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The only 2019 certification exam in CMR will be held prior to EuroCMR 2019, on 1 May 2019 in Venice, Italy.
Registration is open
Registration deadline: 20 April
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** Compared to standard fee for non-members and includes the EACVI Silver membership fee.
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The EACVI offers a process for certification of individuals in CMR.
Please note: Institutional Accreditation is not currently offered but is planned for the near future.
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.
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 for the practice of 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:
Each of these three levels is described below with specific reference to CMR.
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:
*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:
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.
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 CMR website via the links below:
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 fulfil 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.
A. Theoretical assessment
B. Practical assessment
The next certification exam in CMR will be held prior to EuroCMR 2019, on 1 May 2019 in Venice, Italy. This will be the only CMR Certification exam to be held in 2019.
Hotel Excelsior Venice Lido Resort
Lungomare Guglielmo Marconi, 41
30126 Lido di Venezia, Italy
Check-in candidates 12:45 - 14:00
Instructions to candidates 14:00 - 14:15
Exam 14:15 - 17:15
*EACVI reserves the right to modify this schedule if required.
The next certification exam in CMR will take place prior to EuroCMR 2019, 1 May 2019.
Due to limited exam room capacity, registrations will be managed on a first come first served basis.We encourage you to register online as early as possible to guarantee a seat.
Registration for all ESC administered exams closes 10 days prior to the examination with no exceptions.However, registration may close earlier if the exam room capacity is reached.
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** Compared to standard fee for non-members and including the EACVI Silver membership fee
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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.
Please read the Registration Terms and Conditions
*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.
**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.
NEW: Before paying, candidates have to complete a questionnaire where they must declare their supervisor and provide information on their training.
Please note that the supervisor does not need to be EACVI certified.
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 e-mail upon receipt of payment and a valid candidate email address (make sure your MyESC profile is updated and ensure that no third-party email address is linked to your registration).
If a participant wishes to cancel his/her registration for the Certification exam he/she should contact us.
Please take careful note that the cancellation policy on refunds is as follows:
Please note that a "no show" is NOT considered as 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.
If there are any queries concerning visa problems please Contact us. Please note that you are responsible for your own visa application and that you must give adequate notice (at least two months) to your respective embassy. It is entirely at your own risk if the visa is not granted in time.
Should a candidate not attend the exam, for whatever reasons, 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 for any compensation toward 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.
In no event will the ESC be liable for indirect damages or cost.
All candidates are urged to take out personal travel insurance.
Registration of a candidate entails acceptance of these conditions.
We would also like to recognise our question writers who play an essential role in the creation of the CMR exams:
The exam is in English and is performed on a tablet-based system.
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 3 hours with no break.
Please click here to see the Core Syllabus.
The EACVI also organises a preparatory course for certification in CMR.
Prospective candidates must register prior to the examination. There is no opportunity to register on-site or on the day of the examination. Refer to the registration section for further details.
Before the start of the exam:
During the exam:
Results of the examination will be sent to the email address registered on your 'MyESC' account. Results are only released following verification by the Exam Board, usually within two months of the 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 and are final. There is no appeal process. For the examination, the Exam Board operates alongside but independently of the EACVI Section CMR Board.
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 Lev el 3 certification, the old logbook/documentation requirements are still available here.
The following requirements are mandatory:
The EACVI Section 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).
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.
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:
** This should be either 6 months’ 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 3 days per week doing CMR (i.e. 3/5 full-time equivalent), 6 months’ full-time equivalent will require a 10-month period of training.
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.
There are two routes for application for Level 3 certification as follows:
Any applicant for Level 3 certification in CMR via this route is expected to fulfil the following requirements:
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 6 months’ 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 3 days per week doing CMR (i.e. 3/5 full-time equivalent), 6 months’ full-time equivalent will require a 10-month period of training.
Direct application for Level 3 certification will also be considered. Any applicant for Level 3 certification in CMR via this route is expected to fulfil the following requirements:
** This should be either 12 months’ 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.
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:
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.
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 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.
Evidence of CME is required for all applications for Level 2 and Level 3 certification. CME must be exclusively in CMR. 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:
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 ESC/EACVI.
Table 1. Examples of CME points for specific meetings
CME points awarded
SCMR Annual Scientific Sessions
Total of 21 divided by 3 (Echo/CMR/CT)
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.
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 CMR certification board by contacting the ESC certification team stating why your application should be considered.
EACVI CMR Level 2 and Level 3 certification is valid for a period of 5 years.
The recertification process is under development and likely to be in place before EuroCMR 2019.
As an interim measure all those who achieved level 2/3 certification on or before 31/12/15 will automatically have their certification extended - until such time as the recertification platform is in place. This is automatic and no application process is required by the individual.
Congratulations to all those who have achieved certification Level 2 and Level 3 in Cardiovascular Magnetic Resonance with the EACVI.
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
Our mission: To reduce the burden of cardiovascular disease
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