Practice of navigation bronchoscopy and artificial intelligence in the basic navigational bronchoscopy skills and technique training
10.3760/cma.j.cn116021-20240318-01831
- VernacularTitle:导航支气管镜技术与人工智能辅助在支气管镜基础技能培训中的实践与思考
- Author:
Dingpei HAN
1
;
Xinyi WANG
;
Yanli XU
;
Xijia FENG
;
Yu ZHANG
;
Lihua DENG
;
Xiaoyang LI
;
Hecheng LI
Author Information
1. 上海交通大学医学院附属瑞金医院胸外科，上海 200025
- Keywords:
Navigational bronchoscopy;
Standardized training of residents;
Navigational concept;
Modular training;
Clinical skill enhancement
- From:
Chinese Journal of Medical Education Research
2024;23(10):1326-1330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of navigation bronchoscopy and artificial intelligence in the standardized training of residents on basic bronchoscopy skills, with the goal of enhancing their practical abilities.Methods:We selected 26 trainees (14 on standardized training of residents and 12 on standardized training of specialists) who participated in the basic navigational bronchoscopy skills and technique training (NBSTAT) at Ruijin Hospital, Shanghai Jiao Tong University School of Medicine from September 2023 to January 2024. The training was structured around a modular curriculum with navigation as the core design concept, consisting of five modules: lesion identification, precise localization, route planning, navigation operation, and real-time error correction. Theoretical teaching and skill practice were combined. The skill proficiency of the trainees was assessed using the Ruijin Hospital bronchoscopy simulation training system and the electromagnetic navigation bronchoscopy system. SPSS 26.0 was used to perform the t-test and Wilcoxon rank-sum test for comparisons. Results:After the training, the trainees as a whole showed significant improvements in practicing the skills, with the simulated operation time was reduced from (125.08±48.16) seconds to (77.69±24.75) seconds, the number of errors decreased from 1 to 0, the total score increased from (60.77±15.01) to (75.19±17.63), and the navigation operation time was reduced from 3 (3, 4) minutes to 2 (2, 3) minutes (all P<0.05). There were no significant differences in these assessment items between resident trainees and specialist trainees. The satisfaction rate of the trainees with the training reached 100.00%. Conclusions:The curriculum is effective in basic bronchoscopy skill training, remarkably enhancing the bronchoscopy skills of resident and specialist physicians, which is a useful approach for physicians to cope with the continuous development of diagnostic and therapeutic techniques for pulmonary diseases.
