BHRS FAQs

Please find a list of Frequently Asked Questions regarding BHRS Certification

General Certification Questions

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

  • Exam registration will open at 11:00 on Saturday 1st August, 2020.
  • Registration and payment will be online at bhrs.com  
  • The exam will be on the 10th November at 8:00am (this year slots can be chosen between 8am and midday).
  • The location for the exam can be chosen by the candidate from over 150 Pearson VUE locations across the UK. 
  • Locations across the EU and around the world will also be available 
  • The exam will start promptly at 8:00
  • The exam will finish at 12:00 unless you have applied successfully for an extension or are resitting
  • There will be a 7 minute comfort break after 2 hours 
  • Extensions may be applied for during the initial registrations process. Further details will be available on 1st August 
  • All candidates will have a choice of three exams, clinical devices or EP
  • Any resits from 2019 will just take the part of the exam they need to resit (resits will start at 8am and end at 10am)
  • Candidates should arrive at the test centre 30 minutes prior to their exam.
  • The candidate can choose from over 150 locations across the UK at any of the Pearson VUE sites
  • From early September you can create an account and book in with Pearson VUE and select which site you would like to site the exam at (the sooner you do this the more choice you will have).  We will send you the link to the test centre booking page when it is available for you to book

The logbook process is being streamlined for devices candidates 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 within a week from the examination.

If you are a resit candidate you can continue collecting for your logbook and submit as usual.  The new version is relevant for new device candidates for 2020.  EP will remain the same and log books will need completing.

Registration opens on 1st August on the BHRS website and will remain open for 12 weeks from this date. You can book your test centre location and check in for the exam from early September (following registration on the BHRS site).  You will be sent a booking link by BHRS.

No, the examination only takes place once per year.  If you need to resit you can do so the following year.

Resits are held the following year at the same time as the new examination.  This year this will be Tuesday 10th November at 8am.  Any resits from 2019 will just need to sit the part of the exam that was failed the previous year (resits will start at 8am and end at 10am).  You can choose the section you’d like to resit when registering.  The resits will consist of 60 questions of the section you have chosen to resit.  You will have 2 hours to complete the resit.  The price of the resit is £175.  We’ve had to marginally increase this cost to cover using Pearsons Vue.

Please note: If you failed all sections last year you will need to register as a new candidate.

There is only one fee for the entire certification process. This includes both the written examination and the log book. The fee is non-refundable and the cost is currently £350.

There is no reduced fee for resits due to the increased cost of hosting the exam through Pearsons.

The location for the exam can be chosen by the candidate from over 150 Pearson VUE locations across the UK.   Locations across the EU and around the world will also be available

Under some circumstances (e.g. those shielding) will also have the option to take the examination virtually. A letter from your GP will be required

You can only do the exams (Device and EP) back to back in successive years. For example, year 1 sit (and pass) the device paper and in year 2 sit the EP paper.

Your pass / fail grade will be announced after all marks have been assessed. This will take approximately 3 weeks.

The initial training for the exam will take place 11:00 to 16:00 19th September 2020 (we will ensure this is available, to those registered, moving forwards if you miss it). Access to training carries a fee of £50. You will need to be an active member to access the training. All those registered for training will receive their individual zoom access details w/c 14th September.

Training will be hosted by Stuart Allen, Chair of BHRS Accreditation.

Content will cover:

  • An introduction to the new examination and logbook format
  • Pharmacology
  • EP Studies/Arrhythmia Mechanisms
  • EGM Case Studies

Training Registration Form

You may sit the exam in the 1st or 2nd year however if you sit the exam in the 2nd year and fail you will not have enough time to re-sit and will need to re-register for the whole certification process again.  It is therefore strongly recommended that all candidates sit the exam at the 1st available sitting after they have registered with BHRS.  You should start collecting evidence for your logbook as soon as you’ve completed registration and NOT after you have passed the written exam.

Yes, 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.

Yes, extensions may be applied for during the initial registrations process. Further details will be available on the registration form and relevant proof will need to be uploaded.

Any resits from 2019 will just need to sit the part of the exam that was failed the previous year (resits will start at 8am and end at 10am on Tuesday 10th November).  You can choose the section you’d like to resit when registering.  The price of the resit is £175.  We’ve had to increase this cost to cover using Pearsons Vue.  Please note: If you failed all sections last year you will need to register as a new candidate.

