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EACVI Cardiovascular Magnetic Resonance (CMR) Certification

Certification organised by the European Association of Cardiovascular Imaging (EACVI)

NEW: Take your EACVI TTE exam from anywhere!

The next exam will take place on 26 November.

Registration is open until 11 November 2020.

Next EACVI CMR exam: Take it from anywhere!

No need to travel anymore. Take your exam online, from your computer/tablet, at home or office.

certification-woman.jpg

 

The next online CMR exam is scheduled on 26 November 2020. 

The registration period is open until 11 November 2020.

 

 

 

Schedule

The examination is designed to be completed in 3 hours with no break. 

You will be able to start your 3-hour exam at anytime between 14:00-17:00 CET. 

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 physicians the opportunity to test their knowledge in CMR against an internationally set standard.

Please note: EACVI CMR certification is not a compulsory or regulatory certificate. The right to report and sign off clinical CMR studies in individual countries remains defined by national laws and regulations.

Levels of Certification

The EACVI recognises three levels (Levels 1-3) for certification in Cardiovascular Magnetic Resonance (CMR). The requirements for each level of competence are described in this page. 

The EACVI offers a formal certification process for CMR Level 2 and Level 3 via the European Society of Cardiology certification team. As mentioned above, ESC/EACVI CMR certification is valid only in conjunction with national and local regulations. ESC/EACVI CMR certification does not, however, represent a legal requirement or provide the right for a certified individual to practise clinical CMR.

Although ESC/EACVI CMR certification may be obtained during medical training, independent reporting will, in most instances, require completion of postgraduate specialist medical training. ESC/EACVI CMR certification is only offered to qualified physicians.

As a general overview, the three different levels can be described as follows:

  • Level 1 – to request a technique/test appropriately
  • Level 2 – to provide a technique/test independently
  • Level 3 – to teach a technique/test and lead a service

Each of these three levels is described below with specific reference to CMR.

Level 1 Training

Although Level 1 certification in CMR is not formally offered by the ESC/EACVI certification team, the EACVI provides the opportunity to obtain a CMR Level 1 certificate by attending Level 1 tracks at EuroCMR conferences.

It is recognised that a certain level of understanding is required before medical practitioners should routinely be requesting CMR investigations and interpreting the results of the reports. With this in mind, the core curriculum in cardiology should include an adequate level of training. This would usually be expected to be equivalent to 'Level 1' competency.

Any course on CMR providing “Level 1” training should have a mixture of technical and clinical topics addressing the clinical application of CMR in cardiology, including the following:

  • Overview on CMR physics
  • Basic CMR scan protocols and techniques
  • Disease-specific imaging
  • Scan analysis and interpretation
  • Case reviews*

*Case review should be included in any course providing 'Level 1' training. There should be a minimum number of 50 cases which must cover the whole spectrum of the curriculum. These can be a mixture of workstation and didactic case reviews.

Regarding the level of training provided, it should be noted that:

  • More advanced topics such as CMR relaxometry, 4D flow and feature tracking are not considered a requirement for Level 1 competency.
  • Any course advertised as providing 'Level 1' training should have a minimum duration of at least two full days of timetable learning (or equivalent).

Level 1 is not considered sufficient for the practice of CMR (i.e. reporting CMR studies or running a CMR service) for which a higher level of competency is required.

Level 2 and Level 3 Certification

To apply for certification at Level 2 or 3, candidates must sit and successfully pass the theoretical component of the CMR certification process at a formal examination. A full, detailed description of the syllabus and examination is available on the EACVI section of the CMR website via the links below:

  1. CMR syllabus
  2. European CMR examination: registration and exam process
  3. European CMR exam blueprint

It should be noted that passing the examination on its own provides no formal certification whatsoever.

Certification can only be granted once those who have passed the written exam have submitted the required logbook of cases, supporting documentation and letter of attestation (supervisor’s declaration) from a Level 3 certified supervisor (please note that mandatory requirements for Level 3 supervisor status are outlined below).

Please note: Applications for Level 2/Level 3 certification must fulfill all of the stipulated requirements. This includes the submission of all mandatory documentation. Particular attention must also be paid to the strict criteria for logbook submissions. Any application which does not meet the criteria will be rejected.  

