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EACVI Cardiovascular magnetic resonance in congenital and paediatric heart disease certification (CMR CHD)

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

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

 

COVID-19 (coronavirus)

Click here to read a message from the EACVI Certification and Accreditation Committee to all candidates considering applications for EACVI Certification Programmes.

 



The EACVI offers a process for certification of individuals in CMR in congenital and paediatric heart disease.

The development of this certification process recognises the increasing complexity of this highly specialised area and is designed for all those performing and reporting CMR in congenital and paediatric heart disease on which clinical decisions are made.

What are the benefits to individuals of obtaining a European certification in CMR in Congenital and paediatric Heart Disease

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

Please note: EACVI CMR CHD 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 in congenital and paediatric heart disease (CMR CHD). The requirements for each level of competence are described in this page. 

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

Although ESC/EACVI CMR CHD certification may be obtained during medical training, independent reporting will, in most instances, require completion of postgraduate specialist medical training. ESC/EACVI CMR CHD 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 CHD.

Level 1 training

Although Level 1 certification in CMR CHD 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/ paediatric cardiology should include an adequate level of training. This would usually be expected to be equivalent to “Level 1” competency.

Level 1 is not considered sufficient for the practice of CMR CHD (i.e. reporting CMR CHD studies or running a CMR CHD 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 in congenital and paediatric heart disease 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 CHD syllabus
  2. European CMR examination: Registration and Exam process
  3. European CMR in congenital and paediatric heart disease 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 and supporting documentation.

There are 2 pathways to obtaining Level 2 and Level 3 certification in CMR in congenital and paediatric heart disease. A standard and an alternate pathway. The standard pathway requires supervision from a Level 3 CMR CHD certified supervisor. An alternate pathway is available for those unable to obtain the required supervision. The requirements for each pathway are detailed in the following table. (link)

The EACVI congenital and paediatric exam board recognises that there are difficulties experienced by some candidates obtaining supervision and training from recognised Level 3 accredited CMR CHD individuals for the required length of time.

The exam board also acknowledges that there are many people practicing CMR CHD in recognised interventional and surgical centres that would like to participate in the accreditation process but are unable to give further time to extended training.

The alternate pathway provides a more accessible route to certification although this is by no means an easier route. The exam board maintains that there is no substitute for excellent training.

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

Theoretical assessment (Examination)

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

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 for each Level
Level 2 / Level 3 Pathway
    • Logbook (completed according to the correct EACVI format)
    • Signed supervisor’s declaration (completed according to the correct EACVI format)
    • Evidence of supervisor’s CMR CHD 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 (please provide a summary document and all certificates of attendance stating CME points awarded)
    • Signed and completed checklist / candidate’s attestation
Alternate Level 2 Pathway
    • Logbook (completed according to the correct EACVI format)
    • Letter of support from head of department – congenital cardiology/ congenital cardiothoracic surgery/ radiology
    • Evidence that the candidate is a registered physician (valid national certificate or certified letter from the candidate’s institution)
    • Proof of CME in CMR (please provide a summary document and all certificates of attendance stating CME points awarded)
    • Signed and completed checklist / candidate’s attestation
Alternate Level 3 Pathway
    • Logbook (completed according to the correct EACVI format)
    • Letter of support from head of department – congenital cardiology/ congenital cardiothoracic surgery/ radiology
    • Evidence that the candidate is a registered physician (valid national certificate or certified letter from the candidate’s institution)
    • Proof of CME in CMR (please provide a summary document and all certificates of attendance stating CME points awarded)
    • Evidence of Peer Recognition for CMR CHD (Please provide summary of those publications and or presentations that you wish to be considered as evidence. NOTE publications and presentations must reflect Section 2 of the exam syllabus)
    • 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 in the three months after all documents have been sent for review. 

Exam registration

IMPORTANT:  The EACVI certification requirements have been updated (as of February 2020). Please make sure to read the new requirements carefully before registering. Any candidates taking the EACVI CMR CHD examination from December 2020 onwards will be subject to the new regulations.

 

The registration for the exam is separated from that of the congress. You do not need to register for the congress to sit the exam.

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.

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

  1. Become an EACVI Silver Member for €156 (or €78 if you are below 40 years old or in training)
  2. Benefit from the exam registration member fee (€360 instead of €560)
  3. Save up to €122!**
  4. Enjoy all the EACVI Silver Membership benefits including an online subscription to the European Heart Journal - Cardiovascular Imaging (EHJ-CI), unlimited access to EACVI webinars and congresses 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 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*
Fellow EACVI (FEACVI)  €300**
 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.

