BHRS Examination Guidance & Support Documents

In order to achieve BHRS Certification candidates must pass an examination

Introduction

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.

2020 REGISTRATION WILL OPEN IN AUGUST

Please Note: 2020

We still aim to hold the BHRS examination this year in November. We are currently aiming for 11th November 2020. The examination will be held via Pearsons Vue centres. This means you will be able to select a training centre local to you to avoid unnecessary travel. You will also have the option to take the examination virtually.

Registration will open in August and we will announce the syllabus and examination format by the end of June.

Training and revision will be completed online via Zoom. Dates for these sessions will be announced the end of June.

All the above will be reviewed continuously and we will ensure everyone is updated if the current plan deviates from the above.

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.

EXAM OVERVIEW

BHRS Examination Details

Please be aware that the next BHRS written examination will be held in November 2020. Registration will open in August 2020. Venue to be announced. Log Books will be due by November 2022 and the making of the Log Books will be due by March 2023.
EXAM OVERVIEW

Instructions for 2019 Exam Candidates

EXAM TERMS & CONDITIONS
ANSWER SHEET GUIDANCE

Exam Pass Marks

Please note, pass marks vary slightly from examination to examination to take account of the relative difficulty of examinations presented to candidates, ensuring that the pass standard remains constant.  The pass mark is determined by a ‘standard setting’ process.  or example, in 2016, 136 candidates sat the Core section with the vast majority passing. The median mark is shown below for each section of the 2016 exam. Please note the median mark IS NOT the pass mark.

  • Core 57% n=136
  • Devices 57% n=133
  • EP 58% n=10
  • Clinical 55% n=5

All candidates who reach the required standard for the appropriate exam will pass, however it has been and continues to be the decision / policy of the BHRS Council not to disclose the actual pass mark or to enter discussions with individual candidates about their marks / examination performance.

Sample Exam Questions

For any potential candidate considering taking the exam in the future, you may find it useful to view the below representative questions for the devices and EP sections:

View Sample Devices Questions
View Sample Devices Answers
View Sample EP Questions
View Sample EP Answers
View Sample Clinical Questions
View Sample Clinical Answers

Exam Answer Sheet Guidance

Since 2011, the examination papers have been marked electronically. This allows British Heart Rhythm Society to be able to examine the questions and candidates responses in more detail, so that we can work to improve the quality and validity of the questions. It is therefore essential that candidates are aware of how they are required to mark their answers on the exam answer sheets

Wave

EXAMPLE EXAM PAPERS

2009 EXAM PAPER SAMPLE
2009 EXAM PAPER SAMPLE (with answers)

EXAMPLE EXAM PAPERS

SECTION 1: CORE

Core

Sub-Section

No. of Qs

 1.1 Anatomy/Physiology/Clinical Assessment  8
 1.2 Arrhythmias – Diagnosis/ECGs  10
 1.3 Devices (Inc. clinical trials)  15
 1.4 Electrophysiology (Inc. clinical trials)  15
 1.5 Guidelines/DVLA/MHRA  6
 1.6 Pharmacology  6

SECTION 2: DEVICES

Devices

Sub-Sections

Qs

2.1 Pacemaker biophysics & physiology 7
2.2 Device indications & modes 10
2.3 Pacemaker follow-up, troubleshooting, CXR 15
2.4 Cardiac Resynchronisation Therapy 10
2.5 Implantable Cardioverter Defibrillators 10
2.6 ECGs/Infection/Lead extraction/ILR 8

SECTION 3: ELECTROPHYSIOLOGY

EP

Sub-Section

Qs

3.1 Basic EP (genetics, channels, drugs, clinical) 10
3.2 General concepts: Catheter position, access, signals, filter-setting.  Intervals, block/gap, Arrhythmia mechanism – Pacing manoeuvres 10
3.3 Invasive electrophysiology – standard atrial arrhythmias (SVT, typical flutter) 15
3.4 Invasive electrophysiology – complex atrial arrhythmias (AF, atypical flutter, atrial tachycardia) 10
3.5 Invasive electrophysiology – complex ventricular arrhythmias (scar related, non-scar related, PVCs) 10
3.6 Invasive electrophysiology – Specific ablation aspects: lesion formation, energy sources.  Complications & Imaging mapping systems 5

SECTION 4: NURSING / CLINICAL

Nursing

Sub-Section

Qs

4.1 Clinical assessment/Guidelines 10
4.2 Arrhythmias – Diagnosis/Mechaniss/ECG 15
4.3 Pharmacology 10
4.4 Syncope diagnosis and treatment 5
4.5 Devices (Pacemaker/CRT/ICD) 10
4.6 Electrophysiology 10