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EHRA Certification in Electrophysiology for Physicians (EP)

Certification organised by the European Heart Rhythm Association (EHRA)

The EHRA EP Certification programme seeks to set a standard for competency and excellence in the field of electrophysiology across Europe and beyond. It has been meticulously developed to accurately reflect and clearly defined assessment goals and evaluate the necessary knowledge, skills and clinical competencies that are required for electrophysiology practice.

The EHRA EP Certification programme is designed for Physicians with a special interest in electrophysiology. 

The programme is set out in two parts:

  • the exam - intended to test the theoretical knowledge of the candidate
  • the logbook - demonstrating the training, skills and experience of the candidate

Upcoming exams

If no event appears, please come back at a later date.

Exam

Eligibility

The EHRA EP written examination is open to Physicians with a special interest in electrophysiology. 

At registration time, candidates will be asked to provide a copy of their medical diploma (MD) issued by a National Health Authority. 

We strongly recommend that candidates who wish to take the EHRA EP exam acquire knowledge and clinical experience before participating in the exam. 

The EHRA EP Certification is not a compulsory or regulatory certificate of competence or excellence. Individuals' rights to report and sign clinical studies in individual countries remain to be defined by national laws and regulations.

Exam format

The EHRA EP examination is a multiple-choice written examination in English.

The examination consists of 130 questions, divided into two parts of 65 questions each.

Each part is run over 3 hours with a 1-hour break in-between. 

Questions are designed to assess the candidate's knowledge:

  • Based on a clinical scenario
  • Five options with only one single best answer. 
  • No negative marking

Questions are drawn from the entire spectrum of electrophysiology reflecting the EHRA Core Curriculum.

Exam date and delivery

The EHRA EP examination is usually delivered twice a year, using an online proctoring platform (CYIM/ProctorU®).

The EHRA EP examination is delivered once in English and once in Spanish (developed in collaboration with LAHRS). Candidates cannot resit the exam in the same calendar year (e.g. if a candidate failed the English exam, he/she cannot take the Spanish exam in the same year). 

This provides candidates with the safety and convenience of an online platform while retaining the integrity and quality of an on-site supervised exam.

The online format of the EHRA EP exam is:

  • Accessible anywhere in the world.
  • Taken on the candidate’s own device (computer only) and monitored by a human proctor online through ProctorU®.

Please find more information here.  

Exam preparation

The EHRA EP exam is designed to test a wide range of electrophysiology knowledge aligned with the EHRA Core Curriculum

There is no single source from which all questions are developed, and candidates are encouraged to read widely, including but not limited to:

EHRA also offers the possibility to follow educational courses. Attending these courses may help you get further knowledge and insightful tips to success in the certification exam.

Test yourself with sample questions.

Exam results

The passing score of the exam is established using referenced methodologies, that are widely used in  certification. The passing score links the score required to pass the exam to the minimum level of knowledge required for electrophysiology practice.

The statistical performance of each multiple-choice question (MCQ) is analysed and the 10 least discriminating MCQs are not taken into account. The candidate's final score is, therefore, derived from only 120 MCQs. 

Following the exam, psychometric analysis of the questions is conducted and items that do not meet psychometric standards are removed from the exam. In addition, any items that have been flagged during the exam administration are reviewed and if these items are deemed to be defective for any reason they are removed from the exam.

Results are subjected to multiple levels of verification prior to being reported to candidates.

Examination results are communicated to candidates in the eight weeks after the examination.

Candidates will receive an email containing their results letter on the date of the result release. Successful candidates for the exam will also receive a certificate of completion of the written exam.

Candidate’s results are also made available through the candidate’s My ESC account.  

Appeal

ESC/EHRA aims to deliver examinations of the highest quality and provide the best level of service for all candidates. To ensure that all candidates are assessed fairly, there is a procedure to allow candidates to appeal against their exam results.

Please find more information here.

Policies for online proctoring examinations

For more information, please refer to the ESC online proctoring examination terms & conditions

Logbook

Once candidates have passed the exam, they can then apply for the logbook part of the programme to prove their practical experience in the electrophysiology field. No late submissions will be accepted and, if the deadline is not respected, the candidate will have to repeat the exam in order to apply for certification.

Eligibility

The EHRA EP logbook part of the programme is accessible to all successful candidates to the exam. 

Access to the logbook platform is granted to candidates only after having successfully passed the written exam.

Requirements

Candidates are required to provide evidence of their clinical experience.

Candidates must provide the following documents:

  • A letter of endorsement from their National Cardiac Society
  • A letter of support from their supervisor
  • A list of 200 EP procedures as follow:
    • AVNRT - 15
    • Accessory pathway (concealed or manifest) - 15
    • Cavo-Tricuspid Isthmus (CTI) for typical atrial flutter - 25
    • Non-CTI atrial tachycardia - focal or reentrant - 10
    • AV node - ablation - 5
    • AF ablation - 50
    • VT/PVC ablation in normal hearts - 5
    • VT/PVC ablation in structural heart disease - 5
    • Diagnostic EP study - 0

Candidates have to perform a minimum of 200 EP procedures with a significant amount of catheter manipulation and interpretation of the electrograms. Diagnostic EP procedures, where no ablation is performed, can also be included in the total number of cases. However, a diagnostic EP study conducted in the context of ablation cannot be included in the logbook as a separate procedure.

