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Welcome to the European Society of Cardiology. Our mission: to reduce the burden of cardiovascular disease in Europe
 
EHRA Certification

Invasive Cardiac Electrophysiology

Certification examination organised by the European Heart Rhythm Association (EHRA) for electrophysiology (EP)

The EHRA exam in electrophysiology is intended to test the knowledge, experience, clinical expertise and proficiency of physicians specialising in the treatment of patients suffering from cardiac arrhythmias. Together with the EHRA logbook of interventional procedures/operations performed under supervision of senior colleagues, it provides the basis for EHRA certification in electrophysiology.

In order to encourage a high standard of knowledge and clinical expertise and to enable physicians to provide their patients with the best and most advanced standard of treatment, we envisage a successful EHRA certification process to serve as a sign of excellence for the physician. To achieve and maintain the level of quality of the examination we continuously focus our efforts on improving the number, content, layout, and statistical power of the questions.

We strongly recommend physicians who intend to enter the EHRA certification process to acquire a sufficient amount of knowledge and clinical experience before attending the EHRA exam

A short questionnaire asking for details of the candidates’ clinical background will be part of the registration process for the exam.

Next EHRA EP exam will be held during the EHRA EUROPACE 2013 congress in Athens, Greece.

EP Exam
23 June 2013
9:00 - 16:00 Athens

  Only a few places remaining!

To register, click on this button !

Registration deadline: 17 June 2013 - Subject to availability

Registration Fee:

First time fee

€300

Re-sit fee

€200

 

(Please note: these fees apply to Members and non-Members)
So as to respect examination room capacity, registrations are taken under the basis of first come first served. We encourage online registration to guarantee a seat. 

 

Requirements | Examination process | Documents to submitHow to prepare

Cancellation policy

If candidates wishes to cancel their registration for the exam they will need to email ESCcertification@escardio.org:

  • Up to 2 weeks before exam takes place - 100% refund
  • After 2 weeks* - 50% refund

*In the event of illness or other serious unforseen circumstances a letter of proof will be required and the full amount refunded.

If EHRA are to cancel the exam, the full registration fee will be refunded. However, EHRA is not liable for any cost incurred by the cancellation of accommodation and travel arrangements.

Requirements

To sit a certification examination, applicants have to be physicians (MD) and provide a medical diploma issued by a National Health Authority. This must be submitted during the registration process.

To achieve certification as an EHRA certified electrophysiology specialist (ECES) candidate must complete the 2 levels:

  1. Level 1: Pass the exam: Written exam in English consisting of multiple choice questions, held during one of EHRAs annual meetings - EUROPACE or Cardiostim.  
  2. Level 2: Pass the exam and document practical experience: Once the exam is passed a Logbook must be submitted 3 years* after sitting the exam.

*The requirements will change for candidates sitting the exam from 2014. Please see below.

1 - The written exam

The examination is designed to be completed in 2 consecutive parts 3 hours each, with a 60 minute lunch break:

  • 9:00 - 12:00: 1st part
  • 12:00 - 13:00: Lunch break (lunch is provided by EHRA)
  • 13:00 - 16:00: 2nd part
    EHRA reserves the right to modify the above schedule if required.

Participants are required to sign in at least 30 minutes before the start of the exam for check-in and to present:

  • Their information letter (sent during registration process)
  • Identitycard/Passport to confirm their identity

After the exam participants will have to hand in all their exam documents (including their marksheets and question sheets) and sign out.

The questionnaire is compiled by the EHRA Certification Committee, and consists of a 130 multiple-choice questions.

Answers are to be filled in on a mark sheet.

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 internal processes.

There is no appeal procedure after the examination.

Exam results are sent by email 2 months after the exam is sat.
Upon successful completion of the exam, candidates will receive an electronic ECES Level 1 Certificate valid for 10 years.  

2 - The logbook

Once candidates have passed the written exam (achieving Level 1), they can then apply for Level 2 by proving their practical experience in the field. 

Documents to submit 

For completion of the certification process after having successfully passed the written exam:

Candidates must submit their logbook through the eLogbook platform. Access to the eLogbook is granted to the candidate upon passing the exam only.

As a security, candidates must keep a copy of their logbook.

Content of the Logbook

Candidates have to perform:

  • 200 procedures - at least 100 should be ablation procedures

Experience should be gathered over 3 consecutive years - from 3 years before up to 3 years after sitting the exam.

This means that candidates can start compiling their logbook before sitting the written exam if they wish.

The logbook must be sent as an eLogbook. Access to the elogbook platform is granted to the candidate only after having successfully passed the written exam. 

A grader from the EHRA certification committee will grade the logbook. The review process should take around 2 months. The final results are sent by email.

Upon successful completion of the logbook process, candidates will receive an electronic ECDS Level 2 Certificate valid for 10 years.

For candidates sitting exams from 2014:
The following items have to be performed within a period of 24 consecutive months - these 24 months can be taken any time from 2 years before up to 2 years after the date of the exam:

  • 100 diagnostic EP studies (standalone or prior to ablation)
  • 100 catheter ablations as first operator. These must consist of
    • 50 standard ablation including His bundle - max 5
    • AVNRT - min 15, max 25
    • AVRT - min 15, max 25
    • RA atrial tachycardias - min 5, max 10
    • cavo-tricuspid atrial flutter - min10, max 25
    • idiopathic RVOT VT - min 5, max 10 
    • 50 complex ablation at least 30 of which are atrial fibrillation ablation - including transseptal puncture. 

How to prepare for the examination

EHRA offers the possibility to follow Educational Courses. Attending the courses may also enable participants to get further knowledge to sit and pass the certification examination.

Topic distribution of the written examination questions

Core Curriculum

Download a copy of the Core Curriculum.

Sample Questions

To view samples of exam questions, please see:
 EP Sample Questions.


 

For any information on the EHRA Certification examinations, please Contact Us.