In order to ensure high standards of testing and interpretation, clinicians undertaking perioperative CPET reporting should complete a standardized training programme before reporting independently.

POETTS accreditation involves:

  • Attending an accredited course which covers the following:
    • Equipment, calibration, validation
    • The ramp protocol, test quality, choosing the appropriate work rate protocol, normal values
    • Exercise capacity - interpreting VO2 peak and anaerobic threshold
    • Anaerobic Threshold - physiology and methods of identifying the AT including uncertainty and inter-rater variability
    • Patterns of CPET abnormality in cardiac disease
    • Patterns of CPET abnormality in respiratory disease
    • How to report, what to report and communication of results
    • Communicating risk in perioperative patients
    • Practice interpreting clinical data
    • The evidence base supporting the use of CPET
    • Preoperative Exercise Training
  • Performing a minimum of 25 tests under supervision
  • Reporting a minimum of 50 tests under the supervision of a POETTS accredited mentor with a log book of tests

Evidence of course attendance and a signed off logbook will be required to attain accreditation.

POETTS Appraisal and Revalidation

  • In order to revalidate in perioperative CPET, clinicians should keep a record of the number of tests they perform and report annually
  • At least 10 tests should be validated by an independent POETTS accredited clinician annually.
  • CPD should include CPET related activity