Table 1

Summary of the pulmonary passport functionality

Component	Description
User interface	User accounts—Separate accounts with appropriate functionality were designed for trainees and supervisors. Supervisor accounts allow feedback and assessment of competency and are directly linked with named trainee accounts.
User interface	Mobile access—A responsive user interface enables easy access on both desktop web browsers and mobile devices. All content and pages are flexible across all screen resolutions. As mobile web usage surpasses desktop usage, we prioritised removing any barriers to access by optimising compatibility.
Logging	Procedural logging—Individual standardised logging forms capture data for the following respiratory procedures: Thoracic ultrasound Basic diagnostic bronchoscopy Endobronchial ultrasound bronchoscopy Chest drain insertion—Seldinger technique Chest drain insertion—surgical technique Pleural fluid aspiration—diagnostic Pleural fluid aspiration—therapeutic Indwelling pleural catheter insertion Indwelling pleural catheter removal Local anaesthetic thoracoscopy Logs include demographic information, procedural data and immediate outcome data.
Logging	Outcome logging—Linked outcome logging allows for clinical data collection of procedural performance parameters such as biopsy results and late complications.
Performance analysis	Advanced reporting—Overall performance metrics can be displayed for each individual procedure. These ‘advanced reports’ can be generated at a click of a button, displaying automatically calculated metrics such as chest drain complication rate or sensitivity of endobronchial biopsies. They provide an immediate and detailed summary of a trainee’s procedural experience and competency for the purpose of monitoring and appraisal. These reports also allow easy tracking of the learning curve to support high quality procedural supervision.
Performance analysis	Progress checker—A ‘progress checker’ allows a trainee to view the number of procedures they have completed (both supervised and unsupervised) against recommended minimum numbers for each individual procedure.
Training	Educational material—Educational booklets and training videos are hosted within the platform. This material complements annual face-to-face procedural training courses and provides a readily accessible reference point during all stages of specialist training.
Appraisal	Supervisor interaction—The in-platform link between trainee and supervisor accounts allows for easy and efficient delivery of sign-off and formal feedback, with feedback forms produced for each procedure (free-text written feedback). This supports a standardised and focused approach to procedural supervision.
Appraisal	Competency sign off—Supervisors can generate competency sign-off certificates in Portable Document Format (PDF) format. These can be uploaded to the NHS ePortfolio as further evidence of training progression.

NHS, National Health Service.