ACSM credentials are recognized as the Gold Standard throughout the

1. Why ACSM • ACSM credentials are recognized as the Gold Standard throughout the • United States and around the world. • By obtaining an ACSM credential, employers know that you have passed • the most rigorous and up-to-date health/fitness and clinical credentialing • examinations that exist. • There are many benefits to being ACSM certified/registered: • Employers prefer ACSM certified/registered employees because this ensures a higher standard of knowledge and better and safer service to clients. • An ACSM credentialed individual is capable of working with both apparently healthy clients and clients with chronic diseases and disabilities. • ACSM credentials establish a quality of care that today's society demands.

2. American College of Sports Medicine Certification Clinical Track Health & Fitness Track ACSM Exercise Specialist ACSM Registered Clinical Exercise Physiologist ACSM Health/Fitness Instructor Healthy Disease designed for professionals who work with high-risk individuals or those with known diseases, as well as those who are low-to moderate-risk. designed for leaders who work in preventive health programs aimed at low- to moderate-risk individuals or those with controlled diseases, in commercial, corporate, hospital-based, and community settings. Certification is designed to determine competence in the ACSM knowledge, skills, and abilities (KSAs) found in the current edition of the ACSM’s “Guidelines for Exercise Testing and Prescription” Which track?

3. Clinical Track For professionals exercise testing and training clients with cardiovascular, pulmonary or metabolic diseases. ACSM Registered Clinical Exercise Physiologist provides exercise management for patients with a broad spectrum of chronic diseases or disabilities. This national registry for clinical exercise physiologists catalogues allied health professionals who work in the preventive or rehabilitative application of exercise and physical activity for populations where exercise has been shown to provide a therapeutic or functional benefit. ACSM Exercise Specialists are competent in graded exercise testing and exercise prescription, performing emergency procedures, and providing Health and fitness counseling for patients in clinical settings

4. How do I prepare for a certification/registry exam? Your best resources for the certification examinations are the Sixth Edition of ACSM's Guidelines for Exercise Testing and Prescription Fourth Edition of ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription and the appropriate Review Book available from the ACSM Certification Resource Center. Your best resources for the registry exam are ACSM's Resources for Clinical Exercise Physiology: Musculoskeletal, Neuro-muscular, Neoplastic, Immunologic, and Hematological Conditions available from the ACSM Certification Resource Center. The practice exam questions that will be sent to you with your enrollment confirmation letter.

5. Minimum Requirements • ACSM Health/Fitness Instructor • An Associate's Degree or a Bachelor's Degree in a health-related field* • from a regionally accredited College or University (one is eligible to sit for • the exam if the candidate is in the last term or semester of their degree program) • Possess current adult CPR certification • Examples: Nursing, Occupational Therapy, Physical Therapy, Physician Assistant, • Health Care Administration, Physical Education, Exercise Science, Kinesiology, • Kinesiotherapy, Athletic Training, Physiology, Sports Management, Biology, • Exercise Physiology, Human Performance, Health Science, • Recreation Management/Science, and Nutrition.

6. ACSM Exercise Specialists A Bachelor's Degree in an allied health field* from a regionally accredited college or university (one is eligible to sit for the exam if the candidate is in the last term of their degree program); Minimum of 600 hours of practical experience in a clinical exercise program (e.g. cardiac/pulmonary rehabilitation programs, exercise testing, exercise prescription, electrocardiography, patient education and counseling, disease management-cardiac/pulmonary/metabolic diseases, and emergency management) Current certification in Basic Life Support (BLS) Examples: Nursing, Occupational Therapy, Physical Therapy, Physician Assistant, Physical Education, Exercise Science, Kinesiology, Kinesiotherapy, Physiology, Biology, Exercise Physiology and Human Performance.

7. ACSM Registered Clinical Exercise Physiologist • Graduate degree in exercise science, exercise physiology or physiology • from a regionally accredited college or university. • Minimum of 1200 hours of relevant clinical experience (may be • completed as part of the graduate degree) • Cardiovascular: 240 hours required • Pulmonary: 60 hours required • Metabolic: 120 hours required • Orthopedic/Musculoskeletal: 120 hours required • Neuromuscular: 60 hours required • Immunological/Hematological: 60 hours required • Additional hours from any of the above: 540 hours required • Experience in providing clinical exercise services for patients with • chronic diseases and conditions as specified in the • Clinical Exercise Physiologist Scope of Practice.

