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Digitally-Assisted Learning in Cardiac EP and CIED

EHRA Congress 2026 | In this interview, Prof Sabine Ernst and Prof Serge Boveda speak about their newly published EHRA Scientific Statement on digitally-assisted learning in cardiac electrophysiology and cardiac implantable electronic devices. As authors they share insights on how it came together, summarise its key messages and talk about the consequential next steps.

By:

Romy Martínez

HERZMEDIZIN editorial team

 

2026-04-24

Image source (image above): MisterVlad / Shutterstock.com

What are the main take aways?

The traditional “see one, do one, teach one” approach is no longer sufficient because electrophysiology and device therapies are becoming increasingly complex and are evolving rapidly. Simulation should therefore become an essential part of training, similar to aviation, where no pilot is allowed to fly without simulator-based certification.

The real value comes not only from practicing on simulators, but from structured evaluation, feedback, and clearly defined performance metrics. Trainees should only move to the next step once they have demonstrated a certain level of proficiency.

The vision is to create a European curriculum that combines simulation, assessment, and certification for both electrophysiology and implantable devices. Initiatives such as the “Simulation Village” at the EHRA Congress are important first steps toward this goal.

Universities, scientific societies, industry, public institutions, governments, and even patient associations need to work together to make this concept successful. A realistic and sustainable training system cannot be achieved without strong multidisciplinary collaboration.

One of the biggest issues is funding: simulation-based training is complex and expensive. It must not become a privilege only available to large centers or wealthier countries. The goal is equal access to high-quality education for all physicians—and ultimately better care for all patients.

Continue to the publication:

Digitally-Assisted Learning in Cardiac Electrophysiology and Cardiac Implantable Electronic Devices. A Scientific Statement of the European Heart Rhythm Association of the ESC

Ernst S, Almorad A, Badertscher P et al. Digitally-Assisted Learning in Cardiac Electrophysiology and Cardiac Implantable Electronic Devices. A Scientific Statement of the European Heart Rhythm Association of the ESC. EP Europace, euag081, https://doi.org/10.1093/europace/euag081

ESC Document types

Document types published by the ESC, Associations, Councils, Working Groups, and ESC Committees (according to the ESC Scientific Documents Policy):

ESC Clinical Practice Guidelines present the official ESC position on key topics in cardiovascular medicine. They are based on the assessment of published evidence and consensus by an independent group of experts. The documents include standardized, graded recommendations for clinical practice and indicate the level of supporting evidence.

ESC Pocket Guidelines provide a compact, practice-oriented summary of the full guideline, including all recommendation classes and levels of evidence.

Clinical Consensus Statements provide guidance for clinical management on topics not covered or not covered in sufficient detail in existing or upcoming ESC Clinical Practice Guidelines by evaluating scientific evidence or exploring expert consensus in a structured way. 

Scientific Consensus Statements interpret scientific evidence and provide a summary position on the topic without specific advice for clinical practice.

Statements outline and convey the organisation’s position or policy on non-medical issues such as education, advocacy and ethical considerations.

ESC Quality Indicators enable healthcare providers to develop valid and feasible metrics to measure and improve the quality of cardiovascular care and describe, in a specific clinical situation, aspects of the process of care that are recommended (or not recommended) to be performed.

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