The International Board of Heart Rhythm Examiners (IBHRE) is a self-governing organization that provides competency certification in the fields of cardiac rhythm device therapy and cardiac electrophysiology. It has established itself as promoting the highest standards of cardiac rhythm management and to recognize cardiac care professionals who have mastered this unique subspecialty. IBHRE Certification is a highly recognized world-wide credential defined by leading domestic and international experts in the field of heart rhythm management. Four distinct examinations thoroughly test competencies necessary to provide quality patient care in cardiac pacing and electrophysiology. Each certification can be obtained by qualifying for and successfully passing an examination in a computer-based testing format.