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Procedural Training in Canadian Respirology Programs: A Survey of Residents and Program Directors
Fanny Gabrysz-Forget1, Pascalin Roy2, Christopher A Hergott3
1Division of Respiratory Medicine, McGill University Health Centre, Montréal, Canada.
ATS Scholar
|July 27, 2026
Summary
Canadian respirology residents report variable procedural training. While bronchoscopy and thoracentesis are well-covered, complex procedures like foreign body removal need improvement.
Area of Science:
- Medical Education
- Respiratory Medicine
- Competency-Based Training
Background:
- Previous surveys indicated insufficient complex procedural exposure in Canadian respirology programs.
- Competence-based education and practice shifts may have influenced current procedural training.
Purpose of the Study:
- To assess the current status of procedural training in Canadian adult respirology residency programs.
- To evaluate procedural volumes, learning, and assessment methods.
Main Methods:
- A web-based survey distributed to Canadian adult respirology program directors (PDs) and residents (PGY4, PGY5, recent graduates).
- Assessed procedural volumes, training methods, resident confidence, and assessment tool utilization.
Main Results:
- Variable procedural volumes were reported by residents and PDs.
- Adequate training reported for bronchoscopy (98%) and thoracentesis (93%), but less so for transbronchial biopsy (53%) and foreign body removal (37%).
- Simulation access is not universal, validated assessment tools are infrequently used, and procedural outcomes are inconsistently tracked.
Conclusions:
- Canadian respirology trainees and PDs report variability in procedural exposure and training methods.
- Key areas for improvement in procedural training, particularly for complex procedures, were identified.
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