M.C. Townsend Associates, LLC

Phone: 412-343-9946    Fax: 412-343-9947      mary.townsend4@verizon.net

NIOSH-Approved Spirometry Refresher

Spirometry Refresher and Respirator Fit-Testing Workshop in Two Days!

NIOSH Spirometry Program Changes

Though completion of a NIOSH-approved spirometry course is not required by OSHA for technicians outside of the cotton industry, NIOSH-approved courses have become the benchmark and best practice for training health professionals to conduct screening spirometry in the occupational setting.

Effective 01/01/09, certificates of completion of a NIOSH-approved spirometry course remain active for only 5 years from the course date, as described in the formal announcement from NIOSH.

Students who completed their initial NIOSH-approved course in 2000 or later may take a NIOSH-approved Spirometry Refresher Course by 12/31/10 to extend their certificate of completion for 5 years from the Refresher Course date. To register for the Refresher Course, students must provide a copy of their full NIOSH-Approved Spirometry Course certificate to establish eligibility for the course.

However, students who completed their initial NIOSH-approved course prior to 2000 must repeat the full course to maintain an active certificate of course completion. That new certificate will then be active for 5 years from the course date.

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Course Description

The American College of Environmental and Occupational Medicine (ACOEM), the American Association of Occupational Health Nurses (AAOHN), and the American Thoracic Society (ATS) all recommend periodic training that reviews spirometry technique and updates technicians on changes in the field of pulmonary function testing and pertinent regulations. This NIOSH-Approved Refresher Course is designed to provide that review for health professionals who conduct and/or interpret spirometry tests in industrial and clinical settings.

The course briefly reviews the pathophysiology of obstructive and restrictive impairments and emphasizes correct performance of spirometry and the effects of technical errors and spirometer malfunctions on test results.  Students practice recognizing testing errors, using problem graphs from quality control samples. The goal of the course is not only to review what the recommendations and requirements are for conducting tests and interpreting results, but also why the recommendations and requirements were made.

In the classes, Dr. Townsend draws on her extensive experience with real-world spirometry and her in-depth knowledge of various spirometers, acquired through on-going consulting with many varied clients. As she helps clients solve their spirometry problems, understand their equipment malfunctions, and identify optimal spirometer configurations, Dr. Townsend discovers information that is also useful to the students in her courses, helping them better understand how to work with their own equipment and optimize their spirometry testing skills.

OSHA standards, the ANSI Z88.6-2006 Respirator Use Physical Qualifications for Personnel, and the 2005 American Thoracic Society (ATS) guidelines pertaining to spirometry are reviewed.  Current recommendations are presented for spirometer calibration checks and for interpretation of results as normal or indicating obstructive or restrictive impairment. 

NIOSH recommends that each student submit a sample of graphs to be critiqued for technical quality prior to the course.

Class size is limited to maximize student-faculty interaction and to keep the atmosphere informal and conducive to learning.  Topics are varied to keep students interested and involved.  Breaks are frequent to help students concentrate and remain focussed.

All lectures are given by Dr. Mary Townsend; all practice session assistants are experienced in spirometry. The course is co-provided by UPMC Work Partners.

A certificate is awarded upon completion of the course.

Course Topics

  • Spirometry technique and testing errors; 2005 ATS Spirometry Update.
  • Interpretation of results: obstructive and restrictive impairment patterns; 2005 ATS Interpretation Guidelines.
  • Review of OSHA standards and ANSI Z88.6-2006 Respirator Use Physical Qualifications for Personnel, pertaining to spirometry.
  • Review of  spirogram measurements, and effects of ambient temperature.
  • Review of problem graphs from quality control samples: evaluation of test validity.
  • Types of spirometers: advantages, disadvantages, and potential problems.
  • Spirometer calibration and calibration checks.

Continuing Education

This NIOSH-Approved Spirometry Refresher Course has been reviewed and is acceptable for up to 7.50 AMA Physicians Recognition Award Category 1 Credits.*

This activity has been reviewed and is acceptable for up to 7.50 American Board of Preventive Medicine Maintenance of Certification (ABPM-approved MOC) Credits.

This continuing nursing education activity was approved by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation, for 7.6 contact hours.

This program has also been approved for up to 7.58 contact hours of Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care.

* DuBois Regional Medical Center is accredited by the Pennsylvania Medical Societyto sponsor continuing medical education for physicians.  DuBois Regional Medical Center designates this a continuing medical education activity and it awards 7.50 AMA Physicians Recognition Award Category 1 Credits and the Pennsylvania Medical Society Member CME Certification.  Each physician should claim only those hours of credit that he/she actually spent in the educational activity. Faculty participants in continuing medical education activities sponsored byDuBois Regional Medical Center are expected to disclose to the audience whether they do or do not have any real or apparent conflicts of interest or other relationships related to the content of their presentations.

Course Materials

 For the spirogram critique, please submit 5 test results, with tracings, prior to the class.

If possible, please bring: 

a) A calculator.

b) Your spirometer operating manual.

Dates & Course Location

Pittsburgh Course Location

Holiday Inn Express Hotel & Suites, Pittsburgh - Airport
Pittsburgh, PA

Making room reservations:
  • On-line, enter group code "SAD" for the September, 2010 class to get spirometry/audiometry room block rates
  • Telephone (412-788-8400) - ask for "spirometry/audiometry room block"

2010 Pittsburgh Dates

September 10, 2010 *

* To be preceded on September 9, 2010 by a Respirator Fit-Testing Workshop, a one day hands-on course covering qualitative and quantitative fit-testing.


Port Huron, MI Course Location

Thomas Edison Inn
500 Thomas Edison Parkway
Port Huron, MI 48060

Making room reservations:
  • Telephone (800) 451-7991) - ask for "MOEMA or MOHC conference rates"

2010 Port Huron, MI Date

September 30, 2010

Registration Information

Save $30 on NIOSH-Approved Spirometry Refresher + Respirator Fit-Testing Workshop - $640 for Both

For Spirometry Refresher only, course tuition of  $310 includes:
  • All course materials, including comprehensive course workbook and reference materials.
  • ANSI Z88.6-2006 Respirator Use Physical Qualifications for Personnel.
  • Continuing education credit.
  • Continental breakfast, lunch, and refreshments.
  • Critique of 5 spirograms for technical quality (optional, at no extra charge)
 For the spirogram critique, please submit 5 test results, with tracings, prior to the class.

Class size is limited, so please register early to assure availability. You may pay by check or using VISA, MasterCard, or American Express credit cards. Students are enrolled in the order in which payment and registration are received. Confirmation will be sent upon receipt of the tuition payment. Tuition is fully refunded if you cancel five or more weeks before the course date. A $30 service charge is deducted if you cancel 3-5 weeks before the course date. Since expenses are fixed, no refunds are issued if you cancel less than 3 weeks before the course date. However, you may always send an alternate in your place or, if we find a replacement for your registered class date, you may transfer to a later course.

Customized on-site courses are also available, and a minimum number of participants is usually recommended. Please call for more information: (412) 343-9946.

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