8. Workshop Information Does ACSM offer review courses? Many ACSM testing sites host workshops approved by ACSM. The workshops are designed to provide candidates with a thorough review of the core competencies expected of a certification candidate. They also afford the opportunity to practice some of the competencies found in the practical portion of the exam. Workshops include important information; however, they represent only a portion of what is required to earn an ACSM certification. May be conducted before certifications Optional Not a prerequisite Take a workshop?

9. Certification Information ACSM Exercise Specialist ACSM Health/Fitness Instructor ACSM Registered Clinical Exercise Physiologist written and practical examination written-only format with specific prerequisites Written-Exam-taking skill Practical-Exam-taking skill DO not forget Continuing Education Units (CEUs)

10. Written Exam

11. Practical Exam Health & Fitness Instructor 20 min for each station Station 1. Body Composition, Flexibility & Strength 1. Identify sites and demonstrate proper technique in estimating body composition using standard anthropometric protocols (including skin-fold and circumferential assessments) 2. Demonstrate proper administration of the trunk flexion flexibility assessment 3. Demonstrate exercise instruction ability. Teach/demonstrate flexibility and strength exercise using self, free-weights and dumbbells. • Station 2. Health & Fitness Consultation • Identification of ACSM coronary artery disease risk factor thresholds. • Defining the components of health-related physical fitness. • Interpreting data from tests used to assess the components of • health-related physical fitness. • Developing an exercise prescription and determining goals for of • health-related physical fitness.

12. Station 3.Physical Work Capacity Test using a Cycle Ergometer • 1.Client instructions. • 2. Assessment of HR (radial pulse), BP, and rating of perceived exertion (RPE). • 3. Setting appropriate workloads. • 4. Recoding of data. • Test termination (end point). • Following protocol to ensure validity and reliability of the test.

13. Exercise Specialist 20 min/ station, 4 stations • The station topics may include but are not limited to: • 1. ECG and arrhythmia analysis. • 2. Exercise and education for special population: diabetes, chronic obstructive • Pulmonary disease. • 3. GXT and potential emergency responses. • Emergency assessment and procedures for cardiac patients during rehabilitative • exercise sessions. • Assessment and exercise supervision of diseased populations.

14. ACSM Registered Clinical Exercise Physiologist Practical areas in Written Exam Cardiovascular 65 Pulmonary 25 Metabolic 45 Orthopedic / Musculoskeletal 45 Neuromuscular 25 Immunological / Hematological 25

15. Register on line at www.LWW.com/acsmcrc (Lippincott Williams & Wilkins)

16. The arm is capable of performing all of the following EXCEPT • Abduction • Inversion • Supination • Flexion • In a rested, well-fed athlete, most of the CHO used a substrate during exercise • comes from • Liver glycogen stores • Muscle glycogen stores • Glycogen stored in fat cells • Blood glucose • What is the MET equivalent to level walking on a treadmill at 3.0 mph • 2.3 METs • 3.3 METs • 5.59 METs • 3.02 METs

17. What is a subject’s work rate in watts if he pedals on a Monark cycle ergometer • At 50 rpm at a resistance of 2.0 kp • 50 watts • 200 watts • 100 watts • 300 watts • Arteries are large-diameter vessels that carry blood away from the heart. As • They course through the body, the progressively decrease in size until they • become • Venules • Arterioles • Capillaries • Veins • Each of the following contributes to the impairment of thermoregulation • during exercise in old adults, EXCEPT: • Lower maximal cardiac output • Decreased sensitivity of sweating mechanism • Decreased subcutaneous blood flow during exercise • Decreased total body water

18. Which of the following cardiovascular variables does NOT increase as a • result of chronic exercise while performing a single bout of maximal exercise • Maximal SV • Maximal HR • Maximal cardiac output • Maximal oxygen consumption • The risk of acute cardiovascular event during aerobic exercise is • Less in women than in men • Increased in men who have more than one risk factor for coronary heart • disease • Increased in men who are habitually active • Approximately one event in every 100,000 hours of exercise