I do the POCUS curriculum for my residents and realized a lot of my personal clinical use of TTE incorporated "clinical gestalt" (vibes). Wanted to be able to better describe my findings objectively. Self improvement as well, thinking about ELSO next.
I paid some attention on structural finding based on others post. Also, there were questions on RV, WMA and DVT. Exam is on easier side. I used 1200Qs, videos and web search for basic echos.
Examples dependent on your situation... Not sure if pursuing certification does anything for me (as if testamur did).
I decided during fellowship to not even bother. Had to be full examinations, they go out of their way to state that typical focused exams are inadequate. 150 scans. And you couldn't even just go around the unit scanning every patient every day, they all had to be medically indicated and serial exams were only allowed if there was a clinical change.
Tough in a 1 year fellowship. Even harder when you barely hit 250 hrs of ICU a year like me.