Cardiology Boards 2024

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I never understood how a MCQ exam could take so long to grade? This just shows you there’s a big problem with these ABIM exams. All exams should be like nuclear boards where you get the answer right on the spot.
 
Cardiac Amyloidosis said:
I never understood how a MCQ exam could take so long to grade? This just shows you there’s a big problem with these ABIM exams. All exams should be like nuclear boards where you get the answer right on the spot.
Click to expand...

I'm wondering if there were questions that didn't meet their 'psychometric' quality control and perhaps they need more time to remove them or re-calibrate the exam.
I found some of the questions on day 2 quite vague, so the wait may be working in our favour.
 
Matsumoto99 said:
I'm wondering if there were questions that didn't meet their 'psychometric' quality control and perhaps they need more time to remove them or re-calibrate the exam.
I found some of the questions on day 2 quite vague, so the wait may be working in our favour.
Click to expand...
What's a psychometric QC?
 
Cardiac Amyloidosis said:
I never understood how a MCQ exam could take so long to grade? This just shows you there’s a big problem with these ABIM exams. All exams should be like nuclear boards where you get the answer right on the spot.
Click to expand...
Previously, nuclear cardiology board results were declared at the end of the test, based on what I heard. However, it seems that the process has changed, and now the nuclear cardiology boards take 60 days to release the results.
 
iwannabegreat said:
What's a psychometric QC?
Click to expand...
I don't really know the exact in and outs of this, but after the exam, they typically review percentage of candidates who answer each question correctly and assess if it matches the expected question difficulty. They also look at difficult questions and see if candidates who scored higher also generally answered those questions correctly to make sure a question can differentiate between good and poor candidates and isn't just a crap shoot.
Not saying I have faith in it, but they do analyze the question results
 
drEKG said:
Previously, nuclear cardiology board results were declared at the end of the test, based on what I heard. However, it seems that the process has changed, and now the nuclear cardiology boards take 60 days to release the results.
Click to expand...

I guess this is new. I took it last year and got the result right away.
 
The same cycle occurs every year. Last year interventional and pediatric got the results first. Same story this year. It is all a scam.
 
But interventional boards were before ours anyhow. Almost a week before
 
Guys, I really need some guidance. How was the Nuclear Boards exam for you all? Any tips? Do you think the BoardVitals question bank helps make the exam more comfortable, or are the ASNC questions/videos and Jaber questions enough? What about the Nuclear Boards 30 practice test? Is it similar to the exam in terms of difficulty level? Thank you!

All the best for the cardiology boards results this year!
 
drEKG said:
Guys, I really need some guidance. How was the Nuclear Boards exam for you all? Any tips? Do you think the BoardVitals question bank helps make the exam more comfortable, or are the ASNC questions/videos and Jaber questions enough? What about the Nuclear Boards 30 practice test? Is it similar to the exam in terms of difficulty level? Thank you!

All the best for the cardiology boards results this year!
Click to expand...
I thought Jaber, ASNC videos, and the practice tests were enough personally. I did not do BoardVitals and passed with a comfortable margin.
 
Boards are out! I have been randomly checking ABIM and now it says I’m certified and participating in MOC. Thank god I passed this garbage exam. Wish everyone else the best!!
 
Passed,
waited 2 years after graduating to take it , because was busy with other things and I should have never have postponed
BUT
For future test takers do accsap 2x
Okeefe EKG I did the book 2x
Ecg source high yield EKG only, then echo and Cath films
I did very well on day 2 but still have issues with what to code it's very ambiguous
For day 1 accsap , never did any videos but supposedly a lot of material is covered by mayo videos
I also did the braunwald assessment book with questions,maybe like 100 questions, that was long but helpful
It's a bull**** exam doesn't test clinical skills or competency ,has no marking on the type of doctor or cardiologist you are
Feel free to ask any questions
 
Passed! Woohooo
As expected day 1 score (>600) was higher than day 2, but scored comfortably above average on both
Also happy to answer any questions about how I prepared - I found day 2 to be the most tricky by far
 
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iwannabegreat said:
I passed. Took a few attempts but so happy. This test is unfair and it should never be like this. We work hard and they made me suffer for a while. Glad it’s over. We need new boards
Click to expand...
Out of curiosity does the hospital or practice you work for reimburse you for every attempt it took to pass? My friend was asking.
 
