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Mental Practice as an Additional Step Before Simulation Practice Facilitates Training in Bronchoscopic Intubation.

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Mental practice exercises significantly improve bronchoscopy skills for novices. This intervention enhances learning curves and reduces critical errors during simulated procedures, aiding complex skill acquisition.

Keywords:
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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Respiratory Medicine

Background:

  • Bronchoscopy is a complex skill for novices due to 3D navigation and 2D visualization challenges.
  • Mental practice, involving visualization of motor actions, is a known method for skill acquisition.
  • This study investigates the efficacy of mental practice modules in improving bronchoscopy performance.

Purpose of the Study:

  • To evaluate if a teaching intervention incorporating mental practice exercises enhances novice bronchoscopy skills.
  • To assess the impact on fiberoptic intubation performance in a simulated environment.

Main Methods:

  • Prospective cohort study with 24 pediatric intensive care trainees and respiratory therapists.
  • Learners were randomized into a mental practice intervention group or a control group.
  • Primary outcome: time to complete first bronchoscopic intubation on a virtual reality simulator; secondary outcomes: "red outs" and airway collisions.

Main Results:

  • The intervention group was 1.2 times faster in completing bronchoscopies.
  • An 86% probability exists that "red outs" were reduced by over half in the intervention group.
  • No significant difference in airway collisions was observed between groups.

Conclusions:

  • Mental practice exercises are a valuable addition to bronchoscopy training for novices.
  • This strategy promotes performance and acquisition of complex skills in early-stage learning.
  • The intervention was well-received and found helpful by most participants.