Logbook regulations

Not complying with the below regulations will result in the logbook being returned to the candidate for modification and as such, delay the grading process.

  • The application must be submitted in English. Any document in local language must be accompanied by a translation. 
  • The application must not include any patient data, in order to comply with GDPR regulations. 
  • The application must be submitted no later than 2 years after having received the exam results. 
  • Cases included in the logbook must have been collected within a period of 36 consecutive months - these 36 months can be taken anytime from two years before up to two years after the exam date. 
  • Each patient may be present only once in the logbook. It is not allowed to add multiple studies of the same patient. 

Candidates are not asked to submit the full reports, although they may be requested by the EHRA graders and EHRA certification committee. Thus, candidates are asked to keep this information available. 

Supervisor

There are no specific requirements to be a supervisor for the EHRA logbook. The supervisor does not need to be EHRA certified, and the candidate doesn’t need to upload any documentation regarding the supervisor’s qualifications. The supervisor should be the person supervising the candidate’s work, possibly the person that taught the candidate how to perform the procedures and should be experienced in the field. The supervisor needs to provide a letter of support and also sign off on the logbook, certifying the accuracy of the application content and that the candidate had done all the procedures listed in the logbook.

Logbook results

As soon as the logbook is compliant with the requirements, the application is sent for grading to members of the EHRA Certification Committee. Graders may require additional information from the candidate in order to provide their grading. 

Results are sent by email within 3 months of submitting the e-Logbook. Please note that some delay in the grading can occur due to the high volume of applications received throughout the year. 

Appealing the logbook

Candidates who fail to the logbook part may raise an appeal.

Please find more information here

Extension requests

There is a two-year window to complete the logbook part of the programme. In exceptional circumstances, candidates may request an extension to submit their application.

To ensure the process remains fair and robust, extensions will generally only be given in the following circumstances: parental leave, less than full-time work or illness of the candidate.

Extension requests must be accompanied by a signed letter from your supervisor briefly explaining the situation and stating the duration of the extension required. Requests cannot be considered without this letter. The request must be submitted before the deadline.

Please note that extension requests are not guaranteed and are reviewed on a case-by-case basis by the certification committee.    

Use the “Contact Us” to submit such requests and further information.

Recertification

We are currently facing unexpected delays to launch the EHRA recertification process. All eligible candidates will be contacted in due time and no candidates will be penalised for this additional delay. 

 

Candidates will be granted certification in cardiac pacing once they have completed the exam part of the programme. The certification is valid for 10 years after which the candidate must apply for recertification to keep the certification valid. 

Requirements

The recertification process consists of a checklist to validate continuing engagement in EHRA educational activities and attendance of the EHRA annual congresses.

Recertification criteria:

  • Letter of endorsement from National Cardiac Society. 
  • Evidence of attendance of at least 2 EHRA Congresses in the last 5 years.
  • Participation in at least 5 EHRA webinars in the last 2 years.
  • Evidence of Continuing Medical Education in the field of arrhythmia or device therapy achieved by either
    1. participation in one of the EHRA preparatory courses in the last 2 years

or

    1. obtaining 15 CME credits on the ESCeL platform in the last 2 years from EHRA Educational Courses –
      • For CP recertification: Fellows Device CP Track
      • For EP recertification: Fellows EP Track

To retain the respective certification, candidates must apply for recertification from 6 months before to 1 year after the 10‐year certification expiration date. As the first EHRA exam was delivered in 2005, this rule will only be applicable for candidates wishing for recertification from 2026. From now until 2025, all recertification applications will be accepted.

Recertification fee

Only EHRA members can apply for recertification. A fee of €200 will be charged. Recertification is free for EHRA fellows (FEHRA).

How to apply?

Candidates who wish to apply for recertification should contact us here

If all requirements of recertification are met, a certificate will be issued which will be valid for a further 10-year period.

Extension requests

There is a one-year window to apply for recertification (from six months before to six months after the current certification expiration date). In exceptional circumstances, candidates may request an extension to submit their application.

To ensure the process remains fair and robust, extensions will generally only be given in the following circumstances: parental leave, less than full-time work or illness of the candidate.

Extension requests must be accompanied by a signed letter from the candidate's supervisor briefly explaining the situation and stating the duration of the extension required. Requests cannot be considered without this letter. The request must be submitted before the deadline.

Please note that extension requests are not guaranteed and are reviewed on a case-by-case basis by the certification committee.    

Use the “Contact Us” to submit such requests and further information.

Certification result and list of certified candidates

Candidates will be granted certification in electrophysiology once they have completed the two parts of the programme (exam and logbook). The certification is valid for 10 years after which the candidate must apply for recertification to keep the certification valid. 

EHRA is pleased to list all their electrophysiology certified candidates.