Clinicians undertaking perioperative CPET reporting should complete a standardized training programme before reporting independently. This involves gaining theoretical knowledge and practical competencies. The training suggested for POETTS accreditation was developed by peer review at the annual National CPET Forum.

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