Matsumoto99 said:
Passed! Woohooo
As expected day 1 score (>600) was higher than day 2, but scored comfortably above average on both
Also happy to answer any questions about how I prepared - I found day 2 to be the most tricky by far
Click to expand...
I failed for the 3rd time. Despite intense studying for day 2. Did okeefe twice, ecg source twice, I even scored well on repeat testing at home. So I am not sure why I was 2 s.d below on EKGs.....I did worse this time than the prior. Its extremely frustrating, I've never had an issue with standardized tests until this one...

Matsumoto99 - any help if you can email me your strategy and how you coded. I think the coding is messing me up.
 
Hi all,
This was my second attempt as well and I passed with comfortable margins. Just wanted to share some tips for future test takers. My background - never failed anything. Even took the MCAT only once. Last year, moved cross country, had health issues, had some struggles during general fellowship and then started a very intensive super fellowship. I did not take any other boards prior.
I don’t think I learned things well during my general fellowship so my first recommendation for fellows is to build a solid foundation starting out. Learn echo, try to understand the guidelines, and I can’t recommend the Mayo videos enough. I really wish in retrospect I watched them while I was doing general fellowship.
Last year, I did the ACCSAP questions 2x, did ecgsource x 1 (did the high yield 2-3 times), and watched a few select videos.
This year, I started in the Spring, trying to build my foundation. Learned hemodynamics cold, watched the Mayo Echo Videos, and did some splattering of ECHOSAP since last year I had failed Day 2 by 5 points. I was not boarded in echo so wanted to create a better foundation. Also, would make it a point to look at every echo and Cath film as again, my background from general fellowship was not great. I also went through the OKeefe EKG book. I also did some of the Braunwald assessment questions but only got through 25% of the book.
After completing the super fellowship, I took two months off. Had some vacation time in built but also used it to study before starting my job. I signed up to do the Mayo Review Course in person in August. Prior to that, I methodically went through the 2023 lectures and took detailed notes. In the morning, I would do EKG, Cath, and echo practice on the OKeefe web version. Prior to the course, I did the Mayo questions and reviewed them. I was very diligent during the in person course and honestly, I learned so much! Can’t recommend it enough. I had never taken a review course including for the MCAT but the Mayo people really know what they are doing.
After coming back from the Mayo course, I started ACCSAP (went though once by section and took detailed notes, did incorrects, and did some random timed questions to test my endurance; I think ACCSAP is much easier than the boards but it’s the major source of questions for us), did ECG source x1, finished Okeefe EKG (about 400).
I also reviewed various topics where I was weak and rewatched a lot of the Mayo lectures while driving or cooking. Prior to the test, did the Mayo questions again, repeated the Okeefe echo and Cath questions numerous times, redid half of Okeefe EKG, did the high yield ECG source (x2), Mayo ECG, echo, and Cath as well a few times. I also watched some ACCSAP videos on the Cath and echo coding.
I did so much more this time but as an attending now, I feel much more confident in my knowledge and teaching fellows/residents. My foundation was weak so I had to do all that work to build it from the ground up. So again, my major advice to starting fellows is try to learn as much as possible on the job. Congratulations to all who passed! And keep your head up to others who will take it in the future. It’s a tough, unfair exam but you can do it! We have jumped through so many hoops to come here. We have it in us!
 
tmm0728 said:
I failed for the 3rd time. Despite intense studying for day 2. Did okeefe twice, ecg source twice, I even scored well on repeat testing at home. So I am not sure why I was 2 s.d below on EKGs.....I did worse this time than the prior. Its extremely frustrating, I've never had an issue with standardized tests until this one...

Matsumoto99 - any help if you can email me your strategy and how you coded. I think the coding is messing me up.
Click to expand...
iwannabegreat said:
I passed. Took a few attempts but so happy. This test is unfair and it should never be like this. We work hard and they made me suffer for a while. Glad it’s over. We need new boards
Click to expand...
Please share your strategy. Thanks
 
Tyrionlanister said:
Please share your strategy. Thanks
Click to expand...
as above. If someone could for example
1. ECG diagnosis: AV block or something
2. Pericardial effusion
3. Pericarditis
4. Some of the weird EKGs we encountered this time --- and explain how you coded? I think my negative scoring is screwing me
 
MRmiyagi said:
Passed,
waited 2 years after graduating to take it , because was busy with other things and I should have never have postponed
BUT
For future test takers do accsap 2x
Okeefe EKG I did the book 2x
Ecg source high yield EKG only, then echo and Cath films
I did very well on day 2 but still have issues with what to code it's very ambiguous
For day 1 accsap , never did any videos but supposedly a lot of material is covered by mayo videos
I also did the braunwald assessment book with questions,maybe like 100 questions, that was long but helpful
It's a bull**** exam doesn't test clinical skills or competency ,has no marking on the type of doctor or cardiologist you are
Feel free to ask any questions
Click to expand...
For day 2
What is the right approach or what was the approach you took as noone knows what they follow?

