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ESHNR Diploma

European Board in Head and Neck Radiology Diploma

1. Aim(s) and target group

The diploma first introduced by the European Society of Head and Neck Radiology (ESHNR) in 2009 is the common European qualification for head and neck radiology specialists and standardises training and expertise in head and neck imaging subspecialisation across Europe. The European Board in Head and Neck Radiology (EBiHNR) Diploma is endorsed by the European Society of Radiology (ESR), as well as by some national radiological societies.
The EBiHNR Diploma is a document certifying in-depth knowledge of the pertinent anatomy, pathology, clinical-radiologic and imaging-related issues in the field of head and neck and maxillo-facial radiology as defined in Appendix 1, going beyond the requirements included in the Revised European Training Charter for Clinical Radiology (European Diploma in Radiology, EDiR).
This diploma represents a recognised qualification in head and neck imaging subspecialisation and assists head and neck imagers in the promotion of their skills and experience when dealing with other clinical colleagues and with the general public.

The candidates are fully-trained, licensed and practicing radiologists
•    who have completed at least 5 years of general radiology training and
•    have a nationally recognised European radiology qualification diploma, the equivalent of an European radiology diploma or the EDiR.

CLICK HERE TO DOWNLOAD THE FULL DIPLOMA OUTLINE

2. Fee structure

Handling Fee Regular Examination:

•    400,00€ ESHNR Members
•    800,00€ ESHNR Corresponding Members

In case a candidate does not pass the EBiHNR Diploma, the candidate may apply one year later again, in order to re-take the examination. No reduced fee for re-examination will be granted.

3. Eligibility criteria

Eligible for the European Board in Head and Neck Radiology (EBiHNR) Diploma are radiologists who have:

•    have completed at least 5 years of general radiology training and have a European radiology qualification diploma or the equivalent of a European radiology diploma
•    fulfil the criteria of the Level III subspecialty curriculum in head and neck radiology as outlined in the official ESR training curriculum booklet
•    can provide proof of at least 100 hours of postgraduate teaching as outlined in Appendix 2
•    are members of the ESHNR and ESR
•    no restriction on nationality and country of training

4. Requirements

Step 1

  • Acquired a total amount of at least 100 points either/or by:
    ▪ Attending different national or international meetings and courses (should cover 5 of 8 sub-fields of the head and neck as described in the Appendix 1).
    ▪ Attended at least one annual meeting of the ESHNR
    ▪ Presenting a paper or a poster at the ESHNR meeting or by publishing a paper in a peer-reviewed journal as first author, second author or last author (a maximum of 60 points may be granted)
    ▪ Attended the ESHNR-ESOR Exchange Fellowship Programme (100 points)
  • Fulfil the eligibility criteria
  • Application form and requested documents provided to the ESHNR Office
  • Payment of the application fee (400,00,€ active members, 800,00€ corresponding members)

Required documents for the Diploma:
•    Curriculum Vitae
•    Copy of the diploma certifying that the applicant is a medical doctor
•    Copy of the diploma certifying that the applicant has a European radiology qualification diploma or the equivalent of a European radiology diploma
•    Letter of certification of the Chairman of the Department where the trainee comes from
•    Copy of the certificate of attendance of one annual meeting of the ESHNR
•    Copy of the certificate of attendance of all meetings, courses, exchange programs or presented posters/ oral presentations as well as published papers

Step 2
Attribution of European Board in Head and Neck Radiology diploma will be decided upon by the Educational Board of the ESHNR depending on the results obtained in the written and oral examination and will be validated by the Executive Committee of the ESHNR once the candidate has fulfilled all above-mentioned criteria.
The European Board in Head and Neck Radiology Examination takes place twice per year. The first examination session is in March at the ECR in Vienna and the second session takes place at the annual meeting of the ESHNR. The examination includes a written and an oral part (see below). The candidate must pass both parts (oral and written).

 

5. Examination structure

The examination consists of a written and oral part. Both parts have to be passed with at least 70% correct answers for the written exam and at least 2 out of 3 well-solved oral cases, respectively. The detailed instructions for the examination are included in Appendix 3.
The candidates will be examined by head and neck radiology experts nominated by the Educational Committee of the ESHNR.

Written exam
•    Four types of questions:
………– multiple choice questions,
………– normal / normal variant versus abnormal
………– annotate the structures questions
………– short clinical cases
•    The written exam lasts 75 minutes
•    The topics that will be examined include normal anatomy, imaging techniques and pathologic conditions involving the :
………– petrous bone, the skull base and cranial nerves,
………– orbit and visual pathways
………– sinuses, the face and the deep spaces of the suprahyoid neck
………– oral cavity, the pharynx and the larynx,
………– the neck, including lymph nodes and its vasculature and the deep spaces of the infrahyoid neck
………– the salivary glands
………– the mandible and temporomandibular joints
………– the thyroid gland and the parathyroid glands, the thoracic inlet and the brachial plexus

Oral exam
– 45 minutes oral examination in the English language (exceptions mentioned below)
– 3 cases will be presented to each candidate (15 minutes per case)

The candidate is expected to be able to describe the relevant findings and discuss them with the examiners, provide a differential diagnosis and discuss possible treatment options or further diagnostic tests. The most important part of the oral examination is that the candidate shows that he/ she is able to analyse the case appropriately and provide a suitable differential diagnosis.

