title: Simulation for Skills-based Education in Pulmonary and Critical Care Medicine.
abstract: The clinical practice of pulmonary and critical care medicine requires procedural competence in many technical domains, including vascular access, airway management, basic and advanced bronchoscopy, pleural procedures, and critical care ultrasonography. Simulation provides opportunities for standardized training and assessment in procedures without placing patients at undue risk. A growing body of literature supports the use and effectiveness of low-fidelity and high-fidelity simulators for procedural training and assessment. In this manuscript by the Skills-based Working Group of the American Thoracic Society Education Committee, we describe the background, available technology, and current evidence related to simulation-based skills training within pulmonary and critical care medicine. We outline working group recommendations for key procedural domains.
authors.affiliation: 1 Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical School and Harvard Medical School, Boston, Massachusetts.
authors.forename: Jakob I
authors.initials: JI
authors.lastname: McSparron
authors.forename: Gaetane C
authors.initials: GC
authors.lastname: Michaud
authors.forename: Patrick L
authors.initials: PL
authors.lastname: Gordan
authors.forename: Colleen L
authors.initials: CL
authors.lastname: Channick
authors.forename: Momen M
authors.initials: MM
authors.lastname: Wahidi
authors.forename: Lonny B
authors.initials: LB
authors.lastname: Yarmus
authors.forename: David J
authors.initials: DJ
authors.lastname: Feller-Kopman
authors.forename: Samir S
authors.initials: SS
authors.lastname: Makani
authors.forename: Seth J
authors.initials: SJ
authors.lastname: Koenig
authors.forename: Paul H
authors.initials: PH
authors.lastname: Mayo
authors.forename: Kevin L
authors.initials: KL
authors.lastname: Kovitz
authors.forename: Carey C
authors.initials: CC
authors.lastname: Thomson
mesh_terms: D058109:Airway Management; D001999:Bronchoscopy / Q000193:education; D002405:Catheterization, Central Venous; D002983:Clinical Competence; D003422:Critical Care; D004452:Echocardiography; D004503:Education, Medical, Graduate / Q000379:methods*; D019160:Endosonography; D006801:Humans; D008348:Manikins; D015272:Pulmonary Medicine / Q000193:education*; D000066908:Simulation Training / Q000379:methods*; D000069258:Thoracentesis / Q000193:education; D013906:Thoracoscopy / Q000193:education
keywords: airway management; bronchoscopy; central venous catheterization; echocardiography; ultrasound