European Board in Head and Neck Radiology Diploma

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, 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.

Next diploma examination:

Monday, February 28, 2022

Diploma application deadline:

Sunday, December 12, 2021

Handling fee

– 400,00 EUR: ESHNR Active Members
– 400,00 EUR: ESHNR Corresponding Members

In case a candidate does not pass the EBiHNR Diploma, the candidate may apply later again, in order to re-take the examination.
The regular fee for re-examination applies.


Successful candidates will be awarded the European Board of Head and Neck Radiology Diploma. In addition, they become Fellows of the ESHNR. The Fellow status is valid for as long as the Diploma is valid.

Eligibility criteria

Applicants for the European Board in Head and Neck Radiology Diploma must fulfil the requirements mentioned below and must provide documents as follows (if applicable an English translation must also be provided in addition to original documents):

a) Application form
The completed application form must be submitted to the ESHNR Office.

b) Training in radiology
The training of candidates has to be in line with previously established basic principles of radiology training as laid out in the ESR European Training Curriculum for Radiology (Level I and II). Applicants have to prove at least five years of national training in radiology. A certificate of completed training needs to be provided.

Subspecialisation should take place after the designated time for radiology residency.
In exceptional cases, partial subspecialisation may already start within the years of differentiation (e.g. UK / NL). For candidates with less than five years of training, a proof of experience, as a supervised radiologist is required.

c) Subspecialty training
At least two years of subspecialty training or equivalent experience, following radiology certification, is required. Maximum one year of subspecialty training can be done before board certification. A signed letter from the head of department/programme director has to be provided.

The level of knowledge requested from candidates has to correspond to the curricular contents for full subspecialisation in the field of radiology provided by the ESR European Training Curriculum for Subspecialisation in Radiology (Level III).

d) Proof of practice
Diplomas may only be awarded to fully trained, licensed, and practicing radiologists. Specialists from other fields and radiologists no longer in practice are specifically excluded from being granted the ESR-endorsed ESHNR diploma. For the purposes of this requirement, a proof of practice has to be provided.

e) RIS documentation/Logbook
RIS documentation or logbook with a total record of the candidate’s experience in head and neck radiology countersigned by the candidate’s programme director (at least two years of subspecialty clinical practice/training certified by the programme director are required).

f) Letter of support
A letter of support from the head of department/programme director is required.

g) CME credits
At least 100 CME credits in head and neck radiology events and/or activities, recognised by ESHNR, are required. The list of events and activities providing CME credits is updated regularly on the ESHNR webpage. Appendix 1 and Appendix 2 include an overview of events and activities providing credits recognised for the diploma.
Among these events and activities, 40 CME credits have to be collected from 2 annual ESHNR meetings (in view of Covid 19, the annual online ESHNR teaching weeks replace the annual meeting).
ESHNR recommends attending its webinars to get continuous education, CME credits and training for the diploma (list in Appendix). Furthermore, attending the annual ESR meetings and using the online resources of the ESR is strongly encouraged.

h) Curriculum vitae
A curriculum vitae (CV) has to be provided.

i) ESHNR and ESR membership
Applicants have to be active full or corresponding radiologist members in good standing of ESHNR and ESR, in the year(s) of application and examination.

Examination structure (onsite exam)

Examination structure (onsite exam)

The examination consists of a written and oral part. Both parts must 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 lasts 75-minute and includes four types of questions:
– Multiple choice questions,
– Normal / normal variant versus abnormal
– Annotate the structures questions
– Short clinical cases

The oral exam lasts 45-minute oral examination and includes:
– 3 cases (15 minutes / 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.

Examination structure (online exam)

Examination structure (online exam)

The content and the degree of difficulty is the same as for the traditional written and oral examination. The online-only examination includes a 60-minute oral examination on various pathologies in the head and neck combining features of the traditional written and oral examinations as outlined above. In order to pass, the candidate needs to successfully solve 3 out of a total of 4 cases (a case is considered as failed if the candidate obtains <10/16 points, i.e., 62.5% of the maximum achievable points per case). In addition, he/she has to obtain an overall total score >52% of the total number of achievable points for all 4 cases together (i.e., >33/64 points), these points being based on pre-formulated questions regarding pathophysiology, treatment options, current guidelines, as well as on the knowledge, skills and competences shown by the examinee during the examination. As for the traditional examination, an observer is present throughout the examination in addition to the examiners.

Application steps

Step 1: Fulfil the eligibility criteria

Please check if you fulfil all eligibility criteria. Only if you can prove all requirements, your application will be received and evaluated.

Step 2: Send the completed application form and all proofs to the ESHNR Office

If you fulfil the eligibility criteria from Step 1, please complete & sign the application form and send all required documents to the ESHNR Office. The Office will do a pre-check of your documents. If all documents are received, your application will be included to the evaluation process for the next examination.

Step 3: Pay the handling fee

If your diploma application has been accepted, you are kindly ask you to pay the handling fee. After successful payment your diploma seat is reserved.

Diploma Application

To apply for the diploma, please fill in the application form below and send it together with all necessary documents to the ESHNR Office (office@eshnr.eu).
For your application to be reviewed by the ESHNR Educational Committee, your application needs to be complete and have your documents in an organised manner, properly named and scanned.

CLICK HERE to download the diploma application form.

Validity and renewal

Validity and renewal

The European Board in Head and Neck Radiology Diploma is valid for 5 years.

ESHNR will renew the European Board in Head and Neck Radiology Diploma every five years for full ESHNR and ESR members in good standing, if all renewal requirements are fulfilled. If you would like to renew your diploma, please read the Renewal Guidelines, fill in this Excel sheet and send it together with the necessary proofs to the ESHNR Office (office@eshnr.eu).

Diploma renewal handling fee: 30,00 EUR

Advice: Mentoring Programme

We recommend to join the mentoring programme and apply as mentee to prepare for the diploma examination.
More information is available HERE.