Advanced PTeExam 2019 discussion thread

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Anyone planning on taking it this year?
Strategies, timeframe, study groups?

Im reading Matthews and watching Tommy Burch as fast as i can but still so much to do!

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ASE guidelines if you have time. Straight from the horses mouth and gold standard to base your actual practice on
 
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Anyone planning on taking it this year?
Strategies, timeframe, study groups?

Im reading Matthews and watching Tommy Burch as fast as i can but still so much to do!

Do all of PteMasters, and enjoy the pass!

Seriously, you won’t need anything else.
 
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Also look at the university of Utah TEE lecture series and e-echocardiography.com
 
What you're already doing is sufficient. PTE Masters is a great resource that is regularly updated, and parents material in a manner that permits easy understanding and retention, at least to me. Picking one other since to branch out is probably a good idea, and the Matthews text us a good choice. Do all of the practice questions from both in the months leading up to the exam, and you'll blow it out of the water.

Other resources mentioned are good for regular refreshing of material, or CME to ensure retention long-term.

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Think this would also hold true for someone who didn't do a cardiac fellowship but is planning on taking the Advanced exam?
Provided you actually do have enough personal experience with various cardiac surgical patients, and ample time with the probe, then yes. I didn't do a CT fellowship, used PTE Masters, Matthews, and personal experience, and scored really well on the exam.

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Think this would also hold true for someone who didn't do a cardiac fellowship but is planning on taking the Advanced exam?

Understanding the clinical vignette is very important, I think the test would be pretty tough for someone who doesn’t do cardiac with some amount of frequency. I am not sure the Mathews book would help with this (or any other resource, really). But, bottom line, enough people pass it without a full fellowship that you’ll probably be OK but I would definitely supplement with another source.
 
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You don't need to have done a fellowship, or arguably have much practical knowledge to pass the test. Where fellowship (or simply having seen A LOT of TEEs) will help you is interpreting the numerous poor quality images on the test. Many of the views you are given are taken at transition points and end up being views that live between two official views. Also in some questions there will be images where settings (such as gain or color scaling) are altered and you can easily miss if you aren't using to looking at these parameters and just focusing on the picture. The other benefit of fellowship in regards to this test is also the sequential memory you'll have of "what comes next" or "if this is being seen it usually means this happened or will happen" which can allow you to answer some of the questions simply based off the vignette without even really scrutinizing the image (similar to many Step 1 questions).

TL;DR: The images on the test are bad and fellowship, or having interpreted a lot of TEEs, will help you compensate for this or be able to answer some questions based off the vignette alone.
 
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The test is a garbage dump. The quality of the questions and images are something I would expect from a free website, not a test that I had to pay money for and is part of a certification process. There are a not small amount of questions that are either way out of left field esoteric or have you applying familiar concepts to unfamiliar things, and things you would NOT normally do in practice.

That being said I would classify this test as very difficult feeling while studying for it and when taking it, but ultimately it is very passable. I do not have a good head for physics and a poor tolerance for learning it and I would say the physics on the exam boils down to extremely simple relationships that PTE masters covers in great detail (and repetitively). I have a poor grasp of anatomy and a poor tolerance for learning or retaining it and I never found myself doing anything even remotely complex to answer a question. I would distribute these questions as: 60% fundamental, simple, and easy if you studied at all, 10% requiring thought or involved math, and 30% esoteric "good luck" questions.

From esoteric "good luck" I mean they show you a low quality image of something you likely have never seen in practice or in a book and the real skill is in being able to say "based on the image or context which of these make sense" followed by "of what I do know about the choices which of these is it definitely not?", and true to form you will always narrow it down to 2 comparable choices, and good luck from there.

Fortunately, the score you need to pass is quite low.
 
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Understanding the clinical vignette is very important, I think the test would be pretty tough for someone who doesn’t do cardiac with some amount of frequency. I am not sure the Mathews book would help with this (or any other resource, really). But, bottom line, enough people pass it without a full fellowship that you’ll probably be OK but I would definitely supplement with another source.