Yes.  During registration you can request extra time and upload evidence.  Reasons for consideration are as follows: long-term health conditions, mobility difficulties, mental health conditions, autism spectrum conditions sensory impairments, specific learning differences.  Each case will be considered for approval for extra time.  Extra time allowed will be an additional 1 hour.  Resits candidates will be allowed an additional 30 minutes.  No additional breaks will be added.

For anyone still considering a deferral until May (due to the current pandemic) you must ensure you inform us and cancel your examination with Pearsons by 7th November.  This will incur no charge for being transferred to the May examination.  No other reason is needed for deferral this year.   If you decide to cancel after this time you will need to pay the full fee again when booking for May as BHRS will be fully charged by Pearsons for the examination.  Note: if you are a resit candidate and defer you will need to take the whole examination in May (not just the resit section).

We just need to remind you to ensure you take the system check on the computer you will be taking the examination. We recommend you do this as soon as possible to ensure your machine is able to accommodate the exam. The direct link to this can be found here: https://home.pearsonvue.com/bhrs/onvue Please ensure you choose a station with a good internet connection, webcam and microphone.

This page explains everything about taking the examination virtually. Please ensure you watch the video so you can prepare your area and know what to expect: https://home.pearsonvue.com/Test-takers/OnVUE-online-proctoring.aspx

You must be familiar with all the rules as a break of them could result in your exam being revoked. No food must be consumed unless on a break. Water in a clear glass is allowed. You are only allowed to leave the room during the scheduled 7 minute break after 2 hours. If you are resit candidate you will not get a break and will not be able to leave the room for the whole exam. Leaving the room (unless on a scheduled break) will have your exam revoked. You cannot write things down on a piece of paper. You will need to use the whiteboard function integrated in the exam. You are allowed a pen and paper but only to use as a surrogate for calipers.

Food and drink aren’t permitted for either delivery (OnVUE virtual exams and test centres) unless it is an item covered on the published comfort aid list (see attached).  Food and drink can be left with the invigilator for TC delivery if it’s outside of the comfort aid list and the candidate can access it during unscheduled or scheduled breaks. A clear glass of water is permitted for OnVUE delivery; it must be shown to the Greeter during the admittance process.

Candidates must provide their own comfort aids except for the following items, which must be provided by the test centre:

  • Earplugs
  • Noise-cancelling headphones
  • Tissues/Kleenex

You will be required to present one form of original (no photocopies), valid (unexpired) government issued ID, which includes your name, photograph, and signature. The first and last name that you used to register must match exactly the first and last name on the ID that is presented on test day. All IDs required must be issued by the country in which you are testing. If you do not have the qualifying ID issued from the country you are testing in, an International Travel Passport from your country of citizenship is required. If you have any questions or concerns about the ID you are required to bring with you to the testing centre for admittance for your exam please contact Pearson VUE customer Service at www.pearsonvue.com/contact. To view the full ID policy, including any additional allowances to this policy, please visit http://www.pearsonvue.com/policies/1.pdf

Log Book Questions

Please note: The certification and examination process and format has changed this year for those candidates sitting ‘Devices’. EP candidates and 2019 candidates will still be required to complete a log book.

All log books must be submitted electronically via Dropbox to exam-logbook@bhrs.com. You complete ONE log book only and the log book should not exceed 2GB (as this is the maximum Dropbox will allow). More details can be found below. Further instructions of how to use dropbox can be found here.  Please note we are currently looking at different technology to make this process easier so this may change prior to submission but we will inform you if this does.

Yes. That way the log book is ready to submit when you pass a re-sit.

No. If you are choosing to use the new log book then your start or implant date must be after the date of the 2020 exam. Your deadline for submission will remain the same i.e. 18 months after the date you first took the examination.

You have the choice to use the new logbook. If you’ve started your logbook you can continue to use the old format. If you haven’t started your log book and you wish to use the new format please let us know so you can reset your date. You will have 18 months from start/first implant date. There will some flexibility if needed during pandemic.

