FNB Cardiac Electrophysiology: Admissions, medical colleges, fees, eligibility criteria details
FNB Cardiac Electrophysiology or Fellow of the National Board in Cardiac Electrophysiology, also known as FNB in Cardiac Electrophysiology, is a doctoral fellowship program for doctors in India that they do after the completion of their postgraduate medical degree course. The duration of the FNB course is for two years.
The fellow of Cardiac Electrophysiology can practice in the field of electrophysiology. It deals with the diagnosis, therapeutics, and surgical methods to treat heart rhythm disorders.
The trainee in Clinical Cardiac Electrophysiology should acquire broad knowledge in all aspects of arrhythmology, including but not limited to bradyarrhythmia, tachyarrhythmias, syncope, non-invasive and invasive diagnostic electrophysiology, and interventional electrophysiology including catheter ablation and device implantation.
The course is a full-time course pursued at accredited institutes/hospitals nationwide, including Fortis Memorial Research Institute, Gurgaon, Haryana, Madras Medical Mission Hospital, Chennai, and more.
Candidates can get admission to 2 years FNB course after successfully qualifying for the FET (Fellowship Entrance Test) examination, which NBEMS conducts. FET is shown annually as per the prescribed schedule—the merit-based counseling for admissions to the FNB Programme after the conduct of FET is administered by NBEMS.
The fee for pursuing FNB Cardiac Electrophysiology varies from accredited institute/hospital to hospital and is around Rs.1,25,000 per year.
After completing their respective course, doctors can join the job market. Candidates can take decent jobs as research fellows, Senior residents, Consultants, etc., with an approximate salary range of Rs. 25 lakhs to Rs. 35 lakhs per year which vary according to experience.
The Nomenclature of the FNB qualification awarded by the National Board of Examinations in Medical Sciences is “Fellow of National Board.” The FNB qualifications are recognized in the Gazette notification dated 10th August 2016.
What is FNB in Cardiac Electrophysiology?
FNB in Cardiac Electrophysiology is a two-year post-doctoral fellowship program that candidates can pursue after completing a postgraduate degree.
It deals with the diagnosis, therapeutics, and surgical methods to treat heart rhythm disorders. The trainee in Clinical Cardiac Electrophysiology should acquire broad knowledge in all aspects of arrhythmology, including but not limited to bradyarrhythmia, tachyarrhythmias, syncope, non-invasive and invasive diagnostic electrophysiology, and interventional electrophysiology including catheter ablation and device implantation.
The trainee should have sufficient knowledge of basic electrophysiology to understand current theories of the mechanisms of cardiac dysrhythmias and the rationale for pharmacologic and nonpharmacologic therapy.
The training program would focus on acquiring knowledge, skills, and attitudes essential to education and delivering high-quality patient care.
The training can be theoretical, clinical, and practical in all aspects of the delivery of rehabilitative care, including the methodology of research and teaching.
The National Board of Examinations (NBE) has released a curriculum for FNB Cardiac Electrophysiology.
The curriculum governs the education and training of FNB Cardiac Electrophysiology.
Course Highlights
Here are some of the course highlights of FNB Cardiac Electrophysiology
| Name of Course | FNB Cardiac Electrophysiology |
| Level | Fellowship |
| Duration of Course | Two years |
| Course Mode | Full Time |
| Minimum Academic Requirement | Candidates must have a postgraduate medical Degree in DM/DNB/DrNB Cardiology from any college/university recognized by the Medical Council of India (Now NMC)/NBE. This feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement, please refer to the NBE website. |
| Admission Process / Entrance Process / Entrance Modalities | Entrance Exam (FET) Merit-based counseling administered by NBEMS |
| Course Fees | Rs.1,25,000 per year |
| Average Salary | Rs. 25 lakhs to Rs.35 lakhs per year |
Eligibility Criteria
| Name of Fellowship course | Course Type | Prior Eligibility Requirement |
| Cardiac Electrophysiology | FNB | DM/DNB/DrNB Cardiology |
Note:
· The feeder qualification for FNB Cardiac Electrophysiology is DM/DNB/DrNB Cardiology and is defined by the NBE and is subject to changes by the NBE.
· The feeder qualification mentioned here is as of 2022.
· For any changes, please refer to the NBE website.
· There is no upper age limit for training in NBEMS Fellowship courses.
Admission Process
The admission process contains a few steps to be followed for the candidates for admission to FNB. Candidates can view the complete admission process for FNB Cardiac Electrophysiology mentioned below:
- FET is a qualifying-cum-ranking examination for admission to Fellow of National Board (FNB)/Fellow of National Board - Post Doctoral (FNB-PD) courses.
