EHRA Certification process Katja Zeppenfeld Chair Certification Committee
EHRA Certification process
Katja ZeppenfeldChair Certification Committee
High-quality healthcare is a priority issue for European citizens
Right to healthcare is recognized in the Charter of Fundamental Rights of the EU
Political & Social Frame
European Community
ESC/EHRA National and Affiliated Societies
88 Countries
Wide disparity in size, wealth, political and health care systems
Different languages
Treating the same diseases
Working according to the same guidelines
Provide optimal quality in healthcare
Mission Statement
"Assure the Optimal Quality in Arrhythmia
Healthcare by Assessing the Competence in
Knowledge, Skills and Attitudes of
Professionals, Allied Professionals and
Institutions"
EHRA Certification Committee
Certification committee 2011/2013Chair Dr K Zeppenfeld The Netherlands
Vice-Chairman Dr J Cosedis Nielsen Denmark
Co-Chairman EP Physician Dr C Piorkowski Germany
Members Dr C Carbucicchio ItalyDr M Earley United KingdomDr M Hocini FranceDr P Peichl Czech RepublikDr H Tanner Switzerland
Co-Chairman CP Physician Prof J-C Deharo France
Members Dr M G Bongiorni ItalyDr C. Linde SwedenDr A Rozkovec United KingdomDr S Tzeis GreeceProf S Willems Germany
Co-Chairman CP/EP AP Dr Nick Linker United KingdomMembers Dr G. Botto Italy
Prof A. Oto TurkeyDr M Ortiz SpainDr D J Wright United KingdomMr J Elders The NetherlandsMrs C Joyce United KingdomMr P Nolan IrelandDr R Salguero Bodes SpainAsst Prof D Theuns The Netherlands
EHRA Certification of professional excellence
Heart Rhythm Specialist
Cardiac ElectrophysiologyPhysician
Heart Rhythm Specialist
Rhythm Device therapy Physician
Heart Rhythm Specialist
Cardiac ElectrophysiologyAllied Professionals
Heart Rhythm Specialist
Rhythm Device therapy Allied Professionals
EHRSEP
EHRSCP
EHRSAPEP
EHRSAPCP
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Physician
Allied Professionals
EHRA Certification of professional excellence
Theoretical Practical Documents
Theoretical Practical Documents
Theoretical Documents
Theoretical Documents
Practical
Practical
Theoretical
Part
Practical
Part
Practical
Part
Documents
Logbook I
Logbook II
Written exam
Heart Rhythm Specialist: Rhythm Device Therapy Physician
50 EPS and 35
standard ablations
150 device follow-up 50 EPS and
35 standard ablations
130 MCQ
2x3h
English
50 EPS and 35
standard ablations
150 device follow-up(logI+II100 high energy devices and 50 CRTs)
100 device implantations(at least 25 ICDs and 30 CRTs)
Maximum 3 years
CertificationEHRSCP
50 EPS and 35
standard ablations
E-logbook
Cardiologist title
Letter of Endorsement from the NS
Letter of support from Supervisor
Theoretical
Part
Practical
Part
Practical
Part
Documents
Logbook I
Logbook II
Written exam
Heart Rhythm Specialist: Cardiac Electrophysiology Physician
50 EPS and 35
standard ablations
50 EPS +
35 standard ablations1
1His, AVNRT, AVRT, RVOT VA, CTI flutter, RA Atach
50 EPS and 35
standard ablations
130 MCQ
2x3h
English
2 atrial fibrillation, LA tachycardia, VT in structural heart disease
50 EPS and 35
standard ablations
50 EPS +
15 standard ablations1+
50 complex ablation2
(at least 30 atrial fibrillation)
Maximum 3 years
CertificationEHRSEP
50 EPS and 35
standard ablations
E-logbook
Cardiologist title
Letter of Endorsement from the NS
Letter of support from Supervisor
Theoretical
Part
Documents
Written exam
Heart Rhythm Specialist: Rhythm Device Therapy AP
50 EPS and 35
standard ablations
130 MCQ
2x3h
New! 5
languages1
CertificationEHRSAPCP
50 EPS and 35
standard ablations
Letter of Endorsement from the NS/ nursing society
Letter of support from Supervisor/MD
Practical
Part
LogbookCase
studies
1English, German, Spanish, French, Italian
Theoretical
Part
Documents
Written exam
Heart Rhythm Specialist: Cardiac Electrophysiology AP
50 EPS and 35
standard ablations
130 MCQ
2x3h
English
CertificationEHRSAPCP
50 EPS and 35
standard ablations
Letter of Endorsement from the NS/ nursing society
Letter of support from Supervisor/MD
Practical
Part
LogbookCase
studies
Comming soon..
