1. Ability to provide a current medical license with expiration date or letter of good standing.
2. Valid ASCeXAM Testamur status during the certification application period
3. Completed a cardiovascular disease fellowship or be a practicing cardiologist

Testamurs seeking NBE Certification will apply online by uploading the required documentation. Once an application is complete, the Certification Committee will meet to review applications twice a year, and applicants will be notified in writing of the decision. Incomplete applications will not be reviewed by the Certification Committee until all requirements are met.

Certification applicants should select one of the applicable pathways listed below. For more detailed information please refer to the ASCeXAM Certification Handbook.

Supervised Training within ACGME Fellowship (Less than three (3) years out)

Required Documentation

1. Current Medical License including expiration date
2. Medical Board Certificate
3. Fellowship Certificate (Optional)
4. Notarized Letter from Fellowship (document cases completed during training)

Practice Experience

Required Documentation

1. Current Medical License including expiration date
2. Medical Board Certificate
3. Fellowship Certificate (Optional)
4. Notarized Letter from hospital/practice (document cases completed in practice within the preceding three (3) years)

More than Three (3) Years out of Training

Required Documentation

1. Current Medical License including expiration date
2. Medical Board Certificate
3. Fellowship Certificate (Optional)
4. Notarized Letter from Fellowship (document cases completed during training)
5. Notarized Letter from hospital/practice (document cases completed in practice within the preceding two years)
6. Fifteen (15) hours of AMA Category 1 CMEs devoted to echocardiography in the preceding two years

ASCE Change of Certification Status ($50 Application Fee)

Required Documentation for Fellowship Pathway

1. Current Medical License including expiration date
2. Notarized Letter from fellowship (documenting TEE or stress echo cases not submitted during initial application)

Required Documentation for Practice Experience Pathway

1. Current Medical License including expiration date
2. Fellowship Certificate (Optional)
3. Notarized Letter from hospital/practice (documenting TEE or stress echo cases completed in practice within the preceding two (2) years)

Maintenance of Testamur or Diplomate Status

Beginning in July 2024, the recertification examinations are no longer administered. Testamurs and Diplomates will instead enter Maintenance of Testamur in Echocardiography (MOTE) or Maintenance of Certification in Echocardiography (MOCE). For more information visit www.echoboards.org/MOCE.

*All letters documenting cases completed during training or practice, must be on official letterhead, signed by an approved signor, and notarized, dated and stamped by a notary/justice of the peace/lawyer(barrister) at the time of witnessing the signing of the letter in person. All letters must be the original and not a copy of the original document.*

Supervised Training (Less than three (3) years out)
Sample Letter – Supervised Training

Practice Experience
Sample Letter from Private Practice
Sample Letter from Hospital

More than Three (3) Years out of Training
Sample Letter – Supervised Training
Sample Letter from Private Practice
Sample Letter from Hospital

ASCE Change of Certification Status
Sample Letter – Supervised Training
Sample Letter from Private Practice
Sample Letter from Hospital

Scope of Work

The application of an advanced perioperative TEE examination is to utilize the full diagnostic potential of perioperative TEE including direction of the perioperative surgical decision-making process.

1. Ability to provide a current medical license with expiration date or letter of good standing. 
2. Valid Advanced PTEeXAM® Testamur status during the certification application period 
3. Completed a Cardiothoracic Anesthesiology and/or Critical Care fellowship or be a practicing Anesthesiologist

Testamurs seeking NBE Certification will apply online by uploading the required documentation. Once an application is complete, the Certification Committee will meet to review applications twice a year, and applicants will be notified in writing of the decision. Incomplete applications will not be reviewed by the Certification Committee until all requirements are met. 

Certification applicants should select one of the applicable pathways listed below. For more detailed information please refer to the Advanced PTEeXAM® Certification Handbook. 

