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- Title
La formazione in pneumologia interventistica.
- Authors
Colella, Sara; Di Marco Berardino, Alessandro; Fantin, Alberto; Puglisi, Silvia; Scarlata, Simone; Tamburrini, Mario
- Abstract
The interventional pulmonology, a discipline with a high level of specialization forming part of the Pulmonologist's training pathway, deals with invasive and semi-invasive methods used in the diagnosis and therapy of chest pathologies involving the airways, the lung parenchyma and the pleura. In the last few years, the progression of technologies and the availability of new scientific evidence supporting a larger diffusion of Interventional Pulmonology in clinical practice, have led the institutions and many scientific societies to recognize the need of new, established criteria for the training and the execution of the different interventional procedures. In this paper, we will revise the state of art in the field, and provide a description of the ongoing initiatives, including post-graduated training courses taking place both in Italy and abroad, and the procedures that outline the figure of the interventional pulmonologist (rigid and flexible bronchoscopy, EUS and EBUS, percutaneous biopsies, cryobiopsy, ultrasound-guided thoracentesis, chest drainage, medical thoracoscopy). The current tools for documenting learning, proficiency and overall competences will be examined, some of which are being considered controversial (due to a lack of effectiveness, to ethical issues related to learning on the patient, to training and logistic efforts required to the supervisor and the trainee, to organizational and insurance issues encountered by the hospital). Finally, some methodological aspects of the current, obsolete, didactic approach, essentially based on a frontal, theoretical and hierarchical teaching (asymmetric relationship between teacher and learner), will be discussed and alternative models able to take into consideration the needs and background of the learners will be proposed. If integrated with virtual reality simulators-based learning, these approaches could likely result in a dramatic innovation of teaching and learning amongst new generations of respiratory physicians.
- Publication
Rassegna di Patologia dell'Apparato Respiratorio, 2019, Vol 34, Issue 5/6, p181
- ISSN
0033-9563
- Publication type
Article