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Dear Colleague...
Thank you for being part of our community. ASEP is the specific voice for (historically under-represented) Exercise Physiologists.
Please use this Newsletter as a link to ASEP resources from scientific
journals to professional papers, to employment and related
opportunities. And be sure to click on "More On Us" at the left for the
ASEPNewsletter's parent web site!
-Lonnie Lowery, ASEP-Newsletter Editor |
ASEP Board Member's Commentary |
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Board Certification (EPC): Center Stage in the Proactive Health Model
"Whoa, not all at once!" was my reaction as the resumes rolled in
for the job openings I posted on the ASEP webpage in the early part of
2008. I wasn't surprised by the volume of resumes and questions I
received. To be honest, I wasn't even surprised at how many applicants
were not EPC credentialed. It appears that ASEP enjoys a large
following and readership of people with very diverse educational
backgrounds and I think this is great! There was one thing that did
give me pause.
I had indicated a requirement for the EPC credential
in the job posting and many of the respondents indicated they would
consider sitting for the EPC exam if/when they were offered the
job. This made me think.
I can fully understand the
pressures of job searching, especially for students coming into the
field for their first job, but I didn't have one instance where an
individual asked me why the EPC credential was required and only one
asked what it entailed. It left me wondering if the people that were
applying for my positions view the EPC credential as just another hoop
that is as random as the rest of the commonly seen requirements. I
started to look back in my own career and realized that my first
position with the U.S. Air Force required one of the certifications
from the American College of Sports Medicine. I completed it as a
condition of my employment and I suppose that happens a lot. So, what
can I tell you in this Newsletter editorial that might help you better
understand ASEP and the EPC credential?
- I believe the American population is in a health crisis.I believe the medical treatment model is in serious trouble.
- I believe the fitness industry is too large, too commercialized, and too resistive to the idea of a consolidated authority to coordinate or endorse such an entity.
- I believe that Exercise Physiologists, as educated under the ASEP
accredited curriculum and certified by the EPC credential, have the most complete and well-rounded foundation of knowledge, skills, and abilities
and serve the newest industry of accredited healthcare professionals
without being a part of the reactive medical treatment model.
- I believe that other established professionals that argue the EPC scope of practice
is part of their own are guilty of negligence by willfully failing to
administer those services to the public with their past and current
service provision models.
- I believe that EPCs are the cornerstone of a new Proactive Health Model
that will bridge the gap between the reactive medical treatment model
and the epidemic of preventable diseases in the American public while
salvaging our use of the disorganized fitness industry.
- I believe there is room for specialization in the
form of other interests, specific certifications and credentials that
are valuable as additions to the base of a standardized Exercise
Physiology degree.
- I believe many college and university departments will only change to an accredited EP program
when there are no viable employment opportunities for their graduates,
compared to growing demand for accredited graduates.
- I believe that demand creates supply: no demand, no need to supply.
- I believe that EPCs will surpass all other fitness professionals with increased job opportunities and increasing salary potentials in the next 5 years.
In my own career as an Exercise Physiologist, I sat for and
passed the first offering of the EPC exam with no external expectation
or requirement for doing so. I used to think this was an important
distinction as it related to my own self-actualization. I think this
idea might still be valid in rationalizing voluntary involvement in
ASEP and gaining the EPC credential. However, the reality may be that
those who belonged to the organization and have completed the
credential without the promise of an immediate benefit or to secure
employment still did so because we had to.
In recognizing what was
needed to move forward, the founders had to create the organization and
the new members had to create the board certification and now we all
have to attain that credential in order to continue our forward
momentum. We are transitioning now to a time when the
credential will become more recognized and more often required for
employment, but I think we would do well to remember that we do this
for ourselves and our profession as much as we would do it to
qualify for any job! At least that's what I'd like to hear applicants
say when I ask them about their thoughts on the EPC credential.
From
my previous experience in the medical treatment model I was keenly
aware of what "board certification" from an exclusive organization
meant, so I began to develop a plan for moving myself (as a board
certified exercise physiologist) into the wide-open opportunity. And
for the sake of your time, just know that eventually I left the
security of federal employment and after a lot of hard work and
dedication, was able to launch my own company. Much of the confidence
and drive that I have are attributable to my ASEP member status and EPC
credential.
I decided to build a company that serves as a model
for an emerging industry that engages the efforts of professional
Exercise Physiologists to address and affect the epidemic of preventable diseases and defray their otherwise inevitable costs;
sounds easy, right? Regardless of difficulty, it is the demand that
must be met. It is the response to the needs of our citizens and to a
wider extent our government and even the economy of our country.
