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Adult Transthoracic Echocardiography (TTE)

The successful completion of the EACVI certification provides formal acknowledgement of excellenece to individuals and a European recognition, governed by a scientific society.

The next certification exam in TTE will be held during the ESC Congress 2017 in Barcelona, Spain, in August.

Registration will be open 3 months before the exam date.

TTE Exam

The benefits from certifying in EACVI TTE

  • 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.
  • Certification in TTE gives credibility and professional legitimacy to an individual by demonstrating his/her competency on gaining this certification.
  • Through the certification process, qualified practitioners of transthoracic echocardiography will be identified and their professional image will be enhanced.
  • This European Certification is designed to test the competency of an individual to be able 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

Obtain your certificate in 2 steps:

First Step: Theoretical part - Delivered on iPad

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. 

To obtain Certification, candidates must succeed in both of the above steps.

Theoretical: Delivered on iPad

The theoretical examination is held twice a year in:

  • September - during the ESC Congress
  • December - during the EuroEcho & other Imaging Modalities Congress

This examination is delivered on iPad, it is a Multiple Choice Question form (MCQ, select the best answer out of 5 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 5 hours including a 20 minutes break.

Please note that the schedule can be subject to on-site modification.

Exam questions example

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.
  • 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. 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 2 months after the exam.

Please note that there is no appeal process. The exam sheets are analysed by computers and the results verified and checked by the committee. The results are final.

Re-certification process

As echocardiography skills can only be maintained by continued education and practical involvement, certification is granted for a period of five years. Afterwards, to remain certified, candidates will have to start the re-certification process demonstrating their continued practice and learning in this field.

Click here to consult the re-certification requirements.

Exam registration

The next certification exam in TTE will be held during the ESC Congress 2017 in Barcelona, Spain, in August.

Registrations will be open 3 months before the exam date.

Please note that you are not permitted to register for this exam if you sat the previous EACVI TTE certification exam less than 6 months ago. If you do, your registration will be cancelled automatically and you will be charged a 10% administration fee.

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 Conditions.

Registration fees (in Euros)

Fee Types Online Fees  (until seats sold out/1 week before exam date)

Standard/EACVI Regular and Ivory Member

450 EUR

EACVI Silver and Gold Member

350 EUR**


200 EUR*

*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.

**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.

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 (xls).

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 email

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 visas problems please Contact us. Please note you are responsible for your visa applications and you must give at least 2 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.

Appeal process

Please note that there is no appeal process following written exam section of the certification process.

The results are final.

No additional feedback can be provided.

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). The main elements of the logbook are:

  • 250 summary sheet case sheet 
  • 6 anonymous TTE studies (including the reports)

All these cases must be performed by the candidate. 

For the 6 cases accompanied by the original reports. Please refer to the EACVI TTE Media Requirements as defined by the Certification Committee for the lists of media (movies and still images) that must be included.

Please note: Cases can be collected from 1 year before to 1 year after the written exam but must cover only 12 consecutive months.

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.

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

* Submitted reports must 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 logbook. For example, if some of the logbook is in English but the reports are in Hungarian please select "Hungarian" as the language.

Report Requirements

These should be the original reports that the candidate has written in their place of practice. Please ensure that you follow these guidelines:

  • no patient name should be visible
  • no candidate name should be visible
  • several measurements should be included to indicate the workings and outcome of each case
  • a comprehensive conclusion should be included

Candidates will need to submit their full, original reports for the 6 particular media cases included in section 3 of the logbook platform.
Reports are judged on completeness and accuracy (i.e. if the report matches the uploaded images, and if there are any errors of interpretation or omission). Findings in the report must by supported by relevant measurements and Doppler-derived data.

Documents to submit with the eLogbook:

Please make sure that ONLY the candidate's number appears on the documents.  Any document with the candidate's name will be rejected:

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.Results of the practical assessment are sent by e-mail within 3 months of submitting the eLogbook.

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.

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.

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 by email:

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 e-mail within 3 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

EACVI Certification in TTE is valid 5 years. 
Certified individuals must show evidence of continuing activity in the field.Thus in order to keep their certification status, all persons who have been certified by the European Association of Echocardiography must apply for re-certification from 6 months before up to 6 months after the 5-year validity expires.
Consult the recertification requirements here.

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)