Registered Cardiac Electrophysiology Specialist (RCES)

RCES:  Registered Cardiac Electrophysiology Specialist

Requires:  Passing the one-part Electrophysiology Registry Examination

Who Should Apply:  Professionals working in the area of electrophysiology

RCES Specialty Exam Fee: $350

Click here for information on ordering the Self Assessment Examination

RCES Navigation

All applicants must meet the following criteria:

1. Have a high school diploma or general education diploma at the time of application.

2. Fulfill one (1) of the qualifications of the exam for which you are applying. See qualifications listed in the tables below.

3. Provide typed documentation to support the qualification under which you are applying. Required documentation for each qualification is listed below. CCI reserves the right to request additional information.

 

 

Criteria for graduates of NON-programmatically accredited
programs in electrophysiology
Criteria for Applications postmarked AFTER July 1, 2013 Supporting Documentation

 

RCES1-2013
Two years of full-time or full-time equivalent work experience in diagnostic and interventional cardiac electrophysiology. (It is anticipated, but NOT required that the successful candidate will have participated in a minimum of 200 diagnostic/ interventional cardiac electrophysiology studies and 300 device implants at the time of application.)

It is recommended, but not a requirement, that the applicant have experience in the following areas:
• Diagnostic/Interventional Studies
• Advanced Mapping
• Device Implants (pacemaker, ICD, and CRT)

RCES1-2013
Employment Verification Letter

RCES5
A graduate of a NON-programmatically accredited program in electrophysiology which has a minimum of one year of specialty training and includes a minimum of 800 clinical hours in the specialty in which the examination is being requested.

Students enrolled in NON-programmatically accredited
program in electrophysiology with a start date prior to
September 1, 2013 will be eligible to apply for their specific registry examinations under this current qualification pathway after they graduate.

 

RCES235-2013
A graduate of a diploma, associate, or baccalaureate academic program in health science (including, but not limited to, cardiovascular technology, ultrasound, radiologic technology, respiratory therapy, or nursing)

 

AND
One year full-time work experience in electrophysiology

 

It is anticipated, but NOT required that the successful candidate will have participated in a minimum of 200 diagnostic/ interventional cardiac electrophysiology studies and 300 device implants at the time of application in their career which is defined as work experience and/or clinical experience gained during a formal educational program.

It is recommended, but not a requirement, that the applicant have experience in the following areas:

• Diagnostic/Interventional Studies
• Advanced Mapping
• Device Implants (pacemaker, ICD and CRT)

RCES5
Completion certificate and/or educational transcript
AND
Student Verification Letter
AND
Clinical Experience Letter

 

RCES235-2013
Completion certificate and/or educational transcript
AND
Employment Verification Letter

AND
Clinical Experience Letter (only required for applicants submitting verification of the number of studies completed during a formal educational program)

 

RCES4
Applicant must be a graduate of a programmatically accredited** program in electrophysiology.

 

RCES4
Completion certificate and/or educational transcript
AND
Student Verification Letter

Students applying to take examination prior to graduation will be required to submit this documentation

* IMPORTANT: If an individual’s clinical hours were obtained after graduation or if the hours are not a requirement for their educational program, then those hours WOULD NOT count toward the 800-hour minimum under qualification RCES5.

** An accredited program is accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA), United States Department of Education (USDOE), or Canadian Medical Association (CMA) that specifically conducts programmatic accreditation for cardiovascular technology, diagnostic cardiac sonography, or vascular technology.

Click here for sample Employment Verification Letter, Student Verification Letter and Clinical Verification Letter (Graduates of Non-accredited Programs in EP).

CCI requires the Employment Verification Letter contain the following:

1) Employer’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by employer/supervisor.
3) Indicate the name of the applicant.
4) Indicate full- or part-time employment.
5) Indicate the time period of employment.
6) Indicate the primary duties of applicant, related to the field of cardiovascular technology.
7) Original signature of direct supervisor, who must be a MD or hold an active RCCS, RCES, RCIS, RCS, RDCS, RDMS, RPhS, RVS or RVT credential.

CCI requires the Student Verification Letter contain the following:

1) Educational program’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by educational director.
3) Indicate the name of the applicant.
4) Indicate full- or part-time student.
5) Indicate the date or expected date of graduation.
6) Indicate the specialty of the educational program.
7) For Non-programmatically accredited educational programs, indicate the program length, program specialty and the number and specialty of clinical hours accrued.
8) Original signature of the educational director.

CCI requires the Clinical Verification Letter contain the following:

1) Clinical Site’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by the clinical supervisor.
3) Indicate the name of the applicant.
4) Indicate the number of clinical hours.
5) Indicate the time period during which the clinical hours were performed.
6) Original signature of the clinical supervisor.
IMPORTANT: If an individual’s clinical hours were obtained after graduation or if the hours are not a requirement for their educational program, then those hours WOULD NOT count toward the 800 hour minimum under qualification RCES5.

Exam Overview Thursday, May 19th 2011 1:00 AM





This examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a skill or content area on the examination.