If applications are not completed satisfactorily within the required timelines, this will lead to the candidate failing the practical assessment. In this situation, the whole certification process (both the written examination and practical assessment/logbook submission) must be restarted from the beginning. This will be treated as an entirely new application, subject to all of the mandatory requirements. 

Certification process - Overview

A. Theoretical Assessment

  • Candidates must take and pass the written EACVI CMR exam.
  • The exam is usually held once a year. 

B. Practical Assessment

  • Candidates who have passed the exam will receive a link (available in the exam result letter) to the certification platform. This will be sent to the email address registered on your My ESC account. Please contact us if you have not received it.
  • The logbook and all other required documents should be uploaded and submitted for review.
  • The following documents are required (click on the links to access specific documents):
    • Logbook (completed according to the correct EACVI format)
    • Signed supervisor’s declaration (completed according to the correct EACVI format)
    • Evidence of supervisor’s CMR Level 3 certification
    • Evidence that the candidate is a registered physician (valid national certificate or certified letter from the candidate’s institution)
    • Proof of CME in CMR (all certificates of attendance stating CME points awarded)
    • Advanced Cardiac Life Support (ACLS) documentation (either valid certificate or certified letter from the candidate’s institution stating that advanced life support is part of their routine practice)
    • Signed and completed checklist/candidate’s attestation
  • All documents not in English must be accompanied by a translation.
  • 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 two-week deadline.
  • Complete submissions will be reviewed by two independent assessors. In the 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 three months after all documents have been sent for review. Certification process - details.

Take your EACVI exam online - What you need to know

For the first time, EACVI offers the possibility of taking the exam online. Here is everything you need to know in order to participate!

What is this new online format?

EACVI wants to provide you with the safety and convenience of an online platform, while retaining the integrity and quality of an on-site supervised exam. 

The exam is:

  • offered everywhere in the world
  • identical in content, format and on-screen experience to previous on-site exams delivered on tablets
  • taken on your own device (computer or tablet) and monitored by a human proctor online through ProctorU®

What equipment do I need?

You must verify that your computer meets the requirements before you register for the EACVI CMR exam. If this is not the case, you will not be able to take the exam. 

You will need:

  • a strong and stable internet connection
  • a webcam, speaker and microphone

We highly recommend that you check all of the system requirements available here 

We also recommend that you test your equipment while you are on that page to verify you have the necessary equipment to take the exam. 

How can I register for this exam?

It is a two-step registration process

  • Start your registration with EACVI
  • Complete your registration with ProctorU®
Start your registration with EACVI

After having verified that your equipment meets the requirements, you can start your registration with EACVI. 

You will need to complete a pre-exam questionnaire and pay the exam registration fee. 

When you finish, you'll receive an email from ESC with your invoice to confirm your payment.

Complete your registration with ProctorU®

Once you have registered with EACVI and pay your exam fee, you will get an email with a link to complete your registration with ProctorU®.

You will need to create a ProctorU® account. Then at the pre-defined exam date, you will be able to choose the time slot you would like to take the exam. When you finish, you will receive a confirmation email. 

What can I expect on the exam day?

You can find more information about what to expect on the examination day below and also on ProctorU® website.

Before the exam session begins
  • Fix any issues you may encounter on your computer. All issues must be resolved before your appointment time
  • Close all browsers and applications not needed for the exam
  • Gather the documents you will need to identify you (passport, ID document with photo)
  • Make sure your exam environment meets the requirements:
    • your room is quiet and well lit
    • your are alone in the room
    • your workspace is clear from all materials and unauthorised supports
    • there are no sounds from music or television around
  • Make sure you are dressed appropriately, with your face visible to the proctor
Check-in and identification process
  • Log in to your ProctorU® account at your appointment time
  • Complete the authentication steps, which include showing your ID to the proctor. The name on your ID must match the name provided during the registration process
  • Follow the proctor instructions. You will have to:
    • Give access permission to your computer screen for monitoring purposes
    • Use your camera to show a 360-degree view of your room
  • If everything goes well, the proctor will let you start your exam

The check-in and identification process can take approximately 5 to 10 minutes

During the exam

Your entire exam will be recorded by ProctorU® and monitored by a human proctor. 

