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Cardiovascular Magnetic Resonance Certification (CMR)

The next certification exam in CMR will be held during EuroCMR 2017 Congress, on Saturday 27 May 2017 in Prague, Czech Republic.

Registration will open in December 2016. In the meantime, to secure your seat, you can sign up to the waiting list.

EACVI preparatory course to certification in CMR will take place in Sophia-Antipolis, France, 23-25 March 2017.

The EACVI CMR section offers a process for certification of individuals in CMR.

The aim of this process is to set a European standard for competency in the practice of CMR for the benefit of patients undergoing CMR studies. Ultimately, the goal is to develop a standard of training in CMR that is mutually accepted by national and European authorities and internationally recognised.

Please note: Institutional Accreditation is not currently offered but is planned for the near future.

For preparation of the certification processes please click here to see the Core Syllabus.

EACVI preparatory course to certification in CMR will take place in Sophia Antipolis, France, 23-25 March 2017.

What are the benefits to individuals of obtaining a European certification in cardiovascular magnetic resonance?

  • The goal of certifying individuals is to set a European standard for competency and excellence in CMR acquisition and reporting.
  • Certification in CMR will bring credibility and professional legitimacy to any individual wishing to practice CMR.
  • It gives trainees in CMR the opportunity to test their knowledge against an internationally set standard.

Please note: Certification of CMR competency by the association is not a compulsory or regulatory certificate and an individual's right to report and sign clinical CMR studies in individual countries remains defined by national laws and regulations.

Levels of certification

Certification of competency in CMR can be obtained at three levels, with different requirements for each level. All certification requires candidates to demonstrate that they have acquired knowledge from appropriate sources and developed skills in the clinical practice of CMR. Levels 2 and 3 require the completion of a case logbook and passing the European CMR exam.

Level 1 competency is the most basic level and reflects core CMR training that should be obtained by all cardiology trainees according to the ESC Core Cardiology Curriculum. No formal certification process is offered.

Level 2 competency is the level required for an individual wishing to report CMR studies—with local or remote support from a Level 3 certified individual. Certification of Level 2 competency fulfils the requirement of sub-specialty training in cardiac imaging as set out in the ESC curricula.

Level 3 competency is required for individuals wishing to perform, interpret, and report CMR studies fully independently, to lead a CMR laboratory and to supervise CMR training programmes in an accredited CMR training centre.

The European CMR exam board

  • Mark Westwood - Chair (UK)
  • Ana Almeida - Co-Chair  (Portugal)
  • Alicia M Maceira
  • Andrei Codreanu
  • Christina Deluigi
  • Dan Sado
  • Francisco Alpendurada
  • Gabriela Guzmán Martínez
  • Joanna Petryka-Mazurkiewicz
  • John-Paul Carpenter
  • José F Rodríguez Palomares
  • Manka Robert
  • Marco Gotte
  • Monica Deac
  • Norbert Wilke
  • Oliver Tann (London)
  • Redha Boubertakh (London)
  • Robin Nijveldt
  • Theo Karamitsos

We would also like to recognise our question writers who play an essential role in the creation of the CMR exams:

  • Jan Engvall
  • Lukasz Malek
  • Andrea Barison
  • Chiara Lanzillo
  • Cemil Izgi
  • Ashraf Hamdan
  • Christian Wacker
  • Gilles Barone-Rochette
  • Gianluca Pontone
  • Darach O h-Ici
  • Mateusz Spiewak
  • Ahmed Aljizeeri
  • Lorenzo Monti
  • Ranjit Arnold
  • Mouaz H. Al-Mallah
  • Montserrat Bret-Zurita
  • Per Lav Madsen
  • Lukasz Mazurkiewicz
  • Chris Steadman
  • Patrizia Pedrotti
  • Martin Descalzo
  • Erica Dall'Armellina
  • Teresa Castiello
  • Marina Huguet
  • Alberto Cresti
  • François Marcotte

Certification requirements

Certification in Level 2 and 3 are offered by the ESC - level 1 is not.

