• Adding a Testing Area

    Echocardiography - Adult Congenital Transthoracic

  • Complete the following form for any accredited sites that you wish to add a new testing area for an existing accreditation.

  • Where is your primary site located?*

  • Staff Information

    Adult Congenital Transthoracic

  • Does the facility have a Lead Adult Congenital Echocardiographer?(Applicable Standard: 1.7A) *
  • Select the pathway that best describes the Lead Adult Congenital Echocardiographer’s training and experience:*
  • Does the Lead Congenital Echocardiographer meet the adult congenital continuing medical education (CME) requirements? (5 hours of CME over a period of three years relevant to congenital echocardiography.)*
  • If there is no Lead Adult Congenital Echocardiographer, does the facility have an affiliation with an Adult Congenital Heart Association (ACHA) accredited Adult Congenital Heart Disease (ACHD) center or an IAC-accredited pediatric echocardiography facility?*
  • If yes, enter facility details:
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  • Is there a signed, written agreement, verifying the relationship between the affiliated facilities?*
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  • Does the facility have a Lead Congenital Sonographer? (Applicable Standard 1.8A)*
  • Does the Lead Congenital Sonographer meet the required adult congenital continuing medical education (CME) requirements? (5 hours of CME over a period of three years relevant to congenital echocardiography.)*
  • Please list all Adult Congenital Medical Staff that interprets ACTE studies, their experience pathway* and their annual ACTE volumes: ** (Applicable Standard: 1.9A)*
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  • *adult congenital medical staff must meet one of the following criteria:

    • 1.9.1.1A - American Board of Internal Medicine (ABIM) Adult Congenital Heart Disease Board eligible or certified or American Board of Pediatrics (ABP) Pediatric Cardiology Board certified.

      OR

    • 1.9.1.2A - Advanced level of expertise: High level of expertise in all aspects of adult congenital echocardiography. Physicians with this level of training are expected to interpret echocardiograms in patients with all forms of congenital heart disease. This should include cumulative practice experience of at least 150 adult congenital echocardiography transthoracic examinations. AND Qualifying practice experience of a minimum of 50 adult congenital echocardiography transthoracic examinations over the last 24 months.

    **Comment: This excludes patent foramen ovale, bicuspid aortic valve and secundum atrial septal defects.

    ***3 hours CME over a period of three years relevant to congenital echocardiography.

  • Please list all Congenital Technical Staff: (Applicable Standard: 1.10A)*
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  • *3 hours of CME over a period of three years relevant to congenital echocardiography.

  • Please list all Provisional Congenital Technical Staff and provide the start date of their adult congenital training: (Applicable Standard: 1.10.2A)*
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  • Protocol

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  • Quality Improvement

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  • Multiple Sites

  • Are you requesting to add this testing area to additional sites as well?*

  • Case Study Requirements

    Case studies are required when adding a testing area. View the case study requirements in the IAC Echocardiography Accreditation Checklist.

    The staff count you've identified as Adult Congenital Staff within this application is used to determine the overall number of adult congenital transthoracic echocardiography case studies you will be required to provide.

    A staff member will contact you to upload your cases and images upon receipt of this application.

  • Attestation

  • By signing below, I ({yourName}) attest that the information provided about this facility is accurate and meets the current IAC Echocardiography Standards.

  • Hitting "submit" below will send your application to IAC. Please wait until you see a confirmation prior to closing your browser window.

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