User's Manual

30 – US-ENGLISH
10. PHYSICIAN GUIDELINES
10.1. PHYSICIAN TRAINING
Physicians should be familiar with sterile pulse generator and left
ventricular pacing lead implant procedures. They must apply these
procedures according to professional medical training and experience.
Physicians should be familiar with follow-up evaluation and
management of patients with an implantable defibrillator (or referral
to such a physician).
This training guideline for implantation and follow-up of ICD and
CRT-D devices comes from the Heart Rhythm Society to provide
standards for hospital credentialing bodies to help ensure appropriate
patient care and lead to improved patient outcomes. The following is
a summary of requirements for an alternate training pathway for ICD
and CRT-D implantations
(1)
:
─ Documentation of current experience: 35 pacemaker implantations
per year and 100 implantations over the prior 3 years
─ Proctored ICD implantation experience: 10 Implantations, 5 Revisions
─ Proctored CRT-D implantation experience: 5 implantations
─ Completion of didactic course and/or IBHRE® ExAM
─ Monitoring of patient outcomes and complication rates
─ Established patient follow-up
─ Maintenance of competence: 10 ICD and CRT-D procedures per
year, 20 patients per year in follow-up
(1)
Please consult full text of both publications for details. 2004 Heart Rhythm Society
Clinical Competency Statement and the 2005 Addendum on Training Pathways for
Implantation of Cardioverter Defibrillators and Cardiac Resynchronization Devices. Heart
Rhythm (2004) 3, 371-375; Heart Rhythm (2005) 2(10), 1161-1163.