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Cardiovascular Magnetic Resonance (CMR) Certification

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

Results of the 2019 written exam delivered in Venice on 1 May have been sent to participants through the email address registered on their MyESC accounts. 

More information about next CMR exam will be communicated in due time.

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.

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

  • 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 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:

  • 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 2 full days of timetabled 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 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 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. 

Certification process - overview

A. Theoretical assessment

  • Candidates must sit and pass the written EACVI CMR exam
  • The exam is usually held annually as part of the EuroCMR meeting

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 MyESC 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.

Appeals

  • All appeals regarding the practical assessment should be directed to the ESC Certification Team.
  • Should escalation and further administrative work be needed, the appeal process will be charged at €100.
  • It should be noted that there is no appeal process for the theoretical examination. Results are verified and validated by the EACVI CMR Certification Committee / Exam Board and are final.

Certification process - details

A. Theoretical assessment

Upcoming exam

More information about the next CMR certification exam, will be communicated in due time.

 

Exam registration

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.

 

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 the age of 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.

 

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

Registration fees (in Euros)
Fee Types Online Fees (until seats sold out/ 10 days before the exam date)
EACVI Standard/Regular  €560
EACVI Silver Member  €360*
 Resit  €200**

 

*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.

Registration requirements

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. 

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 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).

Cancellation policy

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:

 

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 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.

The European CMR exam board

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

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

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

European CMR examination process

Examination description

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.

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. There is no opportunity to register on-site or on the day of the examination. Refer to the registration section for further details. 

Examination day

Exam check-in:

  • Candidates are required to come to the registration desk at least 30 minutes before the start of the exam.
  • Candidates must bring and present a valid photo ID document (passport or national identity card) to confirm their identity.
  • A photograph of each candidate will be taken which will be transmitted to the candidate's tablet so that ID can be verified in the examination room.
  • Once registered, the candidate will be admitted to the examination room.

Before the start of the exam:

  • Candidates must sit at the correct table corresponding to their candidate number.
  • Only when instructed, candidates should scan their barcode.
  • Further instructions on how to use the system will be given by the invigilators before the exam starts.
  • An overview of the exam process and platform can be found here.
  • All coats, bags, mobile phones and personal effects must be left at the back or the side of the room and must not be taken to the examination table. No calculators are allowed (a calculator is provided within the tablet system). 

During the exam:

  • Candidates will be given instructions on how to login and how to start the exam system.
  • A timer starts immediately the exam is commenced. The timer will run for the duration of the examination and automatically terminates the exam at 3 hours.
  • Assistance can be requested at any time during the exam by touching the "help" button on the tablet. An invigilator will be notified immediately and will come to the candidate's desk.
  • If a candidate needs to go to the restroom, he/she must request assistance and wait for an invigilator or host/hostess to accompany him/her.
  • If a candidate completes the exam before the end of the session, assistance should be requested. The candidate may leave only once authorised but will need to sign out and will not be readmitted to the exam room.
  • Candidates who have been identified by the invigilators as disturbing the exam or cheating will be required to leave immediately and will fail the exam.
  • As mentioned above, no personal effects, coats, bags, food or drinks are permitted on the exam table. Water can be provided on request.
  • A single piece of plain paper and a pencil will be supplied for each candidate. This must not be taken out of the examination room and must be left on the table at the end of the exam. Candidates may request another piece of paper but, in this event, the original piece of paper will be retained by the invigilators and exchanged for a new blank piece of paper. 

Examination results

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. 

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 Lev el 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. 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 2 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.

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).

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 6 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 2 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 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. 

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.

There are two routes for application for Level 3 certification 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 fulfil 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 6 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 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 were 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 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 2 or more CME courses on CMR (local, national, international)
    2. Invited speaker / chair for 2 or more conferences or meetings on CMR (local, national, international)
    3. Oral presentations of original data at 2 or more CMR conferences or meetings (national or international)
    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 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 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 fulfil 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 2 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 2 or more CME courses on CMR (local, national, international)
    2. Invited speaker / chair for 2 or more conferences or meetings on CMR (local, national, international)
    3. Oral presentations of original data at 2 or more CMR conferences or meetings (national or international)
    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’ 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 candidate's own institution
  • The level of supervision in candidate's own institution, e.g. 'Cardiologist with 5 years CMR experience but no formal certification in CMR'
  • The name of 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 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.

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. 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
    • 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 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 CMR certification board by contacting the ESC certification team stating why your application should be considered.

Overview of requirements for ESC/EACVI certification in CMR at Level 2 and Level 3

Table2.

  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  6 months Additional 6 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 5 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 6 months before up to 6 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 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