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Update of the ERS international Adult Respiratory Medicine syllabus for postgraduate training

Nathalie Tabin, Sharon Mitchell, Elaine O’Connell, Daiana Stolz, Gernot Rohde
Breathe 2018 14: 19-28; DOI: 10.1183/20734735.019317
Nathalie Tabin
1European Respiratory Society, Lausanne, Switzerland
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  • For correspondence: nathalie.tabin@ersnet.org
Sharon Mitchell
1European Respiratory Society, Lausanne, Switzerland
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Elaine O’Connell
2Dept of Education, Athlone, Ireland
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Daiana Stolz
3Clinic of Respiratory Medicine and Pulmonary Cell Research, University Hospital Basel, Basel, Switzerland
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Gernot Rohde
3Clinic of Respiratory Medicine and Pulmonary Cell Research, University Hospital Basel, Basel, Switzerland
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  • Article
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Tables

  • Supplementary Materials
  • Table 1

    Task force members

    Task force memberCountry represented
    Konrad BlochSwitzerland
    Brendan CooperUK
    Ernst EberAustria
    Felix HerthGermany
    Ildiko HorvathHungary
    Deborah JarvisUK
    Christian KaehlerAustria
    Gilbert MassardFrance
    Anne-Pascale MeertBelgium
    Stylianos OfanosGreece
    Gernot RohdeGermany
    Szymon SkoczynskiPoland
    Frank SmeekThe Netherlands
  • Table 2