Did you coded as per Okeefe or ECG source, as both have different approach?
For ECG, were you focused just on diagnosis or coding other things as well like NST or LAE?
For ECG, were you also coding the diagnosis or just changes?
Was your approach always to count the HR for NSR or ST or SB?

For cath
Was your approach to code for most obvious and leave the rest of it.

For echo
Was your approach to code for most obvious and leave the rest of it or otherwise.

These questions might help us figure out how they code and then we can work on strategy next year.

Thanks a lot.
 
PinkPlumpy said:
Hi all,
This was my second attempt as well and I passed with comfortable margins. Just wanted to share some tips for future test takers. My background - never failed anything. Even took the MCAT only once. Last year, moved cross country, had health issues, had some struggles during general fellowship and then started a very intensive super fellowship. I did not take any other boards prior.
I don’t think I learned things well during my general fellowship so my first recommendation for fellows is to build a solid foundation starting out. Learn echo, try to understand the guidelines, and I can’t recommend the Mayo videos enough. I really wish in retrospect I watched them while I was doing general fellowship.
Last year, I did the ACCSAP questions 2x, did ecgsource x 1 (did the high yield 2-3 times), and watched a few select videos.
This year, I started in the Spring, trying to build my foundation. Learned hemodynamics cold, watched the Mayo Echo Videos, and did some splattering of ECHOSAP since last year I had failed Day 2 by 5 points. I was not boarded in echo so wanted to create a better foundation. Also, would make it a point to look at every echo and Cath film as again, my background from general fellowship was not great. I also went through the OKeefe EKG book. I also did some of the Braunwald assessment questions but only got through 25% of the book.
After completing the super fellowship, I took two months off. Had some vacation time in built but also used it to study before starting my job. I signed up to do the Mayo Review Course in person in August. Prior to that, I methodically went through the 2023 lectures and took detailed notes. In the morning, I would do EKG, Cath, and echo practice on the OKeefe web version. Prior to the course, I did the Mayo questions and reviewed them. I was very diligent during the in person course and honestly, I learned so much! Can’t recommend it enough. I had never taken a review course including for the MCAT but the Mayo people really know what they are doing.
After coming back from the Mayo course, I started ACCSAP (went though once by section and took detailed notes, did incorrects, and did some random timed questions to test my endurance; I think ACCSAP is much easier than the boards but it’s the major source of questions for us), did ECG source x1, finished Okeefe EKG (about 400).
I also reviewed various topics where I was weak and rewatched a lot of the Mayo lectures while driving or cooking. Prior to the test, did the Mayo questions again, repeated the Okeefe echo and Cath questions numerous times, redid half of Okeefe EKG, did the high yield ECG source (x2), Mayo ECG, echo, and Cath as well a few times. I also watched some ACCSAP videos on the Cath and echo coding.
I did so much more this time but as an attending now, I feel much more confident in my knowledge and teaching fellows/residents. My foundation was weak so I had to do all that work to build it from the ground up. So again, my major advice to starting fellows is try to learn as much as possible on the job. Congratulations to all who passed! And keep your head up to others who will take it in the future. It’s a tough, unfair exam but you can do it! We have jumped through so many hoops to come here. We have it in us!
Click to expand...
By Mayo questions, do we mean the book or the online questions. Thanks
 
munnadoc said:
Yes passed!!!! Third attempt passed this exam. Not been an easy journey glad it is done
Click to expand...
Please share your strategy and planning, what you changed over the last couple of years. It will help those of us who have to take next year again to modify our approach. Thanks a lot
 
Tyrionlanister said:
Please share your strategy and planning, what you changed over the last couple of years. It will help those of us who have to take next year again to modify our approach. Thanks a lot
Click to expand...
Day 1- ACCSAP and Mayo Videos
Day 2- okeefe ecg, imaging x 2, ecg source high yield ecg's x 2

To he honest no one knows about the coding guidelines as we were never given any guidance.
ECG I just coded the main finding of the ecg and move on. Didn't care about LAE or RAE. Focus on the main finding what they want us to code for.
Echo- coded obvious finding and okeefe had an imaging section this year which helped me a lot.
Angiograms- just code the severity of stenosis in the vessels shown, if there is a myocardial bridge just code that and move on. Know your grafts.

