Training in Laser Bronchoscopy and Proposals for Credentialling: Proposals to Improve Training and the Ongoing Practice of Laser Bronchoscopy (Part 3)
These or other guidelines might be developed for laser bronchoscopy by professional societies such as the American College of Chest Physicians and the American Thoracic Society. The alternative is far less desirable: placement of constraints by government agencies and third-party payors.
Directors of training programs where laser bronchoscopy is practiced should not attempt to train every member in their postdoctoral programs to perform laser bronchoscopy. Instead, individuals should be selected on the basis of demonstrated excellence in procedural skills. They should then be taught and given ample opportunity to learn how to perform rigid bronchoscopy well. If such individuals then express interest in learning to perform laser bronchoscopy, and they express intentions to stay with programs that have adequate caseloads, they should continue to acquire training and skills in laser bronchoscopy during their final years of training. Buy Asthma Inhalers Online
Hospitals and physicians currently performing low volumes of laser bronchoscopies should critically examine the need to continue this activity, and consider stopping if volumes do not increase over the next one to two years. Hospitals and physicians who continue performing laser bronchoscopy should strive for full services in this area, with all three major wavelengths (C02, YAG, and argon-pumped tuneable dye) whenever possible.
New wavelengths and modifications of existing procedural techniques may find application through carefully conducted clinical research, provided there is an adequate caseload at such centers to do so.