Though the details are still being finalized, the critical care NBE pathway will bear many similarities to the current certification process for cardiologists and cardiac anesthesiologists. In particular, the critical care track will involve a standardized examination of both knowledge (through an advanced assessment test) and practical training; applicants will need to show proof of completion of an echocardiographic portfolio, supervised locally. The goal of this certification process is to legitimize and support the use of the ACCE skill set by intensivists who have met the high standards of cognitive and procedural training outlined in the international ACCE training consensus statement.

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