The examination was first introduced in 1999 as part of the BPEG Certificate of Competency. In 2006 the examination became the Heart Rhythm UK Certificate of Accreditation and structure of the examination was revised, with the introduction of core and specialist sections. It is a requirement that you must be a BHRS member to take the examination.
In 2011, the examination paper was marked electronically for the first time. Since then, the questions and candidates responses have been evaluated in detail so that we can continue to improve the quality, relevance and validity of the questions.
In 2013, the number of questions was increased to 120 (60 core and 60 specialty), in part, to bring the examination into line with the EHRA examination. As a consequence, the duration of the examination was increased to 4 hours. Also in 2013, we introduced a third “clinical” specialist section. This section is aimed at nurses with a special interest in CRM and is complimented by a new “logbook equivalent” of case discussions. It was not felt appropriate that nurses with a special interest in CRM complete a logbook, instead there is a requirement to complete a number of case studies.
From 2020 the exam consists 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). To make the examination more accessible BHRS decided to hold the it via Pearson Vue training centres which gives candidates the choice of choosing a local setting to them.