Copyright 1997-2006  American Society of Exercise Physiologists. All Rights Reserved.


ASEPNewsletter

 

September, 2006; Vol. 10 No. 9   
 
 Editor: Dr. Lonnie Lowery

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BOD Editorial
Who is an Exercise Physiologist?
Lehn, M.
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Editorial

<> Editorial: Who is an Exercise Physiologist?
Matthew Lehn, Past ASEP President

Over the past few years, there has been an ongoing discussion about who can be considered an exercise physiologist. Unfortunately, most of this discussion revolves around the bachelor or master-prepared individual. However, this discussion tends to overlook many factors that also regard the future of Exercise Physiology.

We can begin this discussion by looking at other professions. In the health care setting, there are many health professions with varying degrees. Physical therapists are generally masters prepared (moving towards doctoral), as are speech therapists and occupational therapists. However, the majority of professions in the health care setting do not require this academic preparation. Professions such as respiratory therapy, dietetics, nuclear medicine and nursing generally require a bachelors degree, sometimes less. [Ed. Note: Dietetics is debatedly moving toward minimal MS preparation for RDs, however.] Nonetheless, these professions are thriving. In health care, the most dominate profession is Nursing. There is no debate over who a nurse is, regardless of level of degree. Many factors contribute to this, such as licensure and standardized curriculum.

However, in the field of Exercise Physiology, we have no licensure or standardized curriculum. Therefore, it is short sighted to presume that a bachelors prepared exercise physiologist is or is not capable of performing many of the same job functions as a masters prepared individual. It is true, and alarming, that many bachelor-prepared students are not able to step into the clinical setting, but there are also many excellent undergraduate programs that offer outstanding clinical skills and valuable internship experience to prepare students for the job market.

At a minimum, undergraduate programs should offer a generally acceptable curriculum that includes anatomy and kinesiology, introductory and advanced exercise physiology, exercise testing, exercise prescription, ECG interpretation, practicum and internship experience in the clinical setting and other important and relevant classes. Unfortunately, there are many programs that graduate students without these basic classes. These students are then applying for jobs in settings in which they are ill prepared to work, and often calling themselves exercise physiologists.

But what about the student who graduates from a program that offers these classes and fully prepares their students to work and excel in the clinical setting? Why do so many think that we cannot refer to these professionals as exercise physiologists?

Additionally, to presume that a graduate program fulfills everything that is needed for the preparation of exercise physiologists is false. There are many outstanding graduate programs that produce excellent exercise physiologists. Unfortunately, there are too many graduate programs producing "exercise physiologists" that are not prepared to enter the clinical setting. However, we consider them exercise physiologists even though they may lack knowledge of EKGs, stress testing, or had little internship experience.

Confounding this issue is the fact that we continue to produce students with similar education but dozens of different degrees. If someone graduates with a masters degree in Sport and Exercise Studies, are they an exercise physiologist? If someone graduates with a masters degree in Biological Science, are they an exercise physiologist? If someone graduates with a masters degree in Sport and/or Strength and Conditioning, are they an exercise physiologist? What is the difference between an exercise physiologist, a cardiopulmonary rehabilitation specialist, and an exercise specialist?

Anyone who works in the clinical setting views nursing as the model of success. Nurses graduate with degrees innursing! They dont have degrees called nursing specialist, rehabilitation nurse, clinical nurse; they are all nurses. The distinction is not made for a bachelors prepared nurse versus a masters prepared nurse. While licensure helps in this process, this can be done because there is standardization among curriculums of nursing programs. Yet they still benefit from advanced degrees through clinical ladders, specialized certifications and additional career opportunities.

Ultimately, the losers in the current structure are the students. They often enter the job market ill equipped for the job they are seeking. Many prospective employers do not understand what prepares a candidate is for a potential position. Additionally, any exercise physiologist who has to work with a human resources department is challenged by the proposition that there are many job titles, but no agreement on qualification or pay structure.

We are the only profession in the health care setting that still does not know what to call our degree(s) or the professions working in it. Moving forward, we must focus more critically on the academic preparation students are receiving in their preparation to work as exercise physiologists in the clinical setting. Future discussions as to who is an exercise physiologist is must focus on their preparation, not the level of their degree.

