TSANZ home


Home 5 Clinical Documents 5 Category: Interventional
Training Guidelines for Advanced Bronchoscopic Procedures

Training Guidelines for Advanced Bronchoscopic Procedures

Fielding D, Phillips M, Robinson P, Irving L, Garske L, Hopskin P.

These guidelines for Thoracic Medicine advanced procedural training encourage fulfilment of a range of parameters, not just accumulating an empiric number of cases.

These include:

Empiric numbers as a starting point

The importance of a teacher-student relationship. The trainee has to achieve competence in the procedure as certified by an accredited trainer. As a guide it usually takes about 20 cases to have achieved the appropriate skill level, however that can vary as judged by the expert trainer

Attainment of modest procedural outcome measures during training and in ongoing clinical practice

Attendance at dedicated procedural conferences and fulfilment of modest presentation and/or publication goals

Completion of simulated training, preferably before commencing procedures in patients

Ultimately, when it becomes available, a “pass” on a universally accepted objective assessment tool. In the absence of this last parameter, we can at least insist that trainees undertake simulated training, and that such training itself has an objective assessment. In time such an assessment could become either a goal prior to commencing patient practice OR, when such tools are more fully developed, a means of evaluating the individual’s overall technical skill in the procedure

Record keeping on procedural outcomes.

The procedures covered in these guidelines are:


EBUS Guide sheath

Medical Thoracoscopy

Rigid bronchoscopy

Laser bronchoscopy​

Endobronchial stents​

Endobronchial electrosurgery​

Autofluorescence bronchoscopy

Ultimately a demonstration of adherence to these points should allow a trainee to present their training experience for a particular procedure to a hospital credentialing committee to allow commencement of practice.


Popular searches:

Popular searches:

oxygen guidelines for acute oxygen use in adults  pleural effusion  lung function  events  The role of corticosteroids in the management of childhood asthma  respiratory failure  6MWT  bronchoscopy  Oxygen guidelines  lung  Maurice Blackburn Grant-in-Aid for Occupational Lung Disease  logbook  domiciliary oxygen  cough  copd  idiopathic pulmonary fibrosis  lung function testing  non invasive ventilation  oxygen therapy  induced sputum  pneumonia  Interstitial lung disease  Acute oxygen guidelines  central office  bipap  pulmonary rehab  ANZ_NURSING_SOC_CF  vaccination  occupational  feNO  {search_term_string}  Swimming between the flags  chest drain  Cf  icc  pneumothorax  standards  guideline  domiciliary  event  pulmonary rehabilitation  asthma guideline  domicillary oxygen  algorithm for Respiratory failure  pirfenidone  chest tube  nodule  covid  pulmonary fibrosis  silicosis  strategic plan  pulmonary function  spirometry standards  home oxygen  bronchiectasis  Acute asthma  pulmonary function testing  SIG  log book  pulmonary embolism  Adult Domiciliary Oxygen Therapy  Nutrition guidelines for Cystic Fibrosis in Australia and New Zealand  Ebus  Nutrition  spiro  lung function test  position statement  vaping  lung cancer  adult domiciliary oxygen  indigenous  aspiration pneumonia  annual report  respirology  asthma  oxygen guideline  smoking  spirometry  intercostal catheter  Sarcoidosis  Infection control  fellowship  anaphylaxis  asbestos  Chronic suppurative lung disease  pleural  high flow  ultrasound  CEO  drain  guidelines  empyema  acute oxygen therapy  accreditation  niv  Cystic fibrosis  inhaler  nursing  oxygen  exercise 

If you require further information, please refer your enquiries to clinical@thoracic.org.au or ring +61 2 9222 6206


Guideline: Recommendations of care, based on a systematic review of available evidence, to foster best clinical practise and promote consistency and equity of care.

Position paper: Report outlining the Thoracic Society’s attitude towards a specific disease, technique, agent, or issue.


Become part of a network of professionals working in respiratory and lung health clinical care and treatment, research, health promotion and advocacy.

By browsing our website you agree to our use of cookies outlined in our revised Privacy Policy and Terms & Conditions.