European CMR certification is valid only in conjunction with national and local regulations. On its own it does not constitute the right to report CMR studies. Although European CMR certification may be obtained during medical training, independent reporting will, in most instances, require completion of medical training.

Pre-requisites

The applying candidate must:

  • be a physician
  • have sat and passed the European CMR exam
  • have spent at least 3 (level 2) or 12 (level 3) months under the supervision of a level 3 (European CMR) certified expert
  • be ACLS certified or provide evidence that advanced life support is part of their routine practice
  • have done 30 (level 2) or 50 (level 3) hours of CME specifically to CMR

The CMR certification application must be submitted no later than 2 years after sitting the exam with cases taken from 2 years before up to 2 years after having sat the exam.

A. Theoretical part  (examination)

The primary pre-requisite to obtain certification at Level 2 or 3 is to have passed the European CMR exam offered annually.

The exam is currently held on the last day of the annual EuroCMR meeting.
Click here for further information

B. Practical part (on-site training & logbook)

Candidates must:

1. Spend a minimum amount of time working under the supervision of a level 3 (European CMR/SCMR) certified expert: 

  • 3 months (Level 2) 
  • 12 months (Level 3)

2. Submit a Logbook of 150 (Level 2) or 300 (Level 3) cases.

Please also note that the logbook should not under any circumstances be completed by hand and must be typed up in order to assure clarity for graders.

3. Include supporting information in their submission

All supporting information is listed in the check List.

Continued Medical Training (CME) points

CME points can be obtained from courses endorsed by the EACVI Section CMR (formerly CMR Working Group) or by SCMR.
Any course declared by applicants that is not endorsed by either of these entities will only be accepted under the discretion of reviewers.
Click here for further information on CMR courses offered by the ESC.
At least one course declared must be entirely dedicated to CMR.

Please note that 50% (level 2 - 15 and level 3 - 25) of the CME points can be self-directed. Examples of self-directed learning could include: Reviewer activity for CMR related journals/articles (requires evidence), organised teaching in CMR department (requires details and confirmation from level 3 certified supervisor in the department), reading CMR book, reading CMR articles (needs to be detailed).

Supervisor Letter

Please find a template of the  Supervisor Letter.

If candidates have trained in several institutions, separate supervisor letters detailing the duration and content of training in each institution should be provided.

Supervisors must be level 3 EACVI section CMR certified.

Important: If multiple supervisor letters are supplied, one of them must include an overall assessment of the candidate’s training and competence. Usually this will be the supervisor who has overseen the last stage of the candidate’s training.

Remote Training Policy

When all required indications cannot be obtained in a candidate’s training centre, candidates should seek to receive on-site training in other centres. If this cannot be achieved, cases or teaching files from other centres can be used, but not for more than 75 (Level 2) or 150 (Level 3) cases.

When there is no Level 3 certified individual at the candidate's institution, remote supervision can be considered. Please note that this is not a substitute for mentoring in the home institution and applications will only be considered where on site mentoring is not possible. Remote mentoring requires prior approval by the Exam Board. The remote mentor must be EACVI section CMR level 3 certified.

Candidates considering remote supervision should write to the Exam Board with the following information:

  1. Reason for seeking remote supervision
  2. Annual case load in candidate's own institution
  3. Level of supervision in candidate's own institution, e.g. 'Cardiologist with 5 years CMR experience but no formal certification in CMR'
  4. Name of remote supervisor
  5. Proposed arrangements for remote supervision (e.g. Regular attendance at the supervisor's institution, teleconferences etc)
  6. Anticipated contact time between supervisor and candidate
  7. Methods of assessment to be used by supervisor to assess candidates progress

The Exam Board will consider each application for remote supervision and reply to the candidates within 4 weeks. The Exam Board may ask for changes to the proposed remote supervision plan and may contact the remote supervisor directly.

