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EHRA’s Accreditation Programme

Heart HouseApril 3nd, 2007

22

EHRA’s Accreditation CommitteeEHRA’s Accreditation CommitteeE Aliot (FR)F Arribas (ES)GL Botto (IT)LI Krämer (DE)J Morgan (UK)P Ritter (FR)M Schalij (NL)E Simantirakis (GR) C Wolpert (DE)H Huikuri (FL) - UEMS RepresentativeC Linde (SE) - VicechairJL Merino (ES) - Chair

E Aliot (FR)F Arribas (ES)GL Botto (IT)LI Krämer (DE)J Morgan (UK)P Ritter (FR)M Schalij (NL)E Simantirakis (GR) C Wolpert (DE)H Huikuri (FL) - UEMS RepresentativeC Linde (SE) - VicechairJL Merino (ES) - Chair

33

Do we need HR Accred?Do we need HR Accred?

44

Why we need HR Accred?Why we need HR Accred?• Enormous development and sophistication of

electrophysiology and HR devices– Patient protection– Professional recognition

• Quality control and excellence

• Homogeneous training within Europe– Mutual recognition– Easy professional circulation

• Enormous development and sophistication of electrophysiology and HR devices– Patient protection– Professional recognition

• Quality control and excellence

• Homogeneous training within Europe– Mutual recognition– Easy professional circulation

55

USA vs European systems?USA vs European systems?

66

USA systemsUSA systems• ABIM -> Certification on EP (PM/ICDs) for MDs

– Board Certified in Int. Med -> Cardiology– Specific Training– Exam

Americans and Canadians only

• HRS -> Certification on PM/ICD for MDsCertification on EP (PM/ICD) for assoc. prof.Certification on PM/ICD for assoc. prof.

– Exam (NASPExAM)

Americans and non-Americans

• ABIM -> Certification on EP (PM/ICDs) for MDs– Board Certified in Int. Med -> Cardiology– Specific Training– Exam

Americans and Canadians only

• HRS -> Certification on PM/ICD for MDsCertification on EP (PM/ICD) for assoc. prof.Certification on PM/ICD for assoc. prof.

– Exam (NASPExAM)

Americans and non-Americans

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EHRA systemEHRA system• Present: Certification on EP (PM/ICDs) for MDs

Certification on PM/ICDs for MDs

– Certified Cardiologist– Specific Training (log book)– Exam

• Future: Certification on EP (PM/ICD) for assoc. prof.– Exam

• Present: Certification on EP (PM/ICDs) for MDsCertification on PM/ICDs for MDs

– Certified Cardiologist– Specific Training (log book)– Exam

• Future: Certification on EP (PM/ICD) for assoc. prof.– Exam

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ProcedureProcedure

• Similar procedure:1.Cardiologist title2.Training / Exp.3.Exam

• Similar procedure:1.Cardiologist title2.Training / Exp.3.Exam EHRA (EP / CP) Accredited

Only European

EHRA (EP / CP) AccreditedOnly European

EHRA (EP / CP) Exam CertificationEuropean / Non-European

• Different Strategy:1.Exam2.Cardiologist title3.Training / Exp.

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Objetives & RequirementsObjetives & Requirements

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ObjetivesObjetivesRecognition by:

• Short term: ESC

• Mid term: HR Professionals (European & Non-European)

• Long term: Health Care Organizations & authorities

Recognition by:

• Short term: ESC

• Mid term: HR Professionals (European & Non-European)

• Long term: Health Care Organizations & authorities

1111

RequirementsStandard pathway“training pathway”

RequirementsStandard pathway“training pathway”

• Cardiology specialist official certification

• Written Examination

• EP / Device training for 1 year Accredited Unit

• Cardiology specialist official certification

• Written Examination

• EP / Device training for 1 year Accredited Unit

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Requirements Exceptional pathway “practice pathway”

Requirements Exceptional pathway “practice pathway”

• Cardiology specialist officialcertification

• Written Examination

• EP / Device practicing experience 100 EP Dx + 100 Abl (in 3 years)100 PM/ICDs

• Cardiology specialist officialcertification

• Written Examination

• EP / Device practicing experience 100 EP Dx + 100 Abl (in 3 years)100 PM/ICDs

1313

EHRA examsEHRA exams

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ExamExam

• 120 test questions + 10 backup questions• 5 choice – only 1 valid

• Divided in 2 parts of 3 hours

• Practical cases and EP/Device & ECG

tracings

• 120 test questions + 10 backup questions• 5 choice – only 1 valid

• Divided in 2 parts of 3 hours

• Practical cases and EP/Device & ECG

tracings

1515

Exam PreparationExam Preparation• Questions development (50 each)