Supervised Training within ACGME Fellowship  

Required Documentation 

1. Current Medical License including expiration date 

1. Medical Board Certificate 

1. Fellowship Certificate (Optional) 

1. Notarized Letter from Fellowship (document cases completed during training) 

1. Log of studied but not performed cases completed during training.  

Practice Experience 

Required Documentation 

1. Current Medical License including expiration date 
2. Medical Board Certificate 
3. Fellowship Certificate (Optional) 
4. Notarized Letter from Hospital/Practice (document cases completed in practice within the four (4) consecutive years, with a maximum of no more that 10 years prior to the application.) 
5. Fifty (50) hours of AMA Category 1 CMEs devoted to echocardiography in the preceding two years 

Maintenance of Testamur or Diplomate Status 

Beginning in July 2024, the recertification examinations are no longer administered. Testamurs and Diplomates will instead enter Maintenance of Testamur in Echocardiography (MOTE) or Maintenance of Certification in Echocardiography (MOCE). For more information visit www.echoboards.org/MOCE.

*All letters documenting cases completed during training or practice, must be on official letterhead, signed by an approved signor, and notarized, dated and stamped by a notary/justice of the peace/lawyer(barrister) at the time of witnessing the signing of the letter in person. All letters must be the original and not a copy of the original document.*

Supervised Training 

Sample notarized Letter from Fellowship

Sample Log of studied but not performed cases completed during training

Practice Experience 

Sample notarized Letter from Practice/Hospital

Scope of Work

The application of a basic perioperative TEE examination is limited to non-diagnostic use within the customary practice of anesthesiology. Because the goal of and training in basic PTE is focused on intraoperative monitoring rather than specific diagnosis, except in emergent situations, diagnoses requiring intraoperative cardiac surgical intervention or postoperative medical/surgical management must be confirmed by an individual with advanced skills in TEE or by an independent diagnostic technique.

1. Ability to provide a current medical license with expiration date or letter of good standing.
2. Valid Advanced PTEeXAM® OR Basic PTEeXAM®  Testamur status during the certification application period
3. Is board certified in Anesthesiology.

Testamurs seeking NBE Certification will apply online by uploading the required documentation. Once an application is complete, the Certification Committee will meet to review applications twice a year, and applicants will be notified in writing of the decision. Incomplete applications will not be reviewed by the Certification Committee until all requirements are met.

Certification applicants should select one of the applicable pathways listed below. For more detailed information please refer to the Basic PTEeXAM® Certification Handbook.

Supervised Training within Residency

Required Documentation

Current Medical License including expiration date

Medical Board Certificate

Fellowship Certificate (Optional)

Notarized Letter from Fellowship (document cases completed during training)

Log of studied but not performed cases completed during training.

Practice Experience

Required Documentation

Current Medical License including expiration date

Medical Board Certificate

Fellowship Certificate (Optional)

Notarized Letter from hospital/practice (document cases completed in practice within the preceding four (4) years)

Forty (40) hours of AMA Category 1 CMEs devoted to echocardiography in the preceding two years

Extended CME

Required Documentation

Current Medical License including expiration date

Medical Board Certificate

Fellowship Certificate (Optional)

Notarized Letter from hospital/practice (document cases completed in practice within the preceding three years)

ASA/SCA Basic Perioperative TEE Education Program within two years of the application.

Supervised Training/Extended CME (Hybrid)

Required Documentation

Current Medical License including expiration date

Medical Board Certificate

Fellowship Certificate (Optional)

Notarized Letter from Fellowship (document cases performed during training)

ASA/SCA Basic Perioperative TEE Education Program within two years of the application.

Maintenance of Testamur or Diplomate Status 

Beginning in July 2024, the recertification examinations are no longer administered. Testamurs and Diplomates will instead enter Maintenance of Testamur in Echocardiography (MOTE) or Maintenance of Certification in Echocardiography (MOCE). For more information visit www.echoboards.org/MOCE.

*All letters documenting cases completed during training or practice, must be on official letterhead, signed by an approved signor, and notarized, dated and stamped by a notary/justice of the peace/lawyer(barrister) at the time of witnessing the signing of the letter in person. All letters must be the original and not a copy of the original document.*

Supervised Training

Sample notarized Letter from Fellowship

Sample Log of studied but not performed cases completed during training

Practice Experience

Sample notarized Letter from Practice/Hospital

Extended CME

Sample notarized Letter from Fellowship

Sample notarized Letter from Practice/Hospital

Supervised Training/Extended CME (Hybrid)

Sample notarized Letter from Fellowship

1. Ability to provide a current medical license with expiration date or letter of good standing.  
2. Valid CCEeXAM® Testamur status during the certification application period 
3. Completed a Critical Care fellowship or be a practicing physician. 