- Students may kindly note that appearance in FET does not confer any automatic rights to secure a Fellowship seat. The selection and admission to the Fellowship Programme in any National Board of Examinations in Medical Sciences Accredited institution running FNB/FNB-PD courses are subject to fulfilling the admission criteria, eligibility, medical fitness, and such criteria as may be detailed in the information bulletin.
- Application forms, once submitted, cannot be withdrawn. The fee shall neither be carried forward to a future date nor refunded under any circumstances. Application, once submitted, cannot be removed.
- The selection of a student will be through an MCQ-based examination, namely Fellowship Entrance Test.
- A student can apply for the fellowship courses for which their broad or super specialty qualification/ equivalent qualification is eligible at the time of online submission of the application form.
- The total duration of the question paper will be 105 minutes (Part A - 45 minutes and Part B - 60 minutes).
- QUALIFYING CRITERIA: Students who obtain a minimum 50th Percentile in their respective question paper/specialty shall be declared “Qualified.”
- NBEMS shall declare a specialty-wise merit list, i.e., a separate merit list will be for each fellowship course. There shall not be any equating/scaling and normalization. The merit shall be generated strictly based on marks obtained by the student and the application of the prescribed tie-breaking criteria.
- The admission to Fellowship courses in the accredited hospitals shall be undertaken solely based on merit-based counseling conducted by NBEMS.
- Documents required to be produced during counseling: MBBS Degree Certificate and MD/MS/DNB/DM/MCh/DrNB Degree Certificate/Provisional Pass Certificate of eligible Post Graduate Medical Qualification issued.
Fees Structure
The fee structure for FNB Cardiac Electrophysiology varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for FNB Cardiac Electrophysiology is Rs.1,25,000 per year.
Colleges offering FNB Cardiac Electrophysiology
| Hospital/Institute | Specialty | No. of Accredited Seat(s) (Broad/Super/Fellowship) |
| AIG Hospital Mind Space Road, Gachibowli, Hyderabad Telangana-500032 | Cardiac Electrophysiology | 2 |
| Care Hospital of Medical Sciences (CIMS Hospital) Near Shukan Mall, Opp. Science City Road, Sola, Ahmedabad Gujarat-380060 | Cardiac Electrophysiology | 1 |
| Fortis Escorts Heart Institute Okhla Road, New Delhi Delhi-110025 | Cardiac Electrophysiology | 1 |
| Fortis Hospital Sector-62, Phase-VIII, Mohali Punjab-160062 | Cardiac Electrophysiology | 2 |
| Fortis Memorial Research Institute Sector-44, Opposite HUDA CITY center Metro Station, Gurgaon, Haryana-122002 | Cardiac Electrophysiology | 1 |
| Kovai Medical Centre Post Box No. 3209, Avinashi Road, Civil Aerodrome Post, COIMBATORE Tamil Nadu-641014 | Cardiac Electrophysiology | 2 |
| Madras Medical Mission Hospital 4A Dr. Jayalalitha Ngr, Mogappair CHENNAI Tamil Nadu-600037 | Cardiac Electrophysiology | 2 |
Syllabus
FNB in Cardiac Electrophysiology is a two years specialization course that provides training in the stream of Cardiac Electrophysiology.
