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Updated: May 28, 2026

Systematic Bronchoscopy: the Four Landmarks Approach
04:47

Systematic Bronchoscopy: the Four Landmarks Approach

Published on: June 23, 2023

Establishing pass/fail criteria for bronchoscopy performance.

Lars Konge1, Paul Clementsen, Klaus Richter Larsen

  • 1Centre for Clinical Education, University of Copenhagen and the Capital Region of Denmark, Copenhagen, Denmark. lkonge@yahoo.dk

Respiration; International Review of Thoracic Diseases
|October 12, 2011
PubMed
Summary
This summary is machine-generated.

Defining objective pass/fail scores for bronchoscopy assessment tools suggests 75-80 procedures ensure basic competency, moving beyond arbitrary counts for physician certification.

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Area of Science:

  • Medical Education
  • Pulmonology
  • Procedural Competency Assessment

Background:

  • Existing bronchoscopy assessment tools lack defined competency benchmarks.
  • Current educational guidelines rely on arbitrary procedure counts for competence determination.

Purpose of the Study:

  • To establish objective pass/fail scores for two bronchoscopy assessment tools.
  • To correlate these scores with the number of procedures performed by physicians.

Main Methods:

  • Utilized the contrasting-groups method comparing novices and experienced consultants.
  • Employed the extended Angoff method with expert judgment on borderline performance.
  • Analyzed performance scores from two distinct assessment tools.

Main Results:

  • Contrasting-groups method indicated a pass standard related to 75 bronchoscopies.
  • Extended Angoff method suggested a pass standard related to 80 bronchoscopies.
  • Both methods successfully differentiated novice and experienced physicians.

Conclusions:

  • Proposed pass/fail scores for the assessment tools are appropriate.
  • 75-80 bronchoscopies appear to signify basic competency.
  • Objective assessment tools can aid in physician certification for bronchoscopy.