Transoesophageal (TOE) accreditation

The transoesophageal echocardiography accreditation process represents a joint venture between the British Society of Echocardiography and the Association of Cardiothoracic Anaesthesia and Critical Care (ACTACC). 

The process is primarily offered as a service to members of both these specialist societies including cardiologists, sonographers, anaesthetists, intensivists and cardiac surgeons. It is designed to provide a structured framework to assist the echocardiographer in training and set the standards of proficiency for TOE.  

Candidates will need to fond a mentor to guide them through the process, they do not need to be BSE accredited. For more information on mentors see the accreditation pack. 

Written Exam

  • Download the accreditation pack to view the full training syllabus
  • The exam will be held at Pearson Vue test centres across the UK, Republic of Ireland and some overseas locations.
  • It consists of 2 parts, an MCQ theory section and an image reporting section. You must pass both parts to pass the overall exam.
  • For more information please download the accreditation pack or go to our written exam webpage

Practical Exam

  • The candidate will be required to collect 125 logbook cases before registering for the exam, then on the day the exam consists of a practical scanning assessment and a viva assessment of five patient case studies.
  • The logbook is rediced to 75 cases over the same time period if the candidate holds BSE TTE, EACVI TTE or EACVI TOE Accreditation. Evidence of this should be submitted under the "optional supporting information" section on the BSE logbook portal.
  • For more information please download the accreditation pack or go to our practical exam webpage


Following successful completion, accreditation is valid for five years.