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EACVI Adult Transoesophageal Echocardiography (TOE) Certification

Certification organised by the European Association of Cardiovascular Imaging (EACVI)

Next EACTA EACVI TOE exam will be held 28 June in Leipzig, during EACTA Echo Course 2020.

Registration will open 3 months prior to the exam's date.

Results of the 2019 written exam delivered in Vienna on 6 December have been sent to participants through the email address registered on their MyESC accounts. 

Upcoming Exam

28 June 2020

Next EACTA EACVI TOE exam will be held 28 June in Leipzig during EACTA Echo Course 2020.

More information will be communicated in due time such as exam's venue, schedule.



 *ESC reserves the right to modify the above schedule if needed. Therefore, ESC strongly recommends to plan late return flights


TOE Exam

The goals of certification are to protect patients from undergoing transoesophageal echocardiographic examinations performed by unqualified persons and to set a European standard for competency and excellence in this field.

The benefits from certifying in EACVI TOE:

  • Certification in TOE gives credibility and professional legitimacy to an individual by demonstrating his/her competency on getting this certification.
  • The certification process will identify qualified practitioners of transoesophageal echocardiography and should enhance their professional image.
  • European Certification is designed to test the competency of an individual's ability to perform, interpret, and report routine transoesophageal echocardiographic studies unsupervised.
  • Certification in TOE is not a compulsory or regulatory certificate of competence or excellence. Individuals' rights to report and sign clinical studies in individual countries remain to be defined by National laws and regulations.
  • Sonographers (technicians) and doctors of all disciplines can apply for certification in TOE.

Certification process

To obtain a certification, candidates must succeed in below steps:

  1. First Step: Theoretical part - Delivered on Ipads: Candidates will have to pass this section successfully before going to the second part.
  2. Second Step: Practical part (e-logbook): Candidates must submit a log book of 125 clinical cases (or 75 if he/she holds a valid TTE certification).

Theoretical: Examination on tablet

An examination will be held twice a year in:

  • May/June - during the EACTA Echo Course
  • December - during EuroEcho-Imaging

This examination is delivered on tablets, it is a Multiple Choice Question form (MCQ, select the best answer out of 5 possible choices) divided into two sections:

  • Reporting: 50 questions related to TOE cases with displayed echoes - 1 hour 30 minutes
  • Theory: 75 questions - 1 hour 50 minutes

The examination is in English.

The duration of the written examination is 5:30 hours including a 20 minutes breakPlease note that the schedule can be subject to on-site modification.

To be successful, a candidate must pass both sections of the written exam (reporting and theory). The passing scores for each section are established after each exam within the TOE Sub-Committee, based on statistical performance of individual questions and on the average level of scores taken from the respective examinations.

Before the examination:

  • Candidates are required to come to the Certification registration desk at least 30 minutes before the start of the exam.
  • Candidates are requested to bring and present a photo ID document to confirm their identity.
  • Candidates are kindly asked to bring their calculator (the use of calculator applications on a mobile phone is forbidden).

A final information letter will be sent approximately 1 week before the exam - you will need to contact the certification office if you have not received your information letter by this point.

Post examination:

Results of the written examination are sent by email two months after the exam.

Appealing the exam
  • On the exam day, in case of issue with the scientific content of the exam:

A complaint must be logged on-site with the exam Invigilators. The appeals’ procedure will be recorded only if candidates have filed an official complaint on the day of the exam. In no circumstance you will be entitled to fee refund nor damages.

  • After having received your results:

If you believe that an incorrect result has been awarded to you, you may lodge an appeal by sending to the ESC exam administration an official letter within 8 days of receiving your scores, to the ESC contact us form. The result of such appeal may be a higher grade, a lower grade, or no grade change. In no circumstance you will be entitled to fee refund nor damages.

Appeal process:

The ESC exam administration and relevant certification committee will reply within 4 weeks.

Reply from ESC exam administration and relevant certification committee is final. You agreed to this during the exam registration process by accepting the ESC exam delivery Terms and Conditions. 

Appeals are free of charge.

First step: Exam

If you sat this exam less than 6 months ago we highly encourage you to wait for your results before registering.

The registration for the exam is separate from that of the congress. You do not need to register for the congress to sit the exam.

