Must demonstrate competency in performing at least FIVE of the following ECHO and/or Vascular exams: 3D, 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. • Must maintain one of the following: * Registered Diagnostic Medical Sonographer (RDMS) through the American Registry of Diagnostic Medical Sonographers (ARDMS) in fetal echocardiography; or * Registered Diagnostic Cardiac Sonographer (RDCS) through the American Registry of Diagnostic Medical Sonographers (ARDMS); or * Registered Cardiac Sonographer (RCS) or Advanced Cardiac Sonographer (ACS) or Registered.