For Day 2 I felt like okeefe helped me to understand coding aspect yes he overcodes but I am not aiming to get 15/15 points on an ECG. All I needed was to pass that was my attitude thus year compared to prior ones. Hopefully it helps
 
Thanks for the group to take out frustration of this stupid exam. I passed. But still think this is one of most useless and stupid exam. It has nothing to do with knowledge.
For day 1 mayo online videos helped a lot. Used mayo and accsap.
For day 2: Okeefe, echo just code obvious like if it is MR code it , what’s the etiology ( if you see) and EF if you see. Same for the cath code the obvious. And pay attention to grafts.
 
Day 1: Mayo Clinic video + ACCSAP questions + ACC guidelines

Day 2: No one knows how to actually code. It's a messed up exam. Most people fail because of Day 2.

ECG: Do NOT overcode. You will get dinged negative points. Just give them the underlying atrial/sinus rhythm plus main diagnosis. Stick with 1-3 diagnoses and move on. Know when NOT to code certain things like LAFB/LPFB. Do OKeefe and ECGsource multiple times and read OKeefes pdfs for each diagnosis. You are either failing because you're missing the main diagnosis and/or overcoding and getting negative points. Don't worry about minor diagnosis like LAE/RAE. Do not code for something unless it meets actual criteria, dont code for borderline. Surprised how many ECGs had borderline findings.

Cath: You will tend to OVERCODE for this section. Do OKeefe cath questions, ECGSource cath questions, Mayo cath questions plus Mayo clinic board review cath video. Know myocardial bridge, thrombus and dissection. Know occluded stents. Be careful of occluded stents where you can only see them on fluoroscopy prior to contrast injection. Know grafts and what native vessels they're attached to.

Echo: You will tend to OVERCODE for this section. You need to code the diagnosis theyre looking for AND everything you see in the image. Look at the answer sheet on ABIM and find echo images of each possible choice. Watch Mayo videos on echo multiple times. Know adult congenital findings. Know pulse wave/continuous wave tracings and what diagnosis they're suggesting.

Do not take Day 2 lightly it should be given more emphasis than Day 1 IMO.
 
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tmm0728 said:
as above. If someone could for example
1. ECG diagnosis: AV block or something
2. Pericardial effusion
3. Pericarditis
4. Some of the weird EKGs we encountered this time --- and explain how you coded? I think my negative scoring is screwing me
Click to expand...
I just did ecg source. I did it throughout fellowship so I was very comfortable with what and what not to code
 
I rambled a lot in my last post. So to summarize:
Foundation - assess your foundation going in to the test. A lot of people I know passed with just ECGsource and ACCSAP but it didn't work for me the first time around since my base was weak (research track, not board certified in echo or nuclear, plus COVID related issues compromising learning during fellowship). I studied a lot but that was to make up for a weak foundation so this plan is by no means representative for a typical fellow

Successful attempt:

Day 1: Mayo videos (2x paying full attention, taking notes, multiple other passes), ACCSAP (1x with notes, I also read the linked pages in addition to the blurb for each question itself so I think I had read all the detailed notes on ACCSAP, 1x incorrects, 2 section of randoms to test endurance), Mayo assessment questions from the course x 2 (the 2024 course included explanations which was helpful. I think there were around 150 or so of them); OKeefe online general questions (1x, not the greatest quality but they do have a lot of imaging like cMRI, nuclear, CCTA which I thought was helpful). 3 days before the test I read through all the notes I took. To be fair, I think BoardVitals is probably more representative than ACCSAP. The actual boards should look ACCSAP in my opinion. The questions are better written and more fair

