BHRS Examination Guidance & Support Documents

In order to achieve BHRS Certification candidates must pass an examination

We will now be holding the BHRS Examination twice a year.   The next date scheduled for the exam is 23rd November 2022.



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.

Next Exam Date

  • 23rd November 2022

  • 17th May 2023

  • 22nd November 2023

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BHRS Examination

Next Exam: Wednesday 23rd November 2022

We will hold the next BHRS examination on Wednesday 23rd November 2022 (time slots between 8am and midday – UK time – will be available). The examination will be held via Pearson Vue centres. This means you can choose a Pearson Vue centre local to you to avoid unnecessary travel. Under some circumstances (i.e. for medical reasons) will also have the option to take the examination virtually.  A letter from your GP must be produced.

The exam this year will consist of 120 questions with the syllabus essentially unchanged (no DVLA questions) with the emphasis on specialist questions (i.e. EGMs).  There are three exams available: Devices, EP and Clinical.

Once you are able to book your examination please do as soon as possible to ensure you have as much choice as possible of your test centre as these get booked up quickly.

You will have 4 hours to complete the examination.  A 10 minute comfort break is scheduled after 2 hours.  Candidates should arrive at the test centre 15 to 30 minutes prior to their exam.

Registration will open 20th July 2022 at cost of £350.  Exam registration will be open until 8th November 2022.

Note: You must be an active BHRS member to register for the examination.  The sooner the register to more choice you will have of test centres.


If you failed the examination and wish to resit you will need to re-register for the examination.


BHRS Examination Details

Please be aware that the next BHRS examination will be held 18th May 2022. Registration will open 17th January 2022. The venue will be your local Pearson Vue centre.

Examples: Instructions for 2019 Exam Candidates


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 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



2009 EXAM PAPER SAMPLE (with answers)