The 4-Box Practical Approach is an educational framework designed to integrate technical execution, clinical reasoning, ethical awareness, procedural planning and experiential learning and longitudinal follow-up into a unified decision-making framework.

Using the 4-Box Approach for Interventional Pulmonology Training:
- Learners gain cognitive, technical, affective, and experiential patient-focused skills.
- Learners become more competent in decision-making, execution, and response to complications.
- Learners justify management decisions using clinical data and scientific evidence.
- The 4-Box Approach aligns with ACGME professionalism competency guidelines.

The 4-Box framework organizes decision-making across initial
evaluation, procedural planning, technical execution, and long-term follow-up
Core Reference Materials
– Poster
– Guidelines for Use
Case-Based Learning
– Case studies (PowerPoint slides)
– Case studies (written scenarios, vol. 1)
Video Archives
– Video archive cases 1-3
– Video archive cases 4-6
– Video archive cases 7-11
– Video archive cases 12-15
Our Textbook (Colt & Murgu)
– Bronchoscopy and Central Airways Disorders: A Patient-centered Approach
Instructional Video (YouTube)
– The 4-Box Practical Approach©
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