In order to respect exam room capacity, registrations will be managed on a first come first served basis.
We encourage you to register online as early as possible to guarantee a seat.

Registration for all ESC administered exams closes 10 days prior to the examination with no exceptions.
However, registration may close earlier when the exam room capacity is reached.


Not an EACVI Silver Member yet? Subscribe today and save up to €122**

  1. Become an EACVI Silver Member for €156 (or €78 if you are below 40 years old or in training)
  2. Benefit from the exam registration member fee (€360 instead of €560)
  3. Save up to €122!**
  4. Enjoy all the EACVI Silver Membership benefits including an online subscription to the European Heart Journal - Cardiovascular Imaging (EHJ-CI), unlimited access to EACVI webinars and congresses resources, discounts on EACVI congresses and courses, and much more.  Join and save now** 

** Compared to standard fee for non-members and including the EACVI Silver membership fee

I want to know more about the EACVI Silver Membership.


If you sat this exam less than 6 months ago we highly encourage you to wait for your results before registering.

Please read the Registration Terms and Conditions.

Registration fees (in Euros)       

Fee Types Online Fees
(until seats sold out/10 days before exam date)
Standard/EACVI Regular Member

EACVI Silver Member or

EACTA Member




*To benefit from member fees you must be a validated member before registering for the exam. This fee is only available for Silver members - for further information please go to the membership page. For EACTA members your membership must be valid and in date.

**To benefit from EACVI Fellow fees you must be a validated EACVI Fellowship before registering for the exam. This fee is only available for EACVI Fellow.

***Please note that the resit fee is reserved only for candidates who have sat and failed the exam in the past and cannot be used by candidates under any other circumstances.


Registration requirements

NEW: Before paying, candidates have to complete a questionnaire where they must declare their supervisor and provide information on their training.

Please note that the supervisor does not need to be EACVI certified. Candidates who are looking for a supervisor can refer to the list of certified practitioners.

Registration conditions

Important - Please note that in order to respect the capacity of the examination room, registrations are taken on the basis of first come, first served. We encourage online registration as early as possible to guarantee a seat.

Benefit from reduced exam fees and other advantages! Become an EACVI member.

Payment and general conditions

All registration fees are quoted in Euros (€) and include national applicable VAT. Payment in any other currency will not be accepted. 

Registration fees are based on the date of receipt. The prices indicated are only applicable if BOTH registration form/request and payment are received before the registration deadlines, otherwise, the higher registration fee will be applied.

Registrations will be acknowledged by email upon receipt of payment and a valid candidate email address (make sure your MyESC profile is updated and ensure that no third-party email address is linked to your registration). 

Cancellation policy & conditions

If a participant wishes to cancel his/her registration to the Certification exam he/she should Contact Us

Please take careful note that the cancellation policy on refunds is as follows:

Weeks before exam % Refund
Up to 6 weeks (before exam) 90%
6 - 4 weeks (before exam) 50%
Within 4 weeks 0%
No show 0%


Please note that a 'no show' is NOT considered as a cancellation. If you do not attend the exam without giving forewarning of your absence and without proof of good reason (unforeseen circumstances - such as a death in the family, serious accident of the candidate...) no refund will be allowed.

If there are any queries concerning visa problems please contact us. Please note you are responsible for your visa applications and you must give at least two months preparation time to your respective embassy otherwise it is your concern if the visa is not granted in time.

Should a candidate not attend the Exam, for whatever reasons, no further claims for reimbursement or waiving of fees can be made. Similarly no right to further claims or waiving of fees will arise should the ESC be obliged to alter the Exam proceedings.

By registering to the Exam each candidate waives his/her rights to claim for any compensation toward the ESC. The organiser cannot be held liable for any hindrance or disruption of Exam proceedings arising from political, social or economic events or any other unforeseen incidents beyond their control.

In no event will the ESC be liable for indirect damages or cost.
All candidates are urged to take personal travel insurance.
Registration of a candidate entails acceptance of these conditions.


