Chest
BronchoscopyVirtual Reality Bronchoscopy Simulation: A Revolution in Procedural Training
Section snippets
Subjects and Curriculum Design
An 8-h teaching curriculum was designed to familiarize five novice pulmonary and critical care medicine fellows during the first 3 months of their first year of training (primary study group comprised of subjects 1 to 5) with basic techniques of FFB. None were previously trained in this procedure.
The first 4 h of the curriculum included (1) a 1-h group session during which trainees observed an on-line video about FFB provided with a bronchoscopy simulator (PreOp Endoscopy Simulator; HT Medical
Results
All novice trainees completed their individual, unsupervised training curriculums using the simulator. Four study subjects trained for the full 240 min allowed, whereas one subject trained for 210 min. The average duration of each individual practice session was 78 min (range, 30 to 160 min). Prior to this study, novice trainees had had only minimal exposure to FFB, having each previously observed or participated in an average of 10 procedures during their medical training (range, 0 to 15
Discussion
FFB is a commonly performed endoscopic procedure used for diagnosis and treatment of a variety of airway and pulmonary disorders. More than 500,000 of these procedures are performed each year by pulmonologists, otolaryngologists, anesthesiologists, and thoracic surgeons.9 Presumed competence in FFB is traditionally achieved during postgraduate specialty training. For pulmonologists, this entails 2 to 3 years of fellowship training after internal medicine residency.10
During fellowship training,
Acknowledgment
The authors thank HT Medical Systems Inc, Gaithersburg, MD, for use of their equipment.
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