ATS scholar最新文献

{"title":"A Cost-Effective High Task Alignment Model for Ultrasound-Guided Central Venous Catheterization Training.","authors":"Ibrahim A Gomaa, Aaron Damon, Rosa Anna Chorro, Helga N Olson, Jimmy A Johnson, Andrew J Stites, Mariela Rivera, Mark Morrey, Diana Kelm","doi":"10.1093/atsscholar/aapag033","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag033","url":null,"abstract":"<p><strong>Background: </strong>Central venous catheterization (CVC) is a fundamental procedural competency in pulmonary and critical care medicine (PCCM). Although commercially available task trainers are effective for teaching CVC placement, their high cost and logistical requirements can limit access to repeated practice.</p><p><strong>Objective: </strong>To evaluate learner and faculty perceptions and usability of a newly developed CVC simulation model compared with a standard commercial task trainer and detail the technical report of the novel model's construction.</p><p><strong>Methods: </strong>We conducted a prospective educational evaluation during the PCCM CVC workshop. Participants practiced CVC placement with both the standard commercial trainer and a locally constructed simulation model developed at our institution. Teaching faculty were asked to evaluate both models from an instructional standpoint.</p><p><strong>Results: </strong>Eighteen participants (15 PCCM 1st year fellows and 3 faculty instructors) evaluated the novel CVC simulation model. All fellows (n = 15, 100%) preferred the new model over a standard commercial model, with 14 (93%) reporting improved understanding of CVC insertion steps and 11 (73%) noting ease of ultrasound landmark identification. All fellows (n = 15, 100%) endorsed inclusion of the model in future workshops. Additionally, faculty instructors preferred the novel model for teaching (n = 3, 100%). All faculty supported future use of the model. The initial model development cost was approximately $288.96 with most materials' reusable.</p><p><strong>Conclusions: </strong>The novel task-aligned CVC simulation model offers a realistic, reusable, and cost-effective alternative to commercial simulators, with high learner and faculty preference and strong educational value. Its functional alignment supports integration into fellowship training, with future studies needed to assess objective skill acquisition and retention.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foundational Elements of a Successful Innovation Pitch to Venture Capital: The Business of Science for the Physician-Scientist.","authors":"Theodore J Witek","doi":"10.1093/atsscholar/aapag031","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag031","url":null,"abstract":"<p><p>This perspective provides the physician-scientist interested in seeking funding for their innovation from venture organizations with practical advice. The catalyst for this brief manuscript is the growing acceptance and importance of commercialization paths recognized by the American Thoracic Society and its Respiratory Innovation Summit, which proceeds each annual meeting. Advice is presented in the form of points to consider prior to pitching one's idea as well as an overview of the foundational elements of such a pitch. This includes its purpose and overarching elements, the importance of team makeup and cohesiveness, and suggested follow ups to optimize one's efforts in preparing and delivering their asset.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Acute Infectious Purpura Fulminans.","authors":"Kalaila L Pais, Jonathan Berry, Margaret M Hayes","doi":"10.1093/atsscholar/aapag032","DOIUrl":"10.1093/atsscholar/aapag032","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Participant experience of a low-carbon, hybrid 'spoke-and-hub', small-format lung health conference.","authors":"Gary P Anderson, Stephanie James, Lucy Morgan, Richard Beasley","doi":"10.1093/atsscholar/aapag030","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag030","url":null,"abstract":"<p><strong>Background: </strong>The environmental impact of medical conferences has prompted calls for carbon minimization strategies to be more widely adopted. The COVID crisis has occasioned greater acceptance of digital conference formats, which can enhance access and broaden participants inclusion. However, studies on the impact of carbon minimization models on participant satisfaction and engagement are limited.