An Interactive Review in Adult Echocardiography

CME bundles starting at just $150

This comprehensive self-study course is suitable for physicians studying for the NBE exam and provides a comprehensive review to this ever-expanding modality as well as physicians studying for board certification and recertification in echocardiography via the annual NBE exam. All material will be presented in an on-line format where the student will review interactive didactic material, teaching points, and case based learning to include images, videos and clinical scenarios.

This course focuses on the following competencies:

1) Ultrasound Physics
2) Evaluation of Systolic Function
3) Diastologic Function and Failure
4) Hemodynamics Assessment
5) Stress & Contrast Echocardiography
6) Chambers and Valves
7) Prosthetic Valves, Endocarditis and Cardiomyopathies
8) Simple and Complex Congenital Heart Diseases
9) Mock Exam Questions and Teaching Points


Echocardiography is a modality that continues to grow based on its accepted applications, protocols and affordable useage. As a tool that is being applied across multiple disciplines, physicians are seeking ways to achieve comprehensive training online.


Disclosures: This course was made possible by an educational grant from GE Healthcare. Faculty and Planning Committee members Drs. Sasanka Jayasuriya, Reza Arsanjani, Steven Mottl and Abhijeet Dhoble have no relationships with commercial interests that would constitute a conflict of interest. Disclosures were also obtained from the CME Outfitters, LLC and MD Training @home staff: Nothing to Disclose.

Additional Course Information


+ Learning Objectives


1) Discuss basic physical principles of ultrasound, instrumentation, and artifact recognition
2) Evaluate cardiac chamber size, left ventricular systolic and diastolic function
3) valuation of the right ventricle
4) Hemodynamic assessment
5) Basic and advanced principles of TTE and TEE imaging
6) Stress echocardiography for coronary artery diease and beyound
7) Usefulness of contrast echo
8) Endocarditis
9) Diagnose and quantify etiology and severity of native and prosthetic valvular heart disease
10) Distinguish and differentiate causes of heart failure, cardiomyopathies and pericardial disease
11) Diagnose and differentiate cardiac masses and tumors
12) Diagnose and distinguish diseases of the aorta and pericardium
13) Recognize echocardiographic cardiac features of systemic diseases
14) 3d Echo and strain imaging
15) Discuss simple and complex congenital heart disease
16) Utilizing echo in the operating room and cath lab

+ Practice Gap


The main purpose of this activity is to provide physicians with access to educational tools based upon the ever-expanding set of guidelines established by the American Society of Echocardiography. The American Society of Echocardiography standards and guidelines change or expand several times per year regarding new techniques and protocols. These revisions reflect new clinical data, changes in test utilization patterns, and clarify echocardiography use where omissions or lack of clarity existed in the original criteria.


This program not only focuses on the didactic material contained within the American Society of Echocardiography Guidelines but also provides access to a significant volume of case based learning. Many physicians do not have access to pertinent clinical and case-based educational tools regarding the application and interpretation of echocardiograms. This course addresses formal requests by physicians practicing echocardiography as well as the changes put forth (referenced above) by the American Society of Echocardiography and will enable changes in Practice Competence and Patient Outcomes.

+ Needs Assessment Summary

MDT's Faculty believe that in this ever changing medical environment where imaging is heavily scrutinized, access to educational resources by all physicians is becoming ever more important to assure patient safety, reimbursement, credentialing and clinical proficiency. Echocardiography has become one of the most important tools for detecting problems with the heart valves (such as aortic stenosis or mitral valve prolapse) as well as evaluation of congenital heart disease. In an atmosphere of shrinking reimbursement, echo has also gained popularity as a viable "cross-training" discipline for physicians seeking additional subspecialties.


In 2011 the Journal of the American Society of Echocardiography updated the guidelines for Appropriate Use Criteria in Echocardiography. These guidelines underwent significant change and were developed with input from the American Society of Echocardiography, American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance and the American College of Chest Physicians. The guidelines contain updated recommendations regarding the appropriateness of transthoracic, transesophageal, and stress echocardiography in an expanded number of clinical scenarios. (J Am Soc Echocardiogr 2011;24:229-67.)

+ More About the Authors


Sasanka Jayasuriya, M.D.

Sarver Heart Center, University of Arizona College of Medicine - Tucson, AZ

Assistant Professor of Clinical Medicine

Board certified in Internal Medicine

Subspecialty board certification: Cardiovascular Disease, Echocardiography and Nuclear Cardiology. Dr. Jayasuriya's special interests include echocardiography in structural interventions and echocardiography in valvular heart disease. Dr. Jayasuriya has no financial relationships to disclose.


See Dr. Jayasuriya's full biography





Reza Arsanjani, M.D.

Cedars-Sinai Medical Center, Los Angeles, CA
Board certified in Internal Medicine and Cardiology
Subspecialty board certification: Echocardiography, Nuclear Cardiology, Vascular Imaging

Dr. Arsanjani has no financial relationships to disclose.


See Dr. Arsanjani's full biography





Steven Mottl, D.O.

Director of Clinical Education

MD Training @home, LLC

Board certified in Internal Medicine and Cardiology
Subspecialty board certification: Echocardiography, Nuclear Cardiology, Vascular Imaging. Dr. Mottl has no financial relationships to disclose.


See Dr. Mottl's full biography





Abhijeet Dhoble, M.D.

Sarver Heart Center, University of Arizona College of Medicine - Tucson, AZ

Chief Fellow

Board certified in Internal Medicine & subspecialty board certified in Echocardiography

Dr. Dhoble has no financial relationships to disclose.


See Dr. Dhoble's full biography





+ Accreditation Statement



Provided by CME Outfitters, LLC

An Interactive Review in Adult Echocardiography


Premiere Date: Saturday, November 8, 2014


This activity offers CE credit for:

  1. Physicians (CME)
  2. Other


Credit Expiration Date: Wednesday, December 14, 2016

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of CME Outfitters, LLC and MD Training @home. CME Outfitters, LLC is accredited by the ACCME to provide continuing medical education for physicians.

CME Outfitters, LLC designates this live activity for a maximum of 45 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Credit request forms and activity evaluations must be completed online at (requires free account activation), and participants can print their certificate or statement of credit immediately. This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit


Questions about this CME activity? Call CME Outfitters at 877.CME.PROS (877.263.7767).


+ Method of Participation


These materials will be presented in an on-line format where the student will interact with the text, image, animation and video based materials within MD Training @home's web based eLearning cloud, axion. The program requires no specialized connection or software and supports all major browsers on PC and Mac platforms.


If you would like more information or have questions please Contact the Concierge.