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Understanding MOC Requirements
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Clinical Cardiac Electrophysiology is a branch of Cardiology
that manages complex cardiac arrhythmias with the use of
implantable pacemakers and cardioverter-defibrillators, and also
applies other interventional techniques and treatments.
Specialization in Clinical Cardiac Electrophysiology requires a
physician to perform and interpret a number of noninvasive
diagnostic procedures such as ambulatory ECG monitoring, event
recording, telephone ECG transmission, signal-averaged
electrocardiography, tilt table testing, assessment of heart rate
variability, and other tests of the autonomic nervous system.
Advanced training in temporary cardiac pacing, transesophageal
atrial pacing, cardioversion, interpretation of invasive
electrophysiologic study data, and complex arrhythmia ECG
interpretation is also provided.
Three years of Cardiovascular Disease fellowship training in a
program accredited by the Accreditation Council on Graduate Medical
Education (ACGME), including 24 months of clinical training, are
required before entering a training program in Clinical Cardiac
Electrophysiology. Training in Clinical Cardiac Electrophysiology
involves an additional year of fellowship training, ideally pursued
immediately following the prerequisite Cardiovascular Disease
For the 2012-2013 academic year, there are 103 ACGME-accredited
training programs in Clinical Cardiac Electrophysiology and 57
Successful Diplomates will be awarded an ABIM Subspecialty
Certificate in Clinical Cardiac Electrophysiology. The certificate
will bear dates limiting the duration of its validity to ten years,
but is renewable upon successful completion of ABIM's Maintenance
of Certification program.
October 2012 Issue of IMpact
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