Overview

It ensures trainees can accurately interpret studies, synthesize findings, and produce clinically meaningful reports aligned with national and professional standards.

The National Echocardiography Interpreter Test (Level II) is a standardized, competency-based assessment designed to evaluate a trainee's readiness for independent echocardiography interpretation.

Exam Structure & Format

  • Ventricular pathologies

  • Native valve disease

  • Prosthetic valves

  • Pericardial pathologies

  • Congenital heart disease

  • Aorta and great vessels

  • Other selected pathologies

Eight comprehensive echocardiographic cases covering:

Assessment Components

1. Findings Section

2. Summary
& Conclusions Section

  • Structured dropdown menu combined with free-text entries

  • Candidates identify and code findings across cardiac structures

  • Double-click dropdown selections to populate text fields efficiently

  • Fully free-text, no dropdown

  • Requires integration of all findings into a coherent clinical interpretation

  • Must demonstrate higher-order reasoning and clinical judgment

  • Conclusions must align with the ASE Guidelines for the Standardization of Adult Echocardiography Reporting

Scoring Criteria

Reports are compared against expert-derived gold standard reports. Results are analyzed using psychometric methods to ensure reliability and validity.

National Rollout

Beginning December 2026, this Test becomes the formal Independent Interpreter (previously Level II) assessment mechanism tool for PGY6 trainees seeking Independent Interpreter designation.

Creating an Account

  • Visit: https://cneat.futurepacs.com/register

  • Select "Create Account"

  • Choose role: Learner

  • Register using your university or health authority-issued email address

  • Practice curriculum cases available before the exam

The AR Platform

The Test is delivered through Augmented Reporting (AR), a secure, cloud-based platform. AR hosts anonymized cases with gold standard reports, administers the national assessment, and supports auditability and data security. Outside of formal testing, AR also functions as a formative tool, letting trainees practice interpretation and receive private structured feedback.