I do cardiac on a weekly basis but rarely any complex echo work. Probably personally perform/interpret 50-100 TEEs annually, which i realize is not a lot. Frankly I don't have that big of an interest in taking/passing the advanced exam, but longs story short there have been changes in our hospital's cardiac program where we as a group have felt the need to provide some form of objective proof that our non-cardiac fellowship trained "heart guys" can provide adequate echo support (these changes are not necessarily related to complexity of work, but rather to, lets say, "personnel"). Hence, asking guys like me to pass the test. Which, fair enough, I can use my CME money for my fee and training materials, and the group is willing to compensate me with a nice one-time bonus for a passing result.

Disclaimer: I'm well aware that simply passing this exam will not make me the equivalent of a fellowship-trained guy re: echo skills, and voiced as much when it was decided this would be the benchmark. However, it is what it is, so I'm trying to figure out the best way for me to check this box.
 
Provided you actually do have enough personal experience with various cardiac surgical patients, and ample time with the probe, then yes. I didn't do a CT fellowship, used PTE Masters, Matthews, and personal experience, and scored really well on the exam.

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Pardon my ignorance, what is Matthews?
 
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Regarding you having to take the Advanced PTE exam. I may be incorrect on this, but I thought being certified was borderline required to be able to effectively bill for the diagnostic exams performed.

Mathew is another TEE book and the closest thing you'll find to a well written and concise TEE textbook, he's also famous for his involvement in the ongoing Duke lawsuit. It is a great read and very informative and well written (book and lawsuit).
 
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Regarding you having to take the Advanced PTE exam. I may be incorrect on this, but I thought being certified was borderline required to be able to effectively bill for the diagnostic exams performed.

Nope, we have several MDs who don’t carry an active NBE “certification” and have no trouble billing for echos. Remember passing the test (becoming a “testamur”) is different from formal Advanced certification. The latter takes many months and maybe > 1 year to get the sheet of paper. Myself I’m waiting to hear from NBE if they have all my paperwork as their website is embarrassingly pathetic.

It is much more important in hiring and credentialling, in the next couple of years we will probably require it or certification eligibility for new cardiac hires (basically formalizing a fellowship requirement...). We are not alone at all in this.
 
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It is much more important in hiring and credentialling, in the next couple of years we will probably require it or certification eligibility for new cardiac hires (basically formalizing a fellowship requirement...). We are not alone at all in this.

This
Today is a disastology day... Aka lots of coffee...
Gonna try taping my eyelids open soon lol
 
The latter takes many months and maybe > 1 year to get the sheet of paper.

At least one of my fellowship classmates who took and passed the exam the same day I did in July 2017 is still waiting for them to finish processing his paperwork.

I don't care if your office burned down, you can't blow someone off for a year and a half. Wankers.
 
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Bump?
Hows progress going for everyone? Ive gone thru all 130 odd vids of Tommy Burch and his kayak fishing (seems like a really nice guy) and im on pass 2 as well as his test q's
I keep getting 5 or 6 out of 10 on his test quizzes. Is that going to be enough to pass? Still feel like i have huge holes in my knowledge, and im really debating whether i should actually take the advanced test or not...
 
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Obv i didn't finish all his Qs (only did like 100)

But i recall that the actual test is like 3 levels of complexity higher than this test Qs.

Just so you're mentally prepared.
 
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Obv i didn't finish all his Qs (only did like 100)

But i recall that the actual test is like 3 levels of complexity higher than this test Qs.

Just so you're mentally prepared.
omg, how can i pass??
 
Early applic deadline closes Mar 18th! 995$
Goes up 200 then
 
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So I’ve had a trip planned for a year, it happens to overlap the only day they decide to offer this exam... Does anyone know logistically if this test can be taken anywhere (I’ll be traveling to Istanbul during the exam)?
 
Bump?
Hows progress going for everyone? Ive gone thru all 130 odd vids of Tommy Burch and his kayak fishing (seems like a really nice guy) and im on pass 2 as well as his test q's
I keep getting 5 or 6 out of 10 on his test quizzes. Is that going to be enough to pass? Still feel like i have huge holes in my knowledge, and im really debating whether i should actually take the advanced test or not...