  • During the exam, the proctor will monitor you (via the camera) and your computer screen to ensure you follow all exam procedures
  • You must be visible to the proctor at anytime of the exam session. No breaks are allowed
  • You can interact with the proctor by speaking to him/her or using the chat option
  • You are not allowed to take notes on paper during the examination

The exam policies are:

  • Don't use any unauthorised materials, including mobile devices, prewritten notes or books
  • The use of any recording equipment is strictly prohibited
  • Don't communicate with anyone other than the proctor
  • Speaking aloud during the exam is strictly prohibited
  • You cannot be out of camera view. No breaks are allowed during the whole duration of the exam
  • Taking pictures, screenshots or trying to copy/paste any element of the exam content is strictly prohibited
  • You must behave in an appropriate manner. Any conduct that the proctor may deem vulgar, offensive, pornographic, obscene, abusive or criminal are strictly prohibited

Suspicious actions are flagged in the online proctoring system and will be reported to the ESC.  

If the proctor detects any suspicious activities or movements, he/she could terminate your exam session at any time and your exam will be invalidated and your fee won't be refunded. 

Any irregularity in relation to the ESC Online proctoring Examinations policies and rules mentioned above can lead to sanctions as described in the Online proctoring Examination Terms & Conditions

If I have technical issues?

If you experience a technical problem during the test, notify the proctor by speaking to him/her or via the chat. 

If you get disconnected or if you lose your internet connection momentarily, you will automatically be reconnected. 

If you are unable to reconnect or speak to the proctor, you can call ProctorU® for assistance. 

Exam registration

Registration closes 15 days before the examination with no exceptions. 

The registration period is open.

Register

On 26 November, you will be able to start your 3-hour exam at anytime between 14:00-17:00 CET. 

Please read the registration terms and conditions.

Please note:  The EACVI certification requirements have been updated (as of February 2019). Please make sure to read the new requirements carefully before registering. Any candidates taking the EACVI CMR examination from May 2019 onwards will be subject to the new regulations.

Registration fees

Not an EACVI Silver Member yet? Subscribe today and save up to €122.**

  1. Become an EACVI Silver Member for €156 (€78 if you are below age 40 or in training).
  2. Benefit from a reduced exam registration fee (€360 for Silver Members instead of €560).
  3. Enjoy all of the EACVI Silver Membership benefits including an online subscription to the European Heart Journal - Cardiovascular Imaging (EHJ-CI), unlimited access to EACVI webinars and congress resources, discounts on EACVI congresses and courses, and much more.  Join and save now.** 

** Compared to standard fee for non-members and including the EACVI Silver Membership fee.

I want to know more about the EACVI Silver Membership.

Fee Types Online Fees
EACVI Standard/Regular  €560
EACVI Silver Member  €360*
Fellow EACVI (FEACVI)  €300**
 Resit  €200***
2nd Resit  €100****

 

*To benefit from member fees, you must be a validated member before registering for the exam. This fee is only available for Silver Members - for further information please go to the membership page.

**To benefit from EACVI Fellow fees you must be a validated EACVI Fellowship
before registering for the exam. This fee is only available for EACVI Fellows.

***Please note that the resit fee is reserved only for candidates who have sat and failed the exam in the past and cannot be used by candidates under any other circumstances.

****This fee will apply only if it is the candidate's third attempt at the exam and the second resit in the last five years (i.e. since your first exam attempt). In all other cases, the resit fee will apply if the candidate failed the exam once or failed to logbook in the last five years.

If candidates are not in this five-year restrictive period, the full price will apply.

Registration Requirements

NEW: Before paying, candidates have to complete a questionnaire where they must identify their supervisor and provide information on their training.

Please note that the supervisor needs to be EACVI certified. 

Payment and General Conditions

All registration fees are quoted in Euros (€) and include national applicable VAT. Payment in any other currency will not be accepted.

Registration fees are based on the date of receipt. The prices indicated are only applicable if both registration form/request and payment are received before the registration deadlines; otherwise, the higher registration fee will be applied.

Registrations will be acknowledged by email upon receipt of payment and a valid candidate email address (make sure your My ESC profile is updated and ensure that no third party email address is linked to your registration).

Cancellation Policy

If a participant wishes to cancel his/her registration for the certification exam, they should contact us.