E-learning tract AP
E-learning tract basic EP/CP
E-self assessment (MCQ)Completion of the E-learning course and successful assessment will result in a “certification of participation”
No requirement to register for the written exam
Accreditation of training centres
General requirements
I
Full service cardiology/cardiac surgery
Training centre cardiology
Nationally recognized centre licensed to perform all arrhythmia/device procedures1
1Exception lead extractions, arrhythmia surgery, GUCH
General requirements
II
≥1 dedicated lab EP/CP≥ 2 recognized EHRA CP/EP specialists
Recording procedural data
Recording complications
Active training progam
Program supervisor
Procedures
Recognized EHRA CP/EP specialistEHRA member
≥ 7 years of experience EP/CP
Performing ≥ 100ablations/35 implantations/year as main operator
CP≥ 50 CRTD/-Ps≥ 50 ICDs≥ 100 PM
EP≥ 250 EPS≥ 200 standard ablations≥ 100 LA ablations
Advanced
Application form
Letter of Endorsement from the NS
Documents
EHRA accrediated trainings centre advanced EP/CP
Accreditation of training centres
General requirements
I
Full service cardiology1
Involved in training for cardiology
Nationally recognized centre licensed to perform arrhythmia/device procedures
1no cardiac surgery required 2may be CP or EP but at least one CP for CP training and one EP for EP training
General requirements
II
≥2 recognized EHRA CP or EP specialists2
EHRA member
Recording procedural data
Recording complications
Active training progam
Procedures
CP≥ 100 PM/year
EP≥ 100 EPS≥ 50 ablations
Basic: Basic training centres should not be the sole training centre and should co-operate with an advanced training centre
Documents
Application form
Letter of Endorsement from the NS
EHRA accrediated trainings centre basic EP/CP
EHRA Certification since 2005Ar
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EPEuropace 05 1 1 1 (1) 16 (2) 1 (1) 20WCC 06 1 (1) 5 (2) 1 (1) 1 (1) 3 (2) 1 (1) 1 4 (1) 17Europace 07 1 (1) 1 1 2 (2) 1 1 (1) 1 4 (1) 1 1 (1) 3 (1) 1 6 (1) 1 (1) 1 2 1 29Cardiostim 08 2 (1) 1 2 (2) 4 (3) 6 (1) 1 (1) 6 (5) 1 (1) 1 5 (1) 2 (1) 5 (2) 2 (1) 1 1 9 (4) 49Europace 09 1 2 (1) 3 (2) 2 (2) 3 (2) 4 (2) 1 (1) 7 (4) 5 (2) 9 (6) 1 7 (5) 1 (1) 3 1 1 10 (4) 2 (2) 1 (1) 2 (1) 8 (6) 74Cardiostim 2010 5 (2) 5 (3) 2 (1) 1 (1) 7 (3) 1 (1) 12 (9) 3 7 (5) 1 (1) 4 (3) 2 1 (1) 1 14 (2) 1 2 (2) 1 1 2 (1) 2 11 (4) 86EHRA Europace 2011 3 4 1 3 1 1 1 7 1 2 18 1 12 7 5 1 2 13 1 2 1 1 8 96TOTAL PER COUNTRY EP 1 12 (4) 13 (6) 1 4 3 (1) 1 4 (3) 1 19 (7) 12 (8) 2 (1) 45 (16) 11(3) 43 (19) 2 (1) 1 (1) 2 1 (1) 3 (2) 25 (11) 1 (1) 17 (3) 4 (1) 3 (1) 1 2 68 (12) 6 (4) 5 (3) 2 (1) 5 (1) 2 2 (1) 4 37 (14) 368 (125)
