INFO FOR INSTRUCTORS ONLY: This slide set was revised on Oct 6, 2013

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© 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.pptxFurther information on what it means to work within the scope of practice has also been added CSEP-CPT Certification Requirements V2 Oct2013 1

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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 ’ - PowerPoint PPT Presentation

Transcript of INFO FOR INSTRUCTORS ONLY: This slide set was revised on Oct 6, 2013

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A CSEP-CPT Certification Requirements V2 Oct2013 1

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

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A

CSEP-CPT Scope of Practice& Certification Requirements

CSEP Physical Activity Training for HealthCSEP-PATH

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A

CSEP-CPT Scope of Practice

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A CSEP-CPT Certification Requirements V2 Oct2013 4

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• It does not list specific tasks or procedures because these can become outdated as practice evolves in response to changes in knowledge.

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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

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A CSEP-CPT Certification Requirements V2 Oct2013 6

CSEP-CPT Scope of Practiceslide 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.

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CSEP-CPT Scope of Practiceslide 2 of 5

A CSEP-CPT works with apparently healthy individuals or those with one stable health condition who are able to exercise independently.

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CSEP-CPT Scope of Practiceslide 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.

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CSEP-CPT Scope of Practiceslide 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.

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CSEP-CPT Scope of Practiceslide 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.

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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.

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Defining the SOP – Stable Health ConditionSlide 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.

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A CSEP-CPT Certification Requirements V2 Oct2013 13

Defining the SOP – Stable Health ConditionSlide 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)

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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.).

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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?

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A

CSEP-CPT Certification Requirements

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At the time of certification, the CSEP-CPT candidate must show evidence of:1. Academic requirements2. Specific coursework requirements3. Theory and practical examinations4. CPR & first aid5. Registration fee and completed paperwork

• See next slides for details on each of the above

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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.

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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 titles1. Human Anatomy, Human Physiology, and Exercise Physiology2. Theory and Methods of Behaviour Modification3. Theory and Methods of Health-Related Physical Activity and Fitness

Assessment4. Theory and Methods of Health-Related Exercise Prescription and

Program Design5. Safety and Emergency Procedures6. Documentation, Administration and Professionalism

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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.

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A CSEP-CPT Certification Requirements V2 Oct2013 21

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

© CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY C S E P . C A CSEP-CPT Certification Requirements V2 Oct2013 22

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.

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CSEP-CPT Certification Requirements - Policies to NoteTimelines 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.

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CSEP-CPT Examinations

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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).

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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

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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)

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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

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CSEP-CPT Examination Policies Theory Exam FailureIn 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).

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CSEP-CPT Examination Policies Practical Exam FailureIn 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).

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CSEP-CPT Examination Policies Timelines for CompletionTimelines 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.