Hard to go off just this one data point, but I'd say don't take the test if you're getting 50% on tommy burch q's. The actual exam is an order of magnitude more complex than the PTEmasters bank. I'm going to guess you're not a CT fellow since for most fellows there is no question of whether they're going to take the exam, so I'm going to tell you what I did as CCM fellow who had about 120 TEE performed, ~100 read with staff, and a bazillion bedside CTICU TTEs performed by the time I sat the exam.

I did the entire PTEmasters qbank so many times that I pretty much had every question and answer memorized. I listened to the lectures enough that I had dreams where I heard tommy burch's voice talking about pulse repetition frequency and kinetic learning and about how everyone he knows is an excellent anesthesiologist and echocardiographer. During fellowship I went to every CT anesthesia lecture and echo reading session if I had time. I read Mathew enough (~3) times that I'm one of the few people that know that the author of Clinical Manual and Review of Transesophageal Echocardiography is named Joseph Mathew, not Matthews. Also did all the Mathew CDROM questions. Then, I paid for e-echocardiography.com and went over every echo of the day, case of the week, and their practice tests. Also bought Perrino's TEE essential cases book and looked over every case in that one. I would've also watched all the University of Utah lectures but I didn't know they existed at the time.

Ended up doing very well on the exam, but that test is such a bitch that combined with our human tendency for recall bias in favor of difficult questions, I honestly thought I had a 50/50 chance of passing when I walked out of the test center. The NBE knows that PTEmasters is money so I'm pretty sure they structure the exam so it's about as far from doing a PTEM practice set as you could possibly imagine. It's still possible you could pass, but don't rely on the advice of CT fellows who say that going through PTEM lectures a couple times is enough. It may be enough for them, but they have been living and breathing cardiac anesthesia and echo for an entire year and don't realize how much useful, subconscious, exam-centered knowledge they already possess.
 
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The questions can be esoteric but the pass threshold is not high. You can miss a LOT of questions and still pass.
 
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In addition to echoing :) what vector2 wrote above, I'll add one more impression that I got.

The media files that NBE uses on the exam are often not great quality images, in terms of being clear/classic examples of standard views. As I recall there were quite a few images that were taken a bit off axis, or skewed, or were grainy. For an echo fellow or practicing cardiac anesthesiologist who's spent a year+ moving the probe in a person and acquiring images, often dealing with suboptimal images, this just made the test a little more difficult. I did sort of wonder though how someone who'd learned TEE primarily from a book or PTEMasters videos, how they'd cope with orienting themselves and figuring out what they were looking at, even before reading the question. There were some that I stared at with a o_O look on my face for a while.

I went through Mathew about 1 1/2 times, and watched most of the PTEMasters videos. I was probably 90%+ on the PTEMasters questions by the end (they are quite repetitive). But I also attended my fellowship's almost-daily echo teaching rounds at least 3x per week throughout the year, and benefited from that kind of small group, expert-led teaching.

I think the pass rate is 85% or so? But most people taking the exam spent the last year doing the fellowship. I suspect most of the 15% were non fellowship grads, and that their pass rate is a lot less than 85%. I'm not trying to dissuade you from taking the exam; you're a smart guy (as all SDN'ers are :)) and you're clearly putting in the time. I'm just throwing out the caution that if you haven't done a lot of actual exams you're at a disadvantage.


As an aside, allow me a moment to indulge myself in a complaint ... I finished fellowship in 2017, passed the exam in July 2017, and NBE finally mailed me my certificate last week, 20 months after I passed and submitted all of the supporting documents for certification. 20. Months. :mad:
 
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In addition to echoing :) what vector2 wrote above, I'll add one more impression that I got.

The media files that NBE uses on the exam are often not great quality images, in terms of being clear/classic examples of standard views. As I recall there were quite a few images that were taken a bit off axis, or skewed, or were grainy. For an echo fellow or practicing cardiac anesthesiologist who's spent a year+ moving the probe in a person and acquiring images, often dealing with suboptimal images, this just made the test a little more difficult. I did sort of wonder though how someone who'd learned TEE primarily from a book or PTEMasters videos, how they'd cope with orienting themselves and figuring out what they were looking at, even before reading the question. There were some that I stared at with a o_O look on my face for a while.

