TY - JOUR
T1 - Adult bronchoscopy training
T2 - Current state and suggestions for the future: CHEST expert panel report
AU - Ernst, Armin
AU - Wahidi, Momen M.
AU - Read, Charles A.
AU - Buckley, John D.
AU - Addrizzo-Harris, Doreen J.
AU - Shah, Pallav L.
AU - Herth, Felix J.F.
AU - De Hoyos Parra, Alberto
AU - Ornelas, Joseph
AU - Yarmus, Lonny
AU - Silvestri, Gerard A.
N1 - Funding Information:
Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Ernst received compensation for consulting services to Boston Scientific Corporation, Pulmonx, Uptake Medical, and Aeris. In the past 3 years Drs Wahidi, Buckley, and Addrizzo-Harris received compensation for legal assistance to malpractice and personal injury cases. Dr Wahidi received compensation for consulting services to Olympus Corporation; Terumo Medical Corporation; Gerson Lehrman Group, Inc; Holaira, Inc; Johnson & Johnson Services, Inc; Pinnacle Systems; Boston Scientific Corporation; Uptake Medical; and PneumRx. Dr Wahidi also serves on the board of the American Association of Bronchology and Interventional Pulmonology and serves on several committees with the American Thoracic Society. Dr Wahidi taught numerous courses at CHEST, all of which included simulation. Dr Buckley received salary support from a grant on open disclosures of medical errors from the Agency for Healthcare Research and Quality and served as the program chair of the 2013 CHEST Annual Meeting but received no honoraria. Dr Addrizzo-Harris serves on the board of the Association of Pulmonary and Critical Care Medicine Program Directors. Dr Shah received compensation from Olympus Corporation, Pulmonx, and PneumRx for consulting services. Dr Herth received compensation for speaking engagements sponsored by Pulmonx and Novartis AG. Dr Yarmus received compensation for speaking engagements sponsored by Boston Scientific Corporation and received salary support from a grant for lung cancer research from the National Institutes of Health. Dr Yarmus also serves on a committee with the American Thoracic Society and has participated in a CHEST course related to bronchoscopy and EBUS. Dr Silvestri has received research support and served on the scientific advisory board for Allegro Diagnostics Inc; Veran Medical Technologies, Inc; and Olympus Corporation. Dr Silvestri also has received research support from Bronchus and has been a consultant to Boston Scientific Corporation. Drs Read, de Hoyos Parra, and Ornelas have reported that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Funding Information:
FUNDING/SUPPORT: This consensus statement was supported solely by internal funds from CHEST.
Publisher Copyright:
© 2015 AMERICAN COLLEGE OF CHEST PHYSICIANS.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - BACKGROUND: The determination of competency of trainees in programs performing bronchoscopy is quite variable. Some programs provide didactic lectures with hands-on supervision, other programs incorporate advanced simulation centers, whereas others have a checklist approach. Although no single method has been proven best, the variability alone suggests that outcomes are variable. Program directors and certifying bodies need guidance to create standards for training programs. Little well-developed literature on the topic exists. METHODS: T o provide credible and trustworthy guidance, rigorous methodology has been applied to create this bronchoscopy consensus training statement. All panelists were vetted and approved by the CHEST Guidelines Oversight Committee. Each topic group drAfted questions in a PICO (population, intervention, comparator, outcome) format. MEDLINE data through PubMed and the Cochrane Library were systematically searched. Manual searches also supplemented the searches. All gathered references were screened for consideration based on inclusion criteria, and all statements were designated as an Ungraded Consensus-Based Statement. R ESULTS: W e suggest that professional societies move from a volume-based certification system to skill acquisition and knowledge-based competency assessment for trainees. Bronchoscopy training programs should incorporate multiple tools, including simulation. We suggest that ongoing quality and process improvement systems be introduced and that certifying agencies move from a volume-based certification system to skill acquisition and knowledge-based competency assessment for trainees. We also suggest that assessment of skill maintenance and improvement in practice be evaluated regularly with ongoing quality and process improvement systems After initial skill acquisition. C ONCLUSIONS: T he current methods used for bronchoscopy competency in training programs are variable. We suggest that professional societies and certifying agencies move from a volume-based certification system to a standardized skill acquisition and knowledge-based competency assessment for pulmonary and thoracic surgery trainees.
AB - BACKGROUND: The determination of competency of trainees in programs performing bronchoscopy is quite variable. Some programs provide didactic lectures with hands-on supervision, other programs incorporate advanced simulation centers, whereas others have a checklist approach. Although no single method has been proven best, the variability alone suggests that outcomes are variable. Program directors and certifying bodies need guidance to create standards for training programs. Little well-developed literature on the topic exists. METHODS: T o provide credible and trustworthy guidance, rigorous methodology has been applied to create this bronchoscopy consensus training statement. All panelists were vetted and approved by the CHEST Guidelines Oversight Committee. Each topic group drAfted questions in a PICO (population, intervention, comparator, outcome) format. MEDLINE data through PubMed and the Cochrane Library were systematically searched. Manual searches also supplemented the searches. All gathered references were screened for consideration based on inclusion criteria, and all statements were designated as an Ungraded Consensus-Based Statement. R ESULTS: W e suggest that professional societies move from a volume-based certification system to skill acquisition and knowledge-based competency assessment for trainees. Bronchoscopy training programs should incorporate multiple tools, including simulation. We suggest that ongoing quality and process improvement systems be introduced and that certifying agencies move from a volume-based certification system to skill acquisition and knowledge-based competency assessment for trainees. We also suggest that assessment of skill maintenance and improvement in practice be evaluated regularly with ongoing quality and process improvement systems After initial skill acquisition. C ONCLUSIONS: T he current methods used for bronchoscopy competency in training programs are variable. We suggest that professional societies and certifying agencies move from a volume-based certification system to a standardized skill acquisition and knowledge-based competency assessment for pulmonary and thoracic surgery trainees.
UR - http://www.scopus.com/inward/record.url?scp=84939239723&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939239723&partnerID=8YFLogxK
U2 - 10.1378/chest.14-0678
DO - 10.1378/chest.14-0678
M3 - Article
C2 - 25674901
AN - SCOPUS:84939239723
SN - 0012-3692
VL - 148
SP - 321
EP - 332
JO - CHEST
JF - CHEST
IS - 2
ER -