{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:21:34Z","timestamp":1787016094864,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,7,16]],"date-time":"2017-07-16T00:00:00Z","timestamp":1500163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2017,11]]},"abstract":"\n ABSTRACT<\/jats:styled-content>\n <\/jats:title>\n \n Endobronchial ultrasound (\n EBUS<\/jats:styled-content>\n )\u2010guided transbronchial needle aspiration (\n TBNA<\/jats:styled-content>\n ) is currently the modality of choice for evaluation of mediastinal lymphadenopathy. However, there is still uncertainty regarding the training methodology and the number of procedures required to attain proficiency in\n EBUS<\/jats:styled-content>\n . Herein, we performed a systematic review of studies selected from\n PubMed<\/jats:styled-content>\n ,\n EmBase<\/jats:styled-content>\n and Scopus databases describing the training and assessment of proficiency during\n EBUS<\/jats:styled-content>\n , specifically studies investigating various methods for training, its outcome and the number of procedures required to overcome the learning curve for\n EBUS<\/jats:styled-content>\n . Twenty\u2010seven (simulator\u2010based learning (\n n<\/jats:italic>\n \u2009=\u20098), tools for assessing competence in\n EBUS\u2010TBNA<\/jats:styled-content>\n (\n n<\/jats:italic>\n \u2009=\u20095) and threshold numbers needed to attain proficiency in\n EBUS\u2010TBNA<\/jats:styled-content>\n (\n n<\/jats:italic>\n \u2009=\u200916)) studies were identified. An\n EBUS<\/jats:styled-content>\n simulator accurately stratified individuals based on the level of experience in performing\n EBUS<\/jats:styled-content>\n . Training received on a simulator was comparable with traditional apprentice\u2010based training. Importantly, skills acquired on a simulator could be transferred to real\u2010world patients. The number needed to overcome the initial learning curve of\n EBUS<\/jats:styled-content>\n varied from 10 to 100 in individual studies with a mean of 37\u201344 procedures. Tools such as\n EBUS\u2010STAT<\/jats:styled-content>\n (\n EBUS<\/jats:styled-content>\n skill and task assessment tool) and\n EBUSAT<\/jats:styled-content>\n (\n EBUS<\/jats:styled-content>\n skill and assessment tool) were effective in evaluating the\n EBUS<\/jats:styled-content>\n trainees.\n <\/jats:p>\n \n We conclude that an\n EBUS<\/jats:styled-content>\n simulator or\n EBUS<\/jats:styled-content>\n assessment tools can objectively assess the training of an\n EBUS<\/jats:styled-content>\n trainee. Simulator\u2010based training is a useful modality in\n EBUS<\/jats:styled-content>\n training. The number of procedures needed to overcome the initial learning curve is about 40. Centres involved in\n EBUS<\/jats:styled-content>\n training could incorporate simulator\u2010based training in their curriculum before allowing operators to perform\n EBUS<\/jats:styled-content>\n on patients.\n <\/jats:p>","DOI":"10.1111\/resp.13121","type":"journal-article","created":{"date-parts":[[2017,7,16]],"date-time":"2017-07-16T07:22:38Z","timestamp":1500189758000},"page":"1547-1557","source":"Crossref","is-referenced-by-count":39,"title":["Training and proficiency in endobronchial ultrasound\u2010guided transbronchial needle aspiration:\n A<\/scp>\n systematic review"],"prefix":"10.1111","volume":"22","author":[{"given":"Inderpaul S.","family":"Sehgal","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahajal","family":"Dhooria","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8556-3600","authenticated-orcid":false,"given":"Ashutosh N.","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2547-7668","authenticated-orcid":false,"given":"Ritesh","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.05.110"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2016.0031"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2012.02.014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-2339"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-200063"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12335"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.01.028"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2009.02142.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1392040"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.02.00204602"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2462"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2464"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2011.02068.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2011.01961.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00136"},{"key":"e_1_2_6_17_1","unstructured":"KmetLM LeeRC CookLS. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Edmonton: AHFMR 2004. [Accessed 15 Jan 2017.] Available from URL:www.ahfmr.ab.ca."},{"key":"e_1_2_6_18_1","first-page":"87","article-title":"Endobronchial ultrasound guided transbronchial needle aspiration: a preliminary experience","volume":"15","author":"Adawi R","year":"2008","journal-title":"J. Bronchology Interv. Pulmonol."},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.06.042"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.127274"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.146407"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000323520"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201111-1968OC"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-1986"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-0317"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2012.04.002"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/785192"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.07.077"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/846769"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1159\/000368366"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0000000000000050"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivu235"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-0701"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02352-2015"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1159\/000381554"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12450"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1159\/000362884"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.3816\/CLC.2010.n.004"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0000000000000349"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-017-0375-9"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.12475"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2014-307173"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.164.12.2102087"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-2914"}],"container-title":["Respirology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fresp.13121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/resp.13121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T13:29:02Z","timestamp":1695994142000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/resp.13121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,16]]},"references-count":43,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1111\/resp.13121"],"URL":"https:\/\/doi.org\/10.1111\/resp.13121","archive":["Portico"],"relation":{},"ISSN":["1323-7799","1440-1843"],"issn-type":[{"value":"1323-7799","type":"print"},{"value":"1440-1843","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,16]]}}}