Sample Letters and Sample Case Log
Use these samples to create letters documenting your training or level of service in either Adult Echocardiography or Perioperative Transesophageal Echocardiography.

To document training or level of service in
Adult Echocardiography

The samples are provided below in their original format and as PDFs. The text of each is the same in both formats.

LETTERS FOR INITIAL CERTIFICATION (ASCeXAM Certification)

For physicians who completed fellowship after July 1, 2004: PDF | Word format

For physicians who completed fellowship prior to July 1, 2004 and work in a hospital setting: PDF | Word format

For physicians who completed fellowship prior to July 1, 2004 and are in private practice: PDF | Word format

LETTERS FOR RECERTIFICATION (ReASCE Recertification)

For physicians who work in a hospital setting: Web page | Word format

For physicians who are in private practice: Web page | Word format

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To document training in
Perioperative Transesophageal Echocardiography

The samples are provided below in their original format and as PDFs. The text of each is the same in both formats.

LETTERS FOR INITIAL CERTIFICATION (PTEeXAM Certification)

For physicians who completed a 12 month clinical fellowship training dedicated to the perioperative care of surgical patients with cardiovascular disease (Requirement 4 and Requirement 5): PDF | Word format

Sample Case Log for physicians who completed a 12 month clinical fellowship training dedicated to the perioperative care of surgical patients with cardiovascular disease: PDF | Excel format

For physicians applying through the Practice Experience Pathway (Requirement 4 and Requirement 5): PDF | Word format

LETTER FOR RECERTIFICATION (RePTE Recertification)

To document Continued Maintenance of Skills in Echocardiography (Requirement 4): PDF | Word format