University of Michigan Hospitals
Pulmonary/Critical Care Fellowship
Bronchoscopy Learning Objectives
- To gain proficiency in the use and performance
of bronchoscopy and thoracentesis as diagnostic and therapeutic tools.
- Gain knowledge in lung and chest cavity anatomy
in both normal and diseased states.
- Identify the indications, complications and
likelihood of successful outcome in performing bronchoscopy and
- Gain knowledge in the pharmacology of analgesics,
sedatives and anticholinergics.
- Become familiar with the operation of a
fiberoptic bronchoscope, supporting equipment and fluoroscope.
- Become proficient in the following
- Endotracheal intubation
- Airway examination
- Bronchoalveolar Lavage
- Bronchial brushing and
- Endobronchial forceps
- Transbronchial forceps
- Transbronchial needle
aspiration and core biopsies (Wang needle aspiration)
- Foreign body removal
- Become proficient at performing diagnostic and
- Learn to manage complications of bronchoscopy
and thoracentesis including bleeding, pneumothorax and respiratory
- Become proficient in the proper use of
analgesics, sedatives and anticholinergics, and in managing the
complications of conscious sedation.
Practice-Based Learning and Improvement
procedural practices by following up on test results in order to identify
methods of optimizing yield and to identify special circumstances that alter
yield and risks.
care practices through education of patients and families on the indications,
usual risks and complications and meaning of results when procedures are
teaching skills by educating and supervising housestaff on the performance of
proficient at appropriately selecting the sampling methods and diagnostic
studies to optimize yield.
proficient in managing a large, busy procedural unit. This includes managing nurses and
technicians, patient flow and specimen collection, handling and transport.
procedural techniques to ensure patient safety.
- Demonstrate effective communication skills in
interactions with procedure unit staff, nurses, and respiratory
- Demonstrate effective communication with
patients in delivering healthcare, and planning appropriate follow-up
- Demonstrate respect for patient privacy,
autonomy and awareness during conscious sedation.
- Acknowledgement of errors and limitations
Interpersonal Communication Skills
- Communicate respectfully and effectively with
staff, nurses and technicians in procedural units.
- Maintain comprehensive, timely, and effective
- Act in a consultative role to other physicians
and effectively communicate procedure results to the appropriate