EBUS-STAT Subscore Analysis to Predict the Efficacy and Assess the Validity of Virtual Reality Simulation for EBUS-TBNA Training Among Experienced Bronchoscopists

Scarlata, Simone; Palermo, Patrizio; Candoli, Piero; Tofani, Ariela; Petitti, Tommasangelo; Corbetta, Lorenzo

doi:10.1097/lbr.0000000000000349

Cited by 16 publications

(18 citation statements)

References 11 publications

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“…Four studies have used assessment tools to evaluate the competence in performing EBUS (Table ) . In one study, participants were assessed by an EBUS skill and task assessment tool (EBUS‐STAT) .…”

Section: Resultsmentioning

confidence: 99%

“…The EBUS‐STAT could reliably and objectively differentiate operators based on their experience . In another study, 15 participants were evaluated, where they underwent 4 h of lectures and 3 h of hands‐on training on a simulator . There was a significant improvement in the EBUS‐STAT before and after training.…”

Section: Resultsmentioning

confidence: 99%

“…1). 8,13,14, Of the 27 studies, 8 studies described simulator-based learning, 13,14,21,26,28,33,35,38 5 studies described tools for assessing competence in EBUS-TBNA 22,25,33,36,38 and 16 studies provided threshold numbers required for attaining competence in EBUS-TBNA. 8,[17][18][19][20]23,24,27,[29][30][31][32]34,37,39,40 Two studies provided details of both simulator-based training and tool for assessing competence.…”

Section: Resultsmentioning

confidence: 99%

“…8,[17][18][19][20]23,24,27,[29][30][31][32]34,37,39,40 Two studies provided details of both simulator-based training and tool for assessing competence. 33,38…”

Section: Resultsmentioning

confidence: 99%

“…The skill of operators can also be assessed using assessment tools such as the EBUS‐STAT and EBUSAT . The results of three studies using these assessment tools showed that these tools could reliably stratify the operators based on their skills . The number of procedures required to overcome the initial learning curve, however, remains speculative .…”

Section: Discussionmentioning

confidence: 99%

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Training and proficiency in endobronchial ultrasound‐guided transbronchial needle aspiration: A systematic review

et al. 2017

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Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) is currently the modality of choice for evaluation of mediastinal lymphadenopathy. However, there is still uncertainty regarding the training methodology and the number of procedures required to attain proficiency in EBUS. Herein, we performed a systematic review of studies selected from PubMed, EmBase and Scopus databases describing the training and assessment of proficiency during EBUS, specifically studies investigating various methods for training, its outcome and the number of procedures required to overcome the learning curve for EBUS. Twenty-seven (simulator-based learning (n = 8), tools for assessing competence in EBUS-TBNA (n = 5) and threshold numbers needed to attain proficiency in EBUS-TBNA (n = 16)) studies were identified. An EBUS simulator accurately stratified individuals based on the level of experience in performing EBUS. Training received on a simulator was comparable with traditional apprentice-based training. Importantly, skills acquired on a simulator could be transferred to realworld patients. The number needed to overcome the initial learning curve of EBUS varied from 10 to 100 in individual studies with a mean of 37-44 procedures. Tools such as EBUS-STAT (EBUS skill and task assessment tool) and EBUSAT (EBUS skill and assessment tool) were effective in evaluating the EBUS trainees. We conclude that an EBUS simulator or EBUS assessment tools can objectively assess the training of an EBUS trainee. Simulator-based training is a useful modality in EBUS training. The number of procedures needed to overcome the initial learning curve is about 40. Centres involved in EBUS training could incorporate simulator-based training in their curriculum before allowing operators to perform EBUS on patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…8,[17][18][19][20]23,24,27,[29][30][31][32]34,37,39,40 Two studies provided details of both simulator-based training and tool for assessing competence. 33,38…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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