Day 2: OKeefe ECG book, Okeefe ECG online 1.5 x, ECG source x 1, ECG source high yield 2x, Mayo EKG. I also watched OKeefe videos on youtube and the Mayo videos. Coding wise, I would recommend being systematic and going for the main diagnosis. Don't focus on LAE while missing an MI. My strategy was a mix between Okeefe (overcodes) and ECG source (undercodes). I prefer OKeefe as I think its logical but the balance between losing points is hard. To be honest, I still don't know what to say. Create a strategy and system and stick with it.
Echo: OKeefe online several times, Mayo echo videos that were part of the general course plus the Mayo coding stuff. And ECG source. Plus supplemental stuff I did over the year as I am not echo boarded. I don't think overcoding matters here much. The main thing is to get the major diagnosis and I coded select additional stuff such as EF.
Cath: OKeefe online several times, Mayo echo videos that were part of the general course plus the Mayo coding stuff. And ECG source but this had very few coronary cath. ACCSAP also has a cath coding video. There is this website as well: Angiogram Coding for the Cardiology Boards – CathEd. Similarly, I don't think overcoding matters much here. The key is to get the major diagnosis and I was liberal with coding other vessels.
For echo and cath, the more images you see (for your patients), the more you will be familiar come test time. That helped me as well.
 
I don’t understand what they want on day 2.
I was pretty confident with it. Don’t over code knew what they were asking 80% of the time. Don’t know what I can do better. And now I have to take day1 again. This is so disappointing. It’s definitely test taking skills. Not a knowledge thing esp for day 2
 
jospeed said:
I don’t understand what they want on day 2.
I was pretty confident with it. Don’t over code knew what they were asking 80% of the time. Don’t know what I can do better. And now I have to take day1 again. This is so disappointing. It’s definitely test taking skills. Not a knowledge thing esp for day 2
Click to expand...
what part did on day 2 did you struggle on? I did very well on day 2 so I can tell you what i did
 
I will talk about my experience and hopefully it help people who failed/future first-time takers. I will focus on day 2, since I thought day 1 was not bad, but I have always done very well on cardiology MCQs even back to the Step days and scored in the highest percentile on the cardiology ITE 2/3 years. This is not to brag, its just for reference for other people of my test taking ability. Overall, day 1 is tougher than the ITEs but very doable.

Day 2. I just passed, worst I have ever performed on a standardized test in my life. I will say that I was also the most nervous I have ever been going into an exam for this, was very very anxious (woke up with heart racing etc) because of the unclear nature of this day.

- EKGs: I coded very little. A lot of EKGs I coded just 1-2 things and second guessed myself a few times even when there were clear repeats, I thought to myself "they wouldn't ask the same thing twice". Be confident and take what they give you.

- Echo: I coded the major pathology + anything pertinent associated with it (e.g., if there is a subaortic stenosis + the regurgitation) + ejection fraction if clear and not borderline (only commented on wall motion for the stress question and maybe one other time if there was something clearly wrong with a wall).

- Cath: Again, very minimal. Only coded 1-2 things each. For some if there was a stent and maybe mild disease elsewhere, I just coded the stent and that's all. I generally did not code anything mild, only serious disease/bypass etc.

...... and I did not do "good" in any of these 3 sections, just borderline. I took the echo boards and scored in the 80th percentile, yet I did not do good on echo coding which does not make any sense to me. So what I am trying to get at is I don't think my way of doing things was correct! I hope there is someone that scored high on day 2 that did the opposite of me, then we would know for sure what they want.

To the future exam takers, do not take this exam lightly, especially day 2.
 
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I failed Day 2 which was unexpected for me. My preparation was not great but whatever time I had I dedicated most of it to coding and getting it right. I thought if I failed it would probably be day 1 because I did not do a lot of questions. Now I am not sure what more I can do for Day 2 next year.

Also any suggestions as to requesting for rescore?
 
rushmore4 said:
what part did on day 2 did you struggle on? I did very well on day 2 so I can tell you what i did
Click to expand...
Pls do, I thought I did very well on Cath and echo because I just passed my echo boards as well. And in interventional fellowship so I know Cath. EKG I thought I did 60-70% right but my score is below bar on all 3. So I’m thinking I didn’t code right.
How to the point were u on Coding Cath echo and ekg. Did u code for all vessels and all echo findings? And same for ecg how much did u code.
 
Prepforlife86 said:
I failed Day 2 which was unexpected for me. My preparation was not great but whatever time I had I dedicated most of it to coding and getting it right. I thought if I failed it would probably be day 1 because I did not do a lot of questions. Now I am not sure what more I can do for Day 2 next year.