The course content for FNB Cardiac Electrophysiology is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:
Syllabus
• Structural and Molecular Bases of Ion Channel Function and Biophysics of Various Cardiac channels, Including but not limited to all types of Na+, K+, Ca++, membrane pump and exchangers, gap junctions, and intracardiac signaling
• Intermolecular Interactions and pharmacology of cardiac ion channels, including but not limited to the pharmacology of Sodium channels, Potassium channels, L and T type of Calcium channels, and drub-induced channelopathies
• Biological Pacing
• Mechanism of Cardiac cell depolarization and repolarization
• Action potential, ionic mechanism, and curve
• Refractory periods (effective refractory period and functional refractory period)
• Mechanism of arrhythmogenesis
• Automaticity and its regulation in health and disease, enhanced automaticity as a mechanism for arrhythmogenesis
• Triggered activity – early and delayed depolarizations
• Reentry – types, mechanism, and clinical implications including Macroreentry, micro reentry, atrial reentry, nodal reentry, AV reentry, bundle branch reentry, phase 2 reentry, spiral wave reentry, and scar-related reentry
• Rotors and spiral waves in the heart
• Neural control of cardiac electrical activity, including adrenergic and cholinergic signaling and effects on cardiac ion channels
• Molecular genetics and pharmacogenomics of arrhythmias and effect on drug therapies
• Inheritable diseases of the Sodium channel, potassium channel, and intracellular calcium regulation
• Supraventricular Arrhythmias: Mechanism, Features, and management of
o Atrioventricular Nodal Reentrant Tachycardia (AVNRT) and variants
o Atrioventricular Reentrant Tachycardia (AVRT) and variants
o Wolf Parkinson White syndrome (WPW)
o Mahaim Tachycardia
o Paroxysmal Junctional Reciprocating Tachycardia
o Junctional tachycardia
o Focal Ectopic atrial tachycardias
o Atrial Flutter
o Atrial Fibrillation Mechanism, features, and management, including Radiofrequency and cryoablation
• Ventricular Arrhythmias: Mechanism, Features, and Management of
o Ventricular tachycardia in the structurally normal heart, including Outflow tract tachycardias and Fascicular tachycardias
o Ventricular tachycardia in patients with coronary artery disease
o Ventricular tachycardia in patients with Dilated cardiomyopathy, including bundle branch reentry VT
o Arrhythmogenic right ventricular cardiomyopathy
o Ventricular arrhythmias in patients with hypertrophic cardiomyopathy
o Ventricular tachycardia in heart failure
o The Brugada Syndrome
o Ventricular tachycardia in patients after congenital heart surgery
o Long QT and Short QT syndrome
o Catecholaminergic Polymorphic Ventricular Tachycardia
o Andersen-Tawil syndrome
o Timothy Syndrome
o Idiopathic Ventricular Fibrillation
o Drug-induced ventricular tachycardia
o Sudden cardiac death
o Arrhythmias in neurological and systemic disorders
• Electrocardiogram (ECG): Formation, identification of various arrhythmias, localizations, and interpretation
o Differential diagnosis of Wide QRS tachycardia
o Long and Short RP tachycardias
o Parasystole
o Localization of VPCs
o Localization of various arrhythmias
o T wave alternans
• Diagnostic evaluation of cardiac arrhythmias
o Use of ELRs and Implantable loop recorders (ILR)
o Exercise-induced arrhythmias
o Head up Tilt table testing
o Autonomic testing
o Assessment of syncope
• Sudden cardiac death in Athletes
• Arrhythmias in pediatrics
• Sleep-disordered breathing and arrhythmia
• Anatomy of heart relevant for cardiac electrophysiology
• Catheter Ablation Therapy
o Technologies of catheter ablation, including Radiofrequency,
Cryoablation, pulsed-field ablation, laser ablation
o Radiofrequency Ablation: biophysics of lesion formation
o Atrial Substrate ablation in AF
o Pulmonary Vein Isolation
o Catheter ablation of Supraventricular arrhythmias
o Catheter ablation of Ventricular arrhythmias in structurally normal heart
o Catheter ablation of ventricular arrhythmias in the presence of Scar
o Catheter ablation of arrhythmias in pediatric and congenital heart disease patients
• Pacemaker therapies
o Implantation of permanent pacemaker
o Science and Technique of conduction system pacing
o Pacemaker programming and troubleshooting
• Implantable Cardioverter and Defibrillator (ICD)
o Technical and clinical aspects
o Implantation of ICDs
o Science and technique of implanting Subcutaneous defibrillators
o ICD programming and troubleshooting
• Cardiac Resynchronization therapies
o Technical and clinical aspects
o Implanting of CRTs
o Science and technique of Resynchronization optimization
o CRT programming and troubleshooting
• Electrophysiology Lab (The fellow is posted at least three days a week in the invasive EP lab)
o Learn indications for invasive electrophysiologic testing
o Learn techniques of catheter placement and manipulation
o Learn techniques of intra-cardiac recording
o Learn techniques of programmed intra-cardiac stimulation as a method of arrhythmia induction and termination and to assess mechanisms of arrhythmias (resetting and entrainment)
o Learn strategies to map abnormal rhythms using 2D and 3D mapping systems
o Learn methods of catheter ablation for the treatment of rhythm disturbances
o Learn methods of external cardioversion using direct current shocks
o Learn the use of conscious sedation for prolonged studies
• Pacemaker (PM)/Implantable Cardioverter Defibrillator (ICD) Lab
