Must demonstrate competency in performing at least FIVE of the following ECHO and/or Vascular exams: 3-D, Strain, Exercise Stress Echocardiography, Dobutamine Stress Echocardiography, TAVR, Mitral Clip, Complex Valve, Watchman, Post Processing, Contrast Studies, Agitated Saline Studies, Transesophageal (TEE), Surgical TEE, Complex Cardiac Shunts, Pericardiocentesis, Single Ventricle, TOF, AVC, TGA, Venous Insufficiency, Visceral, Segmental Physiology Upper Extremity, Access Grafts, Hemodialysis Access, Venous Ablation Procedures, Ultrasound Guidance, Thoracic Outlet Syndrome, Temporal Artery, or Transcranial Imaging. Able to perform routine echocardiology exams including, but not limited to, 2-D and M-Mode Echocardiography and/or vascular sonography exams including, but not limited to, 2-D and M-Mode Imaging, Color Flow and Spectral Doppler, Carotid Ultrasound, Venous Doppler Upper and Lower Extremities, and Arterial Duplex Upper and Lower Extremities.