Whats the data show and what is your guys' personal experience?
Whats the data show and what is your guys' personal experience?
both really depend on your number of non-EBUS and NAV bronchs to begin with . . .
but if you have 300+ bronchs you'll be fine with either one from the scope perspective
once you've done 10 EBUS and KNOW your way around the anatomy by U/S then you're fine
NAV is more of an art form and sounds much easier on paper than it is practically speaking - it requires PATIENCE and the willingness to appreciate nuance and think cleverly - I think 30-50 cases to start feeling like you have the basics down and closer to 150 before you've got a thing down nicely with regards to case selection and strategy of approach to the lesion.
You can do one EBUS a month and be fine. You can't really only do one NAV a month and expect really to get better. If you don't have a set-up that allows you to do a case or two a week most weeks, then I wouldn't even recommend doing NAV - refer to someone that does more
Thanks for the reply! For context, I'm a first year fellow just trying to estimate how many I'll have at the end of fellowship and also deciding on whether Navs are something I'd want to do in the future. I probably have around 30 bronchs, 15 EBUS, 3 super d, and 3 veran so far. by the end of fellowship I should have 50+ EBUS, 20+ Navs.