A Pilot Program Assessing Bronchoscopy Training and Program Initiation in a Low-income Country

Trishul Siddharthan, Peter Jackson, A. Christine Argento, Ashutosh Sachdeva, Lonny Yarmus, Patricia Alupo, Bruce Kirenga, William Woordria, Hans J Lee

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Flexible bronchoscopy is an essential procedure for the evaluation and management of the pulmonary disease. However, this technology and related training is not available in many low-middle income countries (LMICs). We conducted a pilot training program for flexible bronchoscopy in Uganda. METHODS: A multimodal curriculum was developed with pulmonologists from Uganda and the United States. The training included an online distance learning management system for video content, simulation, just-in-time training, and deliberate practice via clinical proctoring. Procedural standards and a de novo bronchoscopy suite were concurrently developed. Competency was assessed using the Bronchoscopic Skills and Tasks Assessment Tool written examination and the Ontario Bronchoscopy Assessment Tool. RESULTS: We trained 3 pulmonary physicians with no prior experience in flexible bronchoscopy. Three bronchoscopies with bronchoalveolar lavage were performed during the training and an additional 11 cases were performed posttraining. All 3 Ugandan physicians had an increase in their written Bronchoscopic Skills and Tasks Assessment Tool and Ontario Bronchoscopy Assessment Tool in the competent range (P<0.05). All bronchoscopies were successfully completed, adequate samples were obtained, and there were no procedure-related complications. CONCLUSION: Bronchoscopy implementation in LMICs is feasible, but requires competency-based training. Further studies are needed to validate this curriculum in LMICs, including the use of this type of curriculum for more complicated bronchoscopic procedures.

Original languageEnglish (US)
Pages (from-to)138-142
Number of pages5
JournalJournal of bronchology & interventional pulmonology
Issue number2
StatePublished - Apr 1 2021

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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