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Related Experiment Videos

Bronchoscopy training: current fellows' experiences and some concerns for the future.

E F Haponik1, G B Russell, J F Beamis

  • 1Pulmonary/Critical Care Sections, Johns Hopkins University, Baltimore, MD 21205, USA.

Chest
|September 16, 2000
PubMed
Summary

Pulmonary fellows report high confidence in their bronchoscopy skills, but training methods and experiences vary widely. Standardizing the bronchoscopy curriculum is essential for consistent program quality and skill development.

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Area of Science:

  • Pulmonary Medicine
  • Medical Education
  • Respiratory Procedures

Background:

  • Bronchoscopy is a critical diagnostic and therapeutic tool in pulmonary medicine.
  • Training in bronchoscopy is a key component of fellowship programs.
  • Variability in training approaches may impact fellows' perceived proficiency and preparedness.

Purpose of the Study:

  • To assess pulmonary fellows' perspectives on their bronchoscopy training.
  • To identify variations in bronchoscopy training methods and curriculum components.
  • To correlate training experiences with fellows' self-assessed proficiency and program quality.

Main Methods:

  • A survey was administered to 59 pulmonary fellows representing their institutions.
  • Data collected included years of training, number of procedures performed, and self-rated proficiency.

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  • Training methods, curriculum components, and program quality were also assessed.

    • Main Results:

    • Fellows generally reported high proficiency and adequate training, correlating with procedure volume and fellowship level.
    • Training approaches varied, with one-to-one faculty instruction being most common.
    • Experience with advanced bronchoscopy techniques (e.g., stent placement, cryotherapy) was limited for many fellows.
    • Training components correlated with perceived program quality and fellow proficiency.

    Conclusions:

    • Significant institutional variation exists in bronchoscopy training content and instructional methods.
    • Fellows' perceptions of proficiency and program quality are linked to their training experiences.
    • There is a need to define an optimal and standardized bronchoscopy curriculum for pulmonary fellows.