In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.
ACCA School 2018

Benefit from a unique opportunity to get hands-on sessions, in small groups, with experts in acute cardiac care.
Only 60 seats available.

18-19 Otcober2018, Madrid, Spain. 

Register now

ACCA certification for individuals

Certification organised by the Acute Cardiovascular Care Association (ACCA)

The next ACCA Certification exam will be held on 20 October 2018 during the ACCA School in Madrid.

Registration is now open.

The latest advances in the treatment of cardiovascular diseases result in improved outcomes with prolongation of life. In parallel, the advanced management of critically ill cardiac patients has now become a subspecialty of cardiology.

The ACCA certification aims to recognise professionals with both practical experience and knowledge in acute cardiac care.

The certification process is composed of two parts:
- the written exam (Part I) intended to test the theoretical knowledge of the candidate
- the logbook and educational training records (Part II), designed to demonstrate the training, skills and experience of the applicant

Why take the ACCA certification?

The certification process for Acute Cardiac Care is designed for professionals in the field of Acute Cardiovascular Care to attest to skills in delivering state of the art treatment for patients with severe cardiac illness.

Discover what past applicants say

Next exam

  • 20 October 2018
  • From 09:30 to 12:30. 
    The ESC reserves the right to modify the above schedule if needed. Therefore, ESC strongly recommends planning late return flights.
  • Venue: Hospital Universitario, 12 de Octubre, Madrid, Spain


Fees are discounted as per your ACCA membership level.

Fees do not include transport & accommodation.

Register now

Please read the Terms and conditions.

ACCA School 2018 - More information here

  ACCA Regular Member ACCA Ivory Member ACCA Silver Member ACCA Gold Member Onsite Resit

ACCA School

(stand alone)

€800 €760 €700 €610 €850  


Exam (stand alone)

€300 €285 €255 €225 €350 €200


School +


exam (including resit)

€950 €900 €800 €750 €1000  


Become a member of the Acute Cardiovascular Care Association.

In order to respect exam room capacity, registrations will be managed on a first come first served basis. We encourage you to register online to guarantee a seat.

Registration requirements

Payment and general conditions

*All registration fees are quoted in Euros (€) and include national applicable VAT. Payment in any other currency will not be accepted.

Registration fees are based on the date of receipt. The prices indicated are only applicable if both registration form/request and payment are received before the registration deadlines.

Registration will be acknowledged upon receipt of payment and a valid email address (please ensure your MyESC profile is updated). A confirmation email will be sent within ten working days after having submitted the payment.

Cancellation policy

If a candidate has to cancel their registration for the exam they must contact us

  • Up to 6 weeks before exam takes place – 100% refund
  • From 6 to 4 weeks: 50% refund
  • From 4 weeks to exam date: no refund
  • No show: no refund

In the event of illness or other serious unforeseen circumstances, a letter of proof will be required and the full amount may then be refunded.

In the unlikely event that the ACCA cancels the exam, the full registration fee will be refunded. However, ACCA is not liable for any cost incurred by the cancellation of accommodation and travel arrangements.


Appeal process

Please note that there is no appeal process following written exam section of the certification process. The results are final.

ACCA individual certification process

The ACCA Certification programme for individuals is a two steps process. Part I is passing the exam and part II is then passing the logbook submission process. There are two levels to ACCA certification.

Candidates Certified

Year Written Exam Passed - LEVEL I
(Part 1 of Certification)
Fully Certified - LEVEL II
(Written exam + logbook)
2016 (Lisbon) 59 Ongoing
2015 (Vienna) 40 Ongoing
2014 (Geneva) 42 9
2013 (Madrid) 44 8
2012 (Istanbul) 10 6
2011 (Paris) 12 6
2010 (Copenhagen) 17 8

Part I: the written exam


The written exam is available to all healthcare practitioners involved in acute cardiac care:

  • doctors of all relevant specialities
  • all registered healthcare workers
    • nurses
    • paramedics
    • all other healthcare professionals

The exam structure

The examination consists of 100 multiple choice questions (MCQs) based on a clinical stem, and with five options, single best answer.  It is run over three hours.

The questions will be theoretical and related to clinical cases and are designed to assess the knowledge of the candidate.

Answers will be filled in on a preprinted mark sheet.

The day of the exam

Participants are required to sign in approximately 60 minutes before the start of the exam for check-in and to present:

  • Their exam boarding pass (sent by email approximately ten working days before the exam date)
  • Identity card/Passport to confirm their identity

After the exam participants will have to hand in all their exam documents (mark sheets and exam questionnaires) and go through the checkout process.

The results

Results are sent by email two months after the exam date.
Upon passing the exam, candidates will receive an ACCA certificate for completion of part I of the certification process.

This certificate states that candidates “have passed the examination of the Acute Cardiovascular Care Association”.

Frequently asked questions (FAQs)

Download FAQs

How to prepare for the exam


The ESC curriculum for Acute Cardiac Care defines the clinical, patient orientated training required of the acute care cardiologist. The curriculum includes a list of all the topics that require being covered, subdivided into the learning objectives, knowledge, skills, behaviour and attitudes. It also outlines the training requirements and certification process for accreditation in Acute Cardiac Care. This curriculum provides a framework that a training programme in Acute Cardiac Care should be based upon. The revised ESC curriculum for Acute Cardiac Care (2014) can be accessed here.

