Who completes Pulmonary Function Tests (PFTs)?

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Last updated: June 17, 2025View editorial policy

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From the Guidelines

Pulmonary Function Tests (PFTs) are typically completed by respiratory therapists, pulmonary function technologists, or other specially trained healthcare professionals. These professionals work under the supervision of pulmonologists or other physicians who interpret the results 1. The testing process requires specific training to ensure accurate administration of the various breathing maneuvers and proper operation of the testing equipment.

Key Points

  • Patients simply need to follow instructions and perform breathing exercises as directed during the test; no special preparation or skills are required from them beyond the ability to follow directions.
  • The healthcare professional administering the test will guide patients through specific breathing patterns, such as forceful exhalation or inhalation, while specialized equipment measures various aspects of lung function.
  • This specialized training is necessary because proper technique is essential for obtaining reliable results that physicians can use to diagnose respiratory conditions, assess disease severity, or monitor treatment effectiveness.
  • Recent studies have highlighted the importance of using PFTs in clinical practice, particularly in the diagnosis and monitoring of asthma 1.
  • The use of PFTs can help improve asthma management and reduce the risk of overdiagnosis or misdiagnosis 1.
  • In terms of personnel qualifications, the American Thoracic Society (ATS) recommends that medical directors should have appropriate training and be responsible for all pulmonary function testing 1.
  • The current guidelines suggest that completion of secondary education and at least 2 years of college education would be required to understand and fulfill the complete range of tasks undertaken by a pulmonary function technician 1.

From the Research

Pulmonary Function Tests (PFTs) Overview

  • PFTs are an essential tool in the diagnosis and management of respiratory conditions, providing quantitative information about lung function 2, 3.
  • These tests are used to assess the severity and course of disease, evaluate patients for lung transplantation, and monitor response to treatment 2, 3, 4.

Who Completes PFTs

  • PFTs are typically ordered by primary care physicians, pulmonologists, and other healthcare professionals to aid in the diagnosis and management of respiratory diseases 5, 6.
  • The tests are usually performed by trained technicians or healthcare professionals in a pulmonary function laboratory or hospital setting 2, 5.

Clinical Use of PFTs

  • PFTs are used to investigate specific symptoms, diagnose lung diseases, and monitor disease progression or response to treatment 2, 3, 4.
  • The results of PFTs are interpreted in conjunction with clinical information, medical history, and other diagnostic tests, such as chest imaging 3, 6.
  • PFTs can help identify patterns of lung disease, such as obstructive, restrictive, or mixed patterns, and guide further diagnostic evaluation or treatment decisions 3, 4.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Pulmonary Function Tests for the Radiologist.

Radiographics : a review publication of the Radiological Society of North America, Inc, 2017

Research

Pulmonary function tests.

The Ulster medical journal, 2011

Research

Utilization of pulmonary function tests by primary care internists in a community hospital.

American journal of medical quality : the official journal of the American College of Medical Quality, 1994

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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