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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Bronchoscopy
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Related Experiment Video

Updated: Sep 2, 2025

Author Spotlight: Demonstrating Systematic Endobronchial Ultrasound to New Endoscopists
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A Multicenter Study Assessing Interventional Pulmonary Fellow Competency in Electromagnetic Navigation Bronchoscopy.

Hans J Lee1, A Christine Argento1, Hitesh Batra2

  • 1Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.

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|August 4, 2022
PubMed
Summary
This summary is machine-generated.

Interventional pulmonology fellows need a median of 5 electromagnetic navigational bronchoscopy (ENB) procedures to achieve competency, with significant variation. Virtual assessment tools show promise for evaluating ENB skills.

Keywords:
bronchoscopyfellowslearning curve

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Area of Science:

  • Pulmonology
  • Medical Education
  • Diagnostic Procedures

Background:

  • Current guidelines suggest procedural benchmarks for electromagnetic navigational bronchoscopy (ENB) competency and training volumes.
  • Establishing objective metrics for ENB proficiency is crucial for interventional pulmonology (IP) fellows.

Purpose of the Study:

  • To evaluate the learning curve for ENB among IP fellows.
  • To determine the number of ENB procedures required to achieve competency.

Main Methods:

  • A prospective, multicenter study involving 26 IP fellows across 16 US medical centers.
  • Fellows' ENB performance was assessed using a validated tool by local faculty and two blinded independent reviewers via virtual recording.
  • Competency was defined as three consecutive procedures meeting assessment criteria; procedural time, faculty ratings, and complications were recorded.

Main Results:

  • 184 ENB procedures were analyzed, demonstrating high inter-observer correlation (rho=0.8776) and substantial agreement on competency (kappa=0.7074).
  • Fellows required a median of 4 (mean 5) ENB procedures to reach competency, with a wide range (2-15 procedures).
  • Six periprocedural complications were reported, with most occurring before competency was achieved.

Conclusions:

  • There is considerable variability in the number of ENB procedures needed for IP fellows to attain competency.
  • Virtual competency assessment holds potential for evaluating ENB skills, warranting further investigation.