How to teach anesthesiologists and intensivists to perform bronchoscopy? Three years experience with practically directed workshops in the Czech Republic

Abstract

Introduction: An elementary knowledge of flexible bronchoscopy (FBSC) is required from anesthesiology and intensive care (AIC) physicians for the European Diploma of Intensive Care exam. Workshops for AIC physicians guided by pulmonologists are a reasonable form of education. Training on specially preserved cadaver is a good background for real bronchoscopy. Aim: Workshops "FBSC for AIC physicians" covered by the Czech Medical Council are organized by a team of pulmonologists and AIC specialists with experience of FBSC. It includes a hands-on videobronchoscopy on a cadaver preserved according to Prof. Thiel, keeping a native appearance of tissue suitable for the FBSC training. The participants complete a questionnaire maping their previous FBSC experience and impact of the workshop on their practise. Methods: Questionnaire e-mailed to alumni focused on impact of the workshop on their clinical practise and a need of their follow-up education Results: Nov. 2012 - Dec. 2015 we organized 12 FBSC workshops for 141 participants. From 98 questionnaires we obtained eg. following data: 77% of participants declare application of practical skills obtained in the workshop in their clinical practise,74% use the theoretical know-how, most of the participants appreciate balanced ratio of practical and theoretical syllabus, more than 90% expressed their wish to take a part in advanced training Conclusions: Education of AIC specialists is one of the possibility how to enlarge the pool of physicians performing FBSC on ICUs. Our workshops for AIC physicians are valuable particularly because of the hands-on training on specially preserved cadaver