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- Title
A Comparison of Different Training Methods in the Successful Learning of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration.
- Authors
Zhang, Wen Chao; Chen, Wei; Zhou, Jian Ping; Lerner, andrew D.; Ni, Lei; Shen, Ji Min; Yan, Tian Li; Zhou, Min; Shi, Guo Chao; Xiang, Yi
- Abstract
Background: Standardized training of endobronchial ultrasound-guided transbronchial needle aspiration (EBUSTBNA) is available only in highly developed countries. Objective: To compare the skill differences in the performance of EBUS-TBNA by pulmonologists trained under different learning methods. Methods: We performed a retrospective study of 145 EBUS-TBNA cases. We set up 3 comparative training groups: a standardized training group, a teaching group, and a self-study group. The main clinical outcomes were sensitivity, specificity and accuracy of EBUS-TBNA. Cumulative sum analysis was used to track EBUS-TBNA proficiency of the 3 groups. Results: The sensitivities of EBUSTBNA in the different groups were 90, 88, and 67%, respectively. The accuracies of the different groups were 91, 90, and 71%, respectively. With respect to the sensitivity and accuracy, there was no significant difference between the standardized training group and teaching group. However, the self-study group was inferior to the other 2 groups. By comparing the learning curve among the groups, we found that the minimum number of operations needed to reach a 90% accuracy for the standardized training group, the teaching group and the self-study group was 17, 32 and 40 cases, respectively. Conclusion: Compared with the teaching and self-study groups, the standardized training group resulted in practitioners achieving high skill levels following the performance of a lower number of cases. Pulmonologists trained in the teaching group achieved a similar level of skills, but required more experience to reach this level. Practitioners in the self-study group did not achieve a satisfactory level of skills, despite performing a high number of cases.
- Subjects
LUNG tumors; BRONCHOSCOPY; CLINICAL competence; LEARNING strategies; NEEDLE biopsy; PROFESSIONAL employee training; ULTRASONIC imaging; RETROSPECTIVE studies; PULMONOLOGISTS; DIAGNOSIS
- Publication
Respiration, 2017, Vol 93, Issue 5, p319
- ISSN
0025-7931
- Publication type
Article
- DOI
10.1159/000462978