The ESPEN Diploma provides recognition of skills and competences in Clinical Nutrition to the owner of the Diploma and it has all the prestige of ESPEN.
Candidates to the ESPEN Diploma need to collect the number of required CME credits and pass the Final Exam.

Mandatory pre-requisites for taking the final examination

120 CME credits are necessary to sit for the final exam.
A minimum of 56 credits (14 live courses) from live courses and 64 credits from online courses are requested. The earned credits are verified with the certificates issued for live courses and from individual online profile.
The final exam, if passed, awards the additional 30 credits.

There are mandatory topics for the credits earned at Live courses:
Topic 3, Topic 8, Topic 9, Topic 17, Topic 18, and
Mandatory On-line courses:
Topic 1, Topic 6, Topic 20 and Topic 23.

Note: If more than 16 topics have been covered, the student has the right to select 16 topics on which he/she would prefer being tested for the final exam. This information should be sent with the application.

We kindly remind you to check your credits online on LLL Web Portal (
If you are unsure that your credits have been lost, please send us the documents related to the specific topic undertaken with the application.


The exam is organized annually at ESPEN Congress and on designated locations under approval by LLL Board.
The deadline for application for Final Exam is two months before the scheduled Final Exam. After this time no application will be accepted.

If an applicant fulfils the prerequisites, he/she has to write an intent letter to the LLL co-director Regina Komsa-Penkova, informing about the intention to sit for the exam and providing a summary of the accumulated credits.
Credits earned by successful completion of the live courses will be certified by the certificates issued at the end of the live courses. Credits earned by online activity will be verified by checking applicant's individual online account.
Thereafter, the LLL Board will respond to the applicants' request after checking from the applicant personal profile on the web portal, and confirm or deny the applicants' request.
The fee for final LLL exam is 100 Euro. The payment should be made to the organizers of the event, where the Final Exam takes place, before sitting the Exam.

Format of the Exam

Each applicant authorized to sit at the exam will be given an individual test containing 100 multiple choice questions, according to the Courses he/she has taken and are registered in his/her individual credits profile at LLL WEBPortal. The multiple-choice questions have only one right answer from four available.
The examinee must have a minimum of 80% of the correct answers.
The duration of exam is 3 hours, without any break.

Note: Any form of electronic device (e.g. cellular phones, tablets, etc.) are prohibited inside the exam hall.

The ESPEN Diploma in Clinical Nutrition and Metabolism is awarded after successful accumulation of a total of 150 credits.
A European Diploma Supplement, mentioning the activities of the student on the web-portal during the entire LLL program, is given together with Diploma.

The ESPEN Diploma recognizes the knowledge and competences in Clinical Nutrition of the owner of the Diploma and it has all the prestige of ESPEN. This Diploma can be considered as an endorsement by ESPEN, but it is not an equivalent of a formal degree recognized by a Ministry of Education of any country. For professional career development the Diploma has the weight that employers want to give it.


Prof. André van Gossum

ESPEN LLL - Directorate:
Prof. Alessandro Laviano
Prof. Remy Meier
Prof. Regina Komsa-Penkova


April 2018