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How to use or fill out EACVI TEE CERTIFICATION: LIST OF 125* PROCEDURES FORM - escardio
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your candidate number, which can be found on your exam result and invitation letter. Remember to maintain confidentiality by not including your name.
- In the designated section, list the 125 echocardiography studies you have performed. Ensure that this list is signed by your supervisor, who should also provide their name and surname.
- Fill in the center, city, and country where you conducted these studies. This information is crucial for the Certification Assessment Committee.
- Complete one of the provided tables based on your case mix. For each study, include the primary diagnosis and approximate numbers of cases as specified.
- Chronologically order your studies from first to last, filling in details such as study date, patient’s hospital record number, study category, comments, and main diagnosis or conclusion where applicable.
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