Core curriculum ACCA

Textbook and syllabus

We invite you to refer to the IACC textbook which covers the whole Acute Cardiac Care core curriculum, as well as the CoBaTrICE syllabus which details the requirements for training in intensive care at a European level.

Preparatory session

To prepare for the certification programme, a Preparatory session will take place during the Acute Cardiovascular Care congress immediately before the exam. 

Part II: the procedure logbook and Educational Training Record (ETR)

Once candidates have passed the theoretical exam (achieving Part I) they have the opportunity to apply for Part II of the certification, provided they are a medical doctor, certified by their National Health Authority in cardiology, and training under supervision of nationally/locally recognised trainers in recognised centres. 


Part II of the certification process involves demonstration of the skills and professionalism required in acute cardiac care, under the guidance of recognised trainers and supervisors. As this involves clinical cardiology training and practice, the applicant must be a cardiologist.

In order to be eligible to apply for ACCA Part II certification process, the candidate must:

  • Be a medical doctor
  • Be certified by their National Health Authority in Cardiology
  • Be a member of ACCA. If you are not member yet, you can apply online
  • Have passed the written ACCA examination (Part I)
  • Have a nominated ICCU/CICU Director to oversee their training during the certification process.

Documents to submit

Applicants will be required to submit their Procedure Logbook and Educational Training Record (ETR), plus supporting documentation through the eLogbook platform. Access is only granted to the candidate upon achieving Part I of the certification process.

As a security, candidates must keep a copy of all their supporting documentation and logbook. All documents must be submitted in English.

Entry to part II of the certification process (to achieve full certification):

All forms must be filled in electronically (avoid handwriting, except for signatures), in English and saved and submitted as pdf. Failing this rule will result in the logbook being returned to the candidate for correction and as such delay the grading process.

Content of the Educational Training Record (ETR)

The ACCA Educational Training Record (ETR) provides a summary of the Procedures Logbook and the level of competency attained for each procedure. All procedures highlighted in blue require to be attained to Level III competency and those in white require to be attained to Level II. The overall ICCU/CICU director is required to sign to confirm that each procedure has been achieved to the desired level of competency (as documented in the procedural logbook). Both the candidate and the ICCU director are then required to sign the ETR statement confirming that it is an accurate representation of training undertaken.

Content of the logbook

The ACCA Procedure Logbook is used to record all procedures performed and the level of skill attained for each. It is intended to provide a comprehensive record of training in the procedures for ACCA certification. Access the list of procedures here.

The ACCA Education Committee recognises that documenting the appropriate level of skill in defined procedures is more important than documenting numbers of procedures carried out. As a consequence, the level of skill attained is the key element rather than the numbers performed per se. Nevertheless, suggested minimum numbers to achieve this level of skill have been provided for guidance.

The ACCA certification programme requires candidates to achieve Level 3 competency in most procedures and Level 2 competency in a minority (Endotracheal Intubation, Mechanical Ventilation, Primary Angioplasty, Advanced Extracorporeal Support, Thoracic Ultrasound and Chest Tube Insertion).

The levels of Competencies are explained below:

  • Level I: the experience of selecting the appropriate diagnostic or therapeutic modality and interpreting results or choosing an appropriate treatment. This level of competency does not include performing a technique, but participation in procedures during training may be valuable;
  • Level II: goes beyond Level I. In addition to Level I requirements, the trainee should acquire practical experience but not as an independent operator. They should have assisted in or performed a particular technique or procedure under the guidance of a trainer. This level also applies to circumstances in which the trainee needs to acquire the skills to perform the technique independently, but only for routine indications in uncomplicated cases;
  • Level III: goes beyond the requirements for Level I and Level II. The trainee must be able independently to recognise the indication, perform the technique or procedure, interpret the data and manage the complications, invasive and non-invasive.

At each stage of training, the candidate/trainee should undergo continuous assessment according to that requirement at a local and national level. This may include DOPS (directly observed procedural skills), CBDs (case-based discussions), CEXs (clinical examination exercises), and MSF (multi-source feedback).  The candidate/trainee should take responsibility for ensuring they are appropriately assessed throughout their training for the procedures documented in the procedural logbook, and that their logbook is countersigned by their local trainer/supervisor.

It is important to keep up to date with documentation within the Procedures Logbook, to allow candidates and their supervisors to assess their progress, and focus on areas that require further development.

How to send these documents?

The Procedure Logbook and Educational Training Record must be submitted to the ESC Certification Office using the eLogbook service. A link is shared with individuals who wish to move from level I to level II (full certification).

Please contact us if you do not have this link.

Deadline to send your logbook

The Procedure Logbook (practical assessment) and ETR, have to be submitted within 24 months of the examination date (although it is highly recommended to do so within 12 months).

If you passed the exam in Vienna, 19 October 2015, you need to submit your ACCA logbook before 31 December 2017.

If the logbook is not sent by the deadline, the candidate will need to re-sit the examination and start the certification process all over.

The results

Upon submission of your Procedure Logbook and ETR, the ACCA Certification Office will review its content and forward it to the ACCA Education Committee for grading.  Results are normally received within two months. Upon successful completion of this process, candidates will receive an ACCA Level 2 Certificate. This Certificate has a lifetime validity and states that a candidate “Is fully certified in the Acute Cardiac Care Certification process”