© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA INFO FOR INSTRUCTORS ONLY: This slide set was revised on Oct 6, 2013 Slides on ‘basic legal considerations’ was removed from this slide set. This information can now be found in ‘10 CSEP-PATH Section D2 Legal Considerations Oct2013.pptx’ Further information on what it means to work within the scope of practice has also been added CSEP-CPT Certification Requirements V2 Oct2013 1

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice & Certification Requirements CSEP Physical Activity Training for Health CSEP-PATH

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA What is a Scope of Practice (SOP)? A SOP provides a concise description, in broad, non- exclusive terms, of the activities and areas of professional practice. It does not list specific tasks or procedures because these can become outdated as practice evolves in response to changes in knowledge. CSEP-CPT Certification Requirements V2 Oct2013 4

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA What happens when professionals work outside their SOP? When professionals work outside of their scope, they do not only expose themselves to legal risk, but also may risk the safety of their clients. Legal claims may arise in the fitness industry if trainers fail to recognize when to refer a client to another appropriate health care provider OR if trainers cause injury due to working beyond his/her SOP CSEP-CPT Certification Requirements V2 Oct2013 5

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice slide 1 of 5 The CSEP-CPT is a professional with a minimum of two years of University/College coursework in specific core competency areas related to the exercise sciences from an accredited post-secondary institution. CSEP-CPT Certification Requirements V2 Oct2013 6

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice slide 2 of 5 A CSEP-CPT works with apparently healthy individuals or those with one stable health condition who are able to exercise independently. CSEP-CPT Certification Requirements V2 Oct2013 7

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice slide 3 of 5 The CSEP-CPT: a.Conducts basic pre-participation health screening assessments on all clients using evidence-based tools and gathers information about physical activity and lifestyle behaviours. b.Administers various fitness assessments on clients including submaximal aerobic fitness, musculoskeletal fitness (muscular strength, endurance, power, flexibility, and balance), and anthropometry. CSEP-CPT Certification Requirements V2 Oct2013 8

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice slide 4 of 5 The CSEP-CPT: c.Gathers and applies information about the physical activity, fitness, and lifestyle of a client or group of clients to design, implement, and monitor client- tailored submaximal exercise programs for healthier living. d.Recognizes their own area of expertise and refers clients who fall outside that expertise to a CSEP Certified Exercise Physiologist®, physician, or other appropriate health care provider. CSEP-CPT Certification Requirements V2 Oct2013 9

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Scope of Practice slide 5 of 5 The CSEP-CPT is not certified to: Use an ECG for any purpose. Utilize any assessment protocols or design exercise programs that require maximal aerobic or anaerobic effort. Assess muscular strength using maximal 1RM assessment protocols or design programs based on resistance loads exceeding 90% of the predicted 1RM. Administer fitness assessments, or design, implement and monitor client-tailored exercise prescription strategies for populations with unstable medical conditions, more than one medical condition, under 15 years or over 69 years, or with special needs that the CSEP-CPT feels ill-equipped to address. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA Defining the SOP – Apparently Healthy Generally considered to be an individual who has not been diagnosed with any medical conditions and does not have any overt signs and symptoms suggesting the development of any medical conditions.  For example, if using the PAR-Q+, then apparently healthy would be all ‘no’ answers on page 1 and a signed, dated, and witnessed declaration on page 4 of the document. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA Defining the SOP – Stable Health Condition Slide 1 of 2 Generally considered to be an individual who has been diagnosed with a health condition such as CVD, diabetes, etc, and meets the following criteria: » Client is being medically managed and is asymptomatic, » Client is not experiencing difficulty controlling the condition with medication (if prescribed), and » The benefits of physical activity for the client clearly outweigh the risks.  For example, if using the PAR-Q+, then a stable health condition would be all ‘no’ answers to the follow-up questions on pages 2-3. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA Defining the SOP – Stable Health Condition Slide 2 of 2 A stable health condition also infers that the client does not have a ‘yes’ response to one or more of the following questions on page 1 of the PAR-Q+ (regardless of the answers to the follow-up questions on pages 2-3). » #2 - Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity? » #6 - Do you have a bone or joint problem that could be made worse by becoming more physically active? » #7 - Has your doctor ever said that you should only do medically supervised physical activity? The above questions infer that the potential of an unstable medical condition  refer client to physician for further evaluation and clearance (via the Physician Physical Activity Clearance Form) CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA Defining the SOP – Exercise Independently Generally considered to mean a client can be mobile on his/her own without any assistance from another person (i.e., client can move from a seated to standing position without assistance; client can get onto exercise equipment without assistance, etc.). CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA Bottom Line on the CSEP-CPT SOP CSEP-CPTs must always work within their areas of knowledge and ability within the CSEP-CPT Scope of Practice » Passing the CSEP-CPT examinations does not necessarily mean that a CPT has the knowledge and ability to work with all clients » Some CSEP-CPTs, especially those with only 2 years of post- secondary coursework, may wish to expand their knowledge through professional development credits (PDCs) before working with clients with stable health conditions Always put the safety of the client first. » ASK YOURSELF: Would a reasonable CSEP-CPT with the same educational background provide this service? CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Certification Requirements

