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Systematic Bronchoscopy: the Four Landmarks Approach
Published on: June 23, 2023
Basic Bronchoscopy Competence Achieved During a One-Day Workshop for a Multidisciplinary Critical Care Team: A
Jayakrishnan B1, Saif Musabah Al-Mubaihsi2, Hasan Al-Sayegh3
1Division of Pulmonology, Sultan Qaboos Comprehensive Cancer Care & Research Centre, University Medical City, Muscat, Oman.
A one-day simulation-based training significantly improved bronchoscopy skills for critical care providers. This cost-effective program, using manikins and 3D models, enhanced clinician confidence and competency.
Area of Science:
- Critical Care Medicine
- Medical Simulation
- Pulmonology
Background:
- Fibreoptic bronchoscopy is increasingly performed by intensivists in critical care settings.
- There is a need for effective training programs to equip intensivists with essential bronchoscopy skills.
Purpose of the Study:
- To evaluate the effectiveness of a one-day simulation-based training program for acquiring basic bronchoscopy skills.
- To assess the impact of the training on knowledge and practical skills in critical care providers.
Main Methods:
- A one-day workshop incorporated didactic lectures, skill stations, virtual simulations, and hands-on training with manikins and a 3D-printed airway model.
- Pre- and post-training knowledge and skills were assessed using a 50-question survey tool.
- Participants included medical doctors and non-medical doctors (respiratory therapists, nurses).
Main Results:
- Significant improvement in average correct responses from pre-test to post-test for both medical doctors (53.5% to 85.4%) and non-medical doctors (54.2% to 86.2%).
- Maximum skill gains were observed in sampling techniques and critical care practices.
- Participants reported high satisfaction with the training program (89.5-100%).
Conclusions:
- The one-day simulation-based workshop effectively enhanced intensivists' knowledge and practical bronchoscopy skills.
- Manikins and 3D-printed models proved valuable for teaching and building clinician confidence.
- Brief, focused training using cost-effective tools holds potential for resource-limited settings.
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