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Summary
Proficiency in flexible fiberoptic bronchoscopic examination requires approximately 100 procedures. This number ensures diagnostic accuracy comparable to experienced practitioners, even without supervision.
Area of Science:
- Pulmonology
- Medical Education
- Gastroenterology
Background:
- Flexible fiberoptic bronchoscopy is a crucial diagnostic tool.
- Determining proficiency benchmarks is essential for effective training.
Purpose of the Study:
- To establish the number of flexible fiberoptic bronchoscopic procedures required for proficiency.
- To assess diagnostic accuracy post-training.
Main Methods:
- A total of 99 bronchoscopic procedures were performed under supervision.
- Diagnostic accuracy was evaluated during training and in 35 subsequent unsupervised procedures.
- Instructor experience varied widely (100-4,000 procedures).
Main Results:
- No significant difference in accuracy was observed across instructors with varying experience levels.
- Diagnostic accuracy during unsupervised procedures remained consistent with supervised training.
- The study implies 100 procedures are sufficient for proficiency.
Conclusions:
- 100 flexible fiberoptic bronchoscopic procedures appear sufficient for achieving proficiency.
- Proficiency can be maintained without direct supervision post-training.