The first certification exam in CMR in congenital and paediatric heart disease will be held during the CMR 2018 Congress in Barcelona. The joint EuroCMR SCMR meeting.
Registration will open 3 months prior to the event.
The EACVI CMR in congenital and paediatric heart disease section 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.
The aim of this process is to set a European standard for competency in the practice of CMR in congenital and paediatric heart disease for the benefit of patients undergoing these CMR studies. Ultimately, the goal is to develop a standard of training in CMR in congenital and paediatric heart disease that is mutually accepted by national and European authorities and internationally recognised.
Please note: Institutional Accreditation is not currently offered but is planned for the near future.
For preparation of the certification processes see course Syllabus.
Please note: Certification of competency in CMR in congenital and paediatric heart disease by the association is not a compulsory or regulatory certificate and an individual's right to report and sign clinical CMR studies in this area in individual countries remains defined by national laws and regulations.
Certification of competency in CMR in congenital and paediatric heart disease 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 logbook 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. This is the same for Adult Cardiovascular Magnetic Resonance certification. No formal certification process is offered.
Level 2 competency is the level required for an individual wishing to report CMR studies in congenital and paediatric heart disease—with local or remote support from a Level 3 certified individual. Certification of Level 2 competency fulfils the requirement of sub-specialty training in cardiac imaging as set out in the ESC curricula.
Level 3 competency is required for individuals wishing to perform, interpret, and report studies in CMR in congenital and paediatric heart disease fully independently; to lead a CMR laboratory specialising in congenital and paediatric heart disease and to supervise CMR training programmes in an accredited CMR training centre in this specialist area.
Francesca Pluchinotta (Milan, Italy)
Certification in Level 2 and 3 are offered by the ESC - level 1 is not.
European CMR in congenital and paediatric heart disease certification is valid only in conjunction with national and local regulations. On its own it does not constitute the right to report CMR studies in this area. Although European CMR in congenital and paediatric heart disease certification may be obtained during medical training, independent reporting will, in most instances, require completion of medical training
The applying candidate must:
The CMR in congenital and paediatric heart disease certification application must be submitted no later than 2 years after sitting the exam with cases taken from 2 years before up to 2 years after having sat the exam.
The primary pre-requisite to obtain certification at Level 2 or 3 is to have passed the European CMR in congenital and paediatric heart disease exam offered annually.
The exam is currently held on the last day of the annual EuroCMR meeting.
All supporting information is listed in the checklist.
CME points can be obtained from courses endorsed by the EACVI Section CMR (formerly CMR Working Group) or by SCMR.
Any course declared by applicants that is not endorsed by either of these entities will only be accepted under the discretion of reviewers.
Further information on CMR courses offered by the ESC here.
At least one course declared must be entirely dedicated to CMR.
Please note that 50% of the CME points can be self-directed (15 hours level 2 and 25 hours level 3). 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).
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 in congenital and paediatric heart disease.
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.
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 25 (Level 2) or 50 (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 in congenital and paediatric heart disease.
Candidates considering remote supervision should write to the Exam Board with the following information:
The Exam Board will consider each application for remote supervision and reply to the candidates within 4 weeks. The Exam Board may ask for changes to the proposed remote supervision plan and may contact the remote supervisor directly.
After the successful completion of the written exam, this link is received.
Please contact email@example.com if you don't have it.
All documents not in English must be accompanied by a translation.
Online to the ESC Certification Team.
This is done via an online webform 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 in congenital and paediatric heart disease.
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 2-week deadline.
Complete submissions will be reviewed by 2 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 3 months after all documents have been sent for review.
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 to firstname.lastname@example.org. You will then be sent a link to register for the process. Then up to 7 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 5 year period.
Applications need to be received before the Level 2 certificate expires.
All appeals on certification should be directed to email@example.com
Should escalation and further administrative works be needed, the appeal process will be charged at 100 Euros
The exam is in English and tablet computer-based with each candidate having their own tablet computer displaying questions and images.
The examination will consist of 100 multiple choice questions with one single best answer for each question. These questions will be a combination of text only, data interpretation, still images and moving images (movies). Each correct answer will receive one mark. There is no negative marking for incorrect answers.
The exam will last 2 hours and 30 minutes.
No candidate will be permitted to leave early.
Please note: No materials used in the exam can be removed from the exam room. Anyone found cheating will be banned from taking the exam in the future.
Results will be based on a pre-defined pass mark, and will not depend on the results of other candidates taking the test at the same time.
Candidates will be notified by email within 4 to 6 weeks after the exam of their outcome and a given a certificate stating their achievement in the exam if they pass.
The CMR Logbook must be submitted no later than 2 years after sitting the exam with cases taken from a 24-month window. Cases can be acquired in the 2 year period before the exam; in a 2 year period either side of the exam or a 2 year period after the exam.
Along with the other documents that can be found in the checklist for certification, please find:
Logbook template (note there are x4 tabs in this editable excel document)
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.
The anonymised, original CMR studies must be accrued within a 24 month period with cases taken from 2 years before up to 2 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. 1/01/16, 2/01/16....25/12/16 and have the following TOTAL numbers:
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 25 (Level 2) or 50 (Level 3) cases.
The candidate must have been present during the acquisition of at least 75 (Level 2) cases and 150 (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.
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.
The logbook must be submitted no later than 2 years after sitting the exam. If the deadline is not respected, the exam has to be repeated in order to apply for certification.
Supervision: Teaching must take place under the supervision of a Level 3 European CMR in congenital and paediatric heart disease certified individual.
For further information see section above on Supervisor Requirements
Process is not available yet, but is expected to be every 5 years.
It is recommended that following certification individuals maintain their skills through a process of CME in CMR, and acquisition and primary reporting of cases. 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. The caseload should reflect the proportions in the logbook required for initial certification.
10 CPD per year in CMR
A grandparenting scheme will be offered for a 2 year period for individuals 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.
Individuals must be able to demonstrate the following
Find below the list of professionals who are certified by the EACVI in CMR CHD.
List of EACVI CHD CMR certified individuals
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