Rotations
Echo
Rotations · Echo · Quick Reference
A reference, never a protocol. The thresholds below are published teaching values framed for recall at the machine — they are not read in isolation and they are not autonomous triggers, and they stay marked as teaching ranges until echo faculty verify them. No local reporting wording, contrast protocol or sedation order appears here, because those are institutional and have to come from the lab.
COCATS requirements
Read live from the active version, by effective date.
Fellows are expected to reach Level I within the first two years.
Fellows are expected to reach Level II during fellowship. Level III is a conversation with the Echo Lab Director.
100 TEEs are strongly recommended, though 50 is the stated minimum.
The program’s own expectation, not a COCATS number.
Severe aortic stenosis
Read with the gradient and the flow state — a small valve area at low flow is not the same finding.
Flow dependent. A normal gradient with a small area raises the question of low-flow disease.
Alignment matters. An underestimate here underestimates the whole study.
Published guideline thresholds, as stated in the program’s Echo Work Guide specification — teaching values, not a local protocol, and not yet reviewed by echo faculty
Tamponade clues
Recognize, then escalate.
By training year
Allowed and encouraged, for the additional exposure.
If the reader is off-site
Who to call
The echo lab’s own number, and how the reader of the day is reached to arrange reading.
Answered by: Program
Who the Echo Lab Director is. §08 sends Level III discussions to them and no source UTKardio holds names the post.
Answered by: Program
Abbreviations
Logins
What UTKardio will and will not hold.
- Cerner is an individual clinical login. UTKardio does not store a fellow’s Cerner password and never will.
- UConcall carries schedules and inpatient and procedure billing. No shared credential was supplied, and none should be.
- Any future shared credential lives server-side in restricted resources, behind the same permission check as a door code — see the rule in
AGENTS.md.
Still needed from the program
Listed rather than guessed. These are the facts this page cannot answer.
- Faculty reviewEcho faculty review of the thresholds and frameworks on Quick Reference and Clinical Guide. Nothing on either page is verified and neither claims to be.
Last updated 2026-09-21 · Program, Echo Work Guide specification, 2026-09-21
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