Please take careful note that the cancellation policy on refunds is as follows:

 

Weeks before Exam % Refund
Up to 6 weeks (before exam) 90%
4-6 weeks (before exam) 50%
Within 4 weeks 0%
No show 0%

 

Please note that a 'no show' is not considered a cancellation. If you do not attend the exam without giving forewarning of your absence and without proof of good reason (unforeseen circumstances - such as bereavement, serious illness or accident), no refund will be allowed.

Should a candidate not attend the exam, for whatever reason, no further claims for reimbursement or waiving of fees can be made. Similarly, no right to further claims or waiving of fees will arise should the ESC be obliged to alter the exam proceedings.

By registering for the exam, each candidate waives his/her rights to claim any compensation from the ESC. The organiser cannot be held liable for any hindrance or disruption of exam proceedings arising from political, social or economic events or any other unforeseen incidents beyond their control.

Under no circumstances, will the ESC be liable for indirect damages or cost.

Registration of a candidate entails acceptance of these conditions.

The European CMR exam Board

  • John-Paul Carpenter - Chair (UK)
  • Ana Almeida - Co-Chair (Portugal)
  • Francisco Alpendurada (UK)
  • Anna Baritussio (Italy)
  • Erica Dall'Armellina (UK)
  • Monica Deac (Switzerland)
  • Christina Deluigi (Switzerland)
  • Marco Gotte (Netherlands)
  • Gabriela Guzmán Martínez (Spain)
  • Alexander Hirsch (Netherlands)
  • Jamal Khan (UK)
  • Mohammed Khanji (UK)
  • Alicia M. Maceira (Spain)
  • Robert Manka (Switzerland)
  • Robin Nijveldt (Netherlands)
  • Joanna Petryka-Mazurkiewicz (Poland)
  • Valentina Puntmann (Germany)
  • José F. Rodríguez Palomares (Spain)
  • Oliver Tann (UK)

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

  • Mouaz H. Al-Mallah (USA)
  • Ahmed Aljizeeri (Saudi Arabia)
  • Ranjit Arnold (UK)
  • Andrea Barison (Italy)
  • Gilles Barone-Rochette (France)
  • Esther Cambronero Cortinas (Spain)
  • Teresa Castiello (UK)
  • Alberto Cresti (Italy)
  • Martin Descalzo (Spain)
  • Jan Engvall (Sweden)
  • Ashraf Hamdan (Israël)
  • Marina Huguet (Spain)
  • Cemil Izgi (UK)
  • Chiara Lanzillo (Italy)
  • Per Lav Madsen (Denmark)
  • Lukasz Malek (Poland)
  • François Marcotte (USA)
  • Pier Giorgio Masci (Switzerland)
  • Lukasz Mazurkiewicz (Poland)
  • Lorenzo Monti (Italy)
  • Darach O h-Ici (Germany)
  • Patrizia Pedrotti (Italy)
  • Gianluca Pontone (Italy)
  • Fabrizio Ricci (Italy)
  • Mateusz Spiewak (Poland)
  • Chris Steadman (UK)
  • Christian Wacker (Germany)

European CMR certification requirements

A. Theoretical Assessment

Examination Description

The exam is in English and is performed online. 

It consists of 100 questions in multiple-choice format with one single best answer for each question. Each correct answer receives one mark. There is no negative marking, and a wrong answer receives no marks. The exam breakdown uses a prescribed quota of questions in the different subject areas of the CMR syllabus, the weighting of which will be in accordance with the examination blueprint. Questions may contain text only or have a combination of text and still images or movies. 

The duration of the examination is three hours with no break.

Exam Preparation

Please click here to see the core syllabus.

The EACVI also organises a preparatory course for certification in CMR. 

Registration

Prospective candidates must register prior to the examination. Refer to the registration section for further details. 

Examination Results

Results of the examination will be sent to the email address registered on your 'My ESC' account. Results are only released following verification by the Exam Board, usually within two months of completion of the exam.

All examination questions go through a rigorous assessment prior to the exam. Questions are reviewed by a committee of Exam Board members who are senior European experts in CMR. They are then all reviewed again by the Exam Board Chairperson. The final selection of questions is scrutinised by the Exam Board once again as part of the standard-setting process prior to the examination. This defines the pass mark for the examination. Following the examination, the questions are all reviewed once more by the Exam Board to ensure that the standard setting has been accurate. Any questions which perform badly in terms of discrimination of candidates or those with a negative correlation to the overall results may be removed. 

