[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-496816-105":59,"doc-detail-496816-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","adult-transesophageal-echocardiography-tee-scope-of-practice-and-competency-training-standards","Adult Transesophageal Echocardiography (TEE) - Scope of Practice and Competency Training Standards","","The document defines the American Society of Echocardiography (ASE) scope of practice and training competency standards for comprehensive adult transesophageal echocardiography (TEE) outside the perioperative setting. It links competency to expert-consensus quality standards and describes how medical necessity, procedural safety, and required medical knowledge support accurate probe manipulation, artifact recognition, optimized ultrasound settings, and interpretation of normal and abnormal cardiovascular physiology and hemodynamics. It further emphasizes clinical integration, proper reporting, and immediate point-of-care interpretation when TEE is performed during surgery or interventions, backed by structured training pathways and minimum experience benchmarks.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/adult-transesophageal-echocardiography-tee-scope-of-practice-and-competency-training-standards/496816/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/adult-transesophageal-echocardiography-tee-scope-of-practice-and-competency-training-standards/496816.png","ImageObject",300,407,{"name":92,"@type":93},"Asher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-02",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What does the document define for adult transesophageal echocardiography (TEE)?","Question",{"text":113,"@type":114},"It sets forth ASE scope of practice and appropriate standards for training and maintenance of competence in comprehensive adult TEE outside the perioperative setting.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Why does the document stress medical necessity in TEE training?",{"text":118,"@type":114},"Because TEE can pose potential harm and cost, formal education must include when TEE is likely to provide information that complements other clinical or imaging data and follows appropriate-use recommendations.",{"name":120,"@type":111,"acceptedAnswer":121},"What safety and knowledge competencies are required for independent TEE performance and interpretation?",{"text":122,"@type":114},"Training must cover contraindications, safe probe insertion and manipulation across sedation levels, recognition and management of complications, and proficiency in probe manipulation, artifact compensation, ultrasound setting adjustments, and comprehensive understanding of cardiovascular pathology, physiology, and hemodynamics.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},496816,1791689679,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":39,"preview_page_count":4},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","The American Society of Echocardiography (ASE) is an organization of professionals committed to excellence in cardiovascular ultrasound and its application to patient care. The ASE sets forth this document concerning the scope of practice and appropriate standards for training and maintenance of competence in adult transesophageal echocardiography (TEE), an invasive cardiovascular  \nultrasound imaging modality of the heart and great vessels that provides important information in the management of patients with a wide variety of cardiovascular disease. This statement is based on quality standards that have been developed based on expert consensus. This document has been endorsed by the Society of Cardiovascular Anesthesiologists (SCA), and the American College of Cardiology (ACC), who have either independently or in concert with the ASE previously established training, competency, and practice standards for cardiovascular medicine and perioperative care.  \nThe ASE, ACC and SCA training required to achieve competency in the independent performance and interpretation of TEE has been developed and published widely and used globally.1-5 These documents describe the qualifications needed to ensure that the TEE examination is comprehensive, and provides an assessment of cardiac and vascular structure, function and hemodynamics that is matched to the clinical question. The current summary of scope of practice and competency for comprehensive adult TEE outside the perioperative setting are based on the principles contained within these documents and by the considerations below:  \nMedical Necessity: Like any procedure that poses potential harm and accrues health system cost, formal education on the indications for TEE must be part of a structured curriculum, and is an essential component of Level II training according to the ACC COCATS document on Training in Echocardiography.1 This training requires knowledge of when TEE is likely to provide information that will complement clinical or other imaging data, and existing recommendations on appropriate use.  \nSafety: TEE is an invasive procedure with a small but measurable risk of physical injury. Hence formal and extensive training on the relative and absolute contraindications to performing TEE, how to safely insert and manipulate a TEE probe in patients with various levels of sedation, and how to recognize and appropriately manage complications ofTEE is necessary.  \nMedical Knowledge: The scope of practice of TEE is tightly coupled with knowledge of both the technical components of a TEE examination and also the range of pathology that may be encountered. Competency benchmarks include: (1) knowledge of probe/sector manipulation for correctly identifying cardiac structures,(2) ability to recognize and compensate for artifacts,(3) ability to make appropriate adjustments of ultrasound settings that can affect qualitative and quantitative analysis, (4) comprehensive understanding of normal and abnormal cardiovascular pathology,(5) comprehensive knowledge of cardiovascular physiology and hemodynamics that are key to interpretation (e.g. effects of load, heart rate, rhythm/conduction disturbance, external cardiac constraint, chamber interdependence, cardiovascular medications), and (6) knowledge of stateof-the-art approaches to quantitative evaluation. This medical knowledge reduces patient risk by avoiding misinterpretation or incomplete evaluation which can lead to inappropriate decisions for medical care.  \nClinical Integration and Patient Care: Results of diagnostic imaging information must be appropriately integrated into the clinical decision-making process, and there must be appropriate storage of images and data, and generation of an accurate report. For most TEEs, the diagnostic images are recorded for later review, at which time a full interpretation and report are generated. A unique feature of TEE performed during surgical or interventional procedures is that the diagnostic inform","cbCairdGoLn6EAS2","https://ap.wps.com/l/cbCairdGoLn6EAS2","pdf",126932,"English","# Scope of Practice and Competency Standards for Adult TEE\n## Medical Necessity\n## Safety\n## Medical Knowledge\n## Clinical Integration and Patient Care\n## Training Requirements and Competency Benchmarks","[{\"question\":\"What does the document define for adult transesophageal echocardiography (TEE)?\",\"answer\":\"It sets forth ASE scope of practice and appropriate standards for training and maintenance of competence in comprehensive adult TEE outside the perioperative setting.\"},{\"question\":\"Why does the document stress medical necessity in TEE training?\",\"answer\":\"Because TEE can pose potential harm and cost, formal education must include when TEE is likely to provide information that complements other clinical or imaging data and follows appropriate-use recommendations.\"},{\"question\":\"What safety and knowledge competencies are required for independent TEE performance and interpretation?\",\"answer\":\"Training must cover contraindications, safe probe insertion and manipulation across sedation levels, recognition and management of complications, and proficiency in probe manipulation, artifact compensation, ultrasound setting adjustments, and comprehensive understanding of cardiovascular pathology, physiology, and hemodynamics.\"}]","Adult Transesophageal Echocardiography (TEE) - Scope of Practice and Competency Training Standards | PDF",1790940531]