Next EHRA EP exam will be held on 19 June 2014
during the Cardiostim EHRA Europace congress in Nice, France.
Online registrations will be available on 15 January 2014
First time fee
(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 submit | How to prepare
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
- No show - No 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.
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:
- Level 1: Pass the exam: Written exam in English consisting of multiple choice questions, held during one of EHRAs annual meetings - EUROPACE or Cardiostim.
- 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 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 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:
- Letter of Endorsement from the National Society
- Letter of support from a Supervisor - Template
- The Logbook - EP-List-Procedure
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. Moreover, they are allowed to submit it until the 31 December of 3 years after the written exam (if the written exam is the 6 June 2013, the logbook can be submitted until 31 December 2016).
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 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
Download a copy of the Core Curriculum.
To view samples of exam questions, please see:
EP Sample Questions.
For any information on the EHRA Certification examinations, please Contact Us.