These sample documents are intended to be employed in their present form, or with modification for an individual training program, or simply used for reference purposes. The ACGME will be the ultimate arbiter of the individual program's structure and content.

The Heart Rhythm Society welcomes any suggestions or sample documents from  your institution. Comments regarding the competencies or the sample curriculum, forms or checklists may be forward to Kristen Downey of the Heart Rhythm Society.

Documents will be reviewed by the Clinical and Research Training Committee prior to being posted.

Download Sample Documents

Template for CCEP Fellowship Curriculum

• Metrohealth CWRU Objectives - CCEP Training Program for 2007
  
  
• Sample Clinical Cardiac Electrophysiology Curriculum 
• Sample Procedural Assessment Checklists 
• Sample Clinical Cardiac Electrophysiology Fellow Evaluation Form 
• Sample Clinical Cardiac Electrophysiology Fellowship Program Evaluation Form 
  

ACGME Required Documentation

Sample Evaluation Forms

• EP Attending Evaluation
• EP Program Evaluation
• Patient Evaluation
• Staff Evaluation
• EP Fellow Evaluation

The sample documents are available for download in Adobe PDF formats. The PDF version requires the free Adobe Acrobat Reader plug-in for your Web browser.