Certification processes

A. Candidates must sit and pass the written CMR exam

B. Practical Part

1. Candidates must register and pay the relevant fee*:

Fee Types
Online Fees

Standard/EACVI Regular and Ivory Member
€100
EACVI Silver and Gold Member €75

 

*Please note that the fees to sit the exam and to begin the practical part are separate

Become a member of EACVI Section CMR.

2. Gather the documents required

Check List of documents needed to submit

3. Submit the required documents via the submission link

This link is received after payment for the practical part is completed. Please contact esccertification@escardio.org if you don't have it.
All documents not in English must be accompanied by a translation.

Submissions are made

Online to the ESC Certification Team.

This is done via an online web-form which is made available to candidates who have already passed the exam.
Candidates will receive the link to the submission form along with their results from their CMR exam.

The CMR certification application must be submitted no later than 2 years after sitting the exam with cases taken from 2 years before up to 2 years after having sat the exam.

Submissions are processed

Upon receipt, documents undergo an administrative check by the ESC Certification Team.
Candidates submitting incomplete, out of date or incorrect documentation will be contacted and outstanding documents requested with a 2 week deadline.

Complete submissions will be reviewed by 2 independent assessors. In case of disagreement between the assessors, the chair of the CMR exam board will make a final decision.

A decision will be sent to candidates 3 months after all documents have been sent for review.

Upgrade from level 2 to level 3

Individuals with Level 2 European CMR certification can upgrade to Level 3.
For an upgrade, within the period of 5 years (whilst the Level 2 European CMR certification is still valid) candidates need to submit all the documents required for a level 3 European CMR certification but do not need to retake the European CMR exam.

In order to request application for an upgrade you must send your CMR level 2 certificate to esccertification@escardio.org. You will then be sent a link to register for the process. Then up to 7 working days later you will be sent a link to submit your upgrade application.

Cases for the logbook of the upgrade submission must be taken from the 24 month period before starting the upgrade.

In you upgrade application you must include ALL documents for the standard level 3 application, your level 2 certificate and include in your letters that you are applying for an upgrade.

Please note that if you achieve your upgrade application you will receive a new certification dated from the date of achievment and lasting for a 5 year period.

Applications need to be received before the Level 2 certificate expires.  

Appeals

All appeals on certification should be directed to: esccertification@escardio.org

Should escalation and further administrative works be needed, the appeal process will be charged at 100 Euros

CMR exam process

Registrations are now closed and will open in December 2016. In the meantime, to secure your seat, you can sign up to the waiting list.

The following exam will take place in 27 May 2017, Prague.

The information below is general information about the exam.

For more detailed information please visit the CMR Exam website.

Set-up of the European CMR exam

The exam is in English and fully computer-based with each candidate having their own computer terminal displaying questions and images. It consists of 100 questions in multiple-choice format with one single best answer for each question. Each correct answer will receive one mark. There is no negative marking for incorrect answers as in previous European CMR Exams.

The examination will consist of 2 parts:

  1. Part A: The first part will consist of 80 multiple choice questions with one single best answer for each question. These questions will contain text only or still images. There will be no moving images (movies) during this part of the examination. The weighting of the questions will be in accordance with the examination blueprint.
  2. Part B: The second part will consist of 20 multiple choice questions with one single best answer for each questions. These questions will contain only movies. There will be no text only or still image questions during this part of the examination. The weighting of questions within this part of the examination will be in accordance with the examination blueprint.

Part A of the examination will last 2 hours and be sat fist. Part B will last 30 minutes.

Due to the split nature of the examination no candidate will be permitted to leave early.

Before the exam

  • The candidate is required to come to the Certification registration desk at least 30 minutes before the start of the examination in order to sign the registration sheet.
  • The candidate is requested to bring and present a photo ID document to confirm their identity for the exam.
  • The candidate will only be allowed to enter the exam room 5 minutes before the examination begins.
  • The candidate is  not allowed to have any electronic devices with them and no other material.
  • Exam organisers cannot be held liable for any loss of valuables.
  • Sheets of paper and pencils for notes are provided.