Also any suggestions as to requesting for rescore?
Click to expand...
I thought about it. But I don’t think they will change much. Because they won’t accept their fault and then they know everyone would ask to restore and it affects their credibility. But that’s my thought. I do wanna know if anyone ever passed with rescoring
 
Prepforlife86 said:
I failed Day 2 which was unexpected for me. My preparation was not great but whatever time I had I dedicated most of it to coding and getting it right. I thought if I failed it would probably be day 1 because I did not do a lot of questions. Now I am not sure what more I can do for Day 2 next year.

Also any suggestions as to requesting for rescore?
Click to expand...
Rescoring has never helped anyone hisotorically, that is just another way for ABIM to make money.
 
Congrats to those who passed! I passed after the second attempt. I failed by 5 points on Day 1 last year and improved significantly this year. Passed comfortably both years on Day 2. Here are some tips if they help anyone out. If you didn't pass, do not let this test define you. It is such an unfair test, especially after last year's debacle and this year's exam that honestly felt like I was taking EP boards 🙄

I carefully tailored my study plan this year based on my exam report. This proved to be extremely helpful. I spent most of my time studying all the areas/topics I was weak in and the specific content I missed. Some from the report were super specific and under task will say either diagnosis or treatment/care decision. I made sure I knew everything inside and out about those topics I missed. I typed out a custom study guide that included every single content I missed. This was brutal, but it really forced me to look beyond what I thought I already knew about that topic. I didn't want to study things I knew well beyond reviewing them through Mayo Board review or ACCSAP. At least for me, on board exams, if I know a topic really well, I should be able to answer any question on it or make a well-educated guess. However, when I only know a topic on surface level, it becomes challenging to come up with an answer ( I end up convincing myself I know it, but in reality, I really don't know it well enough compared to my strong topics). Focusing primarily on my deficiencies and mistakes from last year was truly helpful.

Day 1: Resources used-- Mayo Videos x2 (Printed out every single lecture, made notes for my weak topics, and went through this 2x), ACC SAP qbank x2 (Second time- did all my weak topics/incorrects), ACC guidelines x3 (created a folder with pdfs for every single guideline takeaway). In the last few weeks, I did the O'Keefe online question bank, which I felt was solid and challenging.

Day 2: I only used O'keefe (both book and online) and ACC EKG drill and practice. I did every single EKG x2. I also created a PDF with a sample tracing for every possible code and diagnosis. I went through this at least a dozen times, which helped me drill the coding. My strategy for both years was simple-- I only focused on the most prominent findings and coded those. I never coded more than 3 items unless there was an associated clinical disorder that I felt fit the description.
For the ECHO section, my strategy was very different. I don't think anyone really knows what they're looking for but I scored high on this section both years doing the same thing. I coded mostly everything I saw. Some may call it "overcoding," but I coded it if they showed me an image of a structure/finding. My thought was that they can't penalize me for coding what they're showing, especially if it is correct. It's not like the EKG section where you coded extra things that were borderline findings, which may negatively impact your score. On ECHO, I prioritized coding the most apparent findings, but for example, if they showed me a 2-chamber view and I could make out a normal LV size and LV function, I coded it.
For cath- my strategy was similar to EKG here. I coded the most obvious and moved on. O'keefe cath films also helped me prepare for this and I ensured I knew how to identify every single type of graft in different views.

Sorry for the super long post, but hopefully is helpful and provides some insight!
 
what I did to pass on
This is not my first time taking this

Day 1: did Mayo( with their question) , Board vitals, ACCSAP and went over most guidelines ( at least do the PPT presentation) --did them diligently

Day 2:
better to print the coding sheet and know all of the diagnosis on them for all the 3 sections
Usually coded not more then 3-4 on every EKG, Did Okeefe's
Cath: Did Cath from Okeefe's
Echo: I am echo certified but thought this was hard. Did mayo echo coding and Okeefe's. make sure to code LVEF on every echo at least.
 
Passed but agree the test didn't do a good job assessing knowledge. Resource wise I used accsap/mayo vids (although I thought they were boring and only watched pieces of them)/okeefe.

For additional practice on angiograms I bought a subscription to cath-ed. Garbage explanations but gave me more studies to look at/code so thought it was worth it.

Image quality for echo was very poor so my only advice would be to read as many poor quality pre contrast echos as possible (think obese patients with copd) to best replicate the test day experience.
 
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