Recertification Examination of Special Competence In Perioperative Transesophageal Echocardiography (RePTE)

The Recertification Examination of Special Competence in Perioperative Transesophageal Echocardiography (RePTE) is a recertification exam offered to physicians who previously earned certification in Perioperative Transesophageal Echocardiography (PTEeXAM) through the National Board of Echocardiography (NBE) which certifies that professionals maintain current knowledge, skills, and clinical competence in the use of transesophageal echocardiography (TEE) during perioperative care, particularly in high-risk and cardiac surgical settings. It covers updated guidelines, imaging techniques, and advancements in cardiac diagnostics.

The RePTE is a recertification exam that evaluates a physician’s ongoing ability to use TEE safely and effectively during perioperative and cardiac surgical procedures. It is designed for professionals who previously earned their PTEeXAM certification and now require RePTE certification to maintain their credentials.

To take the RePTE exam, candidates must:

• Hold a valid PTEeXAM certification
• Be a licensed physician (MD / DO or equivalent)
• Have ongoing clinical experience in perioperative or cardiac TEE
• Meet RePTE CME requirements, as updated by NBE

There is no fixed program duration. Physicians can prepare at their own pace. The exam itself typically lasts 3 to 4 hours and includes imaging-based questions, case scenarios, and guideline-based assessments.

The exam fees usually range between $700 and $1,000, depending on the National Board of Echocardiography fee schedule for that year. Additional charges may apply for late registration or rescheduling.

The RePTE exam is ideal for:

• Physicians who require advanced TEE certification renewal
• Cardiac anesthesiologists regularly performing TEE
• Cardiologists involved in perioperative monitoring
• Critical care specialists using TEE in ICU settings
• Doctors planning long-term practice in cardiac diagnostics

You should take this recertification exam to:

• Maintain your active TEE certification
• Stay updated with guidelines and imaging advances
• Improve perioperative patient safety and outcomes
• Strengthen your professional credibility
• Meet hospital and regulatory requirements for TEE practice

Completing RePTE ensures you remain a competent and trusted practitioner.

The RePTE itself is the recertification exam—there is no separate entrance exam. Eligibility is based on prior certification and required documents.

1. Visit the official NBE website
2. Complete online registration for RePTE
3. Upload necessary documents (license, past certification, CME, etc.)
4. Pay the exam fees
5. Schedule the exam at an approved testing center
6. Take the exam on the assigned date

The RePTE exam is not offered by colleges. It is administered directly by:

• National Board of Echocardiography (NBE), USA

Physicians prepare independently or through workshops, CME programs, and institutional training.

Passing the RePTE ensures that a physician continues to be recognized for their competence in perioperative TEE. It opens doors to:

• Senior roles in cardiac anesthesia
• Leadership positions in echocardiography departments
• Opportunities in advanced cardiac surgery teams
• Enhanced credibility in clinical and academic settings

After RePTE, candidates may pursue:

1. Advanced Certification in Critical Care Echocardiography
2. Training in 3D or 4D Echocardiography
3. Fellowships in Cardiac Anesthesia
4. Specialized imaging workshops and CME programs

• Senior Cardiac Anesthesiologist
• Perioperative TEE Specialist
• Assistant Professor / Teaching Faculty
• Consultant in Cardiac or Transplant Centers
• Director, Echocardiography Lab