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Competency gaps in respiratory therapy: evidence from a global survey
Tisha Ann Skariah1,2, Udaya Kumar Rao2, Manjush Karthika1
1College of Medical and Health Sciences, Liwa University, Abu Dhabi, United Arab Emirates.
Korean Journal of Medical Education
|December 8, 2025
Summary
Global respiratory therapy (RT) training shows significant competency gaps, particularly in advanced procedures. Standardization is crucial for consistent clinical skills, workforce mobility, and improved patient safety worldwide.
Area of Science:
- Healthcare Education
- Respiratory Care
- Medical Training
Background:
- Respiratory therapy (RT) is essential for managing pulmonary conditions.
- Increasing demand for skilled RT professionals highlights training inconsistencies.
- Current RT education lacks a standardized global competency framework.
Purpose of the Study:
- To systematically quantify competency disparities in global RT programs.
- To identify variations in training, assessment, and simulation access.
- To provide evidence for guiding educational policy and accreditation.
Main Methods:
- Cross-sectional survey of RT professionals, educators, and leaders across multiple countries.
- Quantitative analysis using descriptive statistics and chi-square tests.
- Gap percentage analysis to identify training deficiencies.
Main Results:
- Significant competency gaps identified, especially in advanced interventions (e.g., ECMO, lung ultrasound).
- Inconsistencies found in assessment tools, simulation use, and remediation protocols.
- Overwhelming consensus among respondents for competency standardization.
Conclusions:
- A structured, evidence-based competency framework for RT education is urgently needed.
- Standardization will enhance clinical consistency and workforce mobility.
- Implementing a framework will improve global patient care outcomes.
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