CHEST Guidelines-The-Scope-of-Teaching-the-(Broncho)Scope

The-Scope-of-Teaching-the-(Broncho)Scope_chest

Pdf Summary

The article by Dr. Matthew Miles outlines the teaching methodologies for bronchoscopy using the cognitive apprenticeship model, which emphasizes scaffolding. The model supports trainees by pairing them with expert teachers who gradually decrease their support as the trainee gains independence. The study by Brady et al., referenced herein, explored the instructional methods used by bronchoscopy educators at one institution. This research involved observing and recording eight bronchoscopies and conducting interviews with six fellows and seven attending physicians.<br /><br />Two primary themes emerged from the study. First, instructors employed various teaching methods based on the learner's skill level and the procedure's complexity. Techniques included modeling, coaching, scaffolding, and fading, with the method adjusted to ensure patient safety and consider procedural risk. Second, attendings adjusted their methods to maintain patient safety, taking into account the fellow's training duration and past experiences.<br /><br />While the study was limited to a single site, it is pivotal in demonstrating the benefits of using the cognitive apprenticeship model in bronchoscopy education. This model provides clarity on instructional behaviors that can enhance the learning experience. Future research could fine-tune our understanding of how specific teaching microskills—such as phrases, physical guidance, or other techniques—improve skill acquisition and patient outcomes.<br /><br />The integration of validated skills assessments with the findings from Brady et al. offers a comprehensive framework for bronchoscopy teaching, enabling educators to evaluate and develop faculty effectively. This thorough understanding holds the promise of improved training outcomes and, importantly, benefits patient safety and treatment efficacy in bronchoscopy procedures.

Keywords

bronchoscopy education

cognitive apprenticeship

scaffolding

teaching methodologies

patient safety

instructional methods

skill acquisition

faculty development

training outcomes

medical education