Results are verified and validated by the EACVI CMR Certification Committee.  

Appealing the exam

Candidates who have comments or concerns about an Examination question should contact the ESC by the ESC Contact us webpage (https://www.escardio.org/Contact). The relevant certification committee will review all comments, concerns and suggestions made by Candidates.  These comments or concerns must be logged on the Examination day with the proctor or at the latest before Candidates received their Examination results.

  • After having received your results:

If you believe that an incorrect result has been awarded to you, you may lodge an appeal within eight days of receiving your score by sending an official letter to the ESC exam administration using the ESC contact us form. The result of such an appeal may be a higher grade, a lower grade, or no grade change. Under no circumstances will you be entitled to fee refunds or damages.

Appeal process:

The ESC exam administration and relevant certification committee will reply within four weeks.

The reply from the ESC exam administration and relevant certification committee is final. You agreed to this during the exam registration process by accepting the ESC exam delivery terms and conditions. 


Appeals are free of charge.

B. Practical Assessment

Candidates must demonstrate an appropriate level of training commensurate with the level of certification for which they are applying. The following details stipulate the requirements for the EACVI CMR certification process. A summary is given in Table 2 below.

Please note that requirements for ESC/EACVI certification in CMR at Level 2 and 3 have been updated for all candidates who pass the written exam from 2019 onwards. 

If you passed the exam prior to 2019 and would like to submit your application for Level 2 or Level 3 certification, the old logbook/documentation requirements are still available here

Requirements for All Logbook Submissions

The following requirements are mandatory:

  1. Candidates should only include cases in the logbook where they have been the primary operator or reporting physician (i.e. the candidate must have performed their own analysis and provided a full written report independently).
  2. The candidate must have been present in the scanner control room during the acquisition of at least 50 (Level 2) cases and 100 (Level 3) cases.
  3. Cases which have only been observed cannot be included.
  4. If cases are shared with others, the candidate must have performed their own analysis and provided a full written report.
  5. Candidates must ensure that the maximum number of 'normal' cases (10%) is not exceeded.
  6. There must be the required minimum number of cases in each diagnostic/study category, and each of the categories must be fully respected. Please refer to the logbook template. For example, the adult congenital cases must include assessment of true congenital pathology, such as shunts, anomalous pulmonary venous drainage, Fontan circulation, etc. Cases such as hypertrophic cardiomyopathy and bicuspid aortic valve will not be accepted in this category.
  7. The logbook must be in English and provided in the correct format.
  8. The logbook must be submitted no later than two years after passing the EACVI CMR examination with cases taken from a consecutive 24-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  9. Logbook cases that fall outside this window will not be considered, and the candidate will have to repeat the exam in order to reapply for certification.
  10. The date of the examination itself will be taken as the date of a successful 'pass'.
  11. Cases submitted from courses are allowed, but must not exceed 20% of the total required cases.
  12. Any cases included from courses must have included a full review of the case submitted by the candidate. Cases from the same course cannot be counted more than once.
  13. No duplicate cases are allowed.
  14. Each patient may be present only once in the logbook unless there is a significant change in clinical status – we will not allow follow-up studies of the same patient if the findings have not changed.

The EACVI section on CMR reserves the right to perform random checks to cross-reference the above information with the Level 3 supervisors and training centres.

Both the Level 3 trainer (supervisor) and the candidate are fully responsible for providing the correct information. Misconduct may result in both the trainer and candidate losing their EACVI CMR certification (see section Professional Standards of Conduct).

Professional Standards of Conduct

It should be noted that if any impropriety, falsification or fraudulent application is discovered, either at the time of the application or at a later stage, this may result in the revocation of both the applicant’s and the supervisor’s own Level 3 EACVI certification. This could be deemed to be serious professional misconduct and any further action would be decided by the EACVI section CMR Examination Board in conjunction the EACVI Board and the European Society of Cardiology (ESC). In extreme cases, this might also mandate reporting to the appropriate national society or national body for professional registration.

Application for EACVI CMR Level 2 Certification 

Level 2 certification is the expected level at which routine practitioners can undertake CMR scanning and reporting independently. It is not, however, generally considered to be an adequate level of certification to set up a new service or lead a CMR unit.