I went through Mathew about 1 1/2 times, and watched most of the PTEMasters videos. I was probably 90%+ on the PTEMasters questions by the end (they are quite repetitive). But I also attended my fellowship's almost-daily echo teaching rounds at least 3x per week throughout the year, and benefited from that kind of small group, expert-led teaching.

I think the pass rate is 85% or so? But most people taking the exam spent the last year doing the fellowship. I suspect most of the 15% were non fellowship grads, and that their pass rate is a lot less than 85%. I'm not trying to dissuade you from taking the exam; you're a smart guy (as all SDN'ers are :)) and you're clearly putting in the time. I'm just throwing out the caution that if you haven't done a lot of actual exams you're at a disadvantage.


As an aside, allow me a moment to indulge myself in a complaint ... I finished fellowship in 2017, passed the exam in July 2017, and NBE finally mailed me my certificate last week, 20 months after I passed and submitted all of the supporting documents for certification. 20. Months. :mad:

Same here. Like great, now I have 8 years on my 10 year certificate...... smh
 
BE PREPARED FOR AN UNUSUAL EXPERIENCE IN 2019

(1) I took the experimental Pre-PTE Exam in Baltimore 1997 - Normal written test with video tape segments (tapes??). Pretty tough. No score, no credit, but at least I got to pay big money to take the test that didn't count. And at least the seafood was good in Baltimore. (I kept thinking that only cardiologists should be taking this test; Maybe Savage, Aronson, Cahalan, and Perrino, too.)

(2) Took the real PTE Exam in Seattle 1998 - Does it rain 24 hours a day in Seattle? Roughly the same format as Baltimore. (Again, I kept thinking that only cardiologists should be taking this test.) Thought I was now board certified. Not so. Had submit more documentation for formal approval.

(3) Took the RePTE 2007 in Canada (Montreal, or Toronto or someplace in Canada; I can't remember.) All I know is in Canada it is cold, the cities are very clean, and the street people all have cellphones even though they live in cardboard boxes. The test format changed dramatically. To my recollection, they presented several questions, then showed a video, then switched back to the questions. Who thought up that bright idea??? I guess the test question people were unaware that you can actually show text and video AT THE SAME TIME. (Again, and again, I kept thinking that only cardiologists should be taking this test.) I didn't discover this bizarre test format until a couple of days prior to the test when I played the Tommy Burch CD-ROM (Conquer the PTEeXAM) which didn't work the first time around. Tommy was gracious enough to send me a playable CD-ROM and a boatload (kayak-load?) of photocopied sample test questions. (I'm thinking that this is a smart guy.) I don't know why he was such a nice guy to a complete stranger.

(4) Took the RePTE 2018 in Florida???? What, I don't have to travel?? Well, this should be cheaper and more pleasant. (It was really expensive to travel to Canada. Then came the SHOCK;

-- Come in and register with the "Testing Service," because the NBE, SCA, ASE or whoever doesn't run the test anymore.
-- Stand at attention, empty all your pockets, and turn your pockets inside out. All contents will be examined and placed in a locker including any watches.
-- Be prepared to be scanned with a metal detector. (At least no cavity search. I don't recall if they asked me to open my mouth.)
-- Take your glasses off so they can examined for video cameras or other transmitting devices.
-- Turn it any writing devices because they might contain video cameras.
-- No paper allowed for calculations, You have to use an overworked and dirty dry-erase board with a dry-erase pen that has a smashed tip. They might give you another pen, reluctantly, but there is no guarantee that the replacement pen is any better, What????? You want a new pen for your $600 test? Guess again. I don't know about you, but I don't usually do math on a dry-erase board. Do yourself a favor and go pick one up at Walgreen's or wherever and practice on it. (Staples didn't have the right size - about 8.5" x 11"; I am not sure about the centimeter size.)
-- The people at my "Testing Center" were not happy people. They looked overworked and not interested in being helpful. And quite frankly, I cannot blame them. They have to deal with all sorts of people taking the test - doctors, lawyers, candle stick makers, police recruits, federal employees, etc. And some of them are very noisy test takers. The guy on the other side of the cubicle sounded like he was typing a book chapter. Then when he was done, he jumped up an gave himself a "high-five" because he felt he had done such a good job. From my point of view I thought he was vaulting over the partition wall to attack me.
-- You can take bathroom breaks at certain points throughout the test. The rest room was right down the hall. Only one problem. The rest room was "Out of Order" and no other nearby rest room was available. So don't drink any water before the test, and you are not allowed any water bottles in the test, because they might contain hidden video cameras.
--The actual test format was a little better. Unfortunately there were too many static pictures. Those of us performing TEE exams are use to video that moves, not still pictures. It's easy to design a question and attach a still picture that you have looked at many times; not so easy if you are on the other end. I really don't understand why there are any still shots, especially still shots of congenital abnormalities. I love the review material with attached still pictures stating "This is a classic still picture of TOF with a William's Syndrome gene defect and a club foot with syndactyly." And I swear there were questions that stated "Use still videos 18-19 to answer this question," when motion video 17 (from the same patient) would have made answering the question much easier.
-- Be prepared to answer questions about other organs than you never look at. There were questions about the spleen and kidneys. And believe it or not they showed a picture of a vertebral body by rotating the TEE probe 180 degrees within the esophagus. It kind of looks like a "ghost image" floating on the screen.
-- Tommy Burch warns you in his videos that you may see questions that you feel are unfair (Middle Cardiac Vein?????), and he is right. I don't understand why some of the "off the wall' questions were on the test. It may be redundant, but I kept thinking to myself that only cardiologist should be taking this test.

