Construct Validity of the Simbionix Bronch Mentor Simulator for Essential Bronchoscopic Skills

Pastis, Nicholas J.; Vanderbilt, Allison A.; Tanner, Nichole T.; Silvestri, Gerard A.; Huggins, John T.; Svigals, Zach; Shepherd, Ray W.

doi:10.1097/lbr.0000000000000111

Cited by 16 publications

(5 citation statements)

References 27 publications

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“…Researchers have recommended using this method as a complementary method in bronchoscopy training 14 . Multiple studies showed that VR simulation in bronchoscopy training can reduce the number of errors during the operation, improves the performance of trainees, and raise the level of competence and ability of the individual 15–17 . On the other hand, some studies have shown that the use of simulators is not more effective than other methods, 18 or even less effective 19 …”

Section: Introductionmentioning

confidence: 99%

“…14 Multiple studies showed that VR simulation in bronchoscopy training can reduce the number of errors during the operation, improves the performance of trainees, and raise the level of competence and ability of the individual. [15][16][17] On the other hand, some studies have shown that the use of simulators is not more effective than other methods, 18 or even less effective. 19 Given the changes in simulator-related technologies, including VR, and due to the lack of a comprehensive outcome about the effectiveness of VR, our aim in this systematic review is to examine the effectiveness of VR bronchoscopy on learning outcomes in medical trainees including residents and fellowship students based on the most recent literature.…”

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confidence: 99%

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The effects of virtual reality‐based bronchoscopy simulator on learning outcomes of medical trainees: A systematic review

Bejani

Taghizadieh

Samad‐Soltani

et al. 2023

Health Science Reports

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Background and Aims: Conventional medical training routes of bronchoscopy may decrease patients' comfort and increase procedure-related morbidity. Virtual reality (VR)-based bronchoscopy is a beneficial and safe solution for teaching trainees. The aim of this systematic review was to study the effectiveness of VR-based bronchoscopy simulators on the learning outcomes of medical trainees. Methods: Well-known sources (i.e., Scopus, ISI Web of Science, and Medline via PubMed) were systematically searched using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines on December, 2021. Peer-reviewed English papers that used VR-based simulation for bronchoscopy training were included. The articles that were studying other technologies, or those that were unrelated to the topic, were excluded. The risk of bias was assessed using the Joanna Briggs Institute checklists for quasi-experimental studies and randomized controlled trials (RCTs).Results: Out of 343 studies, 8 of them met our inclusion criteria. An appropriate control group and statistical analysis were the most common and unavoidable sources of bias in included non-RCTs, and lack of blinding in participants was the most common source of bias in RCTs. The included studies evaluated learning outcomes regarding dexterity (N = 5), speed (N = 3), the accuracy of procedures (N = 1), and the need for verbal assistance (N = 1). Based on the results, 100% (5/5) and 66% (2/3) of studies showed that the use of VR-based simulation on the learning outcomes of medical trainees led to improvement in manual ability (i.e., dexterity) and swiftness of execution (i.e., speed in performance), respectively. Additionally, improving the accuracy of subjects' performance, and reducing the need for verbal guidance and physical assistance was reported in studies that evaluated these variables. Conclusion:VR bronchoscopy simulator as a training method for teaching medical trainees, especially for novices has the potential to improve medical trainees' performance and reduce complications. Further studies are needed to evaluate the positive effects of VR-based simulation on the learning outcomes of medical trainees.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

The effects of virtual reality‐based bronchoscopy simulator on learning outcomes of medical trainees: A systematic review

Bejani

Taghizadieh

Samad‐Soltani

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

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“…For practitioners learning new procedures, continuing medical education, and post graduate simulation courses may be essential to developing competency. 1–4 Prior tools have been developed to assess competency in basic bronchoscopy 4–6 and endobronchial ultrasound guided transbronchial needle aspiration. 3 In addition, the CHEST expert panel and Skills-based Working Group of the American Thoracic Society Education Committee recently recommended that the optimal curriculum for pulmonary medicine training should include simulation.…”

Section: Introductionmentioning

confidence: 99%

Learning Electromagnetic Navigational Bronchoscopy and Percutaneous Transthoracic Needle Biopsy (LEAP)

Lee

Lerner

Coleman

et al. 2019

Journal of Bronchology &Amp; Interventional Pulmonology

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Background Prior studies in pulmonology have examined the validity of procedural training tools, however, translation of simulation skill acquisition into real world competency remains understudied. We examine an assessment process with a simulation training course for electromagnetic navigational (EMN) bronchoscopy and percutaneous transthoracic needle aspiration (PTTNA). Methods A cohort study was conducted by subjects using EMN bronchoscopy and PTTNA. A procedural assessment tool was developed to measure basic competency for EMN bronchoscopy and PTTNA at three different time points: first simulation case, final simulation case upon reaching a competent score, and at their first live case. The assessment tool was divided into four domains (total score 4–16, competency ≥ 12) with each domain requiring a passing score (1–4, competency ≥ 3.0). Complication, and procedural time were collected during their first live case. Results Twenty-two serial procedures (12 EMN bronchoscopies, 10 EMN PTTNA) were observed by fourteen subjects. The mean first simulation score for EMN bronchoscopy (4.66 ±0.89) improved after cadaver simulation (12.67 ±0.89, median 3 simulations attempts). The subjects’ mean score for their first live case was 13.0 ±0.85 (self-reported score 12.5 ±1.07). For EMN PTTNA, the mean first simulation score (4.3 ±2.40) improved after cadaver simulation (12.6 ±1.51, median 3 simulation attempts). The subjects’ mean score for their first live PTTNA case was 12.5 ±2.87 (self-reported score 12.1 ±1.05). There was only one minor complication. Conclusion Learning EMN bronchoscopy/PTTNA is feasible using a structured simulation course with an assessment tool.

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“…Simulators have been validated as useful for bronchoscopy simulation training in several studies. 2 , 5 – 8 Thus, it is the aim of this study to give an overview of current literature that informs how to approach simulation practice of bronchoscopy and discuss how findings from other simulation research can help inform the use of simulation in bronchoscopy training.…”

Section: Introductionmentioning

confidence: 99%

Simulation in bronchoscopy: current and future perspectives

Nilsson¹,

Naur²,

Clementsen³

et al. 2017

AMEP

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ObjectiveTo provide an overview of current literature that informs how to approach simulation practice of bronchoscopy and discuss how findings from other simulation research can help inform the use of simulation in bronchoscopy training.SummaryWe conducted a literature search on simulation training of bronchoscopy and divided relevant studies in three categories: 1) structuring simulation training in bronchoscopy, 2) assessment of competence in bronchoscopy training, and 3) development of cheap alternatives for bronchoscopy simulation.ConclusionBronchoscopy simulation is effective, and the training should be structured as distributed practice with mastery learning criteria (ie, training until a certain level of competence is achieved). Dyad practice (training in pairs) is possible and may increase utility of available simulators. Trainee performance should be assessed with assessment tools with established validity. Three-dimensional printing is a promising new technology opening possibilities for developing cheap simulators with innovative features.

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Construct Validity of the Simbionix Bronch Mentor Simulator for Essential Bronchoscopic Skills

Cited by 16 publications

References 27 publications

The effects of virtual reality‐based bronchoscopy simulator on learning outcomes of medical trainees: A systematic review

The effects of virtual reality‐based bronchoscopy simulator on learning outcomes of medical trainees: A systematic review

Learning Electromagnetic Navigational Bronchoscopy and Percutaneous Transthoracic Needle Biopsy (LEAP)

Simulation in bronchoscopy: current and future perspectives

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