It is envisaged that the majority of practitioners in CMR would be certified at Level 2.

Any applicant for Level 2 certification in CMR is expected to fulfil the following requirements:

  1. To be a qualified physician with current valid registration.
  2. To have passed the ESC/EACVI CMR exam.
  3. To have spent at least three months of full-time training** in CMR under a CMR Level 3 certified expert. Applicants are strongly advised to check the requirements for a Level 3 certified supervisor (see below) to ensure that their period of training will be recognised.
  4. To submit a logbook of 150 cases with a maximum of 10% normal cases. Up to 75 cases can be from another centre (for instance if the candidate’s training centre does not have access to stress perfusion or patients with congenital heart disease). The logbook must be submitted no later than two years after passing the EACVI CMR examination with cases taken from a consecutive 24-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  5. To be ACLS certified (or provide documented evidence that advanced life support is part of their routine practice).
  6. To have completed 25 hours of CME specifically in CMR (please see details regarding acceptable CME/CPD).
  7. To submit the required supporting evidence and documentation including a supervisor’s declaration stating that the candidate was under his/her direct supervision, was responsible for supervising the CMR sessions, was primary operator/reporting physician for all of the cases provided in their logbook and is of the appropriate standard for Level 2 certification.

** This should be either three months of continuous full-time training in CMR or the equivalent length of time if split into separate periods of training (within a maximum 24-month window). For applicants who are training less than full-time (defined as at least 35 hours/week in CMR or CMR-related activities), the training period will need to be extended on a pro rata basis. For example, if the applicant only spends three days per week doing CMR (i.e. 3/5 full-time equivalent), three months of full-time equivalent will require a five-month period of training. 

Application for EACVI CMR Level 3 Certification

Level 3 certification is the expected level for senior practitioners in CMR who routinely supervise and teach CMR and lead a CMR service or CMR unit. It is recommended that this should be considered a requirement for those wishing to set up a new service or lead a CMR unit.

As mentioned above, it is envisaged that the majority of practitioners in CMR would be certified at Level 2 with experts in the field certified at Level 3. Level 3 certification should, therefore, represent mentors, educators and leaders in the field of cardiovascular magnetic resonance. Unless applying directly for Level 3 certification, all candidates must already hold Level 2 certification.

The two routes for application for Level 3 certification are as follows:

  • Level 3 certification following previous Level 2 certification (i.e. 'via Level 2')
  • Direct application for Level 3 certification
Application for EACVI CMR Level 3 Certification via Level 2

Any applicant for Level 3 certification in CMR via this route is expected to fulfill the following requirements:

  1. To be a qualified physician with current registration.
  2. To hold current EACVI CMR Level 2 certification, having passed the EACVI CMR exam and having met all requirements for Level 2 certification.
  3. To have spent at least a further nine months** of full-time training in CMR under a CMR Level 3 certified expert. This means that the applicant must have completed a total of 12 months of full-time training in CMR. Applicants are strongly advised to check the requirements for a Level 3 certified supervisor (see below) to ensure that their period of training will be recognised.
  4. To submit a further logbook of 150 cases with a maximum of 10% normal cases. This means that the candidate will have submitted 300 cases in total, 150 cases for their Level 2 certification with a further 150 cases as part of this Level 3 application. The cases submitted for the Level 3 application must be new cases (none of which was included in the previous Level 2 logbook) taken from a 24-month window immediately prior to the application for Level 3.
  5. To be ACLS certified (or provide documented evidence that advanced life support is part of their routine practice).
  6. To have completed 25 hours of CME specifically in CMR over and above the CME provided for a Level 2 application (please see details regarding acceptable CME/CPD). This means that the applicant must have completed 50 hours of CMR-related CME in total.
  7. To provide evidence of peer recognition, with one of the following requirements:
    1. Faculty lecturer for two or more CME courses on CMR (local, national, international);
    2. Invited speaker/chair for two or more conferences or meetings on CMR (local, national, international);
    3. Oral presentations of original data at two or more CMR conferences or meetings (national or international); and
    4. Three or more peer-reviewed publications in the area of CMR (any author).
  8. To submit the required supporting evidence and documentation including a supervisor’s declaration stating that the candidate was under his/her direct supervision, was responsible for supervising the CMR sessions, was primary operator/reporting physician for all of the cases provided in their logbook and is of the appropriate standard for Level 3 certification.