6. Terminology

Successful candidates will be awarded the European Board of Head and Neck Radiology (EBiHNR) Diploma.

7. Application for the diploma

To apply for the diploma, the application form has to be filled out and returned to the ESHNR Office for approval by the Educational Committee. The ESHNR Office will confirm the receipt of the application and all required additional information once received.

The next European Board in Head and Neck Radiology Diploma examination will take place during the ECR 2018 Congress in Vienna/AT
We kindly ask you to send the completed application form together with the other required documents via email to office@eshnr.eu.
Deadline for applications: January 15, 2018

 

Appendix 1

The anatomic areas covered by head and neck radiology include:

  1. the petrous bone, the skull base and cranial nerves,
  2. the orbit and visual pathways
  3. the sinuses, the face and the deep spaces of the suprahyoid neck
  4. the oral cavity, the pharynx and the larynx,
  5. the neck, including lymph nodes and its vasculature and the deep spaces of the infrahyoid neck
  6. the salivary glands
  7. the mandible and temporomandibular joints
  8. the thyroid gland and the parathyroid glands, the thoracic inlet and the brachial plexus

 

Appendix 2

Courses and meetings recognized by the Educational Board of the ESHNR in view of the European Board in Head and Neck Radiology Diploma (non-exhaustive list)*
* for other courses not on the list, the candidates should address their enquiry to the ESHNR office
All courses recognized for the diploma are organized or co-organized by active and internationally recognized members of the ESHNR.
All courses are accredited by the UEMS and/ or by the national radiological societies.
For meetings and courses that deal only in part with head and neck radiology, only the lectures on head and neck topics are recognized for the curriculum.
For all ongoing courses of the respective calendar year, the organizer of the course makes sure that the detailed course program is available via links from the website of the society for on line consultation.
One course hour = 1 point. A total of at least 100 points are required for the diploma. All or only part of the necessary 100 points may be acquired by attending the below specified courses. Certificates of attendance are required for documentation.

Annual courses and meetings:

•    Annual meeting and refresher course of the ESHNR: 20 – 25 points
•    ERASMUS Course on Head and Neck (course coordinator JW Casselman): 32 points
•    Advanced Head and Neck MR Imaging organised by the ESMRMB (course coordinator R Maroldi): 18 points
•    Refresher Courses of the ECR in Vienna: 6.5 points
•    DIU ORL in Paris organised by the CIREOL (course coordinator, P. Halimi, French): 100 points
•    Symposia of the CIREOL (twice per year, French): about 6 points per meeting
•    BSHNI Annual Meeting: about 5-10 points (depending on programme)

Other courses and meetings:

•    GALEN Advanced Course ESOR: Head and Neck Cross-Sectional Imaging
•    Leuven Course on Ear Imaging
•    Leuven Course on Head and Neck Cancer Imaging
•    Leuven Course From symptoms to Diagnosis
•    HNO Radiology: Part I Face (organised by the AG Kopf-Hals Diagnostik, course coordinator S. Kösling, German)
•    HNO Radiology: Part II Temporal bone (organised by the AG Kopf-Hals Diagnostik, course coordinator S. Kösling, German)
•    HNO Radiology: Part III Neck (organised by the AG Kopf-Hals Diagnostik, course coordinator S. Kösling, German)
•    International Diagnostic Course Davos: Diseases of the Brain, Head and Neck and Spine
•    Course on Larynx/pharynx in Paris
•    MRI in otorhinolaryngology in Strasbourg
•    Imaging of the ear in Strasbourg
•    Swiss Forum Head and Neck Diagnostics
•    Sandwichcursus Neuro- en Hoofd-Hals Radiologie
•    London Petrous Temporal bone Imaging Course 

Appendix 3

Practical information for candidates taking the diploma examination

This examination for the EBiHNR Diploma will take place twice, namely at the ECR in Vienna and at the annual meeting of the ESHNR at the respective congress venue.

The examination includes two parts:

  • a written examination of 75 minutes and
  • an oral examination of 45 minutes

All candidates will be notified about the results of the examination at the latest 7 days after the examination. The candidates who have passed the examination and who are ESR members will receive the European Board in Head and Neck Radiology Diploma document by regular mail. All candidates who have passed the examination will also receive the Fellowship award of the ESHNR at the Gala evening of the society during the awards ceremony of the annual meeting.

All candidates are asked to make sure that the following fees have been paid prior to the exam:

  • the examination fee
  • the annual ESHNR membership fee (both payments to the bank account of the ESHNR)
  • the annual ESR fee.

The topics that will be examined include normal anatomy, imaging techniques and pathologic conditions involving the:

  1. the petrous bone, the skull base and cranial nerves,
  2. the orbit and visual pathways
  3. the sinuses, the face and the deep spaces of the suprahyoid neck
  4. the oral cavity, the pharynx and the larynx,
  5. the neck, including lymph nodes and its vasculature and the deep spaces of the infrahyoid neck
  6. the salivary glands
  7. the mandible and temporomandibular joints
  8. the thyroid gland and the parathyroid glands, the thoracic inlet and the brachial plexus

Examples of questions are given in the Diploma Outline PDF
CLICK HERE TO DOWNLOAD THE FULL DIPLOMA OUTLINE