Wang Shupeng, Song Dejing, Sun Xiaocong, Li Chen, Wang Hui, Ma Junyu, Li Wei
Intensive Care Unit, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Health Check-up Center, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Adv Med Educ Pract. 2025 Jun 25;16:1055-1062. doi: 10.2147/AMEP.S520363. eCollection 2025.
To evaluate the impact of remote visualized teaching (RVT) on trainees' confidence and clinical competence after short-term traditional simulation-based bronchoscopy training.
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.
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.
Remote visualized teaching significantly enhances trainees' confidence and clinical competence, serving as a valuable adjunct to traditional bronchoscopy education.
评估短期传统模拟支气管镜检查培训后远程可视化教学（RVT）对学员自信心和临床能力的影响。
在这项前瞻性自我对照准实验研究中，两个队列各有24名学员，他们完成了为期一天的传统支气管镜检查课程，并自愿参加了为期一个月的RVT项目。在RVT前后，使用支气管镜操作信心量表（BOCS）和改良的安大略支气管镜评估工具（OBAT）对自信心和临床能力进行评估，并使用Wilcoxon符号秩检验分析得分。
来自43家医院的48名学员（81.2%为二级医院）完成了RVT课程。BOCS中位数得分从60.0（54.0 - 64.0）显著提高到75.0（72.0 - 81.0；p<0.001），应急反应（2.00→3.50）和操作技能（2.75→3.50）有显著改善。改良OBAT得分从66.7（60.7 - 74.4）提高到79.7（76.7 - 84.9；p<0.001），特别是操作技能、诊断能力和术后管理得分有显著提高。
远程可视化教学显著提高了学员的自信心和临床能力，是传统支气管镜检查教育的宝贵辅助手段。