It should be noted that Level 3 certification via this route will only be considered with current Level 2 certification. No application will be considered if the applicant’s Level 2 certification has expired.

** As for Level 2 certification, this should be either nine months of continuous full-time training in CMR or the equivalent length of time if split into separate periods of training (within a maximum 24-month window). For applicants who are training less than full-time (defined as at least 35 hours/week in CMR or CMR-related activities), the training period will need to be extended on a pro rata basis. For example, if the applicant only spends three days per week doing CMR (i.e. 3/5 full-time equivalent), nine months of full-time equivalent will require a 15-month period of training.

Direct Application for EACVI CMR Level 3 Certification 

Direct application for Level 3 certification will also be considered. Any applicant for Level 3 certification in CMR via this route is expected to fulfill the following requirements:

  1. To be a qualified physician with current registration.
  2. To have passed the EACVI CMR exam.
  3. To have spent at least 12 months** of full-time training in CMR under a CMR Level 3 certified expert. Applicants are strongly advised to check the requirements for a Level 3 certified supervisor (see below) to ensure that their period of training will be recognised.
  4. To submit a logbook of 300 cases with a maximum of 10% normal cases. Up to 75 cases can be from another centre (for instance if the candidate’s training centre does not have access to stress perfusion or patients with congenital heart disease). The logbook must be submitted no later than two years after passing the EACVI CMR examination with cases taken from a consecutive 24-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  5. To be ACLS certified (or provide documented evidence that advanced life support is part of their routine practice).
  6. To have completed 50 hours of CME specifically in CMR (please see details regarding acceptable CME/CPD).
  7. To provide evidence of peer recognition, with one of the following requirements:
    1. Faculty lecturer for two or more CME courses on CMR (local, national, international);
    2. Invited speaker/chair for two or more conferences or meetings on CMR (local, national, international);
    3. Oral presentations of original data at two or more CMR conferences or meetings (national or international); and
    4. Three or more peer-reviewed publications in the area of CMR (any author).
  8. To submit the required supporting evidence and documentation including a supervisor’s declaration stating that the candidate was under his/her direct supervision, was responsible for supervising the CMR sessions, was primary operator/reporting physician for all of the cases provided in their logbook and is of the appropriate standard for Level 3 certification.

** This should be either 12 months of continuous full-time training in CMR or the equivalent length of time if split into separate periods of training (within a maximum 24-month window). For applicants who are training less than full-time (defined as at least 35 hours/week in CMR or CMR-related activities), the training period will need to be extended on a pro rata basis.

Definition of a Level 3 Certified Supervisor

Any current practitioner in CMR who holds active Level 3 CMR certification (from either EACVI or SCMR) can act as a supervisor for a candidate’s application for Level 2 and Level 3 certification. The following mandatory stipulations, however, apply:

  1. All supervisors must have current Level 3 certification (either EACVI or SCMR).
  2. No person can act as a supervisor until the date they have been awarded Level 3 certification.
  3. No logbook can contain cases supervised by them prior to this date.
  4. The supervisor must ensure that the logbook submission is accurate.
  5. The supervisor must ensure that the applicant is of the appropriate standard for Level 2 or Level 3 certification in CMR, as appropriate.

Applicants are strongly advised to check the requirements for a Level 3 certified supervisor before starting any period of training to ensure that their training will be recognised.

Remote Training Policy

If a candidate’s own training centre cannot provide all of the required indications, the candidate should seek to receive on-site training in another centre. If this cannot be achieved, cases from other centres can be submitted, provided the candidate has reviewed and reported the scans independently. The number of cases must not exceed 75 (Level 2) or 150 (Level 3).

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 CMR Level 3 certified as defined above.

Candidates considering remote supervision should contact the ESC certification team with the following information: 

  • The reason for seeking remote supervision.
  • The annual caseload in the candidate's own institution.
  • The level of supervision in the candidate's own institution – e.g. 'cardiologist with five years CMR experience, but no formal certification in CMR'.
  • The name of the remote supervisor.
  • Proposed arrangements for remote supervision – e.g. regular attendance at the supervisor's institution, teleconferences, etc.
  • Anticipated contact time between supervisor and candidate.
  • Methods of assessment to be used by the supervisor to assess the candidate's progress.