Conducting Pre-procedural Activities     25%
Conducting Intra-procedural Activities     21%
Conducting Post-Procedural Activities     7%
Performing Diagnostic Studies     13%
Performing Therapeutic Procedures     18%
Collecting Data     11%
Communicating With Patients and the Health Care Team     5%
  Total   100%




The list below describes general areas of knowledge that are needed in order to perform the tasks identified.  This knowledge will apply across multiple tasks.
12-lead ECG  placement and interpretation
Ablation physics
Arrhythmia recognition and diffrential diagnosis
ACLS

ACT equipment operation
GeneralAnatomy and Physiology
Basic chemistry
Basic cardiac device technology
Basic electronics
Basic pharmacology
Basic radiology
Basic ultrasound
Biohazardous waste disposal
BLS

Body mechanics
Cabling connectology
Calibration of equipment
X-Ray Camera angles   
Cardiac action potential
Cardiac Anatomy & Physiology
Cardiovascular  pathophysiology
Procedural equipment 
Collection and handling of lab specimens
Congenital anomalies and EP (Ebstein's, ASD, etc)
Normal and abnormal/critical lab values
Defibrillation theory
Device programmer operation(s)
Intracardiac electrogram (EGM) interpretation
Electrocautery
Basic Electrophysiology theory and concepts
Basic cardiac device theory
Equipment operation and compatability and troubleshooting
Hemodynamics
Hemostasis
Image processing and interpretation
Implantable cardiac device systems
Indications for electrophysiology procedures
Regulatoryand legal issues (orders, consent, power of attorney,
etc.)

Magnetic fields
Mapping concepts
Mechanisms of arrhythmias
Medical terminology
Medication administration and dosages
Monitoring equipment operations and troubleshooting
MSDS

Normal and abnormal vital signs
Pain management
Patient care and assessment
Patient positioning
Phlebotomy
Potential complications for all procedures - symptoms, treatment, etc.
Moderate Sedation
Sterile techniques
Stimulation protocols
Universal Protocol
Vascular intervention procedures




The task list below describes the activities which an Electrophysiology Specialist is expected to perform on the job.  All examination questions are linked to these tasks.
A   Conducting Pre-Procedural Activities 25%
  1 Prepare Procedure Room  
  2 Prepare sterile table  
  3 Ensure regulatory compliance  
  4 Perform patient identification  
  5 Review patient laboratory results  
  6 Review patient medical record  
  7 Verify physician's orders  
  8 Verify/obtain patient consent  
  9 Start patient IV  
  10 Insert/apply urinary catheter  
  11 Transport patients to procedure room  
  12 Prepare patients for invasive procedures  
  13 Prepare patients for non-invasive procedures  
B   Conducting Intra-Procedural Activities 21%
  1 Maintain patient comfort  
  2 Monitor vital signs of patients  
  3 Administer medications to patients  
  4 Monitor ACT (Activated Clotting Time)  
  5 Acquire Radiographic Images  
  6 Evaluate Implanted ICDs and Pacemakers  
  7 Place central venous lines  
  8 Place arterial lines  
C   Conducting Post-Procedural Activities 7%
  1 Remove Arterial Catheters  
  2 Remove Venous Catheters  
  3 Prepare Patient for Transfer to Recovery  
  4 Reset Procedure Room  
D   Performing diagnostic studies 13%
  1 Position diagnostic catheters  
  2 Perform stimulation protocols  
  3 Perform venography  
  4 Perform tilt table test  
E   Performing Therapeutic Procedures 18%
  1 Assist physicians with vascular interventions  
  2 Assist transseptal puncture  
  3 Assist Physician with Ablation  
  4 Assist Physicians with lead extractions  
  5 Assist with periocardiocentesis  
  6 Assist Physicians with Implant Devices  
F   Collecting Data 11%
  1 Analyze ECG  
  2 Analyze EGMs.  
G   Communicating With Patients and the Health Care Team 5%
  1 Update family regarding patients  
  2 Summarize procedural data  
  3 Hand off patients (reporting)  
  4 Conduct patient education and training  
       
  1. Cardiac Arrhythmia: Mechanisms, Diagnosis&Management, 2nd Edition, Philip Podrid and Peter Kowye, 2001.
  2. Electrophysiologic Testing, 4th Edition, Richard Fogoros, 2006.
  3. Cardiac Pacing and ICDs, 3rd Edition, Kenneth Ellenbogen, MD and Mark Wood, MD, 2005.
  4. Drugs for the Heart, 6th Edition, Lionel Opie and Bernard Gersh, 2004.
  5. Cardiac Pacing and Defibrillation: A Clinical Approach, David Hayes, Margaret Lloyd and Paul Friedman, 2000.
  6. Device Therapy for Congestive Heart Failure, Kenneth Ellbogen, MD, G. Neal Kay, MD, and Bruce Wilcoff, MD, 2003.
  7. Resynchronization and Defibrillation for Heart Failure: A Practical Approach, David Hayes, MD, Paul Wang, MD, Jonathan Sackner-Bernstein, MD, Samuel Asivatham, MD, 2004.
  8. Handbook of Cardiac Electrophysiology: A Practical Guide to Invasive EP Studies and Catheter Ablation, Francis Murgatroyd, Andrew Krahn, George Klein, Raymond Yee, and Allan Skanes, 2002.
  9. ACLS Handbook, 2006 Revision, AHA.
  10. Catheter Ablation of Cardiac Arrhythmias: Basic Concepts and Clinical Applications, David Wilbur, MD, Douglas Packer, MD, and William Stevenson, MD 2008.
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