In addition to the usual competencies acquired through respiratory training, the JRCPTB has specified additional compulsory training requirements for certain areas (pulmonary hypertension, CF, transplant, occupational lung disease).

• Occupational lung disease clinics (see how to arrange)
• Lung Transplantation attachment (see how to arrange)
• Pulmonary hypertension (see how to arrange)
• Chemotherapy and Radiotherapy clinics – evidence of some experience. Arrange locally in appropriate posts.
• Cystic Fibrosis attachment (see how to arrange)
• Smoking cessation clinic experience (an online or BTS course is also beneficial, or formal level 1 training available at The Whittington)
• Pulmonary rehabilitation experience (arrange with your Respiratory Physio or community team (easy at the Whittington and Homerton). Why not give a patient education session and get it signed off as a Teaching Observation?)
• Integrated Respiratory Medicine experience (strict criteria not yet agreed: Dr Bhowmik suggests at least 3 MDTs and a home visit accompanying a specialist nurse with CbD afterwards. Easy to arrange at Whittington and Homerton)
• HIV clinic experience (available at UCLH and Royal Free).
• Respiratory allergy and immunology (available at Homerton).
• Thoracic surgical list (arrange locally through the surgeon at your Lung Cancer MDT)
• Safe sedation course (see courses).

Some additional online training for these competencies is suggested below:

Pulmonary hypertension

https://new.ersnet.org/cme-online/modules/how-to-diagnose-and-manage-pulmonary-vascular-disease

https://new.ersnet.org/cme-online/modules/pah-accurate-diagnosis-and-patient-assessment

Cystic fibrosis

https://new.ersnet.org/cme-online/modules/optimised-follow-up-for-paediatric-and-adult-cystic-fibrosis-patients

Lung transplantation

https://new.ersnet.org/cme-online/modules/indications-for-lung-transplantation