Pulmonology Typing Practice

This page loads the pulmonary and critical care pack: clinic and consult note lines, PFT, imaging and sleep study reads, bronchoscopy notes, and inhaler, antifibrotic and pulmonary hypertension drugs with doses. Choose Pulmonary and Critical Care in the Specialty menu or start from a preset below.

Open the trainer with the Pulmonary / Critical Care pack

Pulm clinic: COPD, asthma, ILD PFT, imaging and sleep study reads Inpatient consult day

Preset links open the trainer with those settings already applied; you can change them afterward.

What pulmonary notes are made of

Pulmonologists type in four settings: clinic follow-ups for COPD, asthma, interstitial lung disease, nodules, sleep apnea and pulmonary hypertension; inpatient consults for hypoxemia, effusions, PE and hemoptysis; procedure notes for bronchoscopy, EBUS, thoracentesis and chest tubes; and interpretations of PFTs, sleep studies, walk tests and chest imaging.

Much of it is numbers with a thin layer of words around them. One clinic note can hold an FEV1/FVC ratio, percent predicted values, a DLCO, a 6-minute walk distance with its oxygen nadir, and a home oxygen flow. Consult notes restate the oxygen device and flow every day, and ABGs are written as pH/PaCO2/PaO2 with slashes. Lobes and lymph node stations (RUL, LLL, lingula, 4R, station 7) need to be automatic, and sleep medicine adds AHI, REI and CPAP pressures.

What the pulmonology pack adds

The pack adds 992 items and gives extra weight to 631 related items already in the general corpus. About half are note phrases (499), heaviest in assessment, plan, results and HPI, with numbers kept consistent: an A-a gradient matches its ABG, and an RVSP matches the TR velocity. The 120 report lines cover HRCT patterns, CT pulmonary angiograms, V/Q and PET, PFT and exercise test interpretation, sleep studies, bronchoscopy findings and cytology. Critical care content is kept to a few lines on high-flow oxygen, BiPAP, breathing trials and proning, because the ICU pack covers ventilators and pressors in depth.

• ABG 7.28/68/58 on 2 L, acute on chronic respiratory acidosis
• FEV1 1.2 L, 42% predicted, FEV1/FVC 0.48, consistent with severe obstruction
• HFNC 40 L/min at FiO2 50%, ROX index 5.2, will monitor closely for need to intubate
• EBUS-TBNA of stations 4R, 7, and 11L, 4 passes each, ROSE with adequate lymphocytes
• CPAP download: 92% of nights used 4 hours or more, residual AHI 2.1, minimal large leak
• Lung-RADS category 4A, suspicious, recommend 3-month low-dose CT, PET-CT may be considered

Dosing strings cover 120 drugs. Inhalers carry their strength and puff count, as in budesonide-formoterol 160-4.5 mcg 2 puffs inhaled bid, and titrations are written out, as in pirfenidone 267 mg po tid x 7 days, then 534 mg po tid x 7 days, then 801 mg po tid. The pack adds no dose for drugs dosed by weight or IgE level, such as omalizumab.

How to practice

Once a specialty is chosen, about half of what you type comes from the pack and half from the general corpus, and the category chips filter both. Note Phrases with Physiology & Labs is the closest match to a clinic note: values, units and the sentences around them. Radiology & Path Findings on its own gives you PFT, CT and sleep study reads alongside general report lines.

Turn Abbreviations on to practice the shorthand pulmonologists chart in: "Former smoker with a 45 pack-year history, quit 6 years ago" becomes "Former smoker w/ a 45 pk-yr hx, quit 6 yrs ago". Leave it off for spelled-out report language. Start in Block mode, which holds you at each error until it is fixed; slashes, decimal points and percent signs are where most mistakes land. Move to Cascade when your accuracy is steady, so the text keeps moving the way it does during a busy consult day. Short sessions of five to ten minutes on most days work better than one long one. AI Mode works on top of any of these settings. No account is needed, and progress is saved in your browser.