Transthoracic and transesophageal echocardiography training occurs during the UIHC Echocardiography laboratory rotation and during the VA Outpatient and inpatient rotations. All fellows complete at least 3 months on these rotations to achieve level 1 certification. Additional months for Level 2 certification are available for fellows on elective rotations. All fellows receive training in exercise stress echocardiography, dobutamine stress echocardiography and transesophageal echocardiography after the first month of training in echocardiography. A weekly Echocardiography Conference is held that includes echocardiography case reviews and case specific didactic teaching. A series of lectures in echocardiography is also presented in the core curriculum lecture series.