During the exam

  • If a candidate completes the exam before the end of the session, he/she is authorised to leave the room and will need to sign out.
  • Candidates who have been identified by the invigilators as disturbing the exam or cheating will be dismissed and will fail the exam.
  • If candidates need to go to the bathroom, candidates need to raise their arms to get the invigilators attention. Invigilators will keep the Photo ID during such breaks and candidates will have to sign in and out. Pockets will be checked when leaving and returning to the exam room.
  • There is no official break during the exam

Please note: No materials used in the exam can be removed from the exam room. Anyone found cheating will be banned from taking the exam in the future.

After the exam

Results will be based on a pre-defined pass mark, so unlike previous CMR exams will not depend on the results of other candidates taking the test at the same time.

Candidates will be notified by email within 4 to 6 weeks after the exam of their outcome and a given a certificate stating their achievement in the exam if they pass.

Logbook requirements

The CMR Logbook must be submitted no later than 2 years after sitting the exam with cases taken from a 24 month window (from 2 years before up to 2 years after having sat the exam).

Along with the other documents that can be found in the check list please find:

Logbook template (.xls. note there are x4 tabs in this editable excel document)

The template:

  • includes all requirements
  • can be started before sitting the exam

Please also note that the logbook should not under any circumstances be completed by hand and must be typed up in order to assure clarity for graders.

Logbook case collection

The anonymised, original CMR studies must be accrued within a 24 month period with cases taken from 2 years before up to 2 years after passing the written exam. The cases cannot go beyond this 24 month window.

Cases must be entered into the logbook template in chronological order: i.e. 1/01/13, 2/01/13....25/12/13 and have the following TOTAL numbers:

  • 150 cases for level 2 applications
  • 300 cases for level 3 applications

Where not all required indications can be obtained in every training centre, the candidate should endeavor to receive specific training in another centre. If this cannot be achieved, cases or teaching files from other centers can be used, but not for more than 100 (Level 2) or 200 (Level 3) cases.

The candidate must have been present during the acquisition of at least 50 (Level 2) cases and 100 (Level 3)  cases.

Applicants should keep a separate list (in compliance with all data protection regulations at their institution) that identifies the submitted CMR studies in the logbook so that they can submit full reports or image data upon request.

Further logbook credentials

No unique patient identifiable data should be contained in the logbook.

The logbook must be written in English.

Under no circumstances should the logbook be completed by hand. It must be typed up in order to assure clarity for graders.

The logbook must be submitted no later than 2 years after sitting the exam. If the deadline is not respected, the exam has to be repeated in order to apply for certification. 

Supervision: Teaching must take place under the supervision of a Level 3 European CMR certified individual.
For further information see section above on Supervisor Requirements

Re-certification

Process is not yet available

It is recommended that following certification, Level 2 accredited individuals maintain their skills by documentation of at least 20 h (Level 3: 40 hours) of CME in CMR every 3 years plus the acquisition and primary reporting of at least 100 CMR (Level 3: 200) original studies every 3 years. These cases have to be new cases acquired within the recertification period under the responsibility of the candidate and must be reported by the candidate as first or senior reader. It is also recommended that candidates participate in an active training programme either in their own institution or by contribution to national or international educational activities in CMR.

A recertification programme is not currently offered by the ESC, but is planned for the future.

Grandfathering scheme

Please note that the grandfather route is now closed. For any further questions or information please email esccertification@escardio.org.

Certified Individuals in CMR

Congratulations to all those who have achieved certification levels 2 and 3 in cardiovascular magnetic resonance with the EACVI section CMR.

Candidates successfully certified have been approved by the CMR Exam Board Committee at either Level 2 or Level 3 in the certification process.

Please click here to view the list of:

EACVI section CMR certified individuals Level 3 (.xls)

EACVI section CMR certified individuals Level 2 (.xls)