Combining a Low-Cost Bio-Simulator and Single Use or Disposable Bronchoscope: A Platform for Remote Training  

作　　者：Anne Marie Sweeney Kevin Frederick Deasy Marcus Peter Kennedy Anne Marie Sweeney;Kevin Frederick Deasy;Marcus Peter Kennedy(Department of Respiratory Medicine, Cork University Hospital, Cork, Ireland;ASSERT Centre, University College Cork, Cork, Ireland;College of Medicine and Health, University College Cork, Cork, Ireland)

机构地区：[1]Department of Respiratory Medicine, Cork University Hospital, Cork, Ireland [2]ASSERT Centre, University College Cork, Cork, Ireland [3]College of Medicine and Health, University College Cork, Cork, Ireland

出　　处：《Open Journal of Respiratory Diseases》2022年第2期64-74,共11页呼吸病期刊（英文）

摘　　要：Introduction: The COVID-19 pandemic has resulted in a reconsideration of our traditional teaching modalities and develop newer, dynamic methods. Both high and low fidelity bronchoscopy simulators are costly. The objective was to assess whether a combination of a low-cost bio-simulator made of recyclable materials (ALFIE^TM Airway Low Fidelity including EBUS (endobronchial ultrasound)) and single use flexible bronchoscopy (SUFB) has the capability of differentiating novices from experts and the ability to train novices in bronchoscopy. Materials and Methods: Trainees were evaluated individually before and after training using a modified validated Bronchoscopy Skills and Tasks Assessment Tool (B-STAT) and SUFB. Results: 18 trainees were included (14 residents and 4 fellows). Pre-training assessment of scope handling differentiated novices from experienced bronchoscopists (p = 0.0025, 95% confidence intervals (CI) 3.12 - 12.17). Training of novices was associated with an improvement in scope handling and sampling (p = 0.0001, 95% CI 4.73 - 10.27). Conclusion: ALFIE^TM and SUFB have the potential to create a low-cost platform to teach bronchoscopy remotely.Introduction: The COVID-19 pandemic has resulted in a reconsideration of our traditional teaching modalities and develop newer, dynamic methods. Both high and low fidelity bronchoscopy simulators are costly. The objective was to assess whether a combination of a low-cost bio-simulator made of recyclable materials (ALFIE^TM Airway Low Fidelity including EBUS (endobronchial ultrasound)) and single use flexible bronchoscopy (SUFB) has the capability of differentiating novices from experts and the ability to train novices in bronchoscopy. Materials and Methods: Trainees were evaluated individually before and after training using a modified validated Bronchoscopy Skills and Tasks Assessment Tool (B-STAT) and SUFB. Results: 18 trainees were included (14 residents and 4 fellows). Pre-training assessment of scope handling differentiated novices from experienced bronchoscopists (p = 0.0025, 95% confidence intervals (CI) 3.12 - 12.17). Training of novices was associated with an improvement in scope handling and sampling (p = 0.0001, 95% CI 4.73 - 10.27). Conclusion: ALFIE^TM and SUFB have the potential to create a low-cost platform to teach bronchoscopy remotely.

关 键 词：BRONCHOSCOPY Simulation TELEMEDICINE Bstat Test Single Use Flexible Bronchoscopy (SUFB) 

分 类 号：H31[语言文字—英语]