</p><p><strong>Objective(s): </strong>To assess participant satisfaction, and estimate travel-related carbon emissions, from an Australian national lung conference that utilized a carbon-minimizing \"hybrid spoke-and-hub\" format offering either in-person or virtual attendance, which can also facilitate participation for those unable to travel due to personal or professional constraints.</p><p><strong>Methods: </strong>Participant satisfaction was assessed using a pre-specified survey tool. Actual travel-related carbon emissions for air and car travel were calculated for the hybrid meeting and compared to the inferred impact if the same meeting had been held in a single major city (Sydney) as in-person attendance only.</p><p><strong>Results: </strong>174 delegates attended (88 in-person, 86 virtual). The participant survey was completed by 45% of eligible attendees. The hybrid model reduced air passenger carbon emissions by 95%, and car passenger emissions by 48%, resulting in a reduction of 26.19 metric tonnes of carbon emissions compared to the inferred single-hub format. Participant satisfaction was high across all parameters, though 'ability to interact with colleagues' and 'ask questions', were negatively impacted by the hybrid model.</p><p><strong>Conclusions: </strong>This hybrid approach led to a major reduction in inferred environmental impact with unexpectedly high user acceptability and preference. Key limitations were interaction with colleagues and ability to ask questions. These findings support the adoption of hybrid model meeting formats that minimize environmental impact.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"I Can See Your HALO: Consensus-based List of High Acuity, Low Occurrence Procedures for Critical Care Medicine Fellowship Training.","authors":"Brent A Bagley, Asad H Khan, Matthew R Thau, Abesh Niroula, Amik Sodhi, Alexander J Garbarino, Brian R Poole, Kaitlyn M Vitale, Majid Shafiq","doi":"10.1093/atsscholar/aapag029","DOIUrl":"https://doi.org/10.1093/atsscholar/aapag029","url":null,"abstract":"<p><strong>Background: </strong>The Accreditation Council of Graduate Medical Education (ACGME) requires proficiency in procedures such as endotracheal intubation, central line insertion, and bronchoscopy for certification in critical care medicine (CCM). These are common in the intensive care unit and gaining sufficient exposure to attain competence during fellowship training is generally not challenging. However, intensivists are also expected to perform several high-risk procedures that are less frequent. Such high-acuity, low-occurrence (HALO) procedures lack a clear designation, possibly due to a lack of consensus on training standards, and exposure to them during fellowships can be inconsistent.</p><p><strong>Objectives: </strong>We aimed to identify HALO procedures specific to CCM fellowship training.</p><p><strong>Methods: </strong>A modified Delphi methodology was employed to gather iterative data from and reach consensus among a diverse panel of CCM-trained fellowship faculty with expertise in fellowship curricula. Three rounds of quantitative data were completed, with a final round of qualitative data collected to better define why experts chose certain procedures over others. Experts were blinded to the responses of each other, and investigators were blinded to the responses of individual experts.</p><p><strong>Results: </strong>Six procedures (namely, awake bronchoscopic intubation, bronchoscopic intubation under sedation, cricothyrotomy, esophageal balloon tamponade, pericardiocentesis, and surgical chest tube placement requiring blunt dissection) qualified as HALO procedures relevant to CCM fellowship training. According to feedback from experts, procedures were selected based on their relevance to high-risk situations in the ICU, their frequency of occurrence, and the typical scope of practice of ICU providers.</p><p><strong>Conclusions: </strong>This study provides a consensus-based list of qualifying HALO procedures in CCM training. This list can inform curriculum development and support the integration of targeted training strategies to better prepare CCM fellows for rare, high-risk procedures.</p><p><strong>Clinical trial registration: </strong>N/A.</p><p><strong>Primary source of funding: </strong>N/A.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ventilator waveform interpretation skills of attending intensivists relative to critical care fellows (VISA) study.","authors":"Roxana Amirahmadi, Muhtadi Alnababteh, Michael Keller, Junfeng Sun, Kavitha Bagavathy, Sami Safadi, Bashar S Staitieh, Stephanie I Maximous, Eric Kriner, Christian J Woods, Emil Oweis, Matthew P Schreiber, Nitin Seam, Burton W Lee","doi":"10.1093/atsscholar/aapaf008","DOIUrl":"10.1093/atsscholar/aapaf008","url":null,"abstract":"<p><strong>Background: </strong>Mechanical ventilation can be lifesaving for critically ill patients. However, there is evidence that intensivists' mechanical ventilation management skills are lacking, presenting a potential risk to patient safety. Ventilator waveform interpretation skills of intensivists need to be further studied to address learning gaps among intensivists.