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 18th May 2022.

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.

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.

BHRS Examination

Next Exam: Wednesday 18th May 2022

We will hold the next BHRS examination on Wednesday 18th May 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 17th January 2022 at cost of £350.  Exam registration will be open until 2nd May 2022.

Note: You must be an active BHRS member to register for the examination. Activating a new membership can take up to 2 weeks so please ensure (due to the direct debit set up) you join BHRS member in plenty of time so you can register for the examination.

EXAM REGISTRATION OPENS 17TH JANUARY 2022 FOR THE NEXT EXAM

Examination Training & Revision

Details to Follow

Resits

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

CERTIFICATION FAQS
EXAM OVERVIEW

BHRS Examination Details

Please be aware that the next BHRS written examination will be held 10th November 2020. Registration will open in August 2020. The venue will be your local Pearson Vue centre.
EXAM OVERVIEW

Examples: 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