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training in cardiac electrophysiology and pacing - Cardioegypt.com

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I. Background <strong>and</strong> Objectives<br />

Cl<strong>in</strong>ical <strong>cardiac</strong> <strong>electrophysiology</strong> is one of the most rapidly grow<strong>in</strong>g subspecialties of<br />

cardiovascular medic<strong>in</strong>e. Advancement <strong>in</strong> technology provides more effective <strong>and</strong> safer<br />

management options for arrhythmia patients. Catheter ablation procedures have emerged as an<br />

effective tool to tackle simple <strong>and</strong> <strong>com</strong>plex arrhythmias like atrial fibrillation <strong>and</strong> scar-­‐related<br />

ventricular tachycardia. The tremendous evolution <strong>in</strong> <strong>cardiac</strong> rhythm management devices<br />

<strong>in</strong>clud<strong>in</strong>g pacemakers, implantable loop recorders (ILR), <strong>cardiac</strong> resynchronization therapy (CRT)<br />

<strong>and</strong> implantable cardiovertor defibrillators (ICDs); has offered therapeutic solutions to life-­‐<br />

threaten<strong>in</strong>g <strong>cardiac</strong> arrhythmias <strong>and</strong> advanced heart failure. Given the wide spectrum of <strong>cardiac</strong><br />

rhythm problems dealt by the modern <strong>cardiac</strong> electrophysiologist, a well-­‐organized <strong>tra<strong>in</strong><strong>in</strong>g</strong><br />

program <strong>in</strong> <strong>cardiac</strong> <strong>electrophysiology</strong> would be highly appreciated.<br />

The objectives of this document would be:<br />

1. To advance the st<strong>and</strong>ard of care delivered to arrhythmia patients <strong>in</strong> Egypt provid<strong>in</strong>g the best<br />

possible service that matches <strong>in</strong>ternational st<strong>and</strong>ards <strong>and</strong> guidel<strong>in</strong>es.<br />

2. To st<strong>and</strong>ardize the required credentials <strong>and</strong> <strong>tra<strong>in</strong><strong>in</strong>g</strong> to practice <strong>cardiac</strong> <strong>electrophysiology</strong> <strong>and</strong><br />

pac<strong>in</strong>g among Egyptian centers <strong>and</strong> departments of Cardiology.<br />

3. To ascerta<strong>in</strong> the essential relationship between appropriate credentials <strong>and</strong> <strong>com</strong>plete <strong>tra<strong>in</strong><strong>in</strong>g</strong><br />

on one h<strong>and</strong> <strong>and</strong> the privilege to practice cardiovascular medical subspecialties on the other.<br />

4. To encourage harmonization of practice patterns <strong>in</strong> different cardiovascular centers <strong>in</strong> Egypt.<br />

Eventually, sett<strong>in</strong>g the stage to acquire uniform database allow<strong>in</strong>g national multi-­‐center<br />

registries <strong>and</strong> research activities.<br />

II. Qualifications, credentials, requirements <strong>and</strong> certification<br />

1-­‐ Tra<strong>in</strong>ees<br />

A. C<strong>and</strong>idates for <strong>tra<strong>in</strong><strong>in</strong>g</strong> <strong>in</strong> <strong>cardiac</strong> <strong>electrophysiology</strong> <strong>and</strong> pac<strong>in</strong>g should be dedicated specialists <strong>in</strong><br />

cardiovascular medic<strong>in</strong>e. They should have <strong>com</strong>plete education, <strong>com</strong>prehensive knowledge <strong>and</strong><br />

full <strong>tra<strong>in</strong><strong>in</strong>g</strong> <strong>in</strong> cl<strong>in</strong>ical Cardiology <strong>in</strong>clud<strong>in</strong>g basic sciences, pathophysiology, diagnosis <strong>and</strong><br />

management of congenital, valvular, myocardial, coronary <strong>and</strong> vascular heart diseases cover<strong>in</strong>g<br />

all subjects <strong>in</strong>cluded <strong>in</strong> the core syllabus <strong>in</strong> cardiovascular medic<strong>in</strong>e (section III). C<strong>and</strong>idates<br />

should have obta<strong>in</strong>ed one of the follow<strong>in</strong>g degrees <strong>in</strong> cardiovascular medic<strong>in</strong>e:<br />

i. MD <strong>in</strong> cardiovascular medic<strong>in</strong>e <strong>in</strong> one of the departments of Cardiology <strong>in</strong> Egyptian Universities.<br />

ii. Master degree <strong>in</strong> cardiovascular medic<strong>in</strong>e <strong>in</strong> one of the departments of Cardiology <strong>in</strong> Egyptian<br />

Universities.<br />

iii. The Egyptian fellowship <strong>in</strong> cardiovascular medic<strong>in</strong>e from the board of medical education <strong>and</strong><br />

fellowship, M<strong>in</strong>istry of health.

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