At the end of this session, the participant will be able to: • Understand the need for standardized guidelines for interventional echocardiographers trained in structural heart disease (SHD) to improve patient access to quality care. • Discuss requirements for SHD training including the duration and core competencies of training, minimal procedural volume for competency, and knowledge of specific SHD procedures. • Recognize the role of the interventional echocardiographer in the multidisciplinary SHD team for diagnosis and management of patients undergoing transcatheter procedures.