Cardiac Pacing and Implantable Cardioverter Defibrillators (ICDs) Accreditation

Forthcoming examination | Exam requirements | Documents to submit | Examination process | How to prepare

Forthcoming examination

  • Examination Date: 23 June 2009 - Europace 2009 - Berlin Germany.
  • Application Fee:

    Regular fee

      €200

    EHRA Members fee

      €170

    Re-sit fee

      €100

  • Venue: to be confirmed

Online registration will be available on February 2009

In the event that a participant wishes to cancel their registration to the Accreditation exam, written confirmation to the EHRA Accreditation office is required, up to 2 weeks prior the event. A refund of fees will be made. After this deadline, the candidate will be charged with a penalty of 50% of the accreditation cost and refunded the difference.

In case of unforeseen circumstances (such as death in the family, on-call at the hospital, accident of the candidate...), a proof document will be required and the candidate will be refunded with the entire registration fee.

Requirements

The Accreditation exams are run in two steps:

  1. Theoretical part: written exam. Candidates will have to pass this first section successfully before going to the second section.
  2. Practical part: log book section. Candidates must submit a list of at least 100 implantations performed as first operator (including 70 Pacemakers, 20 ICDs, 10 CRT) and follow up of a total of 200 procedures (including 140 Pacemakers, 40 ICDs, 20 CRT) performed during a period of 3 years. Candidates can start compiling their logbook before sitting the Theoretical part. They have 3 years after the exam to provide it.

To apply to the accreditation, candidates have to be a Cardiology Specialist (issued by a National Authority of Health or the European Union or, in the future, by the UEMS)

Documents to submit and complete the Accreditation process after having successfully passed the written exam

Examination

The Accreditation is run in two steps:

  • The theoretical examination, compiled by the Accreditation Committee, essentially consists of a 130 multiple-choice question test.

Questions are based on the analysis of practical clinical cases and decision making (60-80%), with the remaining dedicated to theoretical questions.
10 questions out of the 130 are back up questions and are used only for appeal procedures. The final mark is thus based on 120 questions and is calculated on 75% of the 5 best scores and must be superior to 60% of the questions. In case the number of candidates is blow thirty (30) the passing score will be calculated on 75% of the best three (3) scores, and must be superior to 60% of the questions.

Answers are to be reported on a mark sheet.

The examination is designed to be completed in two consecutive parts of 3 hours with a 90 minutes lunch break:
         - 9:00 - 12:00: 1st part
         - 12:00 - 13:30: Lunch break (lunch is provided by EHRA)
         - 13:00 - 16:00: 2nd part*
Participants are required to sign in at least 30 minutes before the start, IDs will be checked.
Participants will have to sign out the registration list upon handing out their copy (for both parts).

*EHRA reserves the right to modify the above schedule if required.

Participants should bring the following materials: a calliper and a black pen only

Results are sent within 2 months after the exam, by email.

  • Log book section: once candidates have passed the theoretical examination, they must proof practical experience in the field: Experience in at least 100 implantations (including 70 Pacemakers, 20 ICDs, 10 CRT) and follow up of a total of 200 procedures (including 140 Pacemakers, 40 ICDs, 20 CRT). Experience should be gathered during 3 consecutives years.

All log books must be sent to the EHRA Accreditation office*:

The European Hearth House
2035 Route des Colles
les Templiers - BP 179
06903 Sophia-Antipolis - France

A grader, from the EHRA Accreditation Committee, will grade the log book. On average, review process takes 2 months. Upon passing the whole Accreditation process, candidates will receive a diploma.

* All log books must be sent fully completed and with original documents. The EHRA Accreditation office will not accept receiving documents that are not attached with a log book (ie: letter of endorsement, CVs ...,...).
It is the candidate responsibility to send his log book by regular mail or express mail. EHRA will not take in charge the cost engaged by the candidate and decline all responsibility in the case of lost of the documents.

As a security, candidates should keep a copy of their log book.

Final result is sent by email.

Accreditation is valid for a period of 10 years.

You are allowed to take the written exam before completing the rest of the requirements for accreditation and you will get an official certification if you succeed it.
However, to obtain the Accreditation diploma, you must provide the above documents after at most a period of 3 years.

How to prepare the exam:

EHRA offers the possibility to follow Preparatory Courses to increase your chances of successful completion.

Topic distribution of the written exam questions*

    • Cardiac Pacemakers: biophysics and physiology (15-20%)
    • Cardiac Pacemakers: indications and pacing modes (15-20%)
    • Cardiac Pacemakers: follow-up and dysfunction (15-20%)
    • Cardiac Pacemakers: multisite pacing (biatrial, biventricular) (15-20%)
    • Other related devices: ICDs (5-10%)
    • Clinical rhythmology and related techniques (5-10%)
    • Electrocardiography (5-10%)
    • Invasive EP (5%)
    • Basic electrophysiology and cardiac cell channels (2-5%)
    • Other (2-5%)

* Estimation

Suggested Reading List 

Core Syllabus

Download a copy of the Core Syllabus 

Question Samples

To view samples of exam questions, please consult:  CP Sample Questions   



You may consult the list of the Accreditation Committee Members here or contact the EHRA Accreditation National delegates 

For any information on the EHRA Accreditation examinations, please send us your message using the Contact Us form (category = Association - EHRA).