Spirometry is recommended in national and international guidelines for the diagnosis and management of asthma and Chronic Obstructive Pulmonary Disease (COPD), and is often necessary, together with other investigations to differentiate other conditions presenting in primary care.
Increased availability of spirometry in primary care settings (‘office spirometry’) is much needed, as it provides rapid access to accurate diagnosis and monitoring close to the patient’s home. However, poorly performed tests and misinterpretation of the results can lead to misdiagnosis (or missed diagnosis) and mismanagement. As spirometry is effort dependent, the role of the person administering the test as ‘coach’ to the patient cannot be overestimated; therefore training and regular practice is vital. Likewise, the results of tests need to be properly interpreted in the light of the clinical history and presentation.
Diagnosis of any condition requires a complex series of decisions based on clinical history, family history, examination and further investigations where appropriate. The use of quality controlled spirometry is an essential part of clinical practice in primary care diagnosis, management and monitoring of COPD and asthma.
To support further education and training for personnel responsible for interpreting spirometry results or for supervising others conducting the tests we are offering an update on interpreting spirometry results and quality assurance.
This course is aimed at anyone who is competent in spirometry assessment or has their certificate in spirometry and wants an update or some support in interpretation.
MORNING (for all)
- What is spirometry and why do we need it back: Recap on what we use spirometry for?
- The COVID effect: What is the current guidance on spirometry, what are your possible models and guidance on infection control and PPE
- Which equipment: What are the different types of spirometer available out there
- How do I do spirometry again: How to perform spirometry
- What is FeNO?
AFTERNOON (for those interpreting spirometry)
- Guidelines: BTS/SIGN, NICE COPD, NICE Asthma, GINA, PCC and GOLD – which do I use?
- Back to basics – how to interpret spirometry
- What is LLN/Z-score and how do we use it
- Spirometry in practice
- QOF updates
Dates & Locations