EP: Dr. Arribas, Huikuiri, Merino, Schalij, WolpertCP: Dr. Botto, Linde, Simatirakis

• 1st Review (Each set of Qs by two other Committee members)– Refinement & rejection– Difficulty

• Data base– Random selection -> 120+10 back-up

2.7±0.9 (1-5) difficulty & 70% figures

• 2nd Review

• Questions development (50 each)EP: Dr. Arribas, Huikuiri, Merino, Schalij, WolpertCP: Dr. Botto, Linde, Simatirakis

• 1st Review (Each set of Qs by two other Committee members)– Refinement & rejection– Difficulty

• Data base– Random selection -> 120+10 back-up

2.7±0.9 (1-5) difficulty & 70% figures

• 2nd Review

1616

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Exam materialsExam materials

• Question booklet

• Figure booklet

• Mark sheets (answers)• 2 sheets

• 2 parts: name & marks (all with the same code number)

• Question booklet

• Figure booklet

• Mark sheets (answers)• 2 sheets

• 2 parts: name & marks (all with the same code number)

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EHRA EP ExamEHRA EP Exam

1919

EHRA EP ExamExample 1

EHRA EP ExamExample 1

2020

EHRA EP ExamExample 1

EHRA EP ExamExample 1

2121

EHRA EP ExamExample 2

EHRA EP ExamExample 2

2222

EHRA CP/ICD ExamEHRA CP/ICD Exam

2323

EHRA CP ExamExample 4

EHRA CP ExamExample 4

2424

EHRA CP ExamExample 4

EHRA CP ExamExample 4

2525

Passing scorePassing score

– >75% of the best scores: difficult exam artifact(sample 10%)

&

– >60% at least: poorly qualified participants artifact

– >75% of the best scores: difficult exam artifact(sample 10%)

&

– >60% at least: poorly qualified participants artifact

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Results EPResults EP

• Succeeded: 24 of 37 participants (65%)

• Passing score: 75 out of 120 Qs

• Highest score: 105 out of 120 QsMedian score: 90 (mean 89)

Lowest score 42

• Succeeded: 24 of 37 participants (65%)

• Passing score: 75 out of 120 Qs

• Highest score: 105 out of 120 QsMedian score: 90 (mean 89)

Lowest score 42

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Results CPResults CP

• Succeeded: 38 of 47 participants (85%)

• Passing score: 75 out of 120 Qs

• Highest score: 105 out of 120 QsMedian score: 84 (mean 83)

Lowest score 52

• Succeeded: 38 of 47 participants (85%)

• Passing score: 75 out of 120 Qs

• Highest score: 105 out of 120 QsMedian score: 84 (mean 83)

Lowest score 52

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Rest of requirementsRest of requirements

3131

Normalized form

Internet application

EP /Device experienceEP /Device experience

3232

Other requirementsOther requirements

• Official Cardiologist title

• Center endorsement letter

• NS endorsement letter

• Official Cardiologist title

• Center endorsement letter

• NS endorsement letter

3333

Accred. TitleAccred. Title

3434

Syllabus & Core Curriculum

3535

Core SyllabusCore Syllabus

http://www.escardio.org/NR/rdonlyres/D65E6429-3C7F-4BB6-850A-8044DBC35BEA/0/EHRA_core_syllabus.pdf

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Heart Rhythm SpecialistEHRA’s Accreditation Committee

3737

3838

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ApplicationApplication

4040

www.escardio.orgwww.escardio.org

4141

http://ehraaccreditation.escardio.orghttp://ehraaccreditation.escardio.org

4242

4343

4444

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2007 Edition2007 Edition

EHRA Congress – Europace (Lisbon)

• June 24 EP

• June 26 CP/ICD

EHRA Congress – Europace (Lisbon)

• June 24 EP

• June 26 CP/ICD

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Be ahead in professional recognition

Apply Now!

Be ahead in professional recognition

Apply Now!