Roy McKay Ph.D.

The Spirometry Fundamentals course is offered in person and online.


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About Dr. Roy McKay

  Spirometry Fundamentals Workshop - 1 Day

Course Schedule

Course Description:
This 1-day spirometry training program covers the fundamentals of spirometry testing and is ideal for those working in family practice, internal medicine, and other clinical facilities. Students will learn basic spirometry terminology, definitions, and how to administer tests to meet American Thoracic Society (ATS) – European Respiratory Society (ERS) standards. Students will also learn the basic skills needed to “read” and understand volume-time and flow-volume tracings. In addition, students will learn how to recognize when tests meet acceptability and repeatability criteria and how to utilize the tracings to improve patient results and test quality. This is critically important since technically flawed tests too often lead to inaccurate interpretations of respiratory health. This may result in falsely labeling normal subjects as “impaired” or impaired subjects as “normal.” Such flawed results are not only useless, but also convey false information which could be harmful. This course will help testing technicians identify technically flawed curves and distinguish acceptable from non-acceptable tests. This is an important concern, since spirometers generate printouts and reports, regardless of whether or not the results are accurate. Failure to obtain quality spirometry results can lead to inaccurate interpretation of results.

To accomplish this goal a combination of lecture, demonstration, and hands-on student participation will be used. All participating students will receive a certificate of completion from the University of Cincinnati. Those students who participate in optional post course activities will receive a “certification certificate” at no additional charge. Information describing the process to obtain the certification certificate is described below. All lectures will be given by Dr. Roy McKay, who has taught spirometry training for nearly three (3) decades and was a co-author of the ATS-ERS standards.

Who Should Attend:
This course is designed for persons who plan to conduct spirometry testing in an office or clinical setting. This course is not designed for students who need a NIOSH-approved course for testing in an occupational setting. Students who need NIOSH-approval should consider taking our 3-day NIOSH-approved spirometry training course (course approval # 010).

None. No prior experience is needed.

The participant will learn the fundamental principles and skills needed to obtain tests that meet American Thoracic Society (ATS) – European Respiratory Society (ERS) standards for spirometry.

Listing of Course Topics:

  • Overview of spirometry standards
  • Definitions: FVC, FEV1, FEV1/FVC%, Peak Flow, etc.
  • How to read volume-time and flow-volume tracing
  • Acceptability & repeatability criteria
  • How to administer a spirometry test & testing technique
  • How to recognize tests with less than maximal effort
  • Common spirometry problems, pitfalls, and solutions
  • Predicted normal values
  • Basic spirometry patterns (normal, obstructive, restrictive, & mixed)
  • Calibration and system verification requirements
  • Workshop:
    • Demonstration of testing technique
    • Student participation (hands-on testing)

This program is usually held at a local hotel, located between downtown Cincinnati and the Cincinnati International Airport.

When you register, a confirmation letter will be sent with the name, location, and phone number of the host hotel.

Special arrangements will be made to reserve a block of rooms at a discounted rate. Your confirmation letter will have specific details; however, when in doubt identify yourself as a participant with the "University of Cincinnati".

Start and end times differ with location. All programs are 7 contact hours.
In Cincinnati8:30 – 4:30 (1 hour lunch break)
Other locations8:00 – 4:00 (1 hour lunch break)

Tuition: refer to registration form for current fee
Tuition includes all course materials and a comprehensive workbook. Students are enrolled in the order in which payment and registration is received. After payment is received, a confirmation letter will be sent to each student. Students should not make non-refundable travel arrangements until the confirmation letter is received. In the unlikely event the program is canceled due to accident, injury, or other unexpected event, your registration fee will be refunded in full. Liability is however, limited to the course fee. After your registration request is submitted, an email reply should be received within 48 hours. If a reply is not received, send an email to

Optional - Post Course Certification:
Students who successfully complete our optional post course program can become certified by the University of Cincinnati and obtain a certificate with Dr. McKay’s signature. This certification is optional and at no additional charge. Certification from the University of Cincinnati establishes that the student met the performance criteria for administrating spirometry tests in accordance with current spirometry criteria. Certification also establishes that the student successfully passed a written examination and established a level of competency with respect to administration of spirometry tests that meet ATS-ERS criteria.

Students who wish to obtain spirometry certification will be required to:

  1. Complete a post-course online exam, and
  2. Submit samples of spirometry test reports for expert review
    • Details regarding the optional online quiz and submission of post course tests for review will be discussed at the course. This is no additional fee for certification.

Substitution, Transfer, Cancellation, & No-Show Policy:

  • Substitutions: We will gladly substitute another student for the same course date at any time at no charge.
  • Transfers: A one-time transfer request received at least 30 days prior to the course date is permitted. A new course date must be provided at the time of the transfer request. An administrative transfer fee (see schedule below) must be paid within 7-days, otherwise the request is denied and handled as a cancellation. Transfer requests received within 30 days of the course date are not permitted.
    • Request received more than 60 days prior to course date - Administrative Transfer Fee: None
    • Request received 30 - 60 days prior to course date - Administrative Transfer Fee: 40%
  • Cancellations: Written cancellation requests received within 30 calendar days are non-refundable.
    • Request received more than 60 days prior to course date - Amount Refunded: 75%
    • Request received 30 - 60 days prior to course date - Amount Refunded: 25%
  • No Shows: Refunds are not provided if student doesn't attend their confirmed course date.

Course Schedule