**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 Fellow.

***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 conditions

 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 the exam date % Refund
up to 6 weeks (before the exam) 90%
4-6 weeks (before the exam) 50%
Within 4 weeks (before the exam) 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

  • Oliver Tann - Chair (London, UK)
  • Philipp Beerbaum (Hannover, Germany)
  • Willem Helbing (Rotterdam, Netherlands)
  • Vivek Muthurangu (London, UK)
  • Tobias Rutz (Lausanne, Switzerland)
  • Jennifer Steeden (London, UK)
  • Emanuela Valsangiacomo Buechel (Zurich, Switzerland)
  • Francesca Pluchinotta (Milan, Italy)
  • Raj Puranik (Sydney, Australia)

Theoretical assessment (Examination)

Exam 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 CHD syllabus, the weighting of which will be in accordance with the examination blueprint. Questions may contain text only or have a combination of text only, data interpretation, 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 organises a teaching course on CMR in congenital and paediatric heart disease. This is not an exam preparation course, but will cover topics included in the exam syllabus.

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. 

Exam 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. 

Exam 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 CHD. 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 CHD Certification committee. 

Appealing the exam
  • On the exam day, in case of issue with the scientific content of the exam:

A complaint must be logged on-site with the exam Invigilators. The appeals’ procedure will be recorded only if candidates have filed an official complaint on the day of the exam. In no circumstance you will be entitled to fee refund nor damages.

  • After having received your results:

If you believe that an incorrect result has been awarded to you, you may lodge an appeal by sending to the ESC exam administration an official letter within 8 days of receiving your scores, to the ESC contact us form. The result of such appeal may be a higher grade, a lower grade, or no grade change. In no circumstance you will be entitled to fee refund nor damages.

Appeal process:

The ESC exam administration and relevant certification committee will reply within 4 weeks.

Reply from 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.

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 CHD certification process. A summary is given in Table 2 below.

Please note that requirements for ESC/EACVI certification in CMR CHD at Level 2 and 3 have been updated for all candidates who pass the written exam from 2020 onwards. 

If you passed the exam prior to 2020 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. Cases can be obtained from different centres but they must be fully reported under the guidance of a Level 3 CMR CHD supervisor.
  3. The candidate must have been present in the scanner control room during the acquisition of at least 75 (Level 2) cases and 150 (Level 3 and Alternate Level 2) cases and 300 (Alternate Level 3) cases.
  4. Cases which have only been observed cannot be included.
  5. If cases are shared with others, the candidate must have performed their own analysis and provided a full written report.
  6. No normal cases are accepted.
  7. 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 syllabus to establish which categories individual cases can be placed in. NOTE – A patient with Tetralogy of Fallot with a persistent shunt and an anomalous coronary could be placed in either Shunt assessment; Cyanotic congenital heart disease repaired or unrepaired; or Congenital coronary anomalies but not all simultaneously.
  8. The logbook must be in English and provided in the correct format.
  9. The logbook must be submitted no later than 2 years after passing the EACVI CMR examination with cases taken from a consecutive 48-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  10. 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.
  11. The date of the examination itself will be taken as the date of a successful “pass”.
  12. Cases submitted from courses are allowed but must not exceed 10% of the total required cases for Level 2 / Level 3 certification and must not exceed 5% of the total required for Alternate Level 2 / Alternate Level 3.
  13. 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.
  14. No duplicate cases are allowed.
  15. 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 CMR CHD reserves the right to perform random checks to cross-reference the above information with the level 3 supervisors and training centres or centres of practice.

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 CMR CHD certification. This could be deemed to be serious professional misconduct and any further action would be decided by the EACVI Section CMR CHD 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 CHD Level 2 certification 

Level 2 certification is the expected level at which routine practitioners can undertake CMR CHD 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 CHD unit.

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

Any applicant for Level 2 certification in CMR CHD 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 CHD exam
  3. To have spent at least 6 months of full-time training** in CMR under a CMR CHD Level 3 certified expert. Applicants are strongly advised to check the requirements for a Level 3 certified supervisor to ensure that their period of training will be recognised.
  4. To submit a logbook of 150 cases. Up to 15 cases can be from another centre (for instance if the candidate’s training centre does not have access to complex 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 48-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  5. To have completed 25 hours of CME specifically in CMR (please see details regarding acceptable CME/CPD)
  6. 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 CHD 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 48-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 CHD Level 3 certification

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

As mentioned above, it is envisaged that the majority of practitioners in CMR CHD 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 CHD.

Any applicant for Level 3 certification in CMR CHD 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 CHD exam
  3. To have spent at least 12 months of full-time training** in CMR under a CMR CHD Level 3 certified expert. Applicants are strongly advised to check the requirements for a Level 3 certified supervisor to ensure that their period of training will be recognised.
  4. To submit a logbook of 300 cases. Up to 30 cases can be from another centre (for instance if the candidate’s training centre does not have access to complex 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 48-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  5. To have completed 50 hours of CME specifically in CMR (please see details regarding acceptable CME/CPD)
  6. 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 CHD 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 6 months’ continuous full-time training in CMR or the equivalent length of time if split into separate periods of training (within a maximum 48-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 CHD Alternate Level 2 certification 

  1. To be a qualified physician with current valid registration
  2. To have passed the ESC/EACVI CMR CHD exam
  3. To submit a logbook of 300 cases. Up to 15 cases can be from another centre (for instance if the candidate’s training centre does not have access to complex 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 48-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  4. To have completed 50 hours of CME specifically in CMR (please see details regarding acceptable CME/CPD)
  5. To submit the required supporting evidence and documentation including a letter of support for certification from the head of the candidate’s department – congenital cardiology/ congenital cardiothoracic surgery/ radiology.