Good Luck

PS: Many thanks to Tommy Burch, even if he can't get compression/expansion straight. Is this guy not the smartest person on the planet? Certainly, he is the best lecturer. (Do those fish survive if you de-hook and kiss them before returning them to the see?)
 
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BE PREPARED FOR AN UNUSUAL EXPERIENCE IN 2019

(1) I took the experimental Pre-PTE Exam in Baltimore 1997 - Normal written test with video tape segments (tapes??). Pretty tough. No score, no credit, but at least I got to pay big money to take the test that didn't count. And at least the seafood was good in Baltimore. (I kept thinking that only cardiologists should be taking this test; Maybe Savage, Aronson, Cahalan, and Perrino, too.)

(2) Took the real PTE Exam in Seattle 1998 - Does it rain 24 hours a day in Seattle? Roughly the same format as Baltimore. (Again, I kept thinking that only cardiologists should be taking this test.) Thought I was now board certified. Not so. Had submit more documentation for formal approval.

(3) Took the RePTE 2007 in Canada (Montreal, or Toronto or someplace in Canada; I can't remember.) All I know is in Canada it is cold, the cities are very clean, and the street people all have cellphones even though they live in cardboard boxes. The test format changed dramatically. To my recollection, they presented several questions, then showed a video, then switched back to the questions. Who thought up that bright idea??? I guess the test question people were unaware that you can actually show text and video AT THE SAME TIME. (Again, and again, I kept thinking that only cardiologists should be taking this test.) I didn't discover this bizarre test format until a couple of days prior to the test when I played the Tommy Burch CD-ROM (Conquer the PTEeXAM) which didn't work the first time around. Tommy was gracious enough to send me a playable CD-ROM and a boatload (kayak-load?) of photocopied sample test questions. (I'm thinking that this is a smart guy.) I don't know why he was such a nice guy to a complete stranger.

(4) Took the RePTE 2018 in Florida???? What, I don't have to travel?? Well, this should be cheaper and more pleasant. (It was really expensive to travel to Canada. Then came the SHOCK;

