4-Box Practical Approach | Bronchoscopy International

The 4-Box Practical Approach© is a series of case studies to help acquire the cognitive, technical, affective, and experiential knowledge needed to become a competent bronchoscopist. The 4-Box Approach can be used regardless of skill to improve bronchoscopy-related decision making.

4-Box Approach case studies (PowerPoint slides)
4-Box Approach case studies (written scenarios, vol. 1)
4-Box Approach Video archives
– 4 Box Video Archive cases 1-3
– 4 Box Video Archive cases 4-6
– 4 Box Video Archive cases 7-11
– 4 Box Video Archive cases 12-15

Also, see Bronchoscopy and Central Airways Disorders: A Patient-centered Approach by Colt and Murgu (pub. Elsevier/Saunders)

Using the 4-Box Approach:

Learners gain cognitive, technical, affective, and experiential skills in a patient/family-focused-care environment.
Competency is sought in strategy and planning, execution, and response to procedure-related adverse events/complications.
The 4-box approach includes pre-procedure evaluation, bronchoscopy techniques,srategy based on expected results, and follow-up.
Depth of knowledge and decision-making skills are assessed by asking learners to justify management decisions using clinical data, scientific evidence (literature), and experience.
The 4-Box Approach complies with ACGME professionalism competency guidelines by also addressing ethics, informed consent, and outcomes based on all possible results.

The 4-Box Practical Approach© follows recommendations from the American College of Graduate Medical Education. Trainees learn:

To gather essential and accurate information about their patients.
To make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment.
To use information technology to support patient care decisions and patient education.
To develop patient management plans.
To counsel and educate patients and their families.
To communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families.
To provide health care services aimed at preventing health problems or maintaining health.
To work with health care professionals, including those from other disciplines, to provide patient-focused care.

Please reference as: http://www.Bronchoscopy.org/Practical Approach.