The Alternate Training Pathway was conceptualized to provide training guidance and a list of requirements for non-electrophysiologist physicians with an interest in ICD and CRT device implantation. In this area, visitors of the ICD/CRT Resource Center will find the Requirements Summary, the Washington Report: Alternate Training Pathway Update, the Clinical Competency Statement & Addendum which outlines the training requirements and minimum competency standards for implantation of cardioverter defibrillators and cardiac resynchronization devices as well as Frequently Asked Questions regarding the Alternate Training Pathway.
Summary of Requirements for the Alternate Training Pathway for ICD and CRT Implantations
Documentation of current experience: 35 pacemaker implantations per year (of which at least 75% should be new "full-system" implants) 100 implantations over the prior 3 years Proctored ICD implantation experience: 10 implantations 5 revisions: revisions should include upgrades, lead extraction and replacement, pulse generator change and new lead insertion Completion of a Heart Rhythm Society Sponsored or endorsed ICD/CRT didactic course, and passage of the IBHRE Exam (www.ibhre.org) for the physician within the last ten years, which included ICD knowledge testing Monitoring of patient outcomes and complication rates: to be kept by the implanter and made available to their respective hospital credentialling committee Established patient follow-up: follow-up should include device interrogation and reprogramming, including evaluation of pacing thresholds, lead impedances, sensing and rage cut-offs for defibrillation therapy
The Clinical Competency Statement and Addendum (to be read together) outlines the training requirements and minimum competency standards for implantation of cardioverter defibrillators and cardiac resynchronization devices
For additional information or questions regarding the Alternate Training Pathway please contact Donna Cohen, Manager of Clinical Documents at the Heart Rhythm Society.
