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Adult Transthoracic Echocardiography (TTE) Certification

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

TTE Certification exam will be held on 29 August 2018, during ESC Congress in Munich, Germany.

The registration is open until 18 August.

Upcoming Exam:

Date: 29 August 2018


Messe München GmbH


81823 Munich, DE


07:00am to 08:15am Check-in candidates

08:15am to 08:45am Instruction to candidates

08:45am to 12:35pm Exam

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

About the TTE Exam

The goals of certification are to protect patients from undergoing transthoracic 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 TTE:

  • Certification in TTE 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 transthoracic 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 transthoracic echocardiographic studies unsupervised.
  • Certification in TTE 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 TTE.

Certification process

To obtain Certification, candidates must succeed in both of the below steps: 

First Step: Theoretical part - Delivered on Tablet

Candidates who are successful in the examination will be entitled to proceed with the practical skills assessment.

Second Step: Practical part - eLogbook 

Candidates must submit an eLogbook of 250 transthoracic clinical cases they have performed. 

Theoretical: Delivered on tablet

The theoretical examination is held twice a year in:

  • August - during ESC Congress
  • December - during EuroEcho-Imaging

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

  • Reporting: 50 questions on TTE 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 approximately five hours including a 20 minutes break.

Please 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 TTE 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 need to have answered the pre-exam questionnaire
  • 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 his/her identity.
  • A final invitation letter will be sent approximately 10 days before the exam. Please contact the certification office if you have not received the information before this point.
During the examination
  • There will be a 20-minute break between the two sections.
  • If candidates leave the room before the end of the exam, they will have to sign out and will not be permitted to re-enter the room
  • Once the examination is completed, candidates are allowed to leave the examination room.
Post examination

Results of the written examinations are sent via email two months after the exam.

Please note that there is no appeal process following written exam. The exam sheets are analysed by computers and the results verified and checked by the committee. The results are final and no additional feedback can be provided. 

First Step: Exam

TTE Certification exam will be held 29 August 2018, during ESC Congress in Munich, Germany.

Registration is open until 18 August.

Register now!

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.

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 or Gold Member





Registration for all ESC administered exams closes 10 days prior to the examination with no exceptions.

Please note that you are not permitted to register for this exam if you sat the previous EACVI certification exam less than six months ago.

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

**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 TTE 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 e-mail 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%
4-6 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 visas 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

Recommended readings

There are many excellent books on echo and just some examples are listed below. In addition to those listed, there are many small basic texts which are a useful introduction to the subject.

  • A.E.Weyman, Principles and Practice of Echocardiography, 2nd ed. 1994 Lea & Febiger
  • H.Feigenbaum, Echocardiography, 5th ed.1994 Lea & Febiger
  • Otto C. The Practice of Clinical Echocardiography. 2nd ed. Philadelphia: W. B. Saunders 2002

You can also visit the EACVI educational area.

This section includes information about education-related areas such as:

Frequently Asked Questions:

Please also refer to the FAQs for further general information on the certification process

For any further information, please contact us.

Second step: e-Logbook

Candidates have to submit their logbook electronically (eLogbook). Please note that any document with the candidate's name will be rejected. The logbook will be sent to EACVI graders for review.

The main elements of the logbook are:

  • Signed supervisor letter documenting the training and review of studies undertaken by the candidate. 
  • 250 summary sheet cases assessed by candidate's supervisor
    • Please note that cases must be collected from 1 year before to 1 year after the written exam and must cover only 12 consecutive 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.
  • 6 TTE cases following  EACVI TTE Media Requirements (movies and still images), defined by the Certification Committee.
    • 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. 
    • Several measurements should be included to indicate the workings and outcome of each case. Findings in the report 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 eLogbook can be submitted in one of the available languages:

Available languages




Bulgarian Croatian Danish Dutch
English French German Greek Hungarian
Italian Norwegian Polish Portuguese Romanian
Russian Spanish Swedish Turkish   


* Submitted reports must be accompanied by English translations.
Do remember to select the correct language when submitting your logbook. For example, if some of the logbook is in English but the reports are in Hungarian please select "Hungarian" as the language. 

For candidates who passed the exam before 2017:

Please note that the eLogbook platform works optimally under the following conditions:

  • Use Internet Explorer as your internet browser as the platform is a Microsoft tool and can be sensitive to other browsers.
  • Please ensure that you are not logged onto any other ESC platform at the time of attempting to gain access.
  • Please ensure that all other internet tabs are closed as this can prevent access.
  • Please check that your Firewall will allow access to the platform. You may have to disable it temporarily.
  • Ensure your server is fast enough to support the uploading of media files etc.
  • The platform is not supported by tablet or mobile devices.
  • Please note that if you cannot upload your documents in step 2, please upload them in step 3 with your clinical cases. 

View the e-logbook demo

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 Contact Us

Please note that the reason for an extension must be important and extensions are not granted for minor issues, poor organisation and so on.


Results of the complete certification process are sent by email within three months of submitting the eLogbook.
Failure to comply with any of the above requirements will require the candidate to start the whole process from the beginning.

Appeal Process

Failing the certification programme will require the candidate to start the whole process from the beginning.
Candidates who fail may raise an appeal to the EACVI Certification Committee. 
The appeal procedure for the re-evaluation of a logbook is charged at 100 Euros.

Re-certification Programme

Important! The recertification platform will be temporarily closing and is due for relaunch after Summer. 

Our new platform will offer smoother more user-friendly experience and a faster turn-around time for your applications.  We thank you for your patience and understanding during this period and we look forward to receiving your application after Summer on our brand new platform!

Please note that EACVI Certification in TTE is granted for a period of 5 years.  To retain certification candidates must complete and submit the documentation for recertification submission within six months of expiry of their current certification. We will remind all candidates of these requirements as this deadline approaches although it is your responsibility to ensure your application for recertification is submitted in a timely manner. Please note that late applications will not be considered under any circumstances.

Click here to consult the re-certification requirements.

TTE Graders

Please find here the list of EACVI TTE graders

Certified individuals in TTE

Find below the list of professionals who are certified by the EACVI in TTE.

Discover who they are, where they come from and benefit from their experience!

The EACVI certification is valid for 5 years.

List of EACVI TTE certified individuals (.xls)