Department of Cardiology, Heart Lung Centre, Leiden University Medical Centre, Leiden, The Netherlands.
Barts Heart Centre, St. Bartholomew's Hospital, London, UK.
Europace. 2024 Nov 1;26(11). doi: 10.1093/europace/euae243.
Heart rhythm management is a continuously evolving sub-speciality of cardiology. Every year, many physicians and allied professionals (APs) start and complete their training in cardiac implantable electronic devices (CIEDs) or electrophysiology (EP) across the European Heart Rhythm Association (EHRA) member countries. While this training ideally ends with an EHRA certification, the description of the learning pathway (what, how, when, and where) through an EHRA core curriculum is also a prerequisite for a successful training. The first EHRA core curriculum for physicians was published in 2009. Due to the huge developments in the field of EP and device therapy, this document needed updating. In addition, a certification process for APs has been introduced, as well as a recertification process and accreditation of EHRA recognized training centres. Learning pathways are more individualized now, with Objective Structured Assessment of Technical Skills (OSATS) to monitor learning progression of trainees. The 2024 updated EHRA core curriculum for physicians and APs describes, for both CIED and EP, the syllabus, OSATS, training programme and certification, and recertification for physicians and APs and stresses the importance of continued medical education after certification. In addition, requirements for accreditation of training centres and trainers are given. Finally, suggested reading lists for CIED and EP are attached as online supplements.
心脏节律管理是心脏病学中一个不断发展的亚专业。每年,许多医生和相关专业人员(APs)在欧洲心律学会(EHRA)成员国开始并完成心脏植入式电子设备(CIEDs)或电生理学(EP)的培训。虽然这种培训理想情况下以 EHRA 认证结束,但通过 EHRA 核心课程描述学习途径(什么、如何、何时和何地)也是成功培训的前提。第一个针对医生的 EHRA 核心课程于 2009 年发布。由于 EP 和设备治疗领域的巨大发展,该文件需要更新。此外,还为 APs 引入了认证流程,以及 EHRA 认可的培训中心的再认证流程和认证。学习途径现在更加个性化,使用客观结构化评估技术技能(OSATS)来监测学员的学习进展。2024 年更新的医生和 APs 的 EHRA 核心课程描述了 CIED 和 EP 的教学大纲、OSATS、培训计划和认证以及医生和 APs 的再认证,并强调了认证后继续医学教育的重要性。此外,还提供了培训中心和培训师认证的要求。最后,作为在线补充,附上了 CIED 和 EP 的建议阅读清单。