Application for EACVI CMR CHD Alternate Level 3 certification 

  1. To be a qualified physician with current valid registration
  2. To have passed the ESC/EACVI CMR CHD exam
  3. To submit a logbook of 600 cases. Up to 30 cases can be from another centre (for instance if the candidate’s training centre does not have access to complex 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 48-month window (from a maximum of two years before up to two years after the date of sitting the exam).
  4. To have completed 50 hours of CME specifically in CMR (please see details regarding acceptable CME/CPD)
  5. To provide evidence of peer recognition, with one of the following requirements:
    1. Three 1st or last author original research articles on CMR CHD (Section 2 of the syllabus)
    2. Three presentations on CMR in CHD (Section 2 of the syllabus) at ESC/ AEPC/ SCMR endorsed meetings
    3. Combination of three articles and presentations that satisfy the criteria (1) and (2)
  6. To submit the required supporting evidence and documentation including a letter of support for certification from the head of the candidate’s department – congenital cardiology/ congenital cardiothoracic surgery/ radiology.

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

 

Level 2

Level 3

Alternate Level 2

Alternate Level 3

Registered physician

 Required

Required 

Required

Required

EACVI CMR exam pass

 Required

Required

Required 

Required

Level 2 certification

 N/A

N/A 

N/A

N/A

Full-time training – at least

 6 months

12 months 

N/A

N/A

Logbook cases number

 150

300 

300

600

Max. normal cases

 None

None

None

None

Max. from courses / teaching files

 10%

10% 

5% 

5%

Max. from elsewhere

15

30

15

30

Advanced life support

Not required

Not required

Not required

Not required

CME hours

 25

50 

50

50

Additional requirements

 None

None 

None 

Peer recognition*

Supervisor's declaration

 Yes

Yes 

Letter of support from head of department - congenital cardiology/ congenital cardiothoracic surgery/ radiology

Letter of support from head of department - congenital cardiology/ congenital cardiothoracic surgery/ radiology

 

*Peer recognition – (1) Three 1st or last author original research articles on CHD (Section 2 syllabus); or (2) Three presentations on CMR in CHD (Section 2 of Syllabus) at ESC/ AEPC/ SCMR endorsed meetings; or (3) Combination of three articles and presentations that satisfy criteria (1) and (2)

Definition of a Level 3 CMR CHD certified supervisor

Any current practitioner in CMR CHD who holds active Level 3 CMR CHD certification (from EACVI) 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 EACVI CMR CHD certification
  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 CHD 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.

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

Appealing the logbook

Candidates who fail to the logbook part may raise an appeal to the ESC certification team on the ESC Contact us.

Further evidence may be requested at the discretion of the CMR CHD 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 CHD committee to assist the candidate in demonstrating satisfactory practical competence. The decision of the appeal is made by the committee and is final.

Failing the certification programme will require the candidate to start the whole process from the beginning (exam + logbook). 

Recertification

EACVI CMR CHD 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.

Grandparenting scheme

The grandparenting scheme will be offered for individuals who are established practitioners in the field of CMR in congenital and paediatric heart disease wishing to achieve level 3 certification.

The grandparenting route will require a combination of clinical experience and either evidence of education within the field of CMR in congenital and paediatric heart disease or a proven research record in the field. The examination board will also accept a combination of research and education.

Grandparenting requirements

The following documents will be required. Please note all the documents need to be in English:

  1. Cover Letter
  2. CV
  3. Grandparenting application form

Individuals must be able to demonstrate the following:

  1. Clinical experience: 5 years or more practice of CMR in congenital and paediatric heart disease. Including the performance of greater than 1000 cases in this area. The caseload should reflect the proportions in the logbook required for standard Level 3 certification, including complex congenital heart disease. The board reserves the right to request to see logbooks for governance purposes.
  2. CME: 15 hours/ year average CME over the period of practice.

and either

  • Education: Presentation of 5 or more invited talks at CME-accredited conferences either national or international; or EACVI/ SCMR or national society endorsed courses in the field of CMR in congenital and paediatric heart disease. At least 2 of the 5 talks should be international.

or

  • Research: Publication of 5 or more (1st or last author) original research articles in peer-reviewed journals in the field of CMR in congenital and paediatric heart disease.

or

  • A combination of 5 presentations and publications total that satisfy the criteria outlined in A) Education or B) Research. At least 1 of these talks used to satisfy the “Education’ criteria should be international.

The recommendations of the review panel with regard to grandparenting are final, and no correspondence will be entered into following decisions.

Registration Fees

Fees Type Online Fees
EACVI Standard and Regular Member €100
EACVI Silver Member €75*

 

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

Certified Individuals in CMR in congenital and paediatric heart disease

Congratulations to all those who have achieved certification Level 2 and Level 3 in Cardiovascular Magnetic Resonance CHD with the EACVI.

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

Please click here to view the list of:

Professionals who are certified by the EACVI in CMR CHD.