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About Us Advisory Committees Pulmonary Function Quality Control Advisors

British Columbia has 28 hospital-based Pulmonary Function (PF) laboratories (formerly known as “Category III Pulmonary Function Laboratories”). These laboratories perform, in addition to regular quality control checks on their instrumentation, a variety of pulmonary function tests on a healthy non-smoking subject (known as the Biological Normal or BioQC) once per month. The laboratories then submit the numerical results to the DAP for analysis. The results give an indication of any areas of concern with the instrumentation or performance of the tests.  


The Diagnostic Accreditation Program has retained the services of Carl Mottram and Susan Blonshine to review and provide recommendations for Pulmonary Function Quality Control since January 2008. Both individuals are dedicated to fostering quality in the Pulmonary Function Lab and the continuing education of Respiratory Therapists.  


Carl Mottram, BA, RRT, RPFT, FAARC 

Director, Mayo Clinic Pulmonary Function Labs & Pulmonary Rehabilitation Program

Associate Professor of Medicine - May Clinic College of Medicine


Mr. Mottram is the Director of the Mayo Clinic Pulmonary Function Laboratories and Pulmonary Rehabilitation Program and holds the academic rank of Associate Professor of Medicine, Mayo Clinic College of Medicine and Adjunct Professor, University of Minnesota Rochester.  Mr. Mottram holds several professional positions.  He is the President-Elect of the Clinical and Laboratory Standards Institute (CLSI) where he serves on their Executive Council, along with Chairing their Consensus Council and Strategic Planning Committees.  Mr. Mottram is a Board member on the National Board for Respiratory Care where is has numerous roles including Vice-Chair of their PFT Exam committee.  Mr. Mottram is a NIOSH (CDC) Spirometry course director, and serves as a member of their advisory committee.  He also serves as a member on the newly formed American Thoracic Society (ATS) Accreditation committee.

Mr. Mottram is a visiting professor throughout the United States as well as Europe, the Middle East, and the Far East.  Mr.Mottram is an accomplished author, in particular note, he is the author/editor of the leading text in pulmonary diagnostics titled "Ruppel's Manual of Pulmonary Function Testing" 10th Ed.  He has also published several other book chapters including chapters in the ATS Pulmonary Function Laboratory Function Management and Procedure Manual 3rd Ed.   


Susan Blonshine, BS, RRT, RPFT, FAARC, AE-C

President/CEO of TechEd Consultants, Inc. Cardiopulmonary Diagnostics Specialists.


Ms. Blonshine, President and CEO of TechEd Consultants, Inc., provides training, education and consultant services specializing in cardiopulmonary diagnostics, asthma disease management, quality systems, and related clinical research activities. She was a member of the Clinical Laboratory Standards Institute (CLSI, formerly NCCLS) Board of directors for 8 years and past member and chair of the National Asthma Educator Board of Directors. She was also the Co-chair on the National Lung Health Education Program Subcommittee for Spirometry Equipment Evaluation, a fellow of the American Association for Respiratory Care and lifetime member of the AARC. 


Ms. Blonshine provides consultative support in the development of quality control and quality systems for pulmonary function laboratories as well as monitoring quality control activities in PF laboratories globally. She actively supports clinical trials globally in pulmonary function testing. 


Ms. Blonshine has co-authored ‘Spirometry Quality: The Essentials’, contributed chapters to several other textbooks as well as contributing to the American Thoracic Society (ATS) Pulmonary Function Laboratory Function Management and Procedure Manual. She has authored several articles related to quality systems in pulmonary function testing. In addition, she contributes to various medical journals, presents at professional conferences and meetings, and has developed several multimedia training references.