From prototype to national standard: a governance framework for scaling simulation-based bronchoscopy training.

Area of Science:

• Medical Education
• Health Professions Education
• Simulation-Based Training

Background:

• Simulation-based education enhances procedural training but faces challenges in national adoption.
• This report details the development of a national bronchoscopy simulation program for postgraduate pulmonary medicine training.

Purpose of the Study:

• To describe the implementation of a national bronchoscopy simulation program.
• To examine program design, governance, scale-up, and regulatory embedding.

Main Methods:

• Utilized practice-based implementation accounts and frameworks like CFIR and RE-AIM.
• Trained 402 physicians, including 186 pulmonary trainees, with 85 certified instructors.
• Collected post-course evaluations on perceived relevance and confidence.

Main Results:

• Bronchoscopy simulation became a mandatory component of postgraduate training in 2024.
• High perceived relevance and increased self-reported confidence were observed.
• Program scale-up was supported by EU structural funding.

Conclusions:

• A key achievement was the governance pathway enabling national policy integration.
• Sustainable implementation required staged scale-up, curriculum design, and instructor certification.
• Future evaluations should focus on clinical transfer and patient safety outcomes.