-- Come in and register with the "Testing Service," because the NBE, SCA, ASE or whoever doesn't run the test anymore.
-- Stand at attention, empty all your pockets, and turn your pockets inside out. All contents will be examined and placed in a locker including any watches.
-- Be prepared to be scanned with a metal detector. (At least no cavity search. I don't recall if they asked me to open my mouth.)
-- Take your glasses off so they can examined for video cameras or other transmitting devices.
-- Turn it any writing devices because they might contain video cameras.
-- No paper allowed for calculations, You have to use an overworked and dirty dry-erase board with a dry-erase pen that has a smashed tip. They might give you another pen, reluctantly, but there is no guarantee that the replacement pen is any better, What????? You want a new pen for your $600 test? Guess again. I don't know about you, but I don't usually do math on a dry-erase board. Do yourself a favor and go pick one up at Walgreen's or wherever and practice on it. (Staples didn't have the right size - about 8.5" x 11"; I am not sure about the centimeter size.)
-- The people at my "Testing Center" were not happy people. They looked overworked and not interested in being helpful. And quite frankly, I cannot blame them. They have to deal with all sorts of people taking the test - doctors, lawyers, candle stick makers, police recruits, federal employees, etc. And some of them are very noisy test takers. The guy on the other side of the cubicle sounded like he was typing a book chapter. Then when he was done, he jumped up an gave himself a "high-five" because he felt he had done such a good job. From my point of view I thought he was vaulting over the partition wall to attack me.
-- You can take bathroom breaks at certain points throughout the test. The rest room was right down the hall. Only one problem. The rest room was "Out of Order" and no other nearby rest room was available. So don't drink any water before the test, and you are not allowed any water bottles in the test, because they might contain hidden video cameras.
--The actual test format was a little better. Unfortunately there were too many static pictures. Those of us performing TEE exams are use to video that moves, not still pictures. It's easy to design a question and attach a still picture that you have looked at many times; not so easy if you are on the other end. I really don't understand why there are any still shots, especially still shots of congenital abnormalities. I love the review material with attached still pictures stating "This is a classic still picture of TOF with a William's Syndrome gene defect and a club foot with syndactyly." And I swear there were questions that stated "Use still videos 18-19 to answer this question," when motion video 17 (from the same patient) would have made answering the question much easier.
-- Be prepared to answer questions about other organs than you never look at. There were questions about the spleen and kidneys. And believe it or not they showed a picture of a vertebral body by rotating the TEE probe 180 degrees within the esophagus. It kind of looks like a "ghost image" floating on the screen.
-- Tommy Burch warns you in his videos that you may see questions that you feel are unfair (Middle Cardiac Vein?????), and he is right. I don't understand why some of the "off the wall' questions were on the test. It may be redundant, but I kept thinking to myself that only cardiologist should be taking this test.

Good Luck

PS: Many thanks to Tommy Burch, even if he can't get compression/expansion straight. Is this guy not the smartest person on the planet? Certainly, he is the best lecturer. (Do those fish survive if you de-hook and kiss them before returning them to the see?)
Before talking about the test content, you described what we have all in recent years experienced at every testing center for USMLE 1, 2, & 3, COMLEX 1, 2, & 3, and now even ABA Basic and advanced exams.
 
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BE PREPARED FOR AN UNUSUAL EXPERIENCE IN 2019

(1) I took the experimental Pre-PTE Exam in Baltimore 1997 - Normal written test with video tape segments (tapes??). Pretty tough. No score, no credit, but at least I got to pay big money to take the test that didn't count. And at least the seafood was good in Baltimore. (I kept thinking that only cardiologists should be taking this test; Maybe Savage, Aronson, Cahalan, and Perrino, too.)

(2) Took the real PTE Exam in Seattle 1998 - Does it rain 24 hours a day in Seattle? Roughly the same format as Baltimore. (Again, I kept thinking that only cardiologists should be taking this test.) Thought I was now board certified. Not so. Had submit more documentation for formal approval.

(3) Took the RePTE 2007 in Canada (Montreal, or Toronto or someplace in Canada; I can't remember.) All I know is in Canada it is cold, the cities are very clean, and the street people all have cellphones even though they live in cardboard boxes. The test format changed dramatically. To my recollection, they presented several questions, then showed a video, then switched back to the questions. Who thought up that bright idea??? I guess the test question people were unaware that you can actually show text and video AT THE SAME TIME. (Again, and again, I kept thinking that only cardiologists should be taking this test.) I didn't discover this bizarre test format until a couple of days prior to the test when I played the Tommy Burch CD-ROM (Conquer the PTEeXAM) which didn't work the first time around. Tommy was gracious enough to send me a playable CD-ROM and a boatload (kayak-load?) of photocopied sample test questions. (I'm thinking that this is a smart guy.) I don't know why he was such a nice guy to a complete stranger.

