New Diploma

Diploma in Musculoskeletal Radiology

General Information

The ESR has revised its guidance on the diplomas issued by specialist societies and this has been accepted by the ESSR. Carlo Martinoli led a small working group (Filip Vanhoenacker, Josef Kramer, ESSR Office) to revise the ESSR diploma in light of the new guidance. Their recommendations have been accepted by the Executive of the ESSR. We are grateful to the members of the working group for their hard work.

Outline and knowledge base for the ESSR Diploma (as of March 2015)


* The European Diploma in Musculoskeletal Radiology is acquired in 2 steps.
* The Application Fee is set with EUR 400.00
* Step 2 comprises written and oral components and can be taken on occasion of the ECR in Vienna, AT or at the ESSR Annual Scientific Meeting.
* Only a limited number of candidates can be accepted for step 2 at each meeting. Applications will be accepted on a first come, first served basis – date of receipt of application form! Early application is therefore recommended.
* After the examination for step 2, an examiners meeting will be held. At this meeting, the results of both components of the exam will be added together to produce a total score for the examination for each candidate.
* The scores for each candidate will be reviewed and potential fail candidates will be discussed. At the end of the meeting, a list of pass and fail candidates will be produced and candidates informed accordingly by email.
* Successful candidates will be awarded the European Diploma in Musculoskeletal Radiology.

Please note: the requirements (e.g. logbook, course attendance …) that applicants are asked to complete basically represent a measure of their “post-residency” subspecialty training. Therefore such activities should be done after the period to become a certified radiologist.

Step 1 – Collecting necessary documentation

Step 1

To be a certified radiologist

RIS documentation or Logbook of recorded activities certified by the Dept/MSK head of the institution where the candidate works or participates in a fellowship programme for:

Imaging procedures and reporting (real-life based/from database)
Minimum experience required in five years:
Radiography – 150 examinations (at least 50 examinations each for upper extremity, lower extremity and spine & pelvis)
MR imaging – 120 examinations (at least 40 examination each for upper extremity, lower extremity and spine & pelvis)
Ultrasound – 100 examinations (at least 50 examinations each for upper extremity and lower extremity)
Arthro-MRI – 30 examinations (incl. the shoulder and a minimum of 2 other joints regardless the respective percentage. The candidate is asked to perform procedures autonomously under supervision)
CT (incl. arthroCT) – 20 examinations (without regional specification)
Interventionals – 15 procedures (regardless body area, kind of procedure and imaging guidance system)

Accreditation of the Institution would be self-assessed. According to the ESR recommendations for Subspecialty Training in Radiology (Level-III), an institution would be considered optimal for teaching based on the following criteria 1) at least 2 MSK staff members in the Dept with teaching functions, 2) appropriateness of equipments, 3) medical library access.

ESSR membership and ESR membership during the full duration of the program.

Educational Courses (Category 1-3) within the term of 5 years
Cat 1
* to attend a minimum of 3 annual meetings of the ESSR in 5 years
* to be the first author on at least one scientific presentation or exhibit (case reports excl.) at one of these ESSR annual meetings.

Cat 2 Training Modulessee congress calendar
(high quality teaching in one area of MSK imaging, lively interaction between registrants and speakers, promote exchange of ideas and experience amongst registrants from different countries)
* to gain 4 credit points (1 point =min. 14 hrs) within 5 years based on the ESSR list of accredited courses. At least 2 courses need to be undertaken in a country different from that of the candidate domicile.
Radiologists who have undergone a one year MSK radiology fellowship in a recognised center will be exempt from the Cat 2 training modules.
Radiologists who have undergone an (ESOR) Scholarship in MSK Radiology of three months training, will receive one point in Cat 2 training modules.

Cat 3 Refresher Coursessee congress calendar
(based on state of the art reviews in MSK imaging on a national and international level – prior approval by ESSR required)
* to gain 4 credit points (1 point =min. 14 hrs) within 5 years.

Step 2: Examination

Step 2

Once met the requirements from Step 1, the candidate can apply for the diploma and will undergo a final examination at the annual ESSR or ECR Congresses according to the ESR rules.
Please note: an active registration for the respective congress is required to attend the examination.


Written exam
– multiple choice questions (4 answers/1 correct)
– The exam lasts 60 minutes
– Candidates will be tested in all aspects of 1) shoulder; 2) elbow; 3) wrist & hand; 4) hip; 5) knee; 6) ankle & foot

Oral exam
This consists of a 20 minute oral examination by ESSR representatives in English language. The examiners will show each candidate two cases at the workstation. The examiners will test the candidate’s knowledge of all aspects of the cases under discussion.



Next Examination: ESSR 2019 | Lisbon | Thursday, June 27; 14:00
Please consider, selection is done on a first come first served basis. Examination places are limited.
Application deadline – May 1, 2019

Please note that all requested documents need to be submitted before the application deadline.

For your application kindly complete the application form and return it to the ESSR Office for approval by the ESSR Education Committee.
The ESSR Office will confirm the receipt of the candidates application and all required additional information once received. If a candidate cannot provide all entry criteria by the stated deadline his/her registration for the exam will be cancelled. Candidates judged to have satisfied the entry criteria will be eligible to take the examination and informed accordingly by the ESSR Office.

Application Fee … EUR 400.00


Please be informed that diplomas may only be awarded to fully-trained, licensed and practicing radiologists.
Full subspecialisation should only take place after the designated time for radiology residency, which should preferably last no less than five years. For candidates with less than five years of training only: Proof of experience as a supervised staff radiologist is required.



The ESSR Diploma certification has 5 years validity.
If required, renewal will be automatic and free of charge with completion of the following items during the 5 years of Diploma validity:

* attendance at a minimum of 1 annual meeting of the ESSR in 5 years
* 150 CME Points over 5 years from attendance at CME recognised meetings.
– Up to 40 CME points may be achieved by a full paper published in peer-reveiwed indexed journals or a book chapter
– 30 CME for an invited lecture
– 10 CME for any published abstract or EPOS poster

No written/oral exam will be done for renewal.
ESSR and ESR memberships need to be in good standing.
The certification will not be renewed if the above items have not been completed during the 5 years of Diploma validity.