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Information for the Subspecialty Certification Program in Clinical Cardiac Electrophysiology

Please see exam information below. Click here to View/Save exam information.


The Clinical Cardiac Electrophysiology Examination program for Certification of Added Qualifications is developed by the American Osteopathic Board of Internal Medicine for certified cardiologists. This program is designed to recognize excellence among physicians who are specialists in clinical cardiac electrophysiology.

This information booklet has been prepared by the American Osteopathic Board of Internal Medicine for use by its Diplomates who are applying for examination in Clinical Cardiac Electrophysiology. The program will have two components:

  1. Satisfactory completion of training.

  2. Successful performance on a comprehensive, one-day examination.


Internists must be certified in internal medicine and cardiology by the AOA through the American Osteopathic Board of Internal Medicine and have training in the field of Clinical Cardiac Electrophysiology. An applicant may be approved for examination, by completing the training requirements listed below:

A.     Certification by the AOA in cardiology and one of the following training requirements: or

  1. Three years of AOA approved subspecialty training in cardiology followed by one year of training in clinical cardiac electrophysiology; or

  2. Two years of subspecialty training in Cardiology completed prior to September 1, 1993 followed by one year of subspecialty training in Clinical Cardiac Electrophysiology.

Instructions for Completing the Application Packet

Please read all of the website information on the dropdown “Directions and Information for Submitting Application” carefully before completing the application form.


General Description:

This examination will be a computer-based one-day examination consisting of multiple-choice questions of the "one best answer" type. There will be a total of 225 items on the examination. The morning session will consist of 150 items and will begin at 8:00 am and end at 12:00 pm. The afternoon session will consist of 75 items and will begin at 1:00 pm and end at 3:00 pm. The Clinical Cardiac Electrophysiology Examination will cover the broad aspects of Clinical Cardiac Electrophysiology that cardiologists are expected to know. The examination will include but will not be restricted to:

Basic electrophysiology, including formation and propagation of normal and abnormal impulses, autonomic nervous control of cardiac activity, and mechanism of clinically significant arrhythmias and conduction disturbances; clinical evaluation and management of patients, both ambulatory and hospitalized, who have clinical syndromes resulting from bradyarrhythmias or tachyarrhythmias; interpretation of simple and complex electrocardiography as it relates to the clinical management of patients with bradyarrhythmias or tachyarrhythmias; indications for and interpretation of noninvasive diagnostic and therapeutic studies including signal-average electrocardiography, ambulatory monitoring, esophageal recording and pacing, transcutaneous pacing, external cardioversion and defibrillation, and cardiopulmonary resuscitation; indications for and interpretation of diagnostic intracardiac electrophysiologic studies and therapeutic catheter or surgical ablative procedures; pharmacology, pharmacokinetics, and use of antiarrhythmic agents or other drugs that affect cardiac electrophysiology; interpretation of clinical trials involving the management of cardiac arrhythmias using pharmacologic or nonpharmacologic interventions; indications for permanent pacemaker therapy and interpretation of its functions and malfunctions; indications for implantable cardioverter-defibrillator therapy and interpretation of its functions and malfunctions.

Electrophysiology Blueprint

Content Area % on the Exam
Basic Concepts of Electrophysiology/Cellular Electrophysiology 7
Pharmacology/Pharmacodynamics of antiarrhythmic drugs 5
Bradyarrhythmias (diagnosis/management) crisis 10
Tachyarrhythmias (diagnosis/management) 10
ECG Interpretation (Arrhythmias) 5
EP Studies (Indications/Complications) 5
EP Studies (Interpretation) 20
EP Therapeutics (Ablation) 4
Pacemaker therapy and follow-up 8
Implantable Cardioverter-defibrillator therapy and follow-up 5
EP non-invasive diagnostic studies 7
Clinical Evaluation and Management of the EP patient 10
Clinical trials 5
Total 100%

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