|TTE Performed||TTE Interpreted||TEE||Stress Echo Interpretation|
EACVI TTE certification involves a written examination and a logbook of 250 cases. EACVI TEE certification involves a written examination, a logbook of 75 cases (125 in the absence of TTE certification), and submission of 6 special cases with images, videos, and details of the report. In the United States, level II is required for independent interpretation of echocardiography. Level I (and level II) can be achieved during a standard 3-year cardiology fellowship program in the United States. Level III usually needs further training. In the European Union, level III is defined as ability to independently perform the procedure. Basic level is archived during general cardiology training. Advanced level requires further subspecialty training in echocardiography.
AUS = Australia; EACVI = European Association of Cardiovascular Imaging; EU = European Union; TEE = transesophageal echocardiography; TTE = transthoracic echocardiography; US = United States.
↵∗ Further 50 TEE is preferred for competency in TEE. Training in intraoperative TEE requires 100 more examinations. There are currently no guidelines for echocardiography training in interventional procedures.
↵† 125 cases needed in the absence of TTE certification.
↵‡ Level III includes stress echo in valvular heart disease, hypertrophic cardiomyopathy, myocardial viability, and pulmonary hypertension.