Combining a Low-Cost Bio-Simulator and Single Use or Disposable Bronchoscope: A Platform for Remote Training
Open Access
- 1 January 2022
- journal article
- research article
- Published by Scientific Research Publishing, Inc. in Open Journal of Respiratory Diseases
- Vol. 12 (02), 64-74
- https://doi.org/10.4236/ojrd.2022.122006
Abstract
Introduction: The COVID-19 pandemic has resulted in a reconsideration of our traditional teaching modalities and develop newer, dynamic methods. Both high and low fidelity bronchoscopy simulators are costly. The objective was to assess whether a combination of a low-cost bio-simulator made of recyclable materials (ALFIETM Airway Low Fidelity including EBUS (endobronchial ultrasound)) and single use flexible bronchoscopy (SUFB) has the capability of differentiating novices from experts and the ability to train novices in bronchoscopy. Materials and Methods: Trainees were evaluated individually before and after training using a modified validated Bronchoscopy Skills and Tasks Assessment Tool (B-STAT) and SUFB. Results: 18 trainees were included (14 residents and 4 fellows). Pre-training assessment of scope handling differentiated novices from experienced bronchoscopists (p = 0.0025, 95% confidence intervals (CI) 3.12 - 12.17). Training of novices was associated with an improvement in scope handling and sampling (p = 0.0001, 95% CI 4.73 - 10.27). Conclusion: ALFIETM and SUFB have the potential to create a low-cost platform to teach bronchoscopy remotely.Keywords
This publication has 23 references indexed in Scilit:
- Simulation-Based Training in Flexible Bronchoscopy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA): A Systematic ReviewRespiration, 2017
- Specimen acquisition training with a new biosimulator in endobronchial ultrasound-guided transbronchial needle aspirationMedicine, 2017
- Endobronchial ultrasound: launch of an ERS structured training programmeBreathe, 2016
- Adult Bronchoscopy TrainingSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2015
- INACSL Standards of Best Practice for Simulation: Past, Present, and FutureNursing Education Perspectives, 2015
- Innovation in Medical EducationThe New England Journal of Medicine, 2014
- Trainee Impact on Procedural Complications: An Analysis of 967 Consecutive Flexible Bronchoscopy Procedures in an Interventional Pulmonology PracticeRespiration, 2013
- Use of Competency-Based Metrics to Determine Effectiveness of a Postgraduate Thoracoscopy CourseRespiration, 2010
- A competency-based test of bronchoscopic knowledge using the Essential Bronchoscopist: An initial concept studyRespirology, 2008
- Validation of Two Instruments to Assess Technical Bronchoscopic Skill Using Virtual Reality SimulationRespiration, 2008