Use validated homogeneous outcome measures, preferably in a patient setting, in future FB SBT studies¶

Strategy · All strategies
Evidence · 2 claims (2 for) · 1 study (1 quant-synthesis), q2 · 0 of 1 report an effect size · 2 claims rest on one study

Description¶

To overcome heterogeneity and enable comparisons between studies, the review advocates that "future studies use more homogeneous validated outcome measures, preferably in a patient setting." It suggests assessing trainees with a previously validated qualitative assessment such as a validated version of the BSTAT, combined with procedure time as a secondary outcome measure, and possibly structured progress. This strategy targets the sparse and conflicting evidence at Kirkpatrick levels 3 and 4.

Design Implications¶

Context¶

Requirements¶

• Assessment tools with proven validity, such as a validated BSTAT version, must be available and used consistently across studies

Constraints¶

• The review notes designing a study of SBT effects on patient outcomes is difficult from ethical and practical points of view

Target Learners¶

• novice bronchoscopy trainees

Target Learning Goals¶

• basic flexible bronchoscopy skills

Claims¶

• Evidence that FB SBT improves bronchoscopy performance in a patient setting (Kirkpatrick level 3) is sparse and conflicting [+W]
• Flexible bronchoscopy simulation-based training improves novice trainees' skills when evaluated in a simulation setting [+W]

Related Strategies¶

• Standardise outcome measurements and isolate individual instructional design features in future research
• Report complete statistical data and use standardized success tests to enable future meta-analysis
• Direct future self-regulation research toward standard methods of reporting SR outcomes to address substantial heterogeneity in outcome measures.
• Develop and validate a reusable, cost-effective, high-fidelity training platform and build homogeneous assessment tools for aneurysm clipping simulation

Examples¶

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Key Sources¶

• Gerretsen Eveline C.F. MSc, Chen Aoben MD, Annema Jouke T. MD, PhD, Groenier Marleen PhD, van der Heijden Erik H.F.M. MD, PhD, van Mook Walther N.K.A. MD, PhD, Smeenk Frank W.J.M. MD, PhD. (2023). Effectiveness of Flexible Bronchoscopy Simulation-Based Training: A Systematic Review. Chest. https://doi.org/10.1016/j.chest.2023.05.012