The Impact of Remote Visualized Teaching on Clinical Competence Following Short-Term Bronchoscopy Training.

Abstract

Objective: To evaluate the impact of remote visualized teaching (RVT) on trainees' confidence and clinical competence after short-term traditional simulation-based bronchoscopy training.

Methods: In this prospective self-controlled quasi-experimental study, two cohorts, with 24 trainees each, completed a one-day traditional bronchoscopy course and voluntarily joined a one-month RVT program. Confidence and clinical competence were evaluated before and after RVT using the Bronchoscopy Operator Confidence Scale (BOCS) and a modified Ontario Bronchoscopy Assessment Tool (OBAT), with scores analyzed using the Wilcoxon signed-rank test.

Results: 48 trainees from 43 hospitals (81.2% secondary-level) completed the RVT course. Median BOCS scores increased significantly from 60.0 (54.0-64.0) to 75.0 (72.0-81.0; p<0.001), with notable improvements in emergency response (2.00→3.50) and operational skills (2.75→3.50). Modified OBAT scores rose from 66.7 (60.7-74.4) to 79.7 (76.7-84.9; p<0.001), notably, there were significant improvements in the scores for operational skills, diagnostic abilities, and post-procedure management.

Conclusion: Remote visualized teaching significantly enhances trainees' confidence and clinical competence, serving as a valuable adjunct to traditional bronchoscopy education.