Achieving competency in bronchoscopy: Challenges and opportunities

• Published in: Respirology (Carlton, Vic.) Vol. 19; no. 4; pp. 472 - 482
• Main Authors: Fielding, David I., Maldonado, Fabien, Murgu, Septimiu
• Format: Journal Article
• Language: English
• Published: Australia Blackwell Publishing Ltd 01.05.2014
• Subjects: bronchoscopy; Bronchoscopy - education; Bronchoscopy - methods; Clinical Competence; competency; Computer Simulation - trends; education; Education, Medical, Graduate - methods; Education, Medical, Graduate - trends; Educational Measurement - methods; Educational Status; Humans; interventional pulmonology; Problem-Based Learning - methods; Pulmonary Medicine - education; Pulmonary Medicine - methods; Pulmonary Medicine - trends; Respiratory Tract Diseases - diagnosis; Respiratory Tract Diseases - therapy; training; United States; United States; training; education; competency; interventional pulmonology; bronchoscopy
• ISSN: 1323-7799; 1440-1843; 1440-1843
• DOI: 10.1111/resp.12279

Bronchoscopy education is undergoing significant changes in step with other medical and surgical specialties that seek to incorporate simulation‐based training and objective measurement of procedural skills into training programmes. Low‐ and high‐fidelity simulators are now available and allow learners to gain fundamental bronchoscopy skills in a zero‐risk environment. Testing trainees on simulators is currently possible by using validated assessment tools for both essential bronchoscopy and endobronchial ultrasound skills, and more tools are under development for other bronchoscopic techniques. Educational concepts including the ‘flipped classroom’ model and problem‐based learning exercises are increasingly used in bronchoscopy training programmes. These learner‐centric teaching modalities require well‐trained educators, which is possible thorough the expansion of existing faculty development programmes.