Randomized Controlled Trial of Multi-Patient CT-Derived Digital Twin Anatomical Variability Training to Shorten the Clinical Learning Curve for Bronchoscopy
This study aims to determine whether multi-patient CT-derived digital twin anatomical variability training can shorten the early clinical learning curve of novice bronchoscopists compared with conventional anatomically uniform bronchoscopy simulation training.
⁃ Trainee Participants:
• Residents, fellows, or specialty trainees in pulmonary medicine, critical care medicine, thoracic surgery, anesthesiology, or related specialties whose training programs require flexible bronchoscopy training.
• Previously performed ≤5 flexible bronchoscopies as primary operator.
• No prior formal bronchoscopy simulation training course experience.
• Able and willing to provide written informed consent and permit use of training logs, procedural videos, Ontario Bronchoscopy Assessment Tool (OBAT) scores, and clinical learning curve data for research purposes.
⁃ Patient Participants:
• Age ≥18 years.
• Scheduled to undergo elective low-risk or low-to-moderate-risk diagnostic flexible bronchoscopy.
• Clinically suitable for supervised novice-performed airway inspection, bronchoalveolar lavage, simple brushing, or other low-risk sampling procedures considered safe by the supervising bronchoscopist.
• Able to understand and provide written informed consent and willing to complete pre-procedure anxiety and post-procedure experience questionnaires.