EHRA s Accreditation Programme. Heart House April 3 nd, 2007

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1 EHRA s Accreditation Programme Heart House April 3 nd,

2 EHRA s Accreditation Committee 2 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 Representative C Linde (SE) - Vicechair JL Merino (ES) - Chair

3 3 Do we need HR Accred?

4 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 4

5 USA vs European systems? 5

6 USA 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 MDs Certification on EP (PM/ICD) for assoc. prof. Certification on PM/ICD for assoc. prof. Exam (NASPExAM) 6 Americans and non-americans

7 EHRA 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 7

8 Procedure Similar procedure: 8 1.Cardiologist title 2.Training / Exp. 3.Exam Different Strategy: 1.Exam 2.Cardiologist title 3.Training / Exp. EHRA (EP / CP) Accredited Only European EHRA (EP / CP) Exam Certification European / Non-European EHRA (EP / CP) Accredited Only European

9 9 Objetives & Requirements

10 Objetives Recognition by: Short term: ESC Mid term: Long term: HR Professionals (European & Non-European) Health Care Organizations & authorities 10

11 Requirements Standard pathway training pathway Cardiology specialist official certification Written Examination EP / Device training for 1 year Accredited Unit 11

12 Requirements Exceptional pathway practice pathway Cardiology specialist officialcertification Written Examination EP / Device practicing experience 100 EP Dx Abl (in 3 years) 100 PM/ICDs 12

13 13 EHRA exams

14 Exam 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 14

15 Exam Preparation Questions development (50 each) EP: Dr. Arribas, Huikuiri, Merino, Schalij, Wolpert CP: Dr. Botto, Linde, Simatirakis 1 st Review (Each set of Qs by two other Committee members) Refinement & rejection Difficulty Data base Random selection -> back-up 2.7±0.9 (1-5) difficulty & 70% figures 2 nd Review 15

16 16

17 Exam materials Question booklet Figure booklet Mark sheets (answers) 2 sheets 2 parts: name & marks (all with the same code number) 17

18 18 EHRA EP Exam

19 EHRA EP Exam Example 1 19

20 EHRA EP Exam Example 1 20

21 EHRA EP Exam Example 2 21

22 22 EHRA CP/ICD Exam

23 EHRA CP Exam Example 4 23

24 EHRA CP Exam Example 4 24

25 Passing score >75% of the best scores: difficult exam artifact (sample 10%) & >60% at least: poorly qualified participants artifact 25

26 Results EP Succeeded: 24 of 37 participants (65%) Passing score: 75 out of 120 Qs Highest score: 105 out of 120 Qs Median score: 90 (mean 89) Lowest score 42 26

27 Results CP Succeeded: 38 of 47 participants (85%) Passing score: 75 out of 120 Qs Highest score: 105 out of 120 Qs Median score: 84 (mean 83) Lowest score 52 27

28 28

29 29

30 30 Rest of requirements

31 EP /Device experience Normalized form Internet application 31

32 Other requirements Official Cardiologist title Center endorsement letter NS endorsement letter 32

33 33 Accred. Title

34 34 Syllabus & Core Curriculum

35 Core Syllabus 35

36 Heart Rhythm Specialist EHRA s Accreditation Committee 36

37 37

38 38

39 39 Application

40 40

41 41

42 42

43 43

44 44

45 2007 Edition EHRA Congress Europace (Lisbon) June 24 EP June26 CP/ICD 45

46 Be ahead in professional recognition Apply Now! 46

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