ICCPR Cardiovascular Rehabilitation Foundations Certification (ICCPR CRFC)

Objectives
The goal of the ICCPR CRFC program is to augment capacity for CR delivery around the globe. This course educates individuals on how to deliver all the core CR components, in accordance with ICCPR’s consensus statement on CR delivery in low-resource settings (Grace, Turk-Adawi, Contractor, Atrey, Campbell, Derman, Ghisi, et al., 2016; Grace, Turk-Adawi, Contractor, Atrey, Campbell, Derman, Melo Ghisi, et al., 2016). The aim is to recognize healthcare professionals from multiple disciplines who have achieved competence in the foundations of CR delivery and are committed to the basic CR practice standards espoused in the component modules.

Graduates will be equipped to deliver basic preventive and rehabilitation services for cardiovascular diseases in the settings in which they work. This program will provide learners with the cognitive knowledge to deliver CR, but technical and clinical skills should be developed in the home setting.

Eligibility
To enroll in the certification course, applicants require a minimum education of 12 years (i.e., high school or equivalent) and 500 hours of experience in the healthcare field. Applicants living or practicing in the United States or the United Kingdom cannot enroll in this program unless they have completed the CR certification designation available in their home country.

Requirements
The certification program requires both online and self-directed learning. The course consists of online video modules, self-directed learning through supplemental recommended resources, and a final examination. Once eligibility is confirmed and payment is received, learners will be provided access to the certification curriculum.

There are 8 modules, each with an approximately 90-minute video lecture delivered by an ICCPR Subject Matter Expert (Table 1). Each module corresponds roughly to the core components of CR outlined in the ICCPR consensus statement on CR delivery in low-resource settings (Grace, Turk-Adawi, Contractor, Atrey, Campbell, Derman, Ghisi, et al., 2016; Grace, Turk-Adawi, Contractor, Atrey, Campbell, Derman, Melo Ghisi, et al., 2016). Learners should expect to dedicate 15-20 hours of learning and studying prior to initiating the certification program exam. There are 2 case studies to exemplify the concepts.

There is a final examination after all modules are complete consisting of 80 multiple choice questions (10 questions per module). Learners can only initiate the exam once they have viewed each module and read the supplemental resources. Practice questions are provided. You will have 1.5 hours to complete the exam.

Learners must achieve a passing grade of 70%. If a failing grade is received, learners will have the opportunity to re-write the exam. There is a one month wait period before a re-write, with a maximum of 3 exam attempts. Each exam re-take fee is 50% of the original course fee.

There is a final examination after all modules are complete consisting of 80 multiple choice questions (10 questions per module). Learners can only initiate the exam once they have viewed each module and read the supplemental resources. Practice questions are provided. You will have 1.5 hours to complete the exam.

Designation
Those successfully completing the ICCPR certification program can add the CRFC designation after their name. A certificate will be provided to substantiate successful completion of the course and passing of the examination. This certification provides recognition that holders have the basic knowledge to deliver CR. Your name will also be listed in the ICCPR website as it appears on your application form.

At this time, there are no re-certification requirements. ICCPR encourages recipients to engage in continuing education, particularly in their technical and clinical skills.

DISCLAIMER/INDEMNIFICATION: Completion of this scheme only certifies foundational knowledge in the field, and in no way signifies capacity to practice clinically. ICCPR hold no legal responsibility for patient care, malpractice, innocent accidents or negligence. The learner agrees to indemnify and hold the ICCPR harmless against any claims, deeds, suits, actions, proceedings, recovery warranties or representations. It is understood that the warranties, representations and indemnification will survive in perpetuity. Applicants/learners should understand and comply with healthcare regulations and requirements for personal liability insurance in their jurisdiction.

How to Apply
The application can be found at the top right of the page. Applicants are to specify their country, education (with documentation) and clinical experience. ICCPR will review the application and determine whether the applicant is eligible for the certification program.

The cost of the course, including the examination fee, is $100 USD (if this fee is prohibitive, please consult with your local ICCPR-member association). Once payment is received through the online system, the learner will receive instructions to access the online learning content. No refunds will be issued.

Learners can email globalcardiacrehab@gmail.com with questions or for further information.

Reference List
Grace, S. L., Turk-Adawi, K. I., Contractor, A., Atrey, A., Campbell, N., Derman, W., … Sarrafzadegan, N. (2016). Cardiac rehabilitation delivery model for low-resource settings. Heart: 102 1449-1455.

Grace, S. L., Turk-Adawi, K. I., Contractor, A., Atrey, A., Campbell, N. R. C., Derman, W., … Sarrafzadegan, N. (2016). Cardiac Rehabilitation Delivery Model for Low-Resource Settings: An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement. Progress in Cardiovascular Diseases, 1–20.

Acknowledgments
Leads: Dr. Aashish Contractor (India; ICCPR Vice-Chair), Prof. Sherry Grace (Canada; ICCPR Chair)

Working Group Members: Hailey Rose Malkin (Canada), Rongjing Ding (China), Artur Herdy (Brazil), Sophie Charles (Ireland), Ana Mola (USA), Nana Pogosova (Russia), Milliya Lu (China), Gabriela Ghisi (Canada/Brazil), Francisco Lopez Jimenez (US, L. America)

Module / Core Component ICCPR Subject Matter Expert
Patient Assessment (and re-assessmt.) Aashish Contractor (India) / Artur Herdy (Brazil)
Lifestyle Risk Factor Management
Diet Alison Atrey (UK)
Exercise Training Abraham Babu and Sundar Veluswamy (India)
Tobacco Cessation Ana Mola (US)
Mental Health / Psychosocial / Return to work Sherry Grace (Canada)
Other Modules
Medical Risk Factor Management (lipids, hypertension, obesity, medications, diabetes) Aashish Contractor (India)
Patient Education & Counselling Gabriela Ghisi (Brazil / Canada)
Alternative Delivery Settings John Buckley (UK)