Objective

2

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

2

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

2

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

2

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.