 [IQR 1.0 to 2.0] pre vs. 4.0 [IQR 4.0 to 5.0] post, P<0.001) and all dexterity parameters (P<0.001).Conclusion: Nationwide implementation of a SBT course led to rapid improvement of residents' basic bronchoscopy skills while halving PT.
KW - bronchoscopy
KW - implementation
KW - simulation
KW - training
UR - https://www.scopus.com/pages/publications/85211008005
U2 - 10.1097/LBR.0000000000000995
DO - 10.1097/LBR.0000000000000995
M3 - Article
C2 - 39600292
AN - SCOPUS:85211008005
SN - 1944-6586
VL - 32
JO - Journal of Bronchology and Interventional Pulmonology
JF - Journal of Bronchology and Interventional Pulmonology
IS - 1
M1 - e00995
ER -