    Adult Respiratory Medicine – Syllabus for trainees

    Module 1. Structure and function of the respiratory system
    1 Anatomy and development (including malformations)
    2 Immunology and defence mechanisms
    Module 2. Physiology and pulmonary function testing
    1 Ventilation (theory)
    2 Circulation (theory)
    3 Control of breathing (theory)
    4 Control of ventilation (theory)
    5 Respiratory mechanics (diagnostics)
    6 Gas exchange (diagnostics)
    7 Arterial blood gas and acid–base status assessment (diagnostics)
    8 Exercise testing (diagnostics)
    9 Bronchial challenge testing (diagnostics)
    10 Lung function tests (interpretation)
    Module 3. Diagnostic approach
    1 Symptoms
    2 Signs
    3 Syndrome based approach to diagnosis and differential diagnosis
    Module 4. Diagnostic procedures
    1 Endoscopic techniques items
     1.1 Bronchoscopy
     1.2 Endobronchial ultrasound (EBUS) and oesophageal ultrasound (EUS)
     1.3 Thoracoscopy
    2 Thoracocentesis including closed pleural biopsy
    3 Imaging techniques
     3.1 Chest radiography
     3.2 Thoracic ultrasound
     3.3 Computed tomography (CT) scan
     3.4 Positron emission tomography (PET) CT
    4 Assessment of airway inflammation
     4.1 Exhaled nitric oxide fraction (FeNO) and nasal nitric oxide (nNO)
     4.2 Sputum assessment
    5. Basic microbiological methods
    Module 5. General principles of treatment modalities and prevention measures
    1 Pharmacotherapy
     1.1 Inhaled drug therapy
     1.2 Systemic pharmacotherapy
    2 Immunotherapy
     2.1 Allergen-specific immunotherapy
     2.2 Lung cancer immunotherapy
    3 Respiratory physiotherapy
    4 Pulmonary rehabilitation
    5 Palliative care
    6 Oxygen therapy
    7 Preventive measures
    8 Smoking prevention and cessation
    9 Assisted ventilation
    10 Chest tube insertion
    11 Advanced treatment modalities
     11.1 Endobronchial interventions
     11.2 Lung volume reduction (surgical and endoscopic lung volume reduction (ELVR))
     11.3 Lung transplantation
    Module 6. Respiratory emergencies
    1 Evaluation
    2 Differential diagnosis
    3 Immediate management steps
    4 First-line treatment
    5 Specific conditions
    Module 7. Airway diseases
    1 Upper airway diseases
    2 Asthma
    3 Bronchitis
    4 Chronic obstructive pulmonary disease (COPD) and emphysema
    5 Bronchiolitis
    6 Bronchiectasis
    7 Rare airway diseases
    8 Congenital airway disease
    Module 8. Respiratory infections
    1 Upper respiratory tract infections
    2 Lower respiratory tract infections
    3 Pleural infections
    4 Lung abscess and other infections
    5 Influenza, pandemics and severe acute respiratory syndrome (SARS)
    6 Infections in the immunocompromised host
    7 Aspiration pneumonitis
    Module 9. Mycobacterial diseases
    1 Pulmonary tuberculosis (TB) including multidrug-resistant (MDR)/extensively drug resistant (XDR)-TB
    2 Extrapulmonary TB
    3 Latent tuberculous infection
    4 Non-tuberculous mycobacterial diseases
    Module 10. Thoracic tumours
    1 Lung tumours
     1.1 Lung cancer (include paraneoplastic syndromes)
     1.2 Other lung tumours
     1.3 Metastatic pulmonary tumours
     1.4 Solitary nodules
    2 Pleural tumours
     2.1 Mesothelioma
     2.2 Other pleural tumours
    3 Chest wall tumours
    4 Mediastinal tumours
    Module 11. Sleep and control of breathing disorders
    1 Obstructive sleep apnoea syndrome
    2 Central sleep apnoea syndrome
    3 Hypoventilation syndromes
    4 Dysfunctional breathing/hyperventilation syndrome
    Module 12. Respiratory failure
    1 Acute respiratory failure
    2 Chronic respiratory failure
    Module 13. Diffuse parenchymal lung diseases
    1 Hypersensitivity pneumonitis
    2 Sarcoidosis
    3 Idiopathic interstitial pneumonias
    4 Cryptogenic organising pneumonia of unknown aetiology/bronchiolitis obliterans organising pneumonia
    5 Connective tissue disease related interstitial lung disease
    6 Langerhans cell histiocytosis
    7 Lymphangioleiomyomatosis (LAM)
    8 Pulmonary alveolar proteinosis
    9 Amyloidosis
    10 Drug-induced disease
    11 Radiation-induced disease
    12 Nonasthmatic eosinophilic bronchitis
    13 Acute and chronic eosinophilic pneumonia
    14 Hypereosinophilic syndrome
    Module 14. Pulmonary vascular diseases
    1 Thromboembolic disease
    2 Pulmonary hypertension
    3 Vasculitis and diffuse pulmonary haemorrhage
    4 Arteriovenous malformation
    Module 15. Diseases of the chest wall and respiratory muscles including the diaphragm
    1 Chest wall deformities
    2 Neuromuscular disorders
    3 Diaphragmatic disorders
    Module 16. Pleural and mediastinal diseases (excluding tumours)
    1 Pleural effusion
    2 Pneumothorax
    3 Mediastinitis
    Module 17. Respiratory consequences of systemic/ extrapulmonary conditions
    1 Primary immunodeficiency syndromes
    2 Secondary immunodeficiency syndromes/immunosuppression
    3 Cardiac disease
    4 Gastrointestinal, liver and kidney disease
    5 Haematological disease
    6 Obesity
    7 Connective tissue diseases
    Module 18. Genetic disorders
    1 Cystic fibrosis
    2 Primary ciliary dyskinesia
    3 α1-antitrypsin deficiency
    4 Birt–Hogg–Dubé syndrome
    Module 19. Occupational diseases
    1 Respiratory hazards associated with occupational factors
    2 Acute inhalation injuries and their possible sequelae
    3 Occupational respiratory infections including in healthcare workers
    4 Work-related asthma (including occupational asthma and work-exacerbated disease)
    5 COPD and work
    6 Interstitial lung disease (ILD) caused by inorganic agents
    7 ILD caused by dusts of biological origin (including extrinsic allergic alveolitis)
    8 Asbestos-related conditions other than bronchopulmonary cancer (but including mesothelioma)
    9 Occupational causes of bronchopulmonary cancer
    Module 20: Epidemiology, environment and lifestyle
    1 Epidemiological and statistic methods for critical appraisal
    2 Indoor pollution
    3 Outdoor pollution
    4 High-altitude and diving
    5 Lifestyle (smoking, e-cigarettes, nutrition and activity)

Supplementary Materials

  • Tables
  • Supplementary Material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Supplementary material EDU-0193-2017_supplementary_material

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Update of the ERS international Adult Respiratory Medicine syllabus for postgraduate training
Nathalie Tabin, Sharon Mitchell, Elaine O’Connell, Daiana Stolz, Gernot Rohde
Breathe Mar 2018, 14 (1) 19-28; DOI: 10.1183/20734735.019317

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Update of the ERS international Adult Respiratory Medicine syllabus for postgraduate training
Nathalie Tabin, Sharon Mitchell, Elaine O’Connell, Daiana Stolz, Gernot Rohde
Breathe Mar 2018, 14 (1) 19-28; DOI: 10.1183/20734735.019317
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