Europace 05 1 2 1 2 5 1 (1) 1 1 (1) 14WCC 06 1 7 (1) 1 11 (2) 1 (1) 5 4 2 1 (1) 1 34Europace 07 1 1 1 4 1 3 (1) 1 17 (3) 1 2 7 1 1 4 (2) 1 1 (1) 1 3 51Cardiostim 08 3 (1) 4 (1) 2 (1) 1 1 3 (1) 7 2 7 (1) 1 17 (4) 3 2 (1) 1 2 6 (1) 1 (1) 1 (1) 1 1 (1) 8 (3) 74Europace 09 1 1 (1) 1 1 5 (1) 3 (2) 3 4 8 (1) 38 (7) 2 2 1 5 3 1 4 1 (1) 7 (2) 91Cardiostim 2010 1 3 3 1 (1) 3 (1) 2 2 (2) 6 (2) 3 (3) 5 (1) 1 8 (3) 45(21) 1 (1) 4 (1) 2 (1) 5 (4) 13 (1) 5 (2) 4 (2) 1 4 2 (1) 6 (1) 131EHRA Europace 2011 4 8 1 2 2 3 7 1 13 1 8 1 45 1 3 1 1 1 8 3 4 1 7 2 1 7 136TOTAL PER COUNTRY CP 1 11 (1) 16 (1) 2 (2) 1 9 (2) 4 4 (2) 1 1 15 (3) 28 (7) 1 30 (1) 8 47 (8) 3 (1) 2 167 (35) 8 (1) 15 (1) 4 (2) 6 5 (4) 2 34 (2) 21 (3) 12 (3) 5 (2) 18 3 5 (3) 2 (1) 4(3) 8 (1) 26 (5) 531 (94)
EHRA Europace 2011 1 1 28 2 1 1 34TOTAL PER COUNTRY* 1 1 23(5) 30 (7) 2 (2) 2 13 (2) 7 (1) 5 (2) 5 (3) 2 34 (10) 40 (15) 3 (1) 75 (17) 19 (3) 90 (27) 5 (2) 1 (1) 4 1 (1) 3 (2) 220(46) 9(2) 32 (4) 4 (1) 10 (1) 8 (4) 1 4 104 (14) 27 (7) 17 (6) 7 (3) 24 (1) 5 5 (3) 2 (1) 6 (4) 1 12 (1) 63 (15) 933 (219)
EP
CP
AP
Candidates from 43 countries!
20 17
29 49
74 86
96 368 (125)
14 34
51 74
91 131
136 531 (94)
34 933 (219)
Countries where IBHRE formerly NASPEexAM recipients are located
Cardiac Rhythm Device Therapy for the Physician (since 1985)Cardiac Electrophysiology for the Allied Professional (since 1987)Cardiac Rhythm Device Therapy for the Allied Professional (since 1988, Japan 2008)Cardiac Electrophysiology for the Physician (december 2011)
Certification Rhythm device therapy Physician: IBHRE (formerly NASPEexAM) vs EHRA
17
0
198
48
99
31
126
38
102
31
00
206
62
00
126
31
00
136
46
00
107
24
00
75
17
00
65
9
00
72
17
130
50
117
34
13
123
4034
154
43
51
168
58
73
119
32
91
104
30
131136
0
50
100
150
200
250
1985 1988 1991 1994 1997 2000 2003 2006 2009
Total USFail USTotal EHRAFail EHRA
EHRA Certification
CP Physician EP Physician
Expected in 2012: 699 Expected in 2012: 486
Total number of physicians in 8 years: 1185!
Planning the future
• Keeping the high standard
• Increasing the number and quality of MCQs
• Development of a computer based exam
• Offering the exams during the annual meetings of the NS and WG
• Involve more Physicians and Allied Professionals in the EHRA certification of excellence
Best practice and latest treatment for heart rhythm disorders