In response to the changing certification and recertification environment, and in line with other certification organizations, the International Board of Heart Rhythm Examiners (IBHRE) is excited to announce that we are transitioning to a new continuous competency certification program.  This program is called IBHRE-C3 (Continuous competency, Continuous learning, Continuous certification). This new program will commence in 2022.



The goal of the IBHRE-C3 program is to allow for maintenance of relevant, contemporary knowledge on a real time basis in keeping with current and changing patterns within heart rhythm management. In addition, certified specialists will save on the money and time normally needed for the in-person comprehensive examination.

IBHRE-C3 is a continuing competency process that consists of reading an article from the contemporary literature, followed by taking a knowledge assessment. Twelve assessments must be successfully completed in a two-year period (also known as a “cycle”) to maintain certification.

Literature Review – Recommended literature is taken from leading medical journals (i.e. articles, manuscripts, peer reviews, consensus/guideline statements, etc.) covering topics/sub-topics related to the certification exam blueprint.


Computer-Based Assessment—After reviewing an article, you will be required to complete an online assessment consisting of five questions. The assessment is open book, without a time limit, and has an 80% correct response in order to pass.

You will be required to successfully complete the required assessments during each cycle on an ongoing basis.  The cost of the assessments is $149 if registered by the first year of the two-year cycle or $199 if registered by the second year of the two-year cycle. Failure to successfully complete IBHRE-C3 assessment cycles will result in your certification lapsing.  If your certification lapses, you will once again be required to take and successfully pass the comprehensive exam to be certified.

Questions? Contact IBHRE

Achieving Global Excellence in Heart Rhythm Management