We must continue to work to standardize programs, both at the undergraduate and graduate level, so that students and employers can have a clear understanding as to the role each can play at their facility. We must raise the expectation of the bachelors prepared EP and force schools turning out ill prepared students to change their programs. Exercise physiologists should be prepared to enter the job market with the same stature, responsibility and pay as other bachelor prepared professions in the health care setting.


<> Ask the Professor: Your Inside Scoop on Tough Questions

Note: Ask the Professor is intended for informational purposes only. It is not to be taken as healthcare advice. Please do not submit questions of a personal nature (e.g. fitness programs, nutrition advice solicitation, etc.) Thanks.

Q.) I'm starting school this Fall. What career opportunities will await me as an EP five years from now when I graduate?  


A.) Academic advisors the world over are probably addressing this understandable question right now. In very general terms, a student must decide where his or her interests lie within the field. Is it cardiac rehabilitation? Another type of rehabilitation? Sports nutrition? A leadership role in research? Wellness and prevention beyond that of a personal trainer? Each path is likely to require not only a university degree or two, but also specialized certification/ licensure. It's worth noting that these often come from academic departments or organizations other than the exercise science department in which a student begins his training. (We'll leave discussions about why one wouldn't simply skip the exercise science step for another day.)

Keep an eye on what these related professions are requiring. University education in a standardized curriculum - or at least one that provides the core competencies you will need - provides a solid basis. Licensure cannot be underestimated. The certificates (or certifications, which can actually be different from certificates) help make one hirable outside of academia - or at least to stand out as specialized in some way. But caveat emptor. There are weak academic programs and useless certificates to be had. Your best defense as you experience each course and see "what's on the menu" for your career, is to talk with or even shadow professionals in each specialty. Don't forget, ASEP online resources are free and can really help one get a grip on the challenges to exercise physiology in coming years. Even a student's parents may want to check out www.asep.org. The ASEP-Newsletter is published monthly, straight to your Inbox, to help keep you abreast. 

Take a look at the job openings listed below (and every month) for just a few real world examples!   

 


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<> Behind everything we do, is the life of a child.

Behind every treatment, discovery and cure is a legacy of care and commitment, the love of a family, the compassion of a caregiver, the dedication of support staff...the life of a child.  We are Lucile Packard Children's Hospital, an internationally recognized pediatric and perinatal facility, committed to providing an exceptional health care experience for children and expectant mothers. We invite professionals who are interested in growing their career at one of the nation's top pediatric hospitals as ranked by US News and World Report to join us in the following role:

EXERCISE PHYSIOLOGIST/

SENIOR SONOGRAPHER

Children's Heart Center

Working in our new outpatient Children's Heart Center, we will expect you to perform high quality, simple and complex echocardiograms of fetuses, infants, children and young adults with known suspected congenital and/or acquired heart disease in outpatient and inpatient settings. You will also supervise and perform graded exercise testing (including metabolic and stress echoes), prepare exercise prescriptions and consultations, and perform oxygen titration with pulse oximetry, at rest and during exercise.

We require candidates who are board registered with RDCS in pediatric echocardiography. We prefer 1-2 years in cardiac rehab.

As an employee of Lucile Packard Children's Hospital at Stanford, youll be part of a close-knit university community complete with a wealth of continuous educational and professional development opportunities, as well as world-class fine arts, dining, shopping and recreational facilities. In addition, you'll enjoy a substantial benefits package that includes a competitive salary, 100% company-paid medical, dental and vision for employees and dependent children, tax-deferred annuity opportunity, 403(b) Employer Matching Retirement Plan, and generous paid time off.

Candidates interested in learning more about joining our team may view Req# 7959 and apply at: jobs.lpch.org. We also invite you to contact Louise Laforet at llaforet@stanformed.org. EOE

jobs.lpch.org


Exercise Physiologist

This exciting opportunity offers a full-time, 80 hour/biweekly schedule in a cutting-edge cardiac rehabilitation program. The ideal candidate should be an experienced clinician, teacher, consultant, and researcher
and able to demonstrate knowledge in exercise prescription, exercise physiology, behavior change, risk factor assessment and management, cardiovascular emergency procedures, nutrition, and adult education.

