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REVIEW ARTICLE
Year : 2022  |  Volume : 11  |  Issue : 2  |  Page : 104-111

Developing a simulation-based training curriculum in transesophageal ultrasound with the use of the endobronchial ultrasound-endoscope


1 Copenhagen Academy for Medical Education and Simulation, Centre for Human Resources and Education, The Capital region of Denmark, Copenhagen, Denmark
2 Department of Medical Education, University of Illinois at Chicago, Illinois, USA
3 Department of Respiratory Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands
4 Copenhagen Academy for Medical Education and Simulation, Centre for Human Resources and Education, The Capital region of Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

Correspondence Address:
Leizl Joy Nayahangan
Copenhagen Academy for Medical Education and Simulation, Ryesgade 53, Copenhagen
Denmark
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/EUS-D-21-00126

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There is an increasing need to focus on how best to train respiratory physicians to perform EUS with bronchoscope-guided fine-needle aspiration biopsy (EUS-B-FNA). At current, training is mostly performed in the clinical environment under expert supervision; however, the advent of simulation-based education now provides a low-risk setting for novice trainees to learn and practice basic endosonography skills from identifying and understanding normal anatomy as well as pathology, maneuvering of endoscope, interpretation of images, and mastering of sampling techniques. In this descriptive educational paper, we used a six-step approach as a framework to describe the development of a structured training program combining EUS-B-FNA with the already well-established certification training program in endobronchial ultrasound transbronchial needle aspiration. This comprehensive training curriculum includes a theoretical course to achieve foundational knowledge, followed by simulation-based training until mastery standards are met, and supervised clinical apprenticeship. All steps should end with an objective assessment to achieve certification. This systematic development will hopefully encourage endosonography leaders and educators to collaborate and implement an evidence-based comprehensive endosonography curriculum that aims to provide the trainee with the essential EUS-B competencies to ensure that lung cancer patients are diagnosed and staged correctly.


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