Training to competence in interventional pulmonology

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Vol. 61 - No. 3 PaNmiNerVa medica 201

E D I T O R I A L

C O M P E T E N C E I N I N T E R V E N T I O N A L P U L M O N O L O G Y

Training to competence in interventional pulmonology

Lorenzo cOrBeTTa *

Unit of interventional Pulmonology, department of experimental and clinical medicine, careggi University Hospital, University of Florence, Florence, italy

*corresponding author: Lorenzo corbetta, Unit of interventional Pulmonology, department of experimental and clinical medicine, careggi University Hospital, University of Florence, Florence, Italy. E-mail: lorenzo.corbetta@unifi.it

Panminerva medica 2019 September;61(3):201-2 dOi: 10.23736/S0031-0808.19.03604-8 cOrBeTTa iNTerVeNTiONaL PULmONOLOGY Panminerva medica September 2019 Vol. 61 - No. 3

i

nterventional pulmonology (iP) is experiencing a rapid evolution of new technologies. Several international projects are developing standardized training programs, capable of establishing an ultra-specialty discipline be-yond pulmonary and critical care fellowships, to be or-ganized jointly with volume expert centers with validated metrics for trainee competency assessment.1_{a gradual}

pro-gression from theory to practice is envisaged, using new teaching techniques, including live sessions, low and high fidelity simulation, non-technical skill training, flipped classroom models and problem-based learning (PBL) ex-ercises — to ensure that trainees’ skills are enhanced and updated. While the USa has developed adequate training standards and offers over 30 iP Fellowships, the training programs are not standardized across europe.2_{at present}

there is not a single, common curriculum throughout eu-rope, nor is a certificate of competence in IP mandatory. Over the years , in italy we have felt the need to standard-ize our training program, for the 1-year master and also in lifelong training programs, so that trainees can gradu-ally achieve full competence in the majority of IP skills. a consensus conference on the professional training and competence standards for iP was organized in 2015 to come to an agreement on a core curriculum and the report was published in the Journal of Bronchology and

Inter-ventional Pulmonology as an executive summary3_{and in}

full in the website of eaBiP.4_{it proposes a core}

curricu-lum describing the professional profile of the Interven-tional Pulmonologist and the Training Process needed in order to achieve a level of competence that enables him/

her to perform and manage — both independently and as a team member — all the main issues and procedures in iP. The aim of the document is to guide and support physi-cians wishing to undertake a gradual improvement of their own competencies, and assist those planning and organiz-ing trainorganiz-ing programs in iP accordorganiz-ing to standard ized cri-teria agreed upon by the scientific community.

This special issue of Panminerva Medica includes a general part on core cur riculum contents, innovative train-ing methods includtrain-ing simulation, and introduces a series of articles describing in more detail and with the aid of illustrations, the knowledge and skills re quired for com-petency in each specific procedure: flexible bronchoscopy and basic sampling techniques, interventional endosonog-raphy (eBUS, eUS, eUS-B), bronchoscopic navigation, transbronchial cryobiopsy, operative bronchoscopy and related procedures, thoracic echography and pleural pro-cedures, bronchoscopy in anesthesiology and icU and thoracic surgery, emergencies, endoscopic treatment of emphysema and bronchial thermoplasty. it should be con-sidered a starting point that will evolve over time. These standards need to be reviewed and approved by National and International Scientific Societies and Healthcare In-stitutions: the goal is to improve, disseminate and incor-porate them in certified healthcare programs.

References

1. Lamb cr, Feller-Kopman d, ernst a, Simoff mJ, Sterman dH, Wa-hidi mm, et al. an approach to interventional pulmonary fellowship train-ing. chest 2010;137:195–9.

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2019 EDIZIONI MINERVA MEDICA

This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically or systemat ically , either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access to the Article. The use of all or any part of the Article for any Commercial Use is not permitted. The creation of derivative works from the Article is not permitted. The production of reprints for personal or commercial use is not permitted. It is not permitted to remove, cover , overlay , obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher .

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cOrBeTTa iNTerVeNTiONaL PULmONOLOGY

202 PaNmiNerVa medica September 2019

tence Standards for the interventional Pulmonology master Program in italy. J Bronchology interv Pulmonol 2018;25:6–8.

4. corbetta L, Patelli m. report of the consensus conference on Train-ing and competence Standards for the interventional Pulmonology mas-ter Program in italy; [inmas-ternet]. available from: www.eabip.org/training [cited 2019, Jan 25].

2. Mullon JJ, Burkart KM, Silvestri G, Hogarth DK, Almeida F, Berkow-itz d, et al. interventional Pulmonology Fellowship accreditation Stan-dards: executive Summary of the multisociety interventional Pulmonol-ogy Fellowship accreditation committee. chest 2017;151:1114–21. 3. corbetta L, Patelli m. executive Summary of Training and

compe-Conflicts of interest.—The author certifies that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript. Acknowledgements.—The author thanks Daniela Brazzini (Department of Experimental and Clinical Medicine, Careggi University Hospital, University of

Florence, Florence, italy) for her precious cooperation in this special issue. manuscript accepted: January 22, 2019. - manuscript received: January 18, 2019.

(Cite this article as: corbetta L. Training to competence in interventional pulmonology. Panminerva med 2019;61:201-2. dOi: 10.23736/S0031-0808.19.03604-8)

COPYRIGHT

©

2019 EDIZIONI MINERVA MEDICA

This document is protected by international copyright laws. No additional reproduction is authorized. It is permitted for personal use to download and save only one file and print only one copy of this Article. It is not permitted to make additional copies (either sporadically or systemat ically , either printed or electronic) of the Article for any purpose. It is not permitted to distribute the electronic copy of the article through online internet and/or intranet file sharing systems, electronic mailing or any other means which may allow access to the Article. The use of all or any part of the Article for any Commercial Use is not permitted. The creation of derivative works from the Article is not permitted. The production of reprints for personal or commercial use is not permitted. It is not permitted to remove, cover , overlay , obscure, block, or change any copyright notices or terms of use which the Publisher may post on the Article. It is not permitted to frame or use framing techniques to enclose any trademark, logo, or other proprietary information of the Publisher .