Training in Laser Bronchoscopy and Proposals for Credentialling (Part 1)

Training in Laser Bronchoscopy and Proposals for Credentialling (Part 1)Surgical techniques are usually learned during the course of a formal residency or fellowship program in a particular discipline. However, from time-to-time, a new technique is devised which is of significant interest to physicians who have already completed their formal training, and of potential benefit to a number of patients, that the technique “catches on” and is applied in daily practice. Such a phenomenon occurred in the late 1960s and early 1970s after the pioneering work of the Japanese to invent fiberoptic bronchoscopes. Before that, rigid bronchoscopy was largely within the domain of thoracic surgeons, oto-rhinolaryngologists, and a few bronchoesophagolo-gists. Then, after fiberoptic bronchoscopes became available, large numbers of pulmonary physicians and other specialists expressed a desire to learn how to use this new instrument. The problem arose as to how they might best learn. ventolin inhaler
For physicians who were in their pulmonary fellowships in those years, it was a simple matter of learning from their mentors. As time has passed, fiberoptic bronchoscopy has become an integral part of every training program in pulmonary diseases. In fact, some programs in thoracic surgery and otorhinolaryngology now have difficulty in meeting adequate caseloads of bronchoscopic procedures to train their residents and assure competency. Of special concern is whether enough physicians (regardless of their specialty) will be trained in the use of a rigid bronchoscope for those situations which require its use rather than a flexible bronchoscope.