(4) Took the RePTE 2018 in Florida???? What, I don't have to travel?? Well, this should be cheaper and more pleasant. (It was really expensive to travel to Canada. Then came the SHOCK;

-- Come in and register with the "Testing Service," because the NBE, SCA, ASE or whoever doesn't run the test anymore.
-- Stand at attention, empty all your pockets, and turn your pockets inside out. All contents will be examined and placed in a locker including any watches.
-- Be prepared to be scanned with a metal detector. (At least no cavity search. I don't recall if they asked me to open my mouth.)
-- Take your glasses off so they can examined for video cameras or other transmitting devices.
-- Turn it any writing devices because they might contain video cameras.
-- No paper allowed for calculations, You have to use an overworked and dirty dry-erase board with a dry-erase pen that has a smashed tip. They might give you another pen, reluctantly, but there is no guarantee that the replacement pen is any better, What????? You want a new pen for your $600 test? Guess again. I don't know about you, but I don't usually do math on a dry-erase board. Do yourself a favor and go pick one up at Walgreen's or wherever and practice on it. (Staples didn't have the right size - about 8.5" x 11"; I am not sure about the centimeter size.)
-- The people at my "Testing Center" were not happy people. They looked overworked and not interested in being helpful. And quite frankly, I cannot blame them. They have to deal with all sorts of people taking the test - doctors, lawyers, candle stick makers, police recruits, federal employees, etc. And some of them are very noisy test takers. The guy on the other side of the cubicle sounded like he was typing a book chapter. Then when he was done, he jumped up an gave himself a "high-five" because he felt he had done such a good job. From my point of view I thought he was vaulting over the partition wall to attack me.
-- You can take bathroom breaks at certain points throughout the test. The rest room was right down the hall. Only one problem. The rest room was "Out of Order" and no other nearby rest room was available. So don't drink any water before the test, and you are not allowed any water bottles in the test, because they might contain hidden video cameras.
--The actual test format was a little better. Unfortunately there were too many static pictures. Those of us performing TEE exams are use to video that moves, not still pictures. It's easy to design a question and attach a still picture that you have looked at many times; not so easy if you are on the other end. I really don't understand why there are any still shots, especially still shots of congenital abnormalities. I love the review material with attached still pictures stating "This is a classic still picture of TOF with a William's Syndrome gene defect and a club foot with syndactyly." And I swear there were questions that stated "Use still videos 18-19 to answer this question," when motion video 17 (from the same patient) would have made answering the question much easier.
-- Be prepared to answer questions about other organs than you never look at. There were questions about the spleen and kidneys. And believe it or not they showed a picture of a vertebral body by rotating the TEE probe 180 degrees within the esophagus. It kind of looks like a "ghost image" floating on the screen.
-- Tommy Burch warns you in his videos that you may see questions that you feel are unfair (Middle Cardiac Vein?????), and he is right. I don't understand why some of the "off the wall' questions were on the test. It may be redundant, but I kept thinking to myself that only cardiologist should be taking this test.

Good Luck

PS: Many thanks to Tommy Burch, even if he can't get compression/expansion straight. Is this guy not the smartest person on the planet? Certainly, he is the best lecturer. (Do those fish survive if you de-hook and kiss them before returning them to the see?)

Tommy Burch’s stuff is tremendous, honestly I believe all you need is to pay half attention during your cases as a fellow and do his (many) high yield review lectures online and you’d pass the exam.

Even more frustrating has been dealing with the NBE. I passed the test last July and none of my co-fellows has formal certification yet - emails take days to be returned (mostly with “we are working on it and will let you know about deficiencies”) and it’s very difficult to get someone on the phone. Their website is fairly user unfriendly and very slow as well.

I finally got confirmation last week my application for advanced TEE certification was complete and it was being sent to “the committee” whatever that means. It’s unbelievable it takes this long to go through a friggin check box list and get a cert - this is part of the reason so few hospitals actually require it in favor of certification eligibility. The fact that the SCA is partnering with the NBE to develop their push for formal cardiac anesthesia certification (like peds or CCM, not just TEE) is a huge mistake.

Ugh rant over!
 
Does anyone know if this test is on a curve and approximately what percent correct will yield a passing score? I took it yesterday and am feeling very anxious.
 
Does anyone know if this test is on a curve and approximately what percent correct will yield a passing score? I took it yesterday and am feeling very anxious.