Exam preparation

1. Following suggested publications list

2. Going on the EACVI Educational area.
This section includes information about education-related areas such as:

3. Using the EACTA e-academy offers

Frequently Asked Questions: Click here for the full FAQs for the TOE exam

Practical Assessment: TOE Logbook

After the successful completion of the written exam, the candidate can proceed with the  Practical Assessment (e-logbook) which must be submitted up to 12 months after the date candidates receive their results of the examination. 
Successful exam candidates will be informed on how to submit their e-logbook along with their results. They will be sent a link and details on which username and password to use.

Please note:  Any document with the candidate's name will be rejected - ensure that ONLY the candidate's number appears on the document. 

Each patient may be present only once in the logbook – It is not allowed to add multiple studies of the same patient.

  • Signed supervisor letter documenting and reviewing the training of studies undertaken by the candidate.  
  • 125 cases summary sheet assessed and signed by candidate's supervisor (or 75 if  they hold certification in TTE). 
    • Cases can be collected from 1 year before to 1 year after the written exam and can cover the full 24 months.
    • Candidates are not asked to submit the full reports for these particular cases - although may be requested by the EACVI Graders and/or EACVI Certification Committee. Thus candidates are asked to keep this information available.
    • If you are having problems with the pdf template please create an excel with exactly the same column titles and use this instead. Don't forget to still include the first page signed by your supervisor
  • Echocardiography Guide or Perioperative Guide depending on the lab you work in (Echo labs or Perioperative labs).
    • Special cases with detailed original reports, images and media. 
    • The 6 cases must be anonymous, no patient name nor candidate name should be visible. Nevertheless, others details as the age and the sex of the patient are important to precise. 
    • All these cases must be performed by the candidate and accompanied by the original clinical reports that the candidate has written in their place of practice.
    • There is a systematic description of the chambers, valves and extra-cardiac structures 
    • Several measurements should be included to indicate the workings and outcome of each case. Findings in the report (for example the severity of valve disease, chamber size or ventricular function) must by supported by relevant measurements and Doppler-derived data.
    • A comprehensive conclusion should be included

Reports are judged on completeness and accuracy. If the report matches the uploaded images, and if there are any errors of interpretation or omission. 

The eLobgook can be submitted in one of the available languages (please refer to the list below).  All cases will be sent to 3 EACVI graders for review.

Available languages        
Arabic Dutch Greek  Polish Serbian
Croatian  English*  Hungarian Portuguese Spanish
Danish  French  Italian Romanian Swedish
German   Norwegian  Russian    
* Submitted reports should be the original clinical ones, but these may be accompanied by English translations which may speed up the grading process
Do remember to select the correct language when submitting your log book. For example, if most of the logbook is in English but the reports are in Italian please submit the language as "Italian".


Extension requests

If a candidate is in need of an extension for their logbook submission date they must request this with a signed letter of explanation from their supervisor. The request must be submitted BEFORE the deadline of their logbook submission and cannot be granted in arrears. All requests should be directed to the certification office through the Contact Us

Please note that reasons for extensions must be reasonable and cannot be granted for instances such as poor organisation and so on.


Results of the complete certification process are sent by email within three months of submitting the e-logbook.

Failure to comply with any of the above requirements will require the candidate to start the whole process from the beginning.

Appeal to the logbook

Candidates who fail the full certification process (logbook section after having passed the exam) may raise an appeal to the EACVI Certification Team. Please Contact Us

The appeal procedure for the re-evaluation of a logbook is free of charge and does not guarantee a pass after this second review. The decision of the appeal is made by the committee and is final.

Failing the certification programme will require the candidate to start the whole process from the beginning.


Candidates who have successfully completed the certification process have been awarded a 5-year certification.

To retain the respective certification candidates must apply for recertification from 6-months before to 6 months after the certification expiration date.

During this time window, candidates who are eligible for the recertification will receive an automatic email every 3 months to apply for recertification. This email is sent on MyESC email address. All candidates will be reminded as the deadline approaches but it is the candidate responsibility to ensure that the recertification is submitted in a timely manner.

Click here to consult the recertification requirements.

TOE Graders

Please find here the list of EACVI TOE graders

Certified individuals in TOE

Find below the list of professionals who are certified by EACVI/EACTA in TOE.
Discover who they are, where they come from and benefit from their experience!

The EACVI/EACTA certification is valid for 5 years.

EACVI/EACTA TOE certified individuals