Beyond the business ideas, there is the larger responsibility we have to society. I
mentioned the Proactive Health Model in the points above and I may have
other opportunities to write more about that, but for now it is
important that readers and followers of ASEP understand that by our
existence we have a responsibility to move forward with what we believe
to be necessary and worthwhile. We have developed a new profession
where we use the 100+ years worth of research knowledge to provide
professional exercise physiology services to the public that is more
than cardiac rehabilitation or another health club employee or one more
personal training studio. This new Proactive Health Model will bridge
the gap between the medical treatment model as it exists today and the
everyday chaos that is the fitness industry. As it grows, it will
require massive numbers of individuals with the professional EPC
credential and the opportunities are going to be shocking.
Like
those before you, whether you are an individual considering the EPC
exam or an Exercise Science Department Chair considering program
accreditation, your decision is one of proaction now or reaction later.
Almost ironically, the parallels of acting now or reacting later can be
compared to the consequences of preventing disease now or treating
disease later; neither are by nature easy, but there is no question
which is more desirable.
If you'd like to contact me about this article or any topic really, you can email me at shane@phpswellness.com .
Shane Paulson, MA, EPC |
Ask the EP |
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Q.) With
Resistance Training, you always hear about training for muscle
hypertrophy, which has specific training protocols. However, what is
the physiology of muscle hypertrophy, and how does this occur?
A.) The physiology of skeletal muscle hypertrophy
involves the interaction and interplay of complex mechanisms and
pathways. These complex systems affect the regulation of contributing
factors such satellite cell activation, proliferation, and differentiation, immune system response and reactions, and growth factor
proteins. Unfortunately, space does not allow for a comprehensive
review of skeletal muscle hypertrophy, therefore, it is recommended the
reader refer to the following review articles in this section for a
more thorough understanding of the topic. However, what is presented
below is a brief overview of these regulating factors involved with
skeletal muscle hypertrophy.
Satellite cells
function to facilitate growth, maintenance and repair of damaged
skeletal muscle tissue These cells are termed satellite cells because
they are located on the outer surface of the muscle fiber, in between
the sarcolemma and basal lamina (uppermost layer of the basement
membrane) of the muscle fiber. Satellite cells have one nucleus, with
constitutes most of the cell volume. Interestingly, satellite cells
become activated when the muscle fiber receives any form of trauma,
damage or injury, such as from resistance training overload. The
satellite cells then proliferate or multiply, and the daughter cells
are drawn to the damaged muscle site. They then fuse to the existing
muscle fiber, donating their nuclei to the fiber, which helps to
regenerate the muscle fiber. It is important to emphasize the point
that this process is not creating more skeletal muscle fibers (in
humans), but increasing the size and number of contractile proteins
(actin and myosin) within the muscle fiber. This satellite cell
activation and proliferation period lasts up to 48 hours after the
trauma or shock from the resistance training session stimulus.
The immune system
responds with a complex sequence of immune reactions leading to
inflammation. The immune system causes a sequence of events in response
to the injury of the skeletal muscle. Macrophages move to the injury
site and secrete cytokines, growth factors and other substances.
Cytokines are proteins which serve as the directors of the immune
system. They are responsible for cell-to-cell communication. Cytokines
stimulate the arrival of lymphocytes, neutrophils, monocytes, and other
healer cells to the injury site to repair the injured tissue.
Growth factors
are also involved with this process, which include hormones and
cytokines, that are very involved in muscle hypertrophy. Growth factors
stimulate the division and differentiation of a particular type of
cell. In regard with skeletal muscle hypertrophy, growth factors of
particular interest include insulin-like growth factor (IGF),
fibroblast growth factor (FGF), and hepatocyte growth factor (HGF).
These growth factors work in conjunction with each other to cause
skeletal muscle hypertrophy. IGF is a hormone that is secreted by
skeletal muscle. It regulates insulin metabolism and stimulates protein
synthesis. In response to progressive overload resistance exercise,
IGF-I levels are substantially elevated, resulting in skeletal muscle
hypertrophy. In addition, Growth hormone (GH) is a peptide hormone that
stimulates IGF in skeletal muscle, promoting satellite cell activation,
proliferation and differentiation. Lastly, Testosterone, can stimulate
growth hormone responses in the pituitary gland, as well as increase
the presence of neurotransmitters at the fiber site. Although the exact
mechanism is still unknown, testosterone may have some type of
regulatory effect on satellite cells.
References 1:
Adams GR. Satellite cell proliferation and skeletal muscle hypertrophy.
Appl Physiol Nutr Metab. 2006 Dec;31(6):782-90. Review. 2:
Barton ER. The ABCs of IGF-I isoforms: impact on muscle hypertrophy
and implications for repair. Appl Physiol Nutr Metab. 2006
Dec;31(6):791-7. Review. 3: Folland JP, Williams AG. The
adaptations to strength training : morphological and neurological
contributions to increased strength. Sports Med. 2007;37(2):145-68.
