Written Exam


The following training requirements must be completed before a candidate may sit for the Written Exam for subspecialty certification in Clinical Cardiac Electrophysiology:

  • Have completed three years of AOA-recognized subspecialty training in Cardiology, followed by one year of training in Clinical Cardiac Electrophysiology. You must have completed the training by Aug. 15 of the year you intend to sit for the Written Exam. If the training occurred prior to Sept. 1, 1993, the requirement is two years of subspecialty training in Cardiology followed by one year of subspecialty training in Clinical Cardiac Electrophysiology.
  • Adhere to the AOA Code of Ethics.


Once training requirements for eligibility are met, candidates must submit the following:

  • A completed application.
  • Required fees.
  • Proof of an active medical license.
  • Initial applicants and applicants who have not completed their training must submit a Program Director report verifying clinical competence and the completion date of an AOA-recognized fellowship training program.
  • If you completed your training in an ACGME fellowship program, submit a letter from the AOA stating that the ACGME residency training has been AOA-recognized.

Exam Fees

An exam fee of $800 must be submitted with your completed application. No application will be considered complete until all fees have been paid. Exam applications submitted after June 1 will incur a non-refundable $200 late fee. No applications will be accepted after July 1. All cancellations must be made in writing. No exam fees are refunded unless the candidate withdraws from the examination process, which will result in a loss of board eligibility. Otherwise, candidates’ fees are credited toward the next year’s examination, less the applicable cancellation fee, and will remain board eligible until June 1 of the following year. Cancellation fees are as follows:

  • Before June 1: $100 cancellation fee
  • Between June 1 and July 1: $400 cancellation fee
  • After July 1: $800 cancellation fee

Exam Dates and Deadlines

The Clinical Cardiac Electrophysiology Written Exam is offered in August. The application period opens in December of the previous year.

Exam Content Outline

The Clinical Cardiac Electrophysiology Written Exam tests the knowledge and understanding of basic science and clinical knowledge, skills and principles critical to the practice of Clinical Cardiac Electrophysiology. The five-and-a-half-hour exam consists of 225 multiple choice questions in the following areas:

Subspecialty Certification
  1. 1. Basic Concepts of Electrophysiology/ Cellular Electrophysiology
  2. 2. Pharmacology/ Pharmacodynamics of Antiarrhythmic drugs
  3. 3. Bradyarrhythmias (Diagnosis/ Management) Crisis
  4. 4. Tachyarrhythmias
  5. 5. ECG Interpretation (Arrhythmias)
  6. 6. EP Studies (Indications/Complications)
  7. 7. EP Studies (Interpretations)
  8. 8. EP Therapeutics (Ablation)
  9. 9. Pacemaker Therapy and Follow-up
  10. 10. Implantable Cardioverter-defibrillator therapy and follow-up
  11. 11. EP non-invasive diagnostic studies
  12. 12. Clinical Evaluation and Management of the EP patient
  13. 13. Clinical Trials
  • 5-9%
  • 3-7%
  • 8-12%
  • 8-12%
  • 3-7%
  • 3-7%
  • 18-22%
  • 2-6%
  • 6-10%
  • 3-7%
  • 5-9%
  • 8-12%
  • 3-7%

Exam Scoring

The AOBIM sets passing standards for the Written Exam using a measurement model known as “criterion-referenced standard setting.” Using this model, the board specifies the particular content and level of content difficulty necessary to be considered a passing candidate. All examination results will be reviewed by the board. Results will be released electronically through the AOBIM’s application portal. Candidates must be program complete and maintain AOA membership in order to access electronic results.