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Updated: May 14, 2026

Systematic Bronchoscopy: the Four Landmarks Approach
Published on: June 23, 2023
Development and Validation of a Low-Cost Simulation Tool for Practical Training in Diagnostic Bronchoscopy for
Yallanti Jothir Surya Teja1, Lokesh Kumar Penubarthi1, Dinesh Kumar V2
1Otorhinolaryngology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Abstract:
Objectives The objectives of this study are to develop and validate a low-cost, low-fidelity simulation model for diagnostic bronchoscopy training among otolaryngology postgraduates (PGs) and to assess realism, educational utility, and learner confidence. Methods We constructed a simulation model replicating pediatric airway anatomy using locally available materials (INR 1,000). Twenty-six otolaryngology residents participated in structured simulation sessions. Face, content, curriculum, and transfer validity were evaluated using a five-point Likert scale survey. Statistical analysis employed the Friedman and Wilcoxon signed-rank tests. Results The participants reported high validity scores across all domains (median ≥ 4), with significant post-training confidence improvement (p < 0.001). No difference in scores existed between residents from different training years across validity domains (p > 0.05). Conclusion This low-cost bronchoscopy simulator effectively improves procedural confidence and aligns with curricular needs. It provides a practical and scalable training solution for resource-limited settings and early-stage residency programs.
