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Hands-on intensive echocardiogram training with lectures and one-on-one discussion to build the complete cardiac ultrasound protocol to acquire and analyze all images.  For all specialties and experience levels.

Scheduled Course Dates:

  • 2019 | NOV 11-15, DEC 9-13

  • 2020 | JAN 13-18*, FEB 10-14, MAR 09-13, APR 13-18*, MAY 04-08, JUN 08-12, JUL 13-17, AUG 10-14, SEP 14-18, OCT 12-16, NOV 09-13, DEC 07-11

Scroll down for full course description.


$3500 Tuition

Five-Day Course, Monday-Friday 9am-4pm, Sunday 9am-3pm  

*Six-Day Course

Scan Lab also open 24 hours for your independent practice.  Your tuition includes your complete learning experience, printed course materials and post-conference support in perpetuity.  Breakfast and light lunch provided.



We conveniently hold our trainings at Homewood Suites by Hilton - Las Colinas. It’s the prime location between Dalls-Fort Worth International Airport (DFW) and Dallas-Lovefield Airport (DAL). It’s centrally located between major lodging, modern restaurants, and lots of entertainment for after class including the Toyota Music Factory. For more information about lodging, and our special student room rates at Homewood Suites click here.

Homewood Suites by Hilton

4300 Wingren Dr. Irving, TX 75039

(972) 556-0665

Continuing Medical Education

We designate this course a non-CME credit activity, meaning that the curriculum is not defined by the constraints of a fixed format.  This is to your strategic advantage.  Though the content meets and exceeds every academic guideline, we have over many years determined that flexibility in tailoring specific elements—and the delivery to each individual learner’s need and style—supersedes the restraints of a traditionally rigid, time-limited format.  It also permits us to openly, honestly and independently without bias discuss virtually every manufacturer's system features.  Too, the broad ranges of clinical professional specialist organizations have developed multiple exclusive brands of applicable CME.  We have chosen instead to focus on your lifelong bedside competence and strategic advantage. This decision has permitted us to make our classes microscopically small at the least tuition cost possible.  We will be delighted to direct you to the most appropriate free and low-cost traditional CME credit activities available online.

Who will benefit from this class

Allied Health Professionals

There are no prerequisites for this class. If you'll be returning to an active clinical site you'll arrive back with a giant leap forward. That mandatory year of clinical experience you require will be spent on the clock at your work and not in a schoolroom.

ER and Critical Care Physicians

You'll be able to evaluate immediately right and left heart function and make critical decisions long before the formal echo report arrives. CVP, tamponade and pulmonary hypertension can be evaluated confidently and fast as soon as you return from class.


This course is the answer to confidently staffing the PACU. Both you and the nursing staff will function at your highest level after this class.

Sonography Students

Students or graduates who trained in general ultrasound will find far more employment opportunities as patient management moves toward a whole-body approach. Your resume will look much more attractive with your education in echocardiography on it.

Primary Care Physicians

And as private practice reimbursement leaves behind procedure-based reimbursement in favor of to value-based care, this time saved turns straight into income.

Veterinary Medicine

Canine cardiology runs on the same track as humans and the low cost/high-performance equipment now in the market allows you to leverage both to enhance your practice. This course is the shortest and most effective path to your goal.

Research & Medical Device Professionals

As a research scientist, you'll be able to identify and measure precisely virtually any element of cardiac function. If you're a medical device professional you'll be able to better build, market and sell your product with a competitive edge.


The class is strictly small so we can spend time on the topics we need to cover and all the ones you want to discuss:

  • Putting together the complete echo protocol: nothing left behind

  • The one simple thing that will take three years off your learning curve and add a decade to your career.

  • The secret to quickly getting every standard echo view without having to think.

  • A simple 6-step method to understand spectral and color Doppler completely.

  • Wall motion and thickening: what really matters and when it counts most.

  • LV function measurements completely explained.

  • Everything the physician needs to know about the right ventricle and how to find it.

  • Valvular stenosis and regurgitation: Who did it and what does it mean?

  • The very best way to evaluate valvular regurgitation that even the cath lab can't duplicate.

  • The earliest clues to measure pulmonary hypertension: what works and what doesn't.

  • How the aortic valve can lead to renal failure: the illustrated story behind interactive cardiac dysfunction.

