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

The first certification exam in CMR in congenital and paediatric heart disease will be held on 31 January 2018 in Barcelona, Spain, during CMR 2018 - the joint EuroCMR/SCMR meeting.

Registration is now open.

 

 

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.

What are the benefits to individuals of obtaining a European certification in cardiovascular magnetic resonance 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 trainees in CMR in congenital and paediatric heart disease the opportunity to test their knowledge against an internationally set standard.

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.

Levels of certification

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.

The European CMR exam board

  • Oliver Tann - Chair (London, UK)
  • Philipp Beerbaum (Hannover, Germany)
  • Lars Grosse-Wortmann (Toronto, Canada)
  • 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)

Certification requirements

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

Pre-requisites

The applying candidate must:

  • be a physician
  • have sat and passed the European CMR in congenital and paediatric heart disease exam
  • have spent at least 6 (level 2) or 12 (level 3) months under the supervision of a level 3 (European CMR in congenital and paediatric heart disease) certified expert
  • have access to paediatric/ adult resuscitation teams as appropriate for the age of the patient being investigated. Note: This is a different requirement to that in the adult CMR certification process and reflects the infrequency of stress imaging in this area.
  • have done 30 (level 2) or 50 (level 3) hours of CME specifically to CMR

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.

Theoretical part  (examination)

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.

Practical part (on-site training & logbook)

Candidates must:

  1. Spend a minimum amount of time working under the supervision of a level 3 (European CMR in congenital and paediatric heart disease) certified expert: 6 months (Level 2), 12 months (Level 3).
  2. Submit a Logbook of 150 (Level 2) or 300 (Level 3) cases. 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.
  3. Include supporting information in their submission

All supporting information is listed in the checklist.

Continued Medical Training (CME) points

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).

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 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.

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 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:

  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/ Radiologist with 5 years CMR experience in congenital and paediatric heart disease but no formal certification in this area'
  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

Candidates must sit and pass the written CMR exam

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

Practical Part

  1. Gather the documents required: Check List of documents needed to submit
  2. Submit the required documents via the submission link

After the successful completion of the written exam, this link is received.

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 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.

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.

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 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.

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 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.

Appeals

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 Euros

Exam registration

The certification exam in CMR/CHD will be held during the CMR Congress 2018 in Barcelona, Spain on 31 January 2018.

Registration is now open.

Register now

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

Please read the Registration Conditions.

Registration fees ( in Euros)

 

Fees Types Online Fees (until seats sold out/1 week before exam date)
Standard/EACVI Regular and Ivory Member  450 EUROS
 EACVI Silver and Gold Member  350 EUR*

 

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

CMR exam process

Set-up of the European CMR exam

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.

Before the exam

  • The candidate is required to come to the Certification registration desk at least 30 minutes before the start of the examination in order to sign the registration sheet.
  • The candidate is requested to bring and present a photo ID document to confirm their identity for the exam.
  • The candidate will only be allowed to enter the exam room 5 minutes before the examination begins.
  • The candidate is not allowed to have any electronic devices with them and no other material.
  • Exam organisers cannot be held liable for any loss of valuables.
  • Sheets of paper and pencils for notes are provided. All paper used must remain in the examination room and cannot be removed.

During the exam

  • Candidates who have been identified by the invigilators as disturbing the exam or cheating will be dismissed and will fail the exam.
  • If candidates need to go to the bathroom, candidates need to raise their arms to get the invigilators attention. Invigilators will keep the Photo ID during such breaks and candidates will have to sign in and out. Pockets will be checked when leaving and returning to the exam room.
  • There is no official break during the exam

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.

After the exam

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.

Logbook requirements

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)

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 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:

  • 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 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.

Further logbook credentials

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

Re-certification

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.

 

CME

Cases

Level 2

10 CPD per year in CMR

100

Level 3

10 CPD per year in CMR

150

Grandparenting scheme

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

  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. 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.

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.

Certified Individuals in CMR in congenital and paediatric heart disease

Find below the list of professionals who are certified by the EACVI in CMR CHD.

List of EACVI CHD CMR certified individuals