1	Description of a curriculum for learning Flexible Bronchoscopy
2	A new curriculum Web-based Self-learning study guide. Practical exercises, skills and tasks, competency testing. Didactic lectures and shared philosophy of practice. Computer-based simulations and image encyclopedia.
3	Background Learners acquire Facts Technical expertise Experience Learning occurs in stages Slow and gradual transition from novice to expert Learning is optimized through open access Because Knowledge is a social capital Because tools and content are readily modified Because learners and teachers are partners
4	A curriculum allows Definition of subject matter Laddered learning Gradual acquisition of skills and knowledge Development of specific core competencies Objective measurement of knowledge
5	The foundation of a 4 part curriculum The Essential Bronchoscopist^© A web-based curriculum of bronchoscopy-related theory. Bronchoscopy Step-by-Step ^© A collection of video exercises to learn bronchoscopy technique. Bronchoscopy Assessment Tools A collection of testing instruments that highlight how bronchoscopists can improve technical skills. The Art of Bronchoscopy ^© A PowerPoint collection of lectures pertaining to technique and philosophy of practice. BronchAtlas ^© A PowerPoint collection of airway images.
6	The Essential Bronchoscopist^© A laddered self-learning curriculum of bronchoscopy Prepared By Bronchoscopy International Contact us at BI@bronchoscopy.org
7	The Essential Bronchoscopist© is a laddered self-learning curriculum
8	The Essential Bronchoscopist^© Several modules each containing 30 multiple choice Question-Answer sets Web-based and Free Interactive and multilingual Laddered learning Case based A foundation for discussion among students, colleagues, teachers, and mentors
9	Objectives of the EB^© To complement traditional learning. To stimulate discussions among teachers, senior and junior doctors, and other health care workers. To facilitate learning in different cultural and institutional environments. To inform nonmedical bronchoscopy professionals and the general public To cross ALL disciplines Pulmonary Medicine, Critical Care Medicine, Otolaryngology, Surgery, and Anesthesia
10	The EB ^© contains Basic Essential information all bronchoscopists should be aware of regardless of specialty and practice. Anatomy Bronchoscopic abnormalities Instrumentation and equipment Cleaning and sterilization Safety Descriptions of common practical problems Difficult airway management Bleeding Intubation Biopsy and other techniques Indications and contraindications Anesthesia and risk management Examples of diagnostic and therapeutic applications
11	EB Home Page
12	Flexible Bronchoscopy Step by Step^© Video exercises to learn bronchoscopy skills Prepared By Bronchoscopy International Contact us at BI@bronchoscopy.org
13	Main Objectives To learn bronchoscopic techniques using an approach similar to learning to dance, play tennis or play a musical instrument. To develop “muscle memory” To develop a “systematic approach” to bronchoscopic inspection. To learn how to handle the flexible bronchoscope and to accurately identify and enter lobar and segmental bronchial segments with ease.
14	Bronchoscopy exercises
15	Step 8b: Right lower lobe basal pyramid (D’Artagnan and the three musketeers) From the carina advance the scope to the RLL bronchus entrance and then enter the medial-basal segment, pull back and then examine the other three segments of the basal pyramid.
16	Rationale for using Bronchoscopy Assessment Tools Until now, evaluation of bronchoscopic skill has been subjective. Objective evaluation is similar to measuring a person’s ability to drive and park an automobile: Posture and hand position Ability to maneuver the bronchoscope in the airways Ability to accurately identify tracheobronchial anatomy Ability to enter all bronchial segments
17	Bronchoscopy Skills and Tasks Assessment Tools Bronchoscopy Stepwise Evaluation Tool Bronchoscopy Self Assessment Tool These tools may be used by instructors to evaluate skill level and ability to maneuver the flexible bronchoscope In patients In models In simulators
18	Bronchoscopy Skills and Tasks Assessment Tool (BSTAT)
19	Bronchoscopy Skills and Tasks Assessment Tool (questions 1-4)
20	Bronchoscopy Stepwise Evaluation Tool (BSET)
21	Bronchoscopy Global Rating Scale
22	Bronchoscopy Exercises Rating Scale
23	Bronchoscopy Self Assessment Tool (BSAT)
24	Bronchoscopy Self Assessment Tool (BSAT)
25	The Art of Bronchoscopy ^©
26	The Art of Bronchoscopy ^© The Art of Bronchoscopy ^© is A philosophy Shared practice and honest dialogue A movement towards oneness A book (Work in progress) A collection of slide presentations to help Gain factual knowledge about Bronchoscopy technique Patient safety Equipment and instrumentation Gain experiential knowledge about Managing complications Making diagnoses in difficult situations Communicating with patients and colleagues
27	Manipulating the control section
28	These small black dots signify that
29	BronchAtlas^©
30	BronchAtlas^© BronchAtlas^© is a two-part interactive learning program that includes: A series of presentations designed to help readers Learn airway anatomy Describe airway lesions Diagnose airway abnormalities Communicate effectively A web-based encyclopedia of bronchoscopic images submitted by clinicians from around the world.
31	BronchAtlas^{© PowerPoint} Each presentation has a different subject Some presentations contain videos to help Identify the extent and type of airway abnormality Differentiate fixed from dynamic processes Some presentations contain radiographic images To help correlate the airway finding with clinical history Some presentations include multiple choice questions to reinforce learning
32	The Larynx Superior surface anatomy: Major Landmarks - VI
33	BronchAtlas^{© Interactive Encyclopedia} The interactive web-based encyclopedia of bronchoscopic images of BronchAtlas^© is currently under construction. The encyclopedia can be used to view, download, and contribute bronchoscopic images for free worldwide access Includes brief clinical history Description of abnormality Multiple search terms Cross references Contributor acknowledged with each image
34	Example of projected format BronchAtlas^© Interactive Encyclopedia
35	All efforts are made by Bronchoscopy International to maintain currency of online information. All published multimedia slide shows, streaming videos, and essays can be cited for reference as: Bronchoscopy International:, an Electronic On-Line Multimedia Presentations. http://www.Bronchoscopy.org/htm. Published 2005 (Please add “Date Accessed”).