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Title The characteristics of Greek training and experience in pulmonary endoscopic techniques: Is it time for changes?
Author Grigoris Stratakos, Nikolaos Charokopos, Charalampos Dimitropoulos, Michael Leotsinidis, Dimitrios Vassos, Adamantia Liapikou, Spiros Zakinthinos
Abstract Objectives: This study aimed to report the characteristics of the training in pulmonary endoscopy provided in Greece and to evaluate quantitive and qualitive parameters of interventional endoscopy performance among Greek pneumonologists. Method: A specially designed questionnaire was completed by 171 specialists and fellows in pulmonology and the responses were analyzed. Results: An age difference in endoscopic skills was observed; 97% of the respondents aged <50 years had been trained in flexible bronchoscopy, compared with 86% of those aged >50 years (p=0.016). In spite of a high rate of training, 65% of respondents reported performing less than 50 bronchoscopies per year. In addition, 21% were familiar with the technique of transbronchial needle aspiration (ΤΒΝΑ), but only 19% of them performed over 30 procedures per year. Other advanced diagnostic techniques including endobronchial ultrasound (EBUS), auto-fluorescence and medical thoracoscopy are performed by a small minority of pulmonologists while therapeutic techniques (i.e. rigid bronchoscopy, electrocautery, cryotherapy and laser therapy) by very few (5-12%). The majority of respondents would welcome additional training, not only in advanced interventional techniques but also in standard bronchoscopy; 94% agreed that they would benefit from the publication of practice guidelines on endoscopic techniques, and 71% supported the instruction in endoscopy of all pulmonologists during their fellowship. Conclusions: The endoscopic training provided to Greek pneumonologists could be improved considerably and initiatives should be taken in order to upgrade and unify both the teaching of endoscopic techniques and the services provided.
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References
1. British Thoracic Society Bronchoscopy Guidelines Committee, a Subcommittee of the Standards of Care Committee of the  British Thoracic Society. British Thoracic Society guidelines 
on diagnostic flexible bronchoscopy Thorax 2001;56:(suppl I) i1–i21.

2. ERS/ATS statement on interventional pulmonology. Bolliger CT, Mathur PN presidents. Eur Respir J 2002;19:356-373.

3. Ernst A, Silvestri GA, Johnston D. for the ACCP Interventional Chest/Diagnostic Procedures Network Steering Committee. 

Guidelines from the American College of Chest Physicians. CHEST 2003;123:1693–1717.
4. Prakash UB, Offord KP, Stubbs SE. Bronchoscopy in North America: the ACCP survey. Chest 1991;100;1668-1675.

5. Colt HG, Prakash UBS, Offord KP. Bronchoscopy in North America: Survey by the American Association for Bronchology, 1999. J Bronchol 2000;7:8-25.

6. Honeybourne D, Neumann CS. An audit of bronchoscopy practice in the United Kingdom: a survey of adherence to national guidelines Thorax 1997;52:709–713.

7. Smyth CM, Stead RJ. Survey of flexible fibreoptic bronchoscopy in the United Kingdom. Eur Respir J 2002;19: 458–463.

8. Niwa H, Tanahashi M, Kondo T, et al. Bronchoscopy in Japan: a survey by the Japan society for Respiratory Endoscopy in 2006. Respirology 2009;14:282-9.

9. Pastis NJ, Nietert PJ, Silvestri GA. Fellows’ Perspective of Their Training in Interventional Pulmonary Procedures. J Bronchol 2005;12:88–95. 

10. Janssen J, Noppen M. Interventional Pulmonology. Eur Respir J 2006;27:1084-85.

11. Papagiannis A, Ioannidis G, Xrysanthopoulou G, Kontakiotis T. An audit for fiberoptic bronchoscopy practice in a private hospital. Pneumon 2007;20:56-62.
Keywords Endoscopic techniques, interventional pulmonology, training
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