Our Philosophy

Outreach Cardiac Skills has been established by experts in the field of echocardiography. We work in rural and remote Australia and have an understanding of the health issues and resource challenges that practitioners face on a daily basis. Our team is passionate about bringing practical and relevant education to where it is needed. Our courses focus on making bedside echocardiography accessible to the rural and remote medical practitioner.


Course Instructors


Anthony Spencer B.Sc, B. BusMan, DMU (Cardiac) - Cardiac Sonographer/Educator
Anthony has been working within the field of cardiology for well over 10 years after obtaining a Bachelor of Science majoring in Cardiac Physiology from the University of Queensland in 2008. Initially training in myocardial perfusion scans at Oxford University Hospital Trust in the UK, Anthony began echo training in Perth in 2012, completing the graduate diploma in cardiac sonography. A strong passion for rural and Indigenous health as well as valvular pathology drew Anthony to the Kimberley, where he was the sole echocardiographer for the region for a number of years.
Now back in Perth with his partner and young son, Anthony has taken up a senior University lecturer position with CQ University for the graduate diploma of echocardiography where he maintains the same passion for rural health and education. 

AK photo.jpg

Alex Kaethner BHlthSc, Grad Dip Card. Ultrasound, Grad Dip Management - Cardiac Sonographer/Educator

Alex is the Chief Cardiac Physiologist with NT Cardiac in Darwin. He has over 15 years experience in the field of echocardiography. He has particular interest in rural cardiac health and access to cardiac imaging in remote locations. His focus on RHD has seen him heavily involved in research, training and screening projects across northern Australia as well as Timor-Leste and the Pacific. He has developed and delivered the training courses for these projects, teaching health workers to perform basic RHD focused echocardiography. Alex is currently working with Menzies School of Health Research in the future direction of echo training and screening programs for remote locations of need.

Initially training at Flinders Medical Centre in Adelaide, Alex has now been working in the Northern Territory since 2010. He lives in Darwin with his young family, enjoying all the Territory has to offer.


Dr James Marangou MBBS (hons), FRACP, FCSANZ - Cardiologist/Clinical Content Consultant/Educator

James is a consultant cardiologist with subspecialty fellowship training in echocardiography and interventional cardiology. James has a strong interest in Indigenous health and during his specialty training he spent time working in the Kimberley and participated in outreach cardiology services to the Ngaanyatjarrra Lands. After completing Cardiology training, James moved from Perth to Darwin and commenced a fellowship in Indigenous cardiovascular health with a focus on echocardiography, outreach service provision and rheumatic heart disease research. James has been a strong advocate for continually improving post-graduate education and in 2017 he was awarded the PMCWA Clinical Educator of the Year. He has been involved in various RHD echo screening studies, including those involving teaching ‘non-experts’ to screen for RHD. He was a lead author for the 2020 Australian Rheumatic Heart Disease guidelines.


James now lives in Darwin with his young family. He holds a public consultant position at Royal Darwin Hospital and is completing a PhD with Menzies School of Health Research, studying the role of echocardiography for the assessment of RHD in pregnancy.