{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:20:48Z","timestamp":1787019648483,"version":"build-2736575974"},"reference-count":33,"publisher":"European Respiratory Society (ERS)","issue":"4","content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2015,5,14]]},"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is very operator dependent and has a long learning curve. Simulation-based training might shorten the learning curve, and an assessment tool with solid validity evidence could ensure basic competency before unsupervised performance.<\/jats:p>\n                  <jats:p>A total of 16 respiratory physicians, without EBUS experience, were randomised to either virtual-reality simulator training or traditional apprenticeship training on patients, and then each physician performed EBUS-TBNA procedures on three patients. Three blinded, independent assessor assessed the video recordings of the procedures using a newly developed EBUS assessment tool (EBUSAT).<\/jats:p>\n                  <jats:p>\n                    The internal consistency was high (Cronbach's \u03b1=0.95); the generalisability coefficient was good (0.86), and the tool had discriminatory ability (p&lt;0.001). Procedures performed by simulator-trained novices were rated higher than procedures performed by apprenticeship-trained novices: mean\u00b1\n                    <jats:sc>sd<\/jats:sc>\n                    are 24.2\u00b17.9\u2005points and 20.2\u00b19.4\u2005points, respectively; p=0.006. A pass\/fail standard of 28.9 points was established using the contrasting groups method, resulting in 16 (67%) and 20 (83%) procedures performed by simulator-trained novices and apprenticeship-trained novices failing the test, respectively; p&lt;0.001.\n                  <\/jats:p>\n                  <jats:p>The endobronchial ultrasound assessment tool could be used to provide reliable and valid assessment of competence in EBUS-TBNA, and act as an aid in certification. Virtual-reality simulator training was shown to be more effective than traditional apprenticeship training.<\/jats:p>","DOI":"10.1183\/13993003.02352-2015","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T15:23:44Z","timestamp":1438874624000},"page":"1140-1149","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":107,"title":["Simulator training for endobronchial ultrasound: a randomised controlled trial"],"prefix":"10.1183","volume":"46","author":[{"given":"Lars","family":"Konge","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul Frost","family":"Clementsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Ringsted","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Minddal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus Richter","family":"Larsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jouke T.","family":"Annema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2015,7,9]]},"reference":[{"key":"2024102023373354000_46.4.1140.1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00064515"},{"key":"2024102023373354000_46.4.1140.2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2355"},{"key":"2024102023373354000_46.4.1140.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-0212"},{"key":"2024102023373354000_46.4.1140.4","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.127274"},{"key":"2024102023373354000_46.4.1140.5","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1111\/j.1445-5994.2009.02142.x","article-title":"Bronchoscopic evaluation of the mediastinum using endobronchial ultrasound: a description of the first 216 cases carried out at an Australian tertiary hospital","volume":"41","author":"Steinfort","year":"2009","journal-title":"Intern Med J"},{"key":"2024102023373354000_46.4.1140.6","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1111\/j.1440-1843.2012.02270.x","article-title":"Trainee impact on advanced diagnostic bronchoscopy: an analysis of 607 consecutive procedures in an interventional pulmonary practice","volume":"18","author":"Stather","year":"2013","journal-title":"Respirology"},{"key":"2024102023373354000_46.4.1140.7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1234"},{"key":"2024102023373354000_46.4.1140.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2011.01961.x"},{"key":"2024102023373354000_46.4.1140.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2011.02068.x"},{"key":"2024102023373354000_46.4.1140.10","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2011.595436"},{"key":"2024102023373354000_46.4.1140.11","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2011-200713"},{"key":"2024102023373354000_46.4.1140.12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2923.2003.01594.x"},{"key":"2024102023373354000_46.4.1140.13","doi-asserted-by":"publisher","DOI":"10.1159\/000330061"},{"key":"2024102023373354000_46.4.1140.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-2081-7"},{"key":"2024102023373354000_46.4.1140.15","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1309892"},{"key":"2024102023373354000_46.4.1140.16","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840237"},{"key":"2024102023373354000_46.4.1140.17","doi-asserted-by":"crossref","unstructured":"Ericsson KA . 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