</p><p><strong>Objectives: </strong>We aimed to study the baseline ventilator waveform interpretation and management skills of attending intensivists compared to those of critical care fellows in academic medical institutions in the United States.</p><p><strong>Methods: </strong>This prospective multi-institutional investigation spanned 7 US cities where the Multi-Institutional Fundamentals of Mechanical Ventilation Course (MFMVC) took place in July and August 2023. Participants included attending intensivists (study group) from academic medical centers and critical care fellows (control group) who participated in the MFMVC. A validated ventilator waveform test was administered pre- and post-MFMVC. The primary outcome was the pretest scores of intensivists compared to fellows.</p><p><strong>Results: </strong>Thirty-three attendings and 136 fellows took the pretest and 29 attendings and 135 fellows took the posttest. Mean ± SD pretest scores out of 100 points were 24.3 ± 22.3 for attendings and 16.9 ± 18.7 for fellows (P = .0503). Posttest scores for attendings (45.6 ± 25.5; delta score, 21.3; P = .0015) and fellows (43.6 ± 24.0; delta score, 26.7; P <.00001) significantly improved. There was no difference in posttest scores between attendings versus fellows (P = .69).</p><p><strong>Conclusions: </strong>Intensivists' ventilator waveform interpretation and management skills are not different from those of critical care fellows before and after a mechanical ventilation course. These findings highlight a need for targeted educational interventions given the apparent concerning knowledge gaps among intensivists post-fellowship.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"116-122"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-year impact of an ambulatory pulmonary curriculum for fellows leveraging adult learning theory.","authors":"Kathleen A McAvoy, Katherine A Gielissen, Shyoko Honiden, Jennifer D Possick","doi":"10.1093/atsscholar/aapag008","DOIUrl":"10.1093/atsscholar/aapag008","url":null,"abstract":"<p><strong>Background: </strong>In pulmonary and critical care medicine (PCCM) fellowship, inpatient training is often prioritized over outpatient learning, resulting in fellows' dissatisfaction with their ambulatory education. Additional challenges limit the use of best practices for teaching and learning in graduate medical education.</p><p><strong>Objective: </strong>To develop a 3-year ambulatory pulmonary curriculum leveraging principles of adult learning theory such as flipped classroom elements and interprofessional teaching, and to evaluate the first year of this curriculum.</p><p><strong>Methods: </strong>We developed an ambulatory pulmonary curriculum at a large academic PCCM fellowship program including 24 topics over 3 years. Sessions emphasized case- and discussion-based learning in a small group setting, often incorporating flipped classroom elements. Most sessions also included interprofessional teaching for hands-on practical skill development. Assessment of the first year of the curriculum was performed using a mixed-methods approach, with pre- and postintervention surveys followed by fellow focus groups. Beginning with the third session, paired pre- and posttests for knowledge and trainee self-assessed comfort with the topic were evaluated. In-training exam (ITE) scores were compared to preintervention years.</p><p><strong>Results: </strong>Comparison of paired pre- and posttests demonstrated improved comfort in all 6 sessions, and improved knowledge in 5 of the 6 sessions assessed. ITE scores of all fellows following the first year of the curriculum were significantly increased compared to one of the 2 prior years, and ITE scores for the first-year fellows were significantly higher than both preceding academic years. Fellow and faculty surveys reflected that the curricular content, use of interprofessional teachers, small group setting, and use of presession reading all enhanced education. Fellow focus groups emphasized that content selection and teaching methodologies were strengths of the curriculum.