What is the design and content of an approved course?

The NIOSH-Approved Spirometry Training Courses incorporate the most recent 2005 American Thoracic Society and European Respiratory Society (ATS/ERS) spirometry testing procedures and interpretation standards. The ATS is the leading medical professional society in the United States that provides evidence-based statements for pulmonary function laboratory standards, testing procedures, and the interpretation of test results.

Initial Training Course

The course design must include at least 16 hours of instruction with the following components:

  1. At least 4 hours of formal lectures and/or audio visual material
  2. At least 8 hours of practical instruction
  3. At least 2 hours of evaluation and testing
  4. At least 2 additional hours of lecture, practical instruction, or testing at the course director’s discretion

Refresher Training Course

The course design must include at least 7 hours of instruction. The numbers of lecture, practicum, and examination hours are determined by course directors and approved by NIOSH.

The course content should include:

  1. Review of the most recent ATS/ERS testing standards and guidelines,
  2. Review of testing contraindications and procedures,
  3. Review of technical procedures and instrumentation requirements including calibration check procedures, sources of error, and their correction for both volume displacement and flow measuring spirometers,
  4. Review of the effective use of volume-time and flow-volume displays,
  5. Review of common spirometry testing errors and applicable corrective actions,
  6. Review recommended procedures for proper infection control,
  7. Differentiation of lung function patterns (normal, obstructive, restrictive, and mixed disease) using test results and the spirograms.
Page last reviewed: October 25, 2018