CAQ Procedure Skills Assessment Test Outline

CAQ- Procedure Skills Assessment Test (PAT) Outline

AABIP will be using validated checklists to assess skills in performing Linear EBUS-Trans-Bronchial Needle Aspiration (EBUS-TBNA) in all applicants. In addition, validated checklists will assess skills in Radial Endobronchial Ultrasound (Radial EBUS) , Electro Magnetic Navigation (EMN), or Robotic Assisted Bronchoscopy (RAB).

For Radial EBUS, participants will be asked to:

Maneuver the scope through the airways to the target segment without causing airway trauma
Operate REBUS probe and EBUS processor
Obtain an ultrasound image of the target
Identify the probe-target relationship
Articulate the steps for performing REBUS-guided biopsy

For EMN (candidate has choice of platform – super Dimension), participants will be asked to:

Select and plan biopsy by using the EMN software
Perform an atraumatic bronchoscopy
Perform registration
Navigate to lesion
Articulate the steps for confirming location & work at the target

For Robotic Assisted Bronchoscopy, participants will be asked to:
(For 2024, RAB testing will be offered on Monarch and ION systems only)

Select and plan pathways by using the dedicated software
Perform registration and navigate to the target lesion
Verbalize techniques to improve peripheral visualization during navigation
Switch views to assure the desired airway canulation, orientation and alignment with the target
Articulate the steps for confirming location & work at the target

For EBUS-TBNA, participants will be asked to:

Maneuver the scope through upper airway into trachea, without trauma or difficulty
Maneuver bronchoscope without causing trauma to the airway
Obtained ultrasound images without artifacts
Identify major mediastinal vascular structures
Identify major lymph node station pertinent to staging
Perform EBUS-TBNA

Updated 11/14/2023