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European Exam in Core Cardiology (EECC)

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About the European Examination in Core Cardiology (EECC)

The EECC is a joint venture between the European Society of Cardiology (ESC), the Union of European Medical Specialists Cardiology Section (UEMS-CS), the participating National and Affiliated Cardiac Societies and is also supported by independent academic oversight.

The purpose of the EECC is to provide a broad, balanced and up-to-date test of the core cardiology knowledge required by cardiology specialty trainees for independant practice. It is intended to encourage the acquisition of a wide range of knowledge and complement workplace-based assessments as part of a comprehensive cardiology training programme.

The EECC supports best practice by testing evidence-based knowledge from current guidelines and published research aligned to the ESC Core Curriculum for the Cardiologist published in 2020. This is intended to facilitate progressive improvement and harmonisation of cardiology training and clinical practice.

Each participating national society is free to use the exam in the most appropriate way for the cardiology trainees in their training programme. It is recommended that trainees sit the EECC once they have completed core training, and that they have the opportunity to re-sit the exam if they are unsuccessful before the end of their overall training.

EECC 2022

The exam

The exam consists of 120 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

Exam date

The 2022 EECC will take place online with virtual proctoring on 14 June 2022. 

Exam registration

Eligibility for the EECC is determined by individual National and Affiliated Cardiology Societies. If you want to sit the exam, you need to contact your National or Affiliated Cardiology Society to determine whether they are participating in the EECC and how you can register to the exam. 

Registration is strictly restricted to the candidates identified and registered by their National Cardiology Society and is not opened to individuals. 

Exam fee

EECC fee for cardiology trainees are determined by individual National and Affiliated Cardiology Societies. 

Participating National and Affiliated Cardiac Societies

In 2022, 22 National Cardiac Societies and 2 Affiliated Cardiac Societies were participating in the EECC.



Asian Pacific Society of Cardiology



Austrian Society of Cardiology



Bulgarian Society of Cardiology



Cardiac Society of Australia and New Zealand


Cyprus Society of Cardiology



Finnish Society of Cardiology



German Cardiac Society



Hellenic Society of Cardiology



Irish Cardiac Society



Israel Heart Society



Latvian Society of Cardiology



Lithuanian Society of Cardiology



Luxembourg Society of Cardiology



Maltese Cardiac Society



Netherlands Society of Cardiology



Polish Cardiac Society



Portuguese Society of Cardiology


Russian Federation (temporarily suspended)

Russian Society of Cardiology



Spanish Society of Cardiology



Swedish Society of Cardiology



Swiss Society of Cardiology



Tunisian Society of Cardiology and Cardiovascular Surgery



Turkish Society of Cardiology


United Kingdom of Great Britain and Northern Ireland

British Cardiovascular Society


Exam time slot booking

Once registered by your National or Affiliated Cardiac Society, the ESC team will contact you with your registration details

Please read the registration guide carefully before you book your exam slot. 

IMPORTANT: If you don’t register by the required date, you will be charged a late registration fee by our supplier. If you don’t book your exam slot before the deadline, you will not be able to take the exam and your National or Affiliated Cardiac Society will be informed.

Exam preparation - EECC Preparatory course

The EECC is designed to test a wide range of cardiology knowledge aligned with the ESC core curriculum. There is no single source from which all questions are developed, and candidates are encouraged to read widely, including ESC guidelines, the ESC textbook and practice-changing clinical trials.

The ESC offers an online preparatory course to support candidates in their preparation for the EECC. Access is restricted to candidates who are registered by their National or Affiliated Cardiac Society. 

Access will be granted from April 2022

Exam delivery

The EECC is delivered online by CYIM/ProctorU®. This provides you with the safety and convenience of an online platform, while retaining the integrity and quality of an on-site supervised exam. 

To have a better understanding of what you will experience on the day, please have a look at this video

Equipment and exam room

To take this online examination, your computer equipment must meet the minimum technical requirements

You must use:

  • A Windows or MacOS personal computer on which you have the administrator rights - on the exam day you will be required to download the "LogMeIn Rescue" application. 
  • A personal, preferably wired, internet connection which will be stable, strong and secure

To take such exam, you must be:

  • In a private and quite space
  • In a well-lit room
Technical equipment checks

You must test the equipment you will use for the exam at least a week before the exam date. 

If your equipment doesn't pass the test checks, you are required to contact ProctorU® to receive the appropriate technical support. 

If you don’t complete the technical checks in time, neither the ESC nor CYIM/ProctorU® will be responsible of any technical issues you may face during the exam.

In addition, please note that even if your equipment passes all these tests, there is always a risk that you may experience technical problems on the day of the exam. There are various ways something can change between the check and the exam such as computer updates, downloading new software, internet service provider issues.  

  • Candidates using MacOS computers

If you are planning to take the exam with a MacOS computer, please read the following articles carefully:

  • UK candidates

If you are a UK candidate and your Internet Service provider is 'TalkTalk', please read the following article

Examination description and software

The exam consists of 120 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. Questions may contain text only or have a combination of text only, data interpretation, still images or video clips. 

The duration of the examination is 3 hours with no break.

The examination software includes a calculator, and normal ranges are available. You can review the examination software and its functionality in a tutorial

Online proctored exam rules

Upon registration for the EECC, you are accepting the Online proctoring Examination Terms & Conditions

During the exam:

  • An ID document with photo will be required for identification. 
  • No breaks are allowed. You must be in front of your camera at all times. 
  • Your exam space must be cleared of any unauthorised material: no pen, no paper and no books are allowed. 
  • You must follow proctor's instructions.  

Your entire exam will be recorded by ProctorU® and monitored by a human proctor. You are required to behave in an appropriate manner. 

Suspicious actions are flagged in the online proctored system and will be reported to the ESC.  

If the proctor detects any suspicious activity or movement, he/she may terminate your exam session at any time, your exam will be invalidated and your fee will not be refunded. 

Any irregularity in relation to the ESC Online proctoring Examinations policies and rules above, can lead to sanctions as described in the Online proctoring Examination Terms & Conditions

Technical issues during the exam

If you experience a technical problem during the exam, notify the proctor immediately by speaking to him/her or via the chat. 

If you get disconnected or lose your internet connection, you will automatically be reconnected. Once reconnected, the time lost will be added so that you are not disadvantaged. 

If you are unable to reconnect or speak to the proctor, you can call ProctorU® for assistance. Technical and administrative support is available 24/7 by emailing, by visiting the help center or by calling the numbers on the ProctorU® contact us page.  

You must report any problems during the exam to the proctor and raise a formal incident at the end of the exam. You should also report any problems to your National Society and the ESC. Any issue reported at the time you receive your exam results will not be taken into account.


Exam results

After the exam, each candidate’s performance in the exam, and the statistics for each question are calculated and analysed by an independent psychometrician. This analysis is reviewed by the Chair of the Standard Setting Group. Any question which has not performed as expected, is reviewed by the Standard Setting group. They may decide to recommend excluding some questions from the final calculations. The Chair of the Standard Setting group makes recommendations on the exclusion of questions and the exam pass mark to the EECC Board. These proposals are reviewed at an EECC Board meeting which takes place few weeks after the exam, and a final pass mark is determined. 

Once approved by the EECC Board, results are sent to National and Affiliated Cardiac Societies who are responsible for releasing them to their candidates. 

Under no circumstances will the ESC communicate results directly to candidates. 

Further information

You can find additional information on the EECC procedures on the UEMS website