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

Requirements for Continuing Medical Education (CME)/Continued Professional Development (CPD)

Evidence of CME is required for all applications for Level 2 and Level 3 certification. CME must be exclusively in CMR.

Courses/conferences attended more than two years before the exam are not appropriate.

General cardiology or radiology conferences/general webinars are not accepted and only the CMR component of relevant meetings will count for recertification. 

The learning hours must be collected as follows:

  • 1 CME/CPD Credit = 1 hour of CMR learning
  • CME/CPD Credits are obtained by participating in:
    • Recognised national, European and international CMR meetings; and
    • Educational courses on CMR with relevant endorsement and CPD Credits.

For multimodality imaging courses, conferences or meetings with CMR content, the number of total CME/CPD Credits should be divided by number of modalities in question. For example, if the meeting is on cardiac CT, nuclear cardiology and CMR, the total CME/CPD Credits must be divided by 3. If the meeting is on cardiac CT and CMR, the total number is divided by 2.

Examples of specific meetings are given in Table 1 (below). It should be noted that CME Credits will vary between meetings and should be confirmed for each meeting attended.

Click to access CMR courses delivered by the ESC/EACVI.

Table 1. Examples of CME Points for Specific Meetings

Title

CME Points Awarded

Notes

EuroCMR 2017

15

 

CMR 2018

24

 

SCMR Annual Scientific Sessions

24

 

EuroEcho-Imaging 2018

7

Total of 21 divided by 3 (Echo/CMR/CT)

ESC Congress

3

3 allocated CMR sessions

 

Additional CME points will be allowed for attending pre-conference sessions with clinical CMR content.

Candidates will be required to upload the relevant attendance certificates detailing the number of CME points/ hours accrued. We no longer allow self-directed learning for CME submission.

The CMR certification committee reserves the right to check the details of the course and evidence of attendance. The decision of the EACVI certification committee is final regarding award of CME hours.

Special Circumstances

In exceptional circumstances, an application for certification which falls outside the above routes for Level 2 and Level 3 may be considered. If you consider yourself to be in this category, special circumstances can be discussed with the EACVI section of the CMR certification board by contacting the ESC certification team stating why your application should be considered.

Appealing the Logbook

Candidates who fail to the logbook part may raise an appeal with the ESC certification team via ESC contact us.

Further evidence may be requested at the discretion of the CMR committee. 

The appeal procedure for the re-evaluation of a logbook is free of charge and does not guarantee a pass after this second review. 

This will be the final attempt by the CMR committee to assist the candidate in demonstrating satisfactory practical competence. The appeal decision made by the committee is final.

Failing the certification programme will require the candidate to start the whole process again from the beginning.

Overview of Requirements for ESC/EACVI Certification in CMR at Level 2 and Level 3

Table 2.

  Level 2 Level 3 via Level 2 Direct Level 3
Registered physician  Required Required Required 
EACVI CMR exam pass  Required Required  Required
Level 2 certification  N/A Required  Not required 
Full-time training  3 months Additional 9 months (12 months in total)  12 months 
Logbook cases number  150 Additional 150 (300 in total)  300 
Max. normal cases  10% 10%  10% 
Max. from courses / teaching files  20% 20%  20% 
Max. from elsewhere  75 Additional 75 (150 in total)  150 
Advanced life support  Required Required  Required 
CME hours  25 Additional 25 (50 in total)  50 
Additional requirements  None Peer recognition  Peer recognition 
Supervisor's declaration  Yes Yes  Yes 

Recertification 

EACVI CMR Level 2 and Level 3 certification is valid for a period of five years.

In order to keep their certification status, any professional who has been certified by the EACVI must apply for recertification within the allowed time frame. Applications for recertification will be accepted from six months before up to six months after the expiry date of any individual’s five-year certification.

Initial certification and any subsequent recertification is valid for a full five-year period.

Click here to consult the recertification requirements.

Certified individuals in CMR

Congratulations to all those who have achieved from the EACVI certification Level 2 and Level 3 in cardiovascular magnetic resonance.

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 CMR - Level 3 certified individuals

EACVI CMR - Level 2 certified individuals