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Development and Validation of two Bronchoscopy Knowledge Assessments.

Eveline C F Gerretsen1, Herman E Popeijus2, Jouke T Annema3

  • 1Department of Educational Development and Research, School of Health Professions Education (SHE), Maastricht University, Maastricht, The Netherlands.

Respiration; International Review of Thoracic Diseases
|June 12, 2025
PubMed
Summary
This summary is machine-generated.

Pre-simulation-based training (SBT) exams in bronchoscopy effectively motivate pulmonology residents to prepare, enhancing their anatomical knowledge and procedural skill acquisition.

Keywords:
AssessmentBronchoscopyDevelopmentKnowledgeValidation

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Area of Science:

  • Medical Education
  • Respiratory Medicine
  • Simulation Training

Background:

  • Simulation-based training (SBT) is crucial for developing bronchoscopy skills in pulmonology residents.
  • A strong theoretical foundation can significantly improve the efficiency of SBT.
  • This study focused on validating anatomy and theoretical exams for bronchoscopy training.

Purpose of the Study:

  • To develop and evaluate the validity of anatomy and theoretical examinations for bronchoscopy.
  • To assess the exams' effectiveness in preparing residents for simulation-based training.
  • To apply Kane's validity framework to these educational assessments.

Main Methods:

  • Developed 19 anatomy and 31 theoretical exam questions through expert consensus (Delphi rounds).
  • Administered exams to 53 prepared pulmonology residents and compared with novice, intermediate, and expert groups.
  • Analyzed scoring evidence using item difficulty, item discrimination, and Cronbach's alpha; assessed extrapolation and implications evidence.

Main Results:

  • Exams demonstrated acceptable validity with expert input and appropriate psychometric properties.
  • Item difficulty was generally high (0.85-1.0), but item discrimination was low (0.0-0.25).
  • Internal consistency (Cronbach's alpha) was 0.55; no significant score differences were found between experience groups, though scores trended with experience.

Conclusions:

  • The developed anatomy and theoretical exams are valid tools for assessing bronchoscopy knowledge.
  • These exams successfully motivated residents to prepare for simulation-based training.
  • Pre-SBT assessments are valuable for optimizing resident preparation, allowing more focus on procedural skill mastery.