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COVID-19 and Cardiology Read more

EACVI Adult Transoesophageal Echocardiography (TOE) Certification

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

With the spread of COVID-19 around the world and the necessity for healthcare professionals to deal with the epidemic in their hospitals, we have taken the decision to postpone the EACVI Adult Transoesophageal Echocardiography (TOE) Certification exam scheduled on 28 June in Leipzig (during the EACTA Echo Course 2020), and hold it later in the year, in December during EACVI 2020.

The registration period will open three months prior to the exam date.

Results of the 2019 written exam taken in Vienna on 6 December have been sent to participants through the email addresses registered on their My ESC accounts. 


COVID-19 (coronavirus)

These are unprecedented times and we can imagine how busy you are coping with COVID-19. Therefore we are extending the submission deadlines by six months for all logbooks. However, please feel free to submit them at any time before that if you wish.

No action is required from candidates. The new deadline will be indicated on the logbook submission webpage.

N.B. Under these circumstances, logbook graders may also be unusually busy and there may be substantial delays in receiving your logbook grading. Thank you for your understanding.

Our heartfelt best wishes go out to you and your patients.


Upcoming Exam

The next exam will be held in December during EACVI 2020. Dates to be confirmed.

 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 unsupervised individual's ability to perform, interpret, and report routine transoesophageal echocardiographic studies.
  • Certification in TOE is not a compulsory or regulatory certificate of competence or excellence. The right to report and sign clinical studies in individual countries is 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 fulfill the steps below:

  1. First: theoretical part delivered on iPads must be passed successfully before going to the second part.
  2. Second: practical part delivered via an e-logbook containing 125 clinical cases, or 75 if the candidate 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 the EuroEcho congress

This multiple-choice, English-language examination is divided into two sections and delivered on tablets with candidates required to select the best answer out of five possible choices:

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

The written examination is 5 hours, 30 hours. including a 20-minute 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 by the TOE subcommittee 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 present a document with photo ID to confirm their identity.
  • Candidates are kindly asked to bring a calculator rather than a mobile phone with calculator applications – which is forbidden.

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


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

Appealing the exam
  • On exam day, in case of an 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. Under no circumstances will you  be entitled to a refund of fees or to damages.

  • After having received your results:

If you believe that an incorrect result has been awarded to you, you may lodge an appeal within eight days of receiving your scores by sending an official letter to the ESC exam administration via the ESC contact us form. The result of such appeal may be a higher grade, a lower grade, or no grade change. Under no circumstances will you be entitled to a refund of fees or to damages.

Appeal process:

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

The reply from the 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 six 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.

The registration period 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 congress 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 six 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



2nd Resit €100****

*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 up to 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 Fellows.

***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.

****This fee will apply only if it is the candidate's third attempt at the exam and the second resit in the last five years (i.e. since your first exam attempt). In all other cases, the resit fee will apply if the candidate failed  the exam once or failed to logbook in the last five years.

If candidates are not in this five-year restrictive period, the full price will apply.

Registration requirements

NEW: Before paying, candidates have to complete a questionnaire where they must declare the name of 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 the 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 My ESC profile is updated and ensure that no third-party email address is linked to your registration). 

Cancellation policy and 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%
 4–6 weeks (before exam) 50%
Within 4 weeks 0%
No show 0%


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

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

Should a candidate not attend the edxam 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 for the exam, each candidate waives his/her rights to claim any compensation from 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.

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


Exam preparation

1. Follow the suggested publications list.

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

3. Use 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 candidates receive their exam results. 
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 as to 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's letter documenting and reviewing the training studies undertaken by the candidate must be included.  
  • A 125-case summary sheet assessed and signed by candidate's supervisor – or 75 if  they hold a certification in TTE – must be included. 
    • Cases can be collected from one year before to one 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 they may be requested by the EACVI graders and/or by the 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 include the first page signed by your supervisor.
  • Echocardiography guide or perioperative guide, depending on the lab where you work (i.e. echo labs or perioperative labs).
    • Special cases with detailed original reports, images and media. 
    • The six cases must be anonymous: no patient name or candidate name should be visible. Nevertheless, others details such as the age and the sex of the patient are important for the sake of  precision. 
    • All these cases must be have been performed by the candidate and accompanied by the original clinical reports that the candidate wrote in their place of practice.
    • There should be 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 – i.e whether the report matches the uploaded images, and whether there are any errors of interpretation or omission. 

The e-logbook can be submitted in one of the available languages (please refer to the list below).  All cases will be sent to three 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 e-logbook. For example, if most of the e-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 e-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 e-logbook submission and cannot be granted afterwards. All requests should be directed to the certification office through the contact us form.

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 (e-logbook section after having passed the exam) may raise an appeal to the EACVI Certification Team. Please contact us

The appeal procedure for the reevaluation 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 successfully complete the certification process are awarded a five-year certification.

To retain the respective certifications, candidates must apply for recertification from  six months before to six months after the certification expiry date.

During this time window, candidates who are eligible for the recertification will receive an automatic email every three months to apply for recertification. This email is sent to the My ESC email address. All candidates will be reminded as the deadline approaches, but it is the candidate's 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.

Individuals Certified in TOE

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

The EACVI/EACTA certification is valid for five years.

EACVI/EACTA TOE certified individuals.