o Learn indications for pacemaker implantation
o Learn surgical skills required for implantation of PM
o Learn lead placement skills
o Learn principles of pacemaker function, including pacing and sensing threshold evaluation with emphasis on acute measurements
o Learn principles of pacemaker function, including pacing and sensing threshold evaluation with emphasis on acute measurements
o Learn principles of cardioverter/defibrillator function, including pacing and sensing threshold evaluation, defibrillation threshold testing, and anti-tachycardia pacing therapies
o Learn principles and techniques of Conduction System pacing
o Learn pacemaker troubleshooting
o Gain experience with lead extraction
o Learn conscious sedation techniques for PM implantation
• Pacemaker and CIED Clinic (The fellow is posted in the Device outpatient clinic at least one day per week)
o Learn PM chronic evaluation and troubleshooting
o Learn methods of trans-telephonic follow-up of PMs
o Learn electrocardiography of pacemaker rhythms
o Learn CRT/ICD chronic evaluation and troubleshooting
o Learn electrocardiography of pacemaker rhythms
o To understand and evaluate conduction system pacing
• Outpatient Arrhythmia Clinic
o Learn appropriate use of diagnostic tests, including:
o Event recorders
o Holter Monitors
o Signal-averaged electrocardiogram
o Tilt Table Testing
o Invasive electrophysiologic testing
o MRI/CT scan of the heart
o Gain exposure to a variety of arrhythmia patients in an ambulatory setting to assess response to therapy and to monitor for problems
• Inpatient consultation service
o Learn appropriate use of diagnostic tests, including:
o Event recorders
o Holter Monitors
o Signal-averaged electrocardiogram
o Tilt Table Testing
o Invasive electrophysiologic testing
o MRICT scan of the heart
o Gain exposure to a variety of arrhythmia patients in an acute setting to initiate therapy, assess response to treatment, and monitor for problems
• Research Experience
o Gain exposure to clinical research projects
o Review current literature in Journal conferences
o Participate in weekly Cardiology Research Conference
o To do at least one clinical research project for publication
• Inpatient services
The patients in the Electrophysiology Service include those admitted from Outpatient, same-day electrophysiologic procedures, patients admitted through the emergency department, or patients transferred directly from other departments and outside hospitals. Fellows are also responsible for performing inpatient electrophysiology consults. The fellow’s responsibilities include but are not limited to performing histories and physicals on admissions or consults, appropriate documentation in the electronic medical record, communication with patient families, coordination of consultations or procedures, and managing the
discharge process, including the discharge summary on selected patients. Later in the training experience, the fellow will assume responsibility for running the service, including assisting the associate providers with backup from the attending electrophysiologist.
• Call frequency
Clinical electrophysiology fellows are the first call for post-ablation and post-device implant patients. Fellows provide device troubleshooting and programming services every day. Timely evaluations are done by the electrophysiology fellow on call and supervised directly by the consultant.
Career Options
After completing FNB Cardiac Electrophysiology, candidates will get employment opportunities in Government and the Private sector.
In the Government sector, candidates have various options, including Junior research fellow, Teaching at academic medical centers, and Consultants.
While in the Private sector, the options are Fellow (Cardiac Electrophysiology), Junior research fellow (Cardiac Electrophysiology), Senior Research fellow (Cardiac Electrophysiology), and Consultants (Cardiac Electrophysiology).
Frequently Asked Questions (FAQs) –FNB Cardiac Electrophysiology Course
- Question: What is the complete form of FNB?
Answer: The complete form of FNB is Fellow of National board.
- Question: What is FNB Cardiac Electrophysiology?
Answer: FNB in Cardiac Electrophysiology or Fellow of National Board in Cardiac Electrophysiology is a doctoral fellowship program for doctors in India that they do after completing their postgraduate medical degree course.
- Question: What is the duration of FNB in Cardiac Electrophysiology?
Answer: FNB in Cardiac Electrophysiology is a doctoral fellowship program of two years.
- Question: What is the eligibility of FNB in Cardiac Electrophysiology?
Answer: The candidate must have a postgraduate medical Degree in DM/DNB/DrNB Cardiology from any college/university recognized by the Medical Council of India (Now NMC)/NBE. This feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement, please refer to the NBE website.
- Question: What is the scope of FNB Cardiac Electrophysiology?
Answer: FNB Cardiac Electrophysiology offers candidates various employment opportunities and career prospects.
- Question: What is the average salary for an FNB Cardiac Electrophysiology candidate?
Answer: The FNB Cardiac Electrophysiology candidate’s average salary is between Rs.25 lakhs to Rs. 35 lakhs per annum, depending on the experience.
- Question: Can you teach after completing FNB Cardiac Electrophysiology Course?
Answer: After completing the fellowship, the candidate can teach in a medical college/hospital.
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