Years ago passing was like 60-65%. Not sure what it is now.
 
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In the meantime, neither myself nor my cofellows have received Advanced TEE certifications after passing LAST YEAR’S exam. I was only told in May that my application was “complete” - NBE is a total joke.
 
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Tommy Burch’s stuff is tremendous, honestly I believe all you need is to pay half attention during your cases as a fellow and do his (many) high yield review lectures online and you’d pass the exam.

Even more frustrating has been dealing with the NBE. I passed the test last July and none of my co-fellows has formal certification yet - emails take days to be returned (mostly with “we are working on it and will let you know about deficiencies”) and it’s very difficult to get someone on the phone. Their website is fairly user unfriendly and very slow as well.

I finally got confirmation last week my application for advanced TEE certification was complete and it was being sent to “the committee” whatever that means. It’s unbelievable it takes this long to go through a friggin check box list and get a cert - this is part of the reason so few hospitals actually require it in favor of certification eligibility. The fact that the SCA is partnering with the NBE to develop their push for formal cardiac anesthesia certification (like peds or CCM, not just TEE) is a huge mistake.

Ugh rant over!


Your certification problems are universal and the 2017-2018 fellowship year has been even worse because of the "fire". Many fellows had verified completed applications this past February, and to my knowledge NO fellows have received official advanced PTE certification. You should have received your nice leatherbound "I passed!" testamur certificate by now though. I feel bad for anybody whose job or pay was dependent on this.
 
You should have received your nice leatherbound "I passed!" testamur certificate by now though
Yes received this, but even that took 6 months post-test!

Why in the world the SCA would engage the NBE to help develop a cardiac anesthesia board exam is beyond me. It’s completely ridiculous.
 
I agree completely. What the advanced PTE certification experience demonstrates as a whole is that 1) the NBE has no clear interest in creating a well made exam and 2) They have little to no respect for their clients' time and job requirements in how slowly they process the certification.
 
Yes received this, but even that took 6 months post-test!

Why in the world the SCA would engage the NBE to help develop a cardiac anesthesia board exam is beyond me. It’s completely ridiculous.
Maybe they're just throwing NBE a bone, and trying not to alienate the society as they start up their own certification. By including NBE, and presumably cutting them in on the profits from the exam, they'll smooth over some of the hard feelings. They are also legitimizing their own exam by partnering with an established and recognized entity. I sincerely hope, though, for future fellows' sakes that SCA/ABA will ultimately be in charge of the exam and verifying any additional requirements of certification.
 
I am not aware of the details of the cardiac board exam, but if it is an exam that passing does not also confer the PTE advanced certification, making fellows now have to take 2 exams and pay 2 fees, then that is ridiculous.
 
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When is the first proposed cardiac board exam?

Not for at least a few years. The SCA is putting together a proposal for... the ASA (?? Honestly not sure how this process works) this year. This has to be approved and then they have to go through the process of making a content outline, writing questions, getting feedback... it’s a way off.

Some of the more seasoned members on this forum might have more insight into the last time the SCA tried this (10 years ago maybe?). The board exam application was denied at that time.
 
In the meantime, neither myself nor my cofellows have received Advanced TEE certifications after passing LAST YEAR’S exam. I was only told in May that my application was “complete” - NBE is a total joke.

Yeah i passed the test last year too and still don't have my cert yet.. how dare they!?!?! :p
 
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I agree completely. What the advanced PTE certification experience demonstrates as a whole is that 1) the NBE has no clear interest in creating a well made exam and 2) They have little to no respect for their clients' time and job requirements in how slowly they process the certification.

I have to contend #1.

The questions were fair. Not a perfect test. but the test is good discriminator between someone who should pass and who shouldn't. My vice chair is on the test creation committee and writes question. It's actually extremely time consuming for them to write even 1 good test question.

Some questions with extremely poor images are left in because it was really good at differentiating between two types of candidates. If you look into how they decide the questions on the test. It's actually pretty thorough process.
 
A lot of the images were poor in actual resolution as well beyond not depicting a classic view or being a transition between views. For an exam made by imagers for imagers you would think there would be some pride in the images.

I wouldn’t call the exam fair as much as I would call it easy to pass.
 
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