We agree with Drs Rubio and Boyd that weekend courses offer familiarity, not definitive training. These courses provide the practicing pulmonologist with an understanding of options and limitations. For some, they provide the motivation to seek further training. For those in fellowship, individual procedures may be mastered, but this highly depends on the offerings and expertise within each fellowship program. Pastis et al2 made the sobering point that our basic programs often do not provide sufficient training in many basic, let alone advanced, procedures.