{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:42:30Z","timestamp":1787013750946,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,7,21]],"date-time":"2017-07-21T00:00:00Z","timestamp":1500595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Linear endobronchial ultrasound (\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      ) is a safe and effective method for the diagnostic sampling of mediastinal lymph nodes. However, there is a learning curve associated with the procedure and operator experience influences diagnostic yield. We sought to determine if trainee involvement during\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      influences procedural characteristics, complication rate, and diagnostic yield.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We performed a retrospective analysis of 220 subjects who underwent an\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      procedure at our center from\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      ecember 2012 to\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      une 2013. Procedures were performed by six different interventional pulmonologists with substantial experience with\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      or by a trainee under their direct supervision. Procedural characteristics and complications were recorded. Diagnostic yield and specimen adequacy were compared between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      was performed in 220 patients with a trainee involved (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009116) or by staff physician alone (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009104). Patient characteristics, and the number and size of lymph node stations sampled were similar.\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      duration was longer (16.0 vs. 13.7\u2009minutes;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002) and the total dose of lidocaine used was higher (322.3 vs. 304.2\u2009mg;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.045) when a trainee was involved. The rate of adequate specimens sampled was comparable between the groups (92.0 vs. 92.0%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.60). Diagnostic yield was lower when a trainee was involved in the\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      procedure (52.6 vs. 68.3%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Trainee involvement significantly increased\n                      <jats:styled-content style=\"fixed-case\">EBUS<\/jats:styled-content>\n                      duration and the dose of local anesthesia used for the procedure. Diagnostic yield was lower when a trainee was involved. Factors accounting for this difference in yield, despite adequate samples being obtained, warrant further investigation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1759-7714.12481","type":"journal-article","created":{"date-parts":[[2017,7,21]],"date-time":"2017-07-21T08:58:57Z","timestamp":1500627537000},"page":"517-522","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Influence of trainee involvement on procedural characteristics for linear endobronchial ultrasound"],"prefix":"10.1111","volume":"8","author":[{"given":"S\u00e9bastien","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Ferland","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Beaudoin","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine McGill University Health Center  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Martel","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Laberge","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Lampron","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Fortin","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Delage","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine and Thoracic Surgery Quebec Heart and Lung Institute  Quebec Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-2914"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2355"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-2768"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.11.043"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00097908"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e318226a204"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1234"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000346650"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.5.1693"},{"key":"e_1_2_7_11_1","first-page":"356","article-title":"ERS\/ATS statement on interventional pulmonology. 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