BHRS FAQs

Please find a list of Frequently Asked Questions regarding BHRS Certification

General Certification Questions

  • Exam registration will open at 11:00 on Sunday 6 October (please make your way to the reception area of the ICC who will then direct you up the escalators to registration)
  • The exam will start promptly at 12:00 – any registrations after 11:50 will not be admitted
  • The exam will finish at 14:00 for anyone resitting one section or sitting a specialist section.
  • The exam will finish at 16:00 for all candidates – you are advised to spend 2 hours on the core section and 2 hours on either the Devices, EP or Clinical section.
  • The exam will finish at 17:00 for dyslexic candidates (if you need this extra time please email exam-logbook@bhrs.com – evidence will need to be provided)

Sunday 6th October 2019 – International Convention Centre, Broad St, Birmingham B1 2EA where the Heart Rhythm Congress is being held

You will be able to start your log book from 1st July. You do not need to have passed the written exam before you start your log book. You have 2.5 years from July to complete and submit your log book.

The deadline for log book submission is always 31st December.

After July, you have 2.5 years to successful pass the written exam and complete and submit the relevant log book. For example, if you register in July 2019 you have until 31st December 2019 to submit your log book. You can and should start collecting evidence for your log book from the 1st July and NOT after you have passed the written exam. You may sit the exam in the 1st or 2nd year. 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 again. It is therefore strongly recommended that all candidates sit the exam at the 1st available sitting after they have registered.

Registration is now standardised and opens at the start of May after new year and will remain open for approximately 6 weeks.

No, the examination only takes place once per year.  The examination date for 2019 is Sunday 6th October 2019.

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 £225.  If you fail one part of the written paper there is a £115 charge to re-sit the paper you failed last year. If you fail both sections of the exam you will have to pay the full amount again if you wish to resit.

The exam is currently held at the ICC in Birmingham.  Information will be provided as to the exact location/address at the time of registration. You are unable to sit the exam remotely

You can only do the exams (device and EP) back to back in successive years.  For example, year 1 sit (and pass) the core and device paper and in year 2 sit the EP paper.  After that time point you would need to sit the entire exam again (core plus specialist paper). If you were to sit the EP paper in year 2 you would only pay £90 as you would only be sitting 1 paper.

Examiners are given 3 months to mark and return log books.

You can still collect evidence for the logbook and this is strongly recommended if you plan to resit the next year.

Yes.  Please check our events and courses page for details.  Alternatively please e mail exam-logbook@bhrs.com for more information

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.

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”.

Log Book Questions

From January 2018, all log books must be submitted electronically via Dropbox to exam-logbook@bhrs.com even if registered and started before 2018.  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.

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 cases.  No extension will be awarded retrospectively.  Also, please note that any request for an extension needs to be received before the 31st December of the year the log book should be submitted.

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 implant cases to be used where the slew rate is not recorded.

A variety of different companies is advantageous but not essential

The 1st implant date is the date the device was 1st implanted.  For section 1 of the device logbook and the case studies (section 3) that will be 2017/2018, for the device follow ups (section 2) it could be many years ago.

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 cases from within a 24-month period from your agreed logbook start date.

No.  You cannot use any box change/generator replacements for case studies.

Yes, as long as you have a before and after ECG.  For some patients no other investigations will have been performed.

Under the pacing follow-up section the column for battery information asks for voltage & impedance values however, some devices don’t provide this information, just a magnet rate & years to ERI.  In these instances you can quote these instead.

Yes please include any information relating to the case and decision-making process.  Either a copy of the report or a statement summarising the key findings of the investigations would be acceptable.

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.

It is acceptable to use CRT-D in place of ICDs.  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.

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.

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.

They can (and will) be different patients and do not have to come from the implant cases used for section 3.

The patients need to be different.  As stated in the log book instructions for use “Please note that no case from section 1 can be used as a case study in section 3”.

No, as stated in the log book instructions for use “Please note that no case from section 1 can be used as a case study in section 3”.

If you upgrade a pacemaker to CRT this can be included if needed. Out of the 30 pacemaker cases 5 should be for elective generator replacements (box changes).

The case studies need to be separate from implants as stated in the log book instructions for use “Please note that no case from section 1 can be used as a case study in section 3”.

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.

If this is a case study then the candidate should be seeing the patient pre-discharge (same day or the day after the procedure) to do the necessary checks and as such should be able to get a 12 lead ECG.  If this is not possible a lab print out/rhythm strip confirming pacing post implant will be acceptable.

A rhythm strip is acceptable.

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

Print outs from the analysers are sufficient for case studies. You do not need physicians reports etc.

It is preferable to have de novo implants but yes upgrades can be used so long as for CRT it is an upgrade from PPM to CRT and not just an addition of RA/RV lead.

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. The case studies need to be separate from implants as stated in the log book instructions for use “Please note that no case from section 1 can be used as a case study in section 3”.

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

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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