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Cardiovascular Magnetic Resonance Certification (CMR) Certification

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

The next certification exam in CMR will be held prior to EuroCMR 2019, on 1 May 2019 in Venice, Italy.

Registration will open 3 months prior to the exam's date.

More information about the venue and schedule 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 resonance

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

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

Levels of certification

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

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

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

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

Exam registration

The next certification exam in CMR will take place prior to EuroCMR 2019.

In order to respect 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 when the exam room capacity is reached.


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  €450
EACVI Silver Member  €350*
 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.

Registration Conditions

Important - Please note that in order to respect the capacity of the examination room, registrations are taken on the basis of first come, first served. We encourage online registration as early as possible to guarantee a seat.

Benefit from reduced exam fees and other advantages! Become an EACVI member.

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 to 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 a death in the family, serious accident of the candidate...) no refund will be allowed.

If there are any queries concerning visas problems please Contact us. Please note you are responsible for your visa applications and you must give at least two months preparation time to your respective embassy otherwise it is your concern 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 to 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 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)
  • Alicia M Maceira
  • Andrei Codreanu
  • Christina Deluigi
  • Dan Sado
  • Francisco Alpendurada
  • Gabriela Guzmán Martínez
  • Joanna Petryka-Mazurkiewicz
  • John-Paul Carpenter
  • José F Rodríguez Palomares
  • Manka Robert
  • Marco Gotte
  • Monica Deac
  • Norbert Wilke
  • Oliver Tann (London)
  • Redha Boubertakh (London)
  • Robin Nijveldt
  • Theo Karamitsos

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

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

Certification process

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

Theoretical part - European CMR exam

To apply for certification at Level 2 or 3, candidates must sit and successfully pass the written component of the CMR certification at examination. 

The exam is currently held once a year at the EuroCMR Conference. 

Examination description

The exam is in English and is performed on a tablet-based system.

It consists of 10 questions in multiple-choice format with one single best answer for each question. Each correct answer received one mark. There is no negative marking and a wrong answer received 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

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

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


Prospectives 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 detail. 

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. 

Practical part (on-site training & log book)

Candidates must:

1. Spend a minimum amount of time working under the supervision of a level 3 EACVI section CMR certified expert: 

  • Three months (Level 2) 
  • Twelve months (Level 3)

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

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

3. Include supporting information in their submission

All supporting information is listed in the Check List.

Continued Medical Training (CME) points

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

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

Supervisor Letter

Please find a template of the Supervisor Letter.

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

Supervisors must be level 3 EACVI section CMR certified.

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

Remote Training Policy

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

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

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

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

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

Certification processes

A. Candidates must sit and pass the written CMR exam

  • The exam is currently managed as part of the annual EuroCMR meeting

B. Practical Part

1. Gather the documents required

Check List of documents needed to submit

2. Submit the required documents via the submission link

Candidates who passed the exam will receive a link to submit the logbook. Please contact us if you don't have it.
All documents not in English must be accompanied by a translation.

Submissions are made

Online to the ESC Certification Team.

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

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

Submissions are processed

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

Upgrade from level 2 to level 3

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

In order to request an application for an upgrade, you must send your CMR level 2 certificate through contact us. You will then be sent a link to register for the process. Then up to seven working days later you will be sent a link to submit your upgrade application.

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

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

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

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


All appeals on certification should be directed to Contact us

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

Logbook requirements

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

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

Logbook template

The template:

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

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

Logbook case collection

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

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

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

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

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

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

Further log book credentials

The logbook must be submitted to the EACVI certification team no later than two years after date of sitting the exam. No late submissions will be accepted and, if the deadline is not respected, the candidate will have to repeat the exam in order to apply for certification. In addition, all of the required logbook stipulations (as described above) must be met.

  • No unique patient identifiable data should be contained in the logbook.
  • The logbook must be written in English.
  • Under no circumstances should the logbook be completed by hand. It must be typed up in order to assure clarity for graders.
  • Supervision: Teaching must take place under the supervision of a Level 3 EACVI section CMR certified individual. For further information see section above on Supervisor Requirements


Certification of an individual with EACVI CMR level II/III certification has initially been offered for a period of 5 years.

Re-certification processes are being developed but are not yet finalised and the process will not be finalised until 2020. 

As an interim measure all those who achieved level II/III certification on or before 31/12/15 will automatically have their certification extended until 31/12/20. This is automatic and no application process is required by the individual. 

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

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

Grandfathering scheme

Please note that the grandfather route is now closed. For any further questions or information please contact us

Certified Individuals in CMR

Congratulations to all those who have achieved certification levels 2 and 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