Adult Bronchoscopy Training Armin Ernst, MD, MHCM, FCCP, Momen M. Wahidi, MD, MBA, FCCP, Charles A. Read, MD, FCCP;, John D. Buckley, MD, Doreen J. Addrizzo-Harris, MD, FCCP, Pallav L. Shah, MD;, Felix J.F. Herth, MD, FCCP, Alberto de Hoyos Parra, MD, Joseph Ornelas, PhD;, Lonny Yarmus, DO, FCCP, Gerard A. Silvestri, MD, FCCP  CHEST  Volume 148, Issue 2, Pages 321-332 (August 2015) DOI: 10.1378/chest.14-0678 Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 1 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram for key question 1: Among bronchoscopy trainees, is competency-based education more effective than other educational methods for superior bronchoscopy performance? CHEST 2015 148, 321-332DOI: (10.1378/chest.14-0678) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 2 PRISMA flow diagram for key question 2: Among bronchoscopy trainees, is training and evaluation outside the USA more effective than inside the USA for superior bronchoscopy performance? USA = United States of America. See Figure 1 legend for expansion of other abbreviation. CHEST 2015 148, 321-332DOI: (10.1378/chest.14-0678) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 3 PRISMA diagram for key question 3: Among bronchoscopy trainees, is bronchoscopy training for surgical applications more effective than other training methods for bronchoscopy competency? See Figure 1 legend for expansion of abbreviation. CHEST 2015 148, 321-332DOI: (10.1378/chest.14-0678) Copyright © 2015 The American College of Chest Physicians Terms and Conditions

Figure 4 PRISMA flow diagram for key question 4: Among bronchoscopy trainees, is simulation-based training more effective than other training methods for bronchoscopy competency? See Figure 1 legend for expansion of abbreviation. CHEST 2015 148, 321-332DOI: (10.1378/chest.14-0678) Copyright © 2015 The American College of Chest Physicians Terms and Conditions