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Updated: Nov 27, 2025

Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
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Using structured progress to measure competence in flexible bronchoscopy.

Kristoffer Mazanti Cold1, Morten Bo Søndergaard Svendsen1, Uffe Bodtger2,3

  • 1Copenhagen Academy for Medical Education and Simulation (CAMES), University of Copenhagen and the Capital Region of Denmark, Rigshospitalet, Copenhagen, Denmark.

Journal of Thoracic Disease
|December 7, 2020
PubMed
Summary
This summary is machine-generated.

Structured progression during flexible bronchoscopy (a key pulmonary medicine procedure) improves diagnostic completeness and reduces procedure time. This systematic approach is a valuable new measure for assessing operator competency.

Keywords:
Flexible bronchoscopyassessmenteducationmastery learningsimulation

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Area of Science:

  • Pulmonary Medicine
  • Medical Simulation
  • Surgical Training

Background:

  • Flexible bronchoscopy is a fundamental invasive procedure in pulmonary medicine requiring mandatory training.
  • Diagnostic completeness and procedure time are established metrics for assessing competence in flexible bronchoscopy.
  • Current methods lack outcome measures for navigational path, failing to assess structured versus arbitrary bronchial segment identification.

Purpose of the Study:

  • To investigate the utility of a novel outcome measure for structured progression in assessing flexible bronchoscopy competency.
  • To determine if a structured navigational path correlates with diagnostic completeness and procedure efficiency.

Main Methods:

  • A prospective comparative study involving novices, intermediates, and expert bronchoscopy operators.
  • Participants completed three simulated bronchoscopies on a phantom.
  • Outcome measures included diagnostic completeness (visualized segments), structured progress (ascending order), and average intersegmental time (AIT).

Main Results:

  • A structured ascending path through the bronchial tree significantly correlated with a higher number of identified bronchial segments (r=0.62, P<0.001).
  • Following a structured path was also associated with a lower average intersegmental time (r=-0.52, P<0.001).

Conclusions:

  • Advancing through the bronchial tree in a structured, ascending order enhances systematic progress, maximizing diagnostic yield and minimizing procedure time.
  • Structured progression serves as a valuable and effective measure for evaluating competency in flexible bronchoscopy procedures.