Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Aug 7;18(1):191.
doi: 10.1186/s12909-018-1304-1.

High-fidelity simulation self-training enables novice bronchoscopists to acquire basic bronchoscopy skills comparable to their moderately and highly experienced counterparts

Martin Veaudor  1 , Laurence Gérinière  1 , Pierre-Jean Souquet  1 , Loïc Druette  2 , Xavier Martin  2 , Jean-Michel Vergnon  3 , Sébastien Couraud  4   5
Affiliations

High-fidelity simulation self-training enables novice bronchoscopists to acquire basic bronchoscopy skills comparable to their moderately and highly experienced counterparts

Martin Veaudor et al. BMC Med Educ. .

Abstract

Background: We sought to determine whether a self-training program on a high-fidelity flexible bronchoscopy (FB) simulator would allow residents who were novices in bronchoscopy to acquire competencies similar to those of experienced bronchoscopists as concerns the visualization of the bronchial tree and the identification of its anatomical elements.

Methods: We performed a prospective cohort study, categorizing bronchoscopists into three groups according to their experience level: novice (Group A, no FBs performed, n = 8), moderate (Group B, 30 ≤ FBs performed ≤200, n = 17) or high (Group C, > 200 FBs performed, n = 9). All were initially evaluated on their ability to perform on a high-fidelity FB simulator a complete visualization/identification of the bronchial tree in the least amount of time possible. The residents in Group A then completed a simulation-based self-training program and underwent a final evaluation thereafter.

Results: The median total procedure time for Group A fell from 561 s (IQR = 134) in the initial evaluation to 216 s (IQR = 257) in the final evaluation (P = 0.002). The visualization and identification scores for Group A also improved significantly in the final evaluation. Resultantly, the overall performance score for Group A climbed from 5.9% (IQR = 5.1) before self-training to 25.5% (IQR = 26.3) after (P = 0.002), thus becoming comparable to the overall performance scores of Group B (25.3%, IQR = 13.8) and Group C (22.2%, IQR = 5.5).

Conclusions: Novice bronchoscopists who self-train on a high-fidelity simulator acquire basic competencies similar to those of moderately or even highly experienced bronchoscopists. High-fidelity simulation should be rapidly integrated within the learning curriculum and replace traditional, in-patient learning methods.

Keywords: Flexible bronchoscopy; High-fidelity simulation; Medical education; Self-training.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the local ethic committee of Lyon University hospital on 22/09/2015. Written consent to participate in this study was obtained from each participant.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Study design
Fig. 2
Fig. 2
Distribution of total procedure times (in seconds) for groups A, B and C
See this image and copyright information in PMC

References

    1. Pue CA, Pacht ER. Complications of fiberoptic bronchoscopy at a university hospital. Chest. 1995;107(2):430–432. doi: 10.1378/chest.107.2.430. - DOI - PubMed
    1. Facciolongo N, Patelli M, Gasparini S, et al. Incidence of complications in bronchoscopy. Multicentre prospective study of 20,986 bronchoscopies. Monaldi Arch Chest Dis. 2009;71(1):8–14. - PubMed
    1. Simpson FG, Arnold AG, Purvis A, Belfield PW, Muers MF, Cooke NJ. Postal survey of bronchoscopic practice by physicians in the United Kingdom. Thorax. 1986;41:311–317. doi: 10.1136/thx.41.4.311. - DOI - PMC - PubMed
    1. Barlesi F, Dissard-Barriol E, Gimenez C, Doddoli C, Greillier L, Kleisbauer J-P. Évaluation de la tolérance de la fibroscopie bronchique par auto-questionnaire : la parole aux patients. Rev Mal Respir. 2003;20(3):335–340. - PubMed
    1. Adjoh KS, Fiogbé AA, Adambounou AS, et al. Tolérance et vécu de la fibroscopie bronchique chez des patients du CHU Sylvanus Olympio de Lomé - TOGO. J Fran Viet Pneu. 2015;17(6):1–53.