Abstract
TOPIC: Education, Research, and Quality Improvement TYPE: Original Investigations PURPOSE: The COVID pandemic has prioritised the role of simulation-based training. Both high and low fidelity simulators in bronchoscopy including endobronchial guided transbronchial needle aspiration (EBUS-TBNA) are costly.To develop a low fidelity bio-simulator from predominately recyclable household materials or materials available in a hardware store, and, to demonstrate its utility in EBUS-TBNA skills training. METHODS: ALFIE (Airway Low Fidelity Including EBUS) bio-simulator was developed and various organic materials were tested as pseudo-peri-bronchial lymph nodes. Residents (novices) and fellows (advanced trainees) were tested using a modified validated EBUS-TBNA scoring tool before and after training on ALFIE bio-simulator. RESULTS: 19 trainees were includes (11 residents and 8 fellows). Pre-training assessment of scope handling differentiated novices from experienced bronchoscopists ((p=0.0004 (95% confidence intervals 1.09-3.11). Training of novices was associated with an improvement in scope handling (p=0.0352 (95% confidence intervals 0.07-1.75)). Significant improvements in EBUS-TBNA performance were identified in fellows after ALFIE Bio-simulator training (p=0.0472 (95% confidence intervals 0.03-1.4.65)). CONCLUSIONS: Assessment of scope handling on ALFIE, a cheap home-made bio-simulator differentiated novices form more experienced trainees and all trainees bronchoscopy skills improved with training on ALFIE bio-simulator. CLINICAL IMPLICATIONS: ALFIE is a cheap bio-simulator that can be positioned in trainees office allowing continuous bronchoscopy including EBUS-TBNA training. There is no Intellectual Property Patent and ALFIE assembly instructions will be sent to any physician or surgeon who seeks a cheap low fideliity bronchoscopy including EBUS-TBNA bio-simulator. DISCLOSURES: No relevant relationships by Kevin Deasy, source=Web Response No relevant relationships by Marcus Kennedy, source=Web Response No relevant relationships by barry O'Reilly, source=Web Response No relevant relationships by Ray O'Sullivan, source=Web Response No relevant relationships by Anne-Marie Sweeney, source=Web Response no disclosure on file for helen whelton
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