A Bachelor of Science in Exercise Physiology; BLS, ACLS, defibrillation certification; ability to make independent clinical decisions; and telemetry monitor/arrhythmia interpretation skills are required.  An M.S. and 2+ years of experience in cardiopulmonary rehabilitation are preferred. Please apply online at www.stagnes.org (Online applications strongly preferred.) email: iambroz@stagnes.org, FAX: (410) 368-3536. St. Agnes Hospital, 900 South Caton Ave., Baltimore, MD, 21229. EOE
 


Body Composition Analyzer
Direct/ Segmental/ Multi-Frequency
Bioelectrical Impedance Analysis
www.biospaceamerica.com

 Modern BIA Technology you can trust!
 BIOSPACE, Inc., located in Beverly Hills, California, introduces a new body   composition analyzer, the InBody320. With more advanced BIA technology, InBody320 is the first segmental body composition analyzer using multi-frequency for professional use.

Traditional BIA technology
With conventional BIA technology, bioimpedance is measured either from hand to foot (R-type) or from foot to foot (T-type). These types only partially measure bioimpedance of the body. Boimpedance of the trunk segment is not measured by most BIA technology leaving segments of the body unaccounted for in the body composition analysis. 

Direct/ Segmental/ Multi-frequency

Bioelectrical Impedance Analysis (DSMF-BIA)
InBody320 divides the body into five segments -4 limbs and a trunk- and measures impedance of each segment at multiple frequencies (5, 50 and 250 kHz) targeting the whole body as shown in Figure 3. Therefore, the DSMF-BIA method shows a high level of accuracy. The extreme accuracy makes InBody320 possible to monitor even slightest compositional changes during the process of medical treatment, rehabilitation, and exercise programs.

No Statistical Estimations
With conventional BIA, results are distorted by statistics, based on personal data input such as age, sex, body type, etc. Conventional BIA devices only partially measure body composition and the rest is statistically determined. Although it gives reasonable results for people of the norm, its accuracy is very low for children, elderly, patients and athletes. However, InBody320s DSMF-BIA technology has overcome the limitations of the conventional BIA method. For it accurately assesses intracellular water using multi-frequency and measures bioimpedance of trunk as well as the rest of the body. The InBody320 uses actual measurements to yield accurate results regardless of empirical estimation.   


 Clinical Exercise Physiologist

 Washington State University Program in Health Sciences invites applications for a full-time (100%), 9-month, tenure-track position at the Assistant/Associate Professor level located at the WSU Spokane campus.  Position is available August 16, 2006.   Responsibilities include teaching graduate/undergraduate clinical exercise physiology or other related courses, advising and directing graduate and undergraduate students, serving as a member of the faculty team in the Clinical and Experimental Exercise Science graduate degree and the Exercise Physiology and Metabolism undergraduate degree, sustaining a clinical or basic science research program and collaborating on development and supervision of a university-based exercise and nutrition clinic for normal and special populations (cardiac, pulmonary, metabolic, cancer, immunologic, neuromuscular, musculoskeletal, orthopedic).  Screening begins April 1, 2006.  The complete description including qualifications requirements and application information is available at www.chr.wsu.edu.  Information about the program is available at http://www.phs.spokane.wsu.edu. Information about WSU is available at http://www.spokane.wsu.edu/ and http://www.wsu.edu/.  Information about Spokane is available at http://www.spokanecity.org and http://www.spokanechamber.org/spokanechamber/WSU is an EEO/AA educator and employer.


Professional Trainer Position:

LifeStyle Management, located in Minneapolis, MN, has a full-time position available for an experienced and degreed professional in exercise physiology and/or athletic training. This position would require travel to alternate LifeStyle managed sites. LifeStyle Management is a progressive medically based company with multiple private/corporate sites. Excellent technical, customer service, organizational, and computer skills are a must. Applicants must have a minimum of 2 years experience in personal training and a certification by ASEP, ACSM, NSCA, NATA, or NASM. This position offers potential for
advancement based upon performance. Interested professionals should contact Patrick Ayres at 612-332-2292 x440 for more information or forward resume to payres@lifestylemanagement.net 

 


EXERCISE PHYSIOLOGIST

Come discover why Forsyth Medical Center has been recognized for making the life/work balance easier for its employees. Our location of Winston-Salem, North Carolina, offers a unique blend of history, culture, and outdoor beauty. We are seeking an EXERCISE PHYSIOLOGIST to join our Preventative Cardiology Department.

