BHRS Certification is a recognition

of knowledge and practical experience in the field of cardiac rhythm management

Please Note: 2020

The certification and examination process and format will be changing this year.  Entry for examinations (to be held in November) will begin in August.  The exam this year will consist of 120 questions (no separate core and specialist papers) with the syllabus essentially unchanged (no DVLA questions) with the emphasis on specialist questions (i.e. EGMs).

Registration will open 1st August at a cost of £350. We will announce the full syllabus and examination in due course.

The initial training for the exam will take place 11:00 to 16:00 19th September 2020 (we will ensure this is available moving forwards if you miss it). Please keep an eye on the events page for more details when ready. Further training videos will be available in October to watch at leisure.

But please note – the below information is relevant to 2019 and prior to that.  We will keep the below information available for now, as a large proportion of detail will not change, and is still relevant for those undergoing the 2019 process.


The Examination

The examination was first introduced in 1999 as part of the BPEG Certificate of Competency.

Log Books

The logbook process is being streamlined to minimise the amount of “paperwork” that historically has been required, whilst ensuring the high standard of the BHRS certification. We will be doing this by focusing on practical work in a live environment.

As part of the accreditation process we will be introducing several DOPS (Direct Observation of Procedural Skills). These will be observed and reported on by an approved local supervisor.

The DOPS guide and associated web pages to upload to will be available from November 11th, 2020.


  • 24A Market Street
    SK12 2AA


Monday – Friday 9:00 – 17:00


BHRS Certification Recognised at Masters’ Level

The School of Health and Social Care at Teesside University has agreed to recognise the British Heart Rhythm Society (BHRS) Certification.  Candidates who successfully complete the BHRS Certificate will be able to gain exemption from the module ‘Arrhythmia Management’ (AHH4002-N) at Teesside University (30 credits at Masters Level) and thus transfer these credits into the following programmes:

  • MSc Advanced Clinical Practice
  • MSc Nursing
  • PG Dip Surgical Care Practitioner

This exemption applies to all candidates who have successfully received BHRS Certification since 2008 (candidates must have passed both the exam and logbook).  This also only applies to candidates who have received Certification for the first time, not candidates who have Re-certified.

Applications for Recognition of Prior Learning (RPL) for other postgraduate programmes at Teesside University will be considered where appropriate.  Other universities may consider these academic credits for RPL experience purposes upon application.

To apply, please contact the programme lead for the MSc Advanced Clinical Practice or MSc Nursing via the School of Health Switch board on 01642 384 100.

British Heart Rhythm Society Certification for Employees of Medical Devices or EP Equipment Companies

In 2013, Heart Rhythm UK Council decided to introduce a pilot of “Heart Rhythm UK Certification.”  Only individuals who are employed by a cardiac devices manufacturer, a manufacturer of EP equipment or other related company are eligible to apply.  This will continue in 2014 as British Heart Rhythm Society Certification (Industry).  Candidates can obtain this Certification on successful completion of the British Heart Rhythm Society examination (including the relevant devices or EP specialty section).  This option is not available to NHS or private sector employees such as nurses, physiologists or doctors, who must complete full Certification, including a logbook.

This option is being piloted as it is appreciated that many industry employees would be interested in undertaking full British Heart Rhythm Society Certification but would find it difficult to comply with the requirements of the logbook.

Candidates from industry who have successfully completed the two sections of the examination in the last three years (2011 – 2013) can apply to British Heart Rhythm Society for retrospective recognition and award.

Depending on the success of the pilot, this may be continued after 2014.

Post-Nominal Letters

Post-nominal letters, also called post-nominal initials or post-nominal titles, are letters placed after the name of a person to indicate that the individual holds a position, educational degree, accreditation, office, or honour.

Following successful completion of BHRS accreditation no post nominal is awarded (although the BHRS Certification Committee is aware that numerous individuals use unofficial post nominal letters).


In January 2014, the Certification Committee agreed to a process of re-certification to bring BHRS in line with European and US examinations. This has subsequently been ratified by Council.

BHRS Certification will now be valid for 10 years. Candidates will need to successfully re-sit the examination after 10 years in order to maintain Certification. However, there will not be a requirement to repeat the logbook.

IMPORTANT: Candidates who sat the examination in 2006 and subsequent years will also be required to re-certify. However, it was agreed that these candidates would also have a 10 year period from 2014 in which to re-certify i.e. candidates who successfully gained Heart Rhythm UK Accreditation from 2006 – 2013, inclusive, will be required to re-certify by 2024.

Candidates who successfully passed the examination and logbook prior to 2006 in the old format will not be required to re-certify.

For all candidates to remain certified, they are required to be members of BHRS.

Recommended Banding for Accredited Physiologists

The BHRS recommend accredited physiologists should now practice at Agenda for Change band seven level.


British Heart Rhythm Society

British Heart Rhythm Society (formerly known as Heart Rhythm UK) is dedicated to improving all aspects of arrhythmia care and electrical device based therapies along with acting as a unifying focus for those professionals involved.