Requests for log book extensions must always be submitted via email (and not by telephone) to exam-logbook@bhrs.com giving full reasons why an extension is being sought. Requests will then be considered on a case by case basis by the certification committee. Please note that extension requests require clear mitigating circumstances (e.g. ill-health, pregnancy). Extensions will not be given for candidates who have failed to achieve the requisite number or type of devices. No extension will be awarded retrospectively. Also, please note that any request for an extension needs to be received a month before the log book should be submitted.

For the Devices Log Book you do not need to collect accompanying evidence. Your cases instead will be signed off by your accredited assessor. EP Log Books remain the same so evidence will need providing as specified.

Due to a large number of candidates deferring their November 2020 exam it has been decided to allow logbook collection to commence immediately for deferred candidates (but only if you wish).   Alternatively you can keep to the schedule of the May 2021 exam if you prefer.

Your supervisor must be experienced in device management and ideally (but not essential) hold BHRS certification (previously Heart Rhythm UK certificate of accreditation) or the IBHRE qualification (pacing and devices) or the EHRA CP/AP qualifications.

You must obtain verification of the information and completion of the assessment sections from your supervisor, who must be experienced in device management and ideally hold BHRS certification (previously Heart Rhythm UK certificate of accreditation) or the IBHRE qualification (pacing and devices) or the EHRA CP/AP qualifications. Medical device company representatives will not be accepted as a supervisor.

Yes, doctor and hospital names are fine – but as stated in the log book instructions any patient identifiable information present within the logbook will result in an automatic fail.

It is acceptable for some implants to be used where the slew rate is not recorded.

A variety of different companies is advantageous but not essential

You have to complete the entire log book as stipulated in the logbook introduction. There is only one log book covering devices. All sections of the log book must be completed prospectively with devices from within a 24-month period from your agreed logbook start date.

Yes. As stated in the logbook instructions for use CRT-D devices can count towards ICDs numbers and CRT/ICD devices can count towards pacemakers but not vice versa.

If your hospital doesn’t have one there is a standard list that is on the pacemaker ID card / national (NiCOR) device database.

As stated in the log book instructions for use CRT-D devices can count towards ICDs numbers and CRT/ICD devices can count towards pacemakers but not vice versa. There is a general rule that more complex devices trump simpler devices. Therefore, you can use CRT-D as any ICD, you can use CRT-D box changes for ICD box changes, and CRT/ICD for pacemakers.

Accompanying evidence is not needed for the 2020 log book.  For pre-2020 log books the printouts can be photocopies but please ensure that the copy quality is clear enough to read, otherwise, please use the originals. Also, perhaps self-explanatory, if patients’ names and addresses are visible this is a breach of confidentiality.

If you upgrade a pacemaker to CRT this can be included if needed. Out of the 10 pacemaker cases 5 should be for elective generator replacements (box changes).

No. The log book is clear that implants refer to the role of the physiologist. As such if an StR is performing an implant this should be as a physiologist and they should be using the analyser/PSA to perform lead measurements. This is not possible if the operator is scrubbed.

All the data you need to submit relates to the implant and up to the point of discharge which will be either same day or next day. We do not need 5-6 week follow up data.

The post implant check would be the same or next day check prior to hospital discharge.

If the operator does not undertake DFT testing then the implant can still be used but you must document the reason why a DFT test was not done e.g. not departmental policy. Very few units still routinely perform DFT tests for left sided primary prevention ICD implants.

All details of CRT implants / follow ups can be CRT-P or D devices.

It does not matter if the implants and follow ups are carried out in one day or spread out, providing you do the work and are appropriately overseen and signed off by your supervisor.

No.  As they are “skills assessments” the candidates have to perform the test themselves and cannot have help.

Industry Specific Questions

There is a separate industry certification certificate which acknowledges theoretical knowledge as demonstrated by passing the examination.

Yes, we run industry certification.  You can get an EP or Devices (industry) certification by passing the written exam.  You not need to complete the log book component.

You can get an EP or Devices (industry) certification by passing the written exam.  You not need to complete the log book component.  You do not need to submit a log book as you are entitled to a separate industry certification certificate which specifically states that you have achieved “industry certification”.

Level of Participation Questions
for CRT/ICD Implantation

For doctors / allied health professionals completing the log you need to take on the role as a cardiac physiologist for ALL sections of the logbook including implantation section. As such you should not be scrubbed assisting the implanting cardiologist.  You should be using the analyser/PSA to check lead measurements and program device set up.

BHRS Certification is a recognition

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

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