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA At the time of certification, the CSEP-CPT candidate must show evidence of: 1.Academic requirements 2.Specific coursework requirements 3.Theory and practical examinations 4.CPR & first aid 5.Registration fee and completed paperwork See next slides for details on each of the above CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA 1. CSEP-CPT Academic Requirements Provide evidence via an official transcript of having completed at least 2 years of coursework from an accredited post-secondary institution in the area of kinesiology/exercise science/physical education. Part of this coursework must specifically address the six CSEP-CPT core competency areas (see next slide). » These courses must be recognized by CSEP and may require the candidate to provide course outlines to verify that the course meets the core competency requirement. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA 2. CSEP-CPT Core Competency Areas Candidates are required to take a series of introductory courses that meet each of the CSEP-CPT core competency areas as part of the two years of University/College coursework. NOTE: these are not necessarily course titles 1.Human Anatomy, Human Physiology, and Exercise Physiology 2.Theory and Methods of Behaviour Modification 3.Theory and Methods of Health-Related Physical Activity and Fitness Assessment 4.Theory and Methods of Health-Related Exercise Prescription and Program Design 5.Safety and Emergency Procedures 6.Documentation, Administration and Professionalism CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA 3. CSEP-CPT Examinations To obtain certification, a CSEP-CPT candidate must: a)Pass a computer-based theory examination of 60 questions in 120 minutes (2 hours) with a minimum score of 70% or higher. This exam is hosted by Pearson VUE at sites across Canada. b)Pass a practical examination (Pass/Fail) under the auspices of a CSEP-CPT Instructor/Examiner. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA 4. CSEP-CPT CPR & First Aid Requirements Must hold a current/valid CPR-Level C certificate and have successfully completed a course in emergency first-aid and/or standard first-aid (or higher). This training must be provided in-person through the Red Cross, Heart and Stroke Foundation of Canada, and/or St. John's Ambulance CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA 5. CSEP-CPT Registration Once all certification requirements have been completed, the candidate will complete a ‘CSEP-CPT New Member Registration Form’ submit all supporting documentation, and pay the registration fee to CSEP. The membership fee includes insurance premiums. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Certification Requirements - Policies to Note Timelines for Exams and Registration with CSEP Following the successful completion of the CSEP-CPT theory exam, candidates have no more than 6 months to successfully complete the practical exam and register with CSEP. If longer than 6 months elapses, the CSEP-CPT Candidate must repeat the full CSEP-CPT examination process to be certified. CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Examinations

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Theory Exam The CSEP-CPT candidate will demonstrate appropriate theoretical knowledge of all core competency areas by achieving a minimum score of 70% on a 2 hour examination consisting of 60 multiple-choice questions (including a case study). CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA Pearson VUE Exam Procedures The CSEP-CPT Theory Exam is administered through Pearson VUE Computer-Based Testing Centres. After scheduling a time to challenge the CSEP-CPT Theory Exam at a Pearson VUE testing centre the candidate is expected to: » Arrive at the test centre 30 minutes prior to their scheduled appointment time to allow enough time to complete the necessary sign-in procedures. » Provide two forms of identification. The names on these identification documents must exactly match the name on the examination authorization. -One Primary ID: Valid, non-expired government issued displaying a photo and a signature. (i.e. driver’s license) -One Secondary ID: Valid, non-expired displaying signature (i.e. credit card CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Practical Exam The CSEP-CPT candidate will demonstrate appropriate practical skills and knowledge in an applied setting. This examination will be conducted under the auspices of a CSEP-CPT Instructor/Examiner and assessed on a Pass/Fail basis (i.e. Acceptable/Unacceptable practices) CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Practical Exam The practical examination evaluates the candidate’s ability to: 1.Conduct the appropriate pre-participation health screening assessments according to the CSEP-PATH. 2.Administer the CSEP-PATH lifestyle appraisal and fitness assessment protocols. 3.Conduct client monitoring in the areas of resistance training and flexibility and demonstrate and modify exercises as appropriate. 4.Counsel appropriately using the tools and strategies outlined in the CSEP-PATH based on the client’s stage of change CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Examination Policies Theory Exam Failure In the Event of an Exam Failure If a candidate fails their first attempt of the Theory Exam, he/she is allowed a second attempt (fee will be charged). » An appropriate period of time for either component should elapse to allow for further study. If a candidate fails both attempts of the theory exam, he/she must attend and complete a CSEP-CPT workshop. Upon completion of this workshop the candidate would receive a further two attempts at the theory exam (candidate is responsible for all fees). CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Examination Policies Practical Exam Failure In the Event of an Exam Failure If a candidate has two or less assessment area failures, he/she will only need to repeat the failed stations (fee may be charged) If a candidate has more than two assessment area failures OR compromises the safety of the client in any way or provides gross misinformation, he/she must complete the full practical on their second attempt (fee will be charged). » An appropriate period of time for either component should elapse to allow for further study. If a candidate fails both attempts of the practical exam, he/she must attend and complete a CSEP-CPT workshop. Upon completion of this workshop the candidate would receive a further two attempts at practical exam (candidate is responsible for all fees). CSEP-CPT Certification Requirements V2 Oct

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY CSEP.CA CSEP-CPT Examination Policies Timelines for Completion Timelines to Complete Examinations: Following the successful completion of the CSEP-CPT theory exam, candidates have no more than 6 months to successfully complete the practical exam and register with CSEP. If longer than 6 months elapses, the CSEP-CPT Candidate must repeat the full CSEP-CPT examination process to be certified. CSEP-CPT Certification Requirements V2 Oct