  • The four things to assess below the diaphragm in every cardiac patient.

  • Tough-Guy Techniques to overcome body habitus and air: the secrets you were never told.

  • How to analyze and document every pathologic finding: taking the right steps, using the right words.

  • How to think your way through any Registry Exam question they could ever ask.

  • Next steps: How to maximize your first six months in this new field.


Our approach is totally focused on the patient diagnosis.  We are deeply familiar with virtually every ultrasound machine and the manufacturer's rationale behind its design, features and functions.  Even so, no faculty members have any commercial interests or participation that might influence course content.  

There is no formal test in this class.  Learners are evaluated continuously and positive feedback is offered throughout.  Upon completion of this activity, you should be able to:

  • Describe the normal structural anatomy of the heart and the electromechanical events that control and determine its function.

  • Complete a systematic survey of the heart with 2-D and M-Mode ultrasound imaging; document and measure al structures in all standard views and expand the protocol as required to document ambiguous findings or suspected pathology.

  • Relate 2-D image anatomy to its correlate M-mode pattern, compare and contrast each method of display.

  • Properly judge the quality of acquired data and communicate any limitations.

  • State the normal range measurement values for each principal cardiac structure and physiologic function.

  • Identify each anatomic region and segment of the heart from any given echocardiographic view; relate it to its usual coronary distribution. 

  • Identify abnormalities of resting cardiac wall motion and thickening using standard terminology; classify each according to
 its clinical significance

  • Discuss the basis, significance, and pitfalls of the following measures of cardiac function:

    • Ejection fraction & fractional shortening

    • % Wall thickening


    • Stroke volume

    • Cardiac output

    • Cardiac index

    • LV mass.

  • Identify and differentiate ventricular hypertrophy by the chamber, type, and degree.

  • Identify, stratify, and discuss the clinical significance of pericardial effusion in the assessment of suspected tamponade.

  • Identify and discuss the image and Doppler parameters associated with subaortic obstruction.

  • Demonstrate the technique to image the posteromedial apical fossa and LA appendage to inspect for thrombus.

  • Identify and distinguish the characteristics of pedunculated vs. mural thrombus vs. tumor.

  • Identify and distinguish the characteristics of valvular vegetative excrescence vs. fibrotic thickening.

  • Document and measure the course of blood flow through the entire heart using color and spectral Doppler.

  • Correct operator errors to maximize system sensitivity of color/spectral Doppler to avoid the most common false negative findings.

  • Define the following terms and relate them to their clinical impact in Doppler assessment of altered hemodynamic states:

    • Preload

    • Afterload

    • Bernoulli effect

    • Pouiselle's law

    • Valvular regurgitation/insufficiency

    • Tachycardia

    • Hypo-, hyper-, and akinesis

    • Paradoxical motion.

  • Based on clinical findings, select, describe the basis for, and execute the appropriate Doppler calculation for a given pathological state, including:

    • Expanded vs. simplified Bernoulli equation for AS

    • Peak/mean pressure gradient

    • Continuity equation

    • Pressure half-time for mitral stenosis or aortic  insufficiency

    • Color Doppler of mitral valve orifice area

    • Pulmonary acceleration time

    • Subjective and objective methods of grading insufficiency in all four valves

    • E/A ratio, pulmonary vein reversal, tissue Doppler, and MV deceleration time.

    • State a concise summary of all findings using standard terminology

Refund & Reschedule Policy

We understand that unforeseen circumstances may force you to reschedule or cancel. Due to administrative operations, and to maintain operational efficiency we must employ a strict policy for cancellations, rescheduling, and refunds. Please take the time to read our policy slowly, and carefully. If you have questions regarding our policy please ask.

  1. To request a course reschedule or refund you MUST fill out our Refund or Reschedule Request Form

  2. If there are 30 days or less remaining until your class starts we cannot refund any part of your purchase. However, we can reschedule you to attend the same course at a future date with no additional charges.

On very rare occasions we may find it necessary to substitute qualified instructors. In exceptional circumstances, such as death, fire, an act of war or terrorism, or a natural disaster, we may find it necessary to cancel a course. Although we will assist you in recovering any penalties you may incur due to airline or hotel policies, we cannot be responsible for charges or tangible/intangible losses incurred as a result.