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Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency
OBJECTIVE: To evaluate the benefits of simulation to teach flexible bronchoscopy. STUDY DESIGN: A prospective cohort study to assess the bronchoscopic skills of residents in an otolaryngology training program using a commercially available bronchoscopy simulator. SETTING: Tertiary care otolaryngolog...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558810/ https://www.ncbi.nlm.nih.gov/pubmed/34734157 http://dx.doi.org/10.1177/2473974X211056530 |
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author | Santa Maria, Chloe Sung, Chi-Kwang Lee, Jennifer Y. Chhetri, Dinesh K. Mendelsohn, Abie H. Dewan, Karuna |
author_facet | Santa Maria, Chloe Sung, Chi-Kwang Lee, Jennifer Y. Chhetri, Dinesh K. Mendelsohn, Abie H. Dewan, Karuna |
author_sort | Santa Maria, Chloe |
collection | PubMed |
description | OBJECTIVE: To evaluate the benefits of simulation to teach flexible bronchoscopy. STUDY DESIGN: A prospective cohort study to assess the bronchoscopic skills of residents in an otolaryngology training program using a commercially available bronchoscopy simulator. SETTING: Tertiary care otolaryngology residency program. METHODS: Thirty-two otolaryngology residents and 4 expert faculty across 2 academic institutions were assessed on 3 flexible bronchoscopy tasks: diagnostic bronchoscopy, foreign body removal, and tracheal lesion biopsy. Performance was evaluated with a modified version of the validated Bronchoscopy Skills and Tasks Assessment Tool. At 1 of the 2 academic institutions, an additional tool was implemented to evaluate the simulator. RESULTS: There was a correlation between postgraduate training year and time taken to complete tasks, including bronchoscopy, foreign body extraction, and passing through the glottis (P < .001, P = .04, and P < .01, respectively). There was a significant difference between residents and faculty laryngologists for a range of skills and tasks, including percentage of time in middle lumen, contact with bronchial walls, inadvertent esophagus entry, and biopsy of healthy tissue (P < .001, P = .003, P < .001, and P < .001). Additionally, increasing postgraduate level was correlated with a higher percentage of time in the center of the lumen and reduced time to task completion (P = .05 and P < .001). Of 32 residents, 20 evaluated the simulator on its realism, with an average score of 4.1 of 5. CONCLUSION: The commercially available flexible bronchoscopy simulator provides a valid assessment of bronchoscopic skill and is a useful tool for practicing bronchoscopy in a safe, controlled environment. LEVEL OF EVIDENCE: Individual cohort study. |
format | Online Article Text |
id | pubmed-8558810 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-85588102021-11-02 Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency Santa Maria, Chloe Sung, Chi-Kwang Lee, Jennifer Y. Chhetri, Dinesh K. Mendelsohn, Abie H. Dewan, Karuna OTO Open Original Research OBJECTIVE: To evaluate the benefits of simulation to teach flexible bronchoscopy. STUDY DESIGN: A prospective cohort study to assess the bronchoscopic skills of residents in an otolaryngology training program using a commercially available bronchoscopy simulator. SETTING: Tertiary care otolaryngology residency program. METHODS: Thirty-two otolaryngology residents and 4 expert faculty across 2 academic institutions were assessed on 3 flexible bronchoscopy tasks: diagnostic bronchoscopy, foreign body removal, and tracheal lesion biopsy. Performance was evaluated with a modified version of the validated Bronchoscopy Skills and Tasks Assessment Tool. At 1 of the 2 academic institutions, an additional tool was implemented to evaluate the simulator. RESULTS: There was a correlation between postgraduate training year and time taken to complete tasks, including bronchoscopy, foreign body extraction, and passing through the glottis (P < .001, P = .04, and P < .01, respectively). There was a significant difference between residents and faculty laryngologists for a range of skills and tasks, including percentage of time in middle lumen, contact with bronchial walls, inadvertent esophagus entry, and biopsy of healthy tissue (P < .001, P = .003, P < .001, and P < .001). Additionally, increasing postgraduate level was correlated with a higher percentage of time in the center of the lumen and reduced time to task completion (P = .05 and P < .001). Of 32 residents, 20 evaluated the simulator on its realism, with an average score of 4.1 of 5. CONCLUSION: The commercially available flexible bronchoscopy simulator provides a valid assessment of bronchoscopic skill and is a useful tool for practicing bronchoscopy in a safe, controlled environment. LEVEL OF EVIDENCE: Individual cohort study. SAGE Publications 2021-10-29 /pmc/articles/PMC8558810/ /pubmed/34734157 http://dx.doi.org/10.1177/2473974X211056530 Text en © The Authors 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Santa Maria, Chloe Sung, Chi-Kwang Lee, Jennifer Y. Chhetri, Dinesh K. Mendelsohn, Abie H. Dewan, Karuna Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency |
title | Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency |
title_full | Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency |
title_fullStr | Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency |
title_full_unstemmed | Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency |
title_short | Flexible Bronchoscopy Simulation as a Tool to Improve Surgical Skills in Otolaryngology Residency |
title_sort | flexible bronchoscopy simulation as a tool to improve surgical skills in otolaryngology residency |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558810/ https://www.ncbi.nlm.nih.gov/pubmed/34734157 http://dx.doi.org/10.1177/2473974X211056530 |
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