Testamurs seeking NBE Certification will apply online by uploading the required documentation. Once an application is complete, the Certification Committee will meet to review applications twice a year, and applicants will be notified in writing of the decision. Incomplete applications will not be reviewed by the Certification Committee until all requirements are met. 

Certification applicants should select one of the applicable pathways listed below. For more detailed information please refer to the CCEeXAM® Certification Handbook. 

Supervised Training within ACGME Fellowship  

Required Documentation 

1. Current Medical License including expiration date 
2. Medical Board Certificate 
3. Fellowship Certificate (Optional) 
4. Notarized Letter from Fellowship (document cases completed during training) 
5. Log of performed and interpreted cases completed during training 

Practice Experience 

Required Documentation 

1. Current Medical License including expiration date 
2. Medical Board Certificate 
3. Fellowship Certificate or a Notarized Letter from hospital/practice (document hours administered on critically ill patients in practice within the preceding three (3) years) – Requirement 4 
4. Notarized Letter from hospital/practice (document cases completed in practice within the preceding three (3) years) – Requirement 5  
5. Log of performed and interpreted cases completed in practice. 
6. Twenty (20) hours of AMA Category 1 CMEs devoted to echocardiography in the preceding three years 

Supervised Training/Practice (Hybrid) 

Required Documentation 

1. Current Medical License including expiration date 
2. Medical Board Certificate 
3. Fellowship Certificate (Optional) 
4. Notarized Letter from Fellowship (document cases completed during training) 
5. Log of performed and interpreted cases completed during training 
6. Notarized Letter from hospital/practice (document cases completed in practice within the preceding three (3) years) 
7. Log of performed and interpreted cases completed in practice. 
8. Twenty (20) hours of AMA Category 1 CMEs devoted to echocardiography in the preceding three years 

Maintenance of Testamur or Diplomate Status

Beginning in July 2024, Testamurs and Diplomates will instead enter Maintenance of Testamur in Echocardiography (MOTE) or Maintenance of Certification in Echocardiography (MOCE). For more information visit www.echoboards.org/MOCE. Beginning in July 2024, the recertification examinations are no longer administered. Testamurs and Diplomates will instead enter Maintenance of Testamur in Echocardiography (MOTE) or Maintenance of Certification in Echocardiography (MOCE). For more information visit www.echoboards.org/MOCE.

*All letters documenting cases completed during training or practice, must be on official letterhead, signed by an approved signor, and notarized, dated and stamped by a notary/justice of the peace/lawyer(barrister) at the time of witnessing the signing of the letter in person. All letters must be the original and not a copy of the original document.*

Supervised Training  

Sample Letter – Supervised Training (Critical Care Echo)

Log of performed and interpreted cases completed during training (Critical Care Echo)

Sample Letter – Supervised Training (Transesophageal)

Log of performed and interpreted cases completed during training (Transesophageal)

Practice Experience 

Sample Letter from Hospital documenting hours (requirement 4)

Sample Letter – Practice Experience (Critical Care Echo)

Log of performed and interpreted cases completed in practice (Critical Care Echo)

Sample Letter – Practice Experience (Transesophageal)

Log of performed and interpreted cases completed during Practice (Transesophageal)

Supervised Training/Practice (Hybrid) 

Sample Letter – Supervised Training (Critical Care Echo)

Log of performed and interpreted cases completed during training (Critical Care Echo)

Sample Letter – Supervised Training (Transesophageal)

Log of performed and interpreted cases completed during training (Transesophageal)

Sample Letter – Practice Experience (Critical Care Echo)

Log of performed and interpreted cases completed in practice (Critical Care Echo)

Sample Letter – Practice Experience (Transesophageal)

Log of performed and interpreted cases completed during Practice (Transesophageal)

Critical Care Change of Certification Status (Plus Transesophageal)

Sample Letter – Supervised Training (Transesophageal)

Log of performed and interpreted cases completed during training (Transesophageal)

Sample Letter – Practice Experience (Transesophageal)

Log of performed and interpreted cases completed during Practice (Transesophageal)