The selected candidate will be responsible developing and implementing exercise prescriptions under the direction of the Medical Director. Duties include providing instructional assistance in accordance with proper exercise techniques, the individual exercise prescription, and the medical diagnosis.

Bachelor's in Exercise Physiology required; Masters preferred. Must have experience with exercise training programs, preferably in cardiac rehabilitation.

Forsyth Medical Center offers competitive salaries and benefits. Interested candidates, please contact Eunice Barrineau at Toll Free: 1-800-777-1876 or Email: ebarrineau@novanthealth.org. You may also apply online at www.forsythmedicalcenter.org. We are an equal opportunity employer committed to providing diversity in the workplace.
 


University of North Florida, Department of Public Health

The University of North Florida, Department of Public Health, is seeking applicants for a tenure-track, nine month Assistant Professor position #32276R in the Public Health program. Responsibilities include teaching, research and service. Required qualifications are: PhD in exercise physiology or a closely related field with formal training in a public
health discipline; OR a PhD in a Public Health discipline with a Master's degree in Exercise Physiology or a closely related field; and a record of achievement in, or potential for, successful teaching and developing an extramurally funded research program.

Applicants must apply online at http://www.unfjobs.org and must upload all required documents to be considered for this position. Applicants who do not apply on-line or do not upload all the required documentation will not be considered for this position. Only those candidates who are invited to an on-campus interview must mail official transcripts and 3
original letters of reference.

Application deadline date: January 16, 2006.

UNF is an equal opportunity/equal access/affirmative action institution.

 


Exercise Physiologist - Kosciusko Community Hospital

At Kosciusko Community Hospital our goal is to provide customer service that exceeds the expectations of patients, physicians and the community. If you are committed to the same expectations then we are currently seeking you as a new team member.

Exercise Physiologist:
KCH currently has an opening in its Wellness Center for An experienced Exercise Physiologist. The successful candidates will posses a Bachelors degree in Exercise Physiology and three to six months experience preferably in a Hospital Cardiac Rehab program. ASEP certification is preferred.

KCH offers a competitive salary and benefits package. Qualified candidate may submit a resume or application to:

Kosciusko Community Hospital
2101 East DuBois Drive
Warsaw, Indiana 46580
personnel@kch.com
http://www.kch.com 
574-372-7624 (fax)


DIRECTOR EXERCISE PHYSIOLOGY

Coler-Goldwater Specialty Hospital and Nursing Facility seeks a Director of Exercise Physiology interested in working in a leading rehabilitation center to play a vital role in the successful rehabilitation of our cardiac and general rehabilitation patients. Hands-on responsibilities include patient evaluations, exercise stress testing, risk factor management and exercise training. Working closely with our Cardiology, Immunology and Neurology Departments to perform complex cardiopulmonary stress testing, pulmonary stress testing, spirometry and bronchospasm evaluations, also opens the door to research and education endeavors which our institution finds important to remain in the forefront of rehabilitation services.

The successful candidate must have a Masters Degree in Exercise Physiology or closely related field, strong analytical skills and a minimum of one year of clinical experience in a hospital or cardiac rehabilitation setting. BLS or ACLS certification is preferred.

Located on beautiful Roosevelt Island in New York City, the facility is easily accessible from the five boroughs by subway, bus or car and provides free parking. We offer competitive salaries and an excellent benefits package including an on-site health club. For immediate consideration, please send your resume to:

Human Resources Department
Coler-Goldwater Specialty Hospital and Nursing Facility
One Main Street
Roosevelt Island, NY 10044
Fax: (212) 318-4464
E-mail: Orlando.Acosta@nychhc.org.
Equal Opportunity Employer M/F

 


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