Review. 4: Philippou A, Maridaki M, Halapas A, Koutsilieris M. The
role of the insulin-like growth factor 1 (IGF-1) in skeletal muscle
physiology. In Vivo. 2007 Jan-Feb;21(1):45-54. Review. 5:
Joulia-Ekaza D, Cabello G. The myostatin gene: physiology and
pharmacological relevance. Curr Opin Pharmacol. 2007 Jun;7(3):310-5.
~Jonathan Mike MS, CSCS, NSCA-CPT
Assistant Editor, ASEP-Newsletter
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Opportunities Related to Exercise Physiology
KINESIOLOGY DEPARTMENT - TENURE-TRACK POSITION. Cal Poly State University, San
Luis Obispo, CA, is accepting applications for a full-time, academic
year, tenure track, assistant professor of exercise physiology,
beginning September 14, 2009....more information...
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Ahrens Exercise Physiology is looking for a part-time exercise physiologist, with possibility of full-time employment, to work in Minneapolis, MN...more information...
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Fitness Center Coordinator: Mills-Peninsula Health Services
is dedicated to preserving and improving the health status of our
fellow residents in San Mateo County and others who seek care from us...more information...
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Fitness Center Coordinator: Mills-Peninsula Health Service is
dedicated to preserving and improving the health status of our fellow
residents in San Mateo County and others who seek care from us...more information...
---------------------------------------------------------
Hebrew SeniorLife
has an opening for a Health & Fitness Specialist. This is a part
time 24-hour position (could possibly become full time 40-hour....more information... ---------------------------------------------------------
The Cardiopulmonary Rehabilitation and Wellness Departments of Frankford Hospitals
are looking for two (2) Pool Clinical Exercise Physiologists to join
their professional team with a great opportunity to work with both an
inpatient and outpatient setting...more information... ---------------------------------------------------------
CardioDynamics is
a fast-paced, dynamic, medical device company, driving a new technology
to standard of care via creative people and an energetic leadership
team. Ideal candidates for the CLINICAL APPLICATION SPECIALIST position in the Northern or Central NJ or NYC area will possess a BSN or Masters Degree in Exercise Physiology plus a minimum of 2 years of work experience...more information...
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CardioDynamics is a fast-paced, dynamic, medical device
company, driving a new technology to standard of care via creative
people and an energetic leadership team. Ideal candidates for the CLINICAL APPLICATION SPECIALIST position in the San Francisco Bay area will possess a BSN or Masters Degree in Exercise Physiology plus a minimum of 2 years of work experience...more information...
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PrimeWest Health System is hiring a Wellness Quality
Coordinator/Exercise Physiologist to assist in all aspects of wellness
and health promotion program development and implementation...more information...
.---------------------------------------------------------
PrimeWest Health System is seeking exercise physiologists to provide services for a new benefit program called PrimeFitness...more information...
.---------------------------------------------------------
Professor in Exercise Physiology
Southern Methodist University Annette Caldwell Simmons School of Education & Human Development, Department of Wellness (Open Rank)
Southern Methodist University offers an exciting unique opportunity
for an emerging or seasoned scholar to join in the design and
implementation of a new major in Sport and Fitness Management and
Promotion while developing his/her program of research.
Candidates must have a Ph.D. in Exercise Physiology; a record of
scholarly research; evidence of success in or strong potential for
obtaining external funding; an interest and expertise in designing,
equipping, and managing a new physiology of exercise laboratory; a
desire to provide high quality undergraduate instruction; and a
willingness to play an integral role in the growth, development, and
identity of the new major program scheduled to begin in the fall
semester of 2009. Preference will be given to applicants with
successful post-doctoral experience; a clear research agenda; a
strategy for seeking external funding; a secondary expertise in
Biomechanics; an ability to work with faculty colleagues; and a
commitment to teaching.
Responsibilities: The successful candidate will
have a year to develop course proposals in exercise physiology,
nutrition, measurement and evaluation; aerobic prescriptions leading to
certifications; strength prescriptions leading to certifications; and
other courses deemed appropriate in the planning of the new
undergraduate major curriculum. The candidate will also be responsible
for establishing a physiology of exercise laboratory planned for a new
education and human development facility to open in 2010. The candidate
should have outstanding interpersonal and communication skills that
promote strong research and training collaborations in the Dallas/Fort
Worth Metroplex.
This tenure or tenure-track position (# 53014) begins fall semester
2008. Salary is competitive and salary and rank will be commensurate
with qualifications. To ensure full consideration for the position,
applicants should submit their application by May 1, 2008, but the
committee will continue to accept applications until the position is
filled. The committee will notify applicants of its employment decision
after the position is filled.
Applicants can initiate consideration by submitting a letter of
application, a curriculum vitae, and contact information for three
references to: Chair of Search Committee, School of Education and Human
Development, Southern Methodist University, PO Box 750382, Dallas,
Texas 75275-0382
SMU does not discriminate on the basis of race, color, religion,
national origin, sex, age, disability, or veteran status. SMU is
committed to nondiscrimination on the basis of sexual orientation. .---------------------------------------------------------
Canyon Ranch: A World Renowned Health Resort needs Exercise Physiologists
Canyon Ranch, The Power of Possibilities,
is a world-renowned health and healing resort that inspires educates
and empowers both guests and staff members to live a higher quality of
life. Canyon Ranch continues to lead the nation in
innovative, preventive healthcare. Our recent alliance with the
Cleveland Clinic has resulted in cutting edge health programs and
lifestyle prescriptions for our guests.
We are currently seeking Exercise Physiologist(s) to join our word-renowned team. We currently have positions available at our Lenox, Massachusetts and Tucson, Arizona sites.
Requirements for this position include:
(1) At least two years of experience working as an Exercise Physiologist, preferably at a resort or health facility. (2) Must possess Basic Cardiac Life Support certification. (3) Must possess a Master's degree in Exercise Physiology. (4) Dynamic and passionate relationship builder with excellent interpersonal skills. (5) Ability to provide education and excitement about our programs to our guest and staff through lectures.
If you are passionate about making a difference in peoples' lives and giving them the vision to understand the "Power of Possibility" we would like to hear from you.
Canyon Ranch offers a
comprehensive benefits package to include, competitive compensation,
medical, dental and vision insurance, 401K, tuition assistance, full
use of the facilities and more!
To apply please email your resume to: hrlenox@canyonranch.com
- or send your resume to 165 Kemble Street, Lenox, MA 01240 or fax to
413-637-6908. Please indicate which property you are interested in
pursuing.
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Manager in the Weight Management Center
Open the door of opportunity.
Open the door to the best of both worlds: Johns Hopkins Bayview Medical Center
offers a unique environment that combines the prestige and
opportunities of a respected academic medical center with the
personality and camaraderie of a community hospital.
We
have an opening for a Manager, in our Weight Management Center, located
at Greenspring Station in Lutherville, MD. Responsibilities include the
oversight of patient weight management, a multidisciplinary team,
regulatory compliance and budget.
Requirements: ·Bachelor's degree in allied health ·Minimum
of 5 years previous experience including primary responsibility for a
nutrition specialty area or managing a clinical education program
We
offer our staff hands-on experience with the latest technology, a
supportive work environment, and one of the best pay and benefits
packages in the field, including a 403B with employer match and tuition
reimbursement for you and your dependents.
With
a rich history of healing and a world-famous reputation, Johns Hopkins
Bayview can offer you an exciting, fulfilling career, wherever you are
on your career path. Apply today at John Hopkins Bayview using Req. no.
80227
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Cardio-Pulmonary Rehab Position
Montgomery General Hospital is a community
oriented hospital located in the Olney, MD. We currently have an
opening for an Exercise Physiologist in the Cardio-Pulmonary Rehab
Program
This position is responsible for the
assessment, direction and supervision of participants in the
Cardio-Pulmonary Rehab Program. Identifies patient educational needs
and provides education/resources to participant regarding disease
process, prevention, discharge planning and health maintenance. Qualification: MS in Exercise Physiology, CRP
Certification, ACLS certification, ACSM Exercise specialist or
Registered Clinical Exercise Physiologist (RCEP) preferred. Three years
clinical exercise physiology experience preferred.
Please check us out at Montgomery General Hospital and fill out an application online or contact Vivian Hsia at vhsia@montgomerygeneral.com.
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Full-time Exercise Physiologist Positions
PhysioLogic Human Performance Systems, LLC.
(PHPS) is accepting applications for (2) full-time, salaried Exercise
Physiologist positions. Individuals selected will be dependable, swift,
and organized.
This
is professional work that is unique, stimulating, independent, and
important to the daily operations of our client facilities. Daily
travel is required by personal vehicle with travel expenses paid.
EPC
Board Certification required. Applicants without EPC credential may
apply on contingency of obtaining certification within negotiated time.
Salary
and benefits will be commensurate of education level and experience.
These positions are time sensitive so please send your resume to: shane@phpswellness.com as soon as possible.
PHPS will contact all applicants to answer questions and conduct interviews...