</p><p><strong>Conclusions: </strong>In its first year, the implementation of an ambulatory pulmonary curriculum grounded in adult learning theory and highlighting interprofessional teachers positively impacted fellow knowledge and comfort. Our curriculum is a first of its kind to demonstrate improvement in PCCM fellow knowledge and to expand the use of interprofessional teaching and flipped classroom elements to graduate ambulatory pulmonary education.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"130-139"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowing your worth: a review of initial pulmonary and critical care academic offers.","authors":"Laura Hinkle","doi":"10.1093/atsscholar/aapag019","DOIUrl":"10.1093/atsscholar/aapag019","url":null,"abstract":"","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"95-96"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bronchoalveolar lavage in pediatric patients: are we doing it right?","authors":"Mikhail Kazachkov","doi":"10.1093/atsscholar/aapag014","DOIUrl":"10.1093/atsscholar/aapag014","url":null,"abstract":"<p><p>Bronchoalveolar lavage (BAL) is an essential tool for characterizing pediatric pulmonary diseases, but its diagnostic yield is often hampered by technical collection errors and challenges in interpreting results, particularly with the rise of non-culture-based microbiological techniques. Based on a scoped literature review and expert experience, this paper aims to standardize proper BAL technique, detail common procedural mistakes, and establish an updated interpretative framework for pediatric pulmonologists. Understanding these procedural and diagnostic pitfalls is crucial to maximizing the diagnostic utility of BAL and minimizing errors in the management of pediatric lung disease. It is recommended that the subject be taught using a combination of didactic and practical sessions.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"154-161"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, implementation, and evaluation of a novel fellowship coaching program.","authors":"Kristen Vossler, Jackie Lin, Lekshmi Santhosh, James Frank","doi":"10.1093/atsscholar/aapaf005","DOIUrl":"10.1093/atsscholar/aapaf005","url":null,"abstract":"<p><strong>Background: </strong>Coaching for professional development contributes to improved performance, personal satisfaction, and well-being. Although coaching programs have been widely introduced at the undergraduate medical education level and in certain residency programs, coaching programs targeting the unique experiences of fellows are less well described. Given high rates of burnout, pulmonary and critical care medicine (PCCM) fellows may benefit from professional development coaching.</p><p><strong>Objective: </strong>To design, implement, and evaluate an individual coaching program for PCCM fellows.</p><p><strong>Methods: </strong>Alumni surveys and trainee and faculty focus groups identified key needs of a coaching program. Coaches received salary support and were trained in competencies including positive psychology, learner engagement, and communication. Starting in 2019, 3 coaches were assigned 7 fellows each, spanning the 3 Accreditation Council of Graduate Medical Education (ACGME) years. The program was evaluated through ACGME surveys, Likert scale-based end-of-year surveys, and qualitative analysis of fellows' written feedback.</p><p><strong>Results: </strong>Coaching was associated with improved overall training program satisfaction (ACGME survey overall satisfaction [survey range 1-5, with 5 highest] was 4.2, 3.9, and 4.3 in the 3 years preintervention, and 4.6, 4.6, and 4.6 in the 3 years postintervention). Compliant responses in the ACGME survey domain of Evaluation increased above our program benchmark of 90% from a baseline of 75%. Fellow well-being demonstrated slight improvements through the evaluation period (2018-2022). Fellows rated the coaching program highly, especially in support and well-being, feedback, and goal-setting. Only 66% reported a direct impact on choosing a specific career path.</p><p><strong>Conclusions: </strong>Implementation of this fellowship coaching program was associated with improvements in fellows' satisfaction with the training experience, evaluation and feedback, career development, and well-being, despite the added challenges of the COVID-19 pandemic. Future directions include standardizing coaching frameworks, exploring long-term impacts on career trajectories, and evaluating coaches' satisfaction with the program.</p>","PeriodicalId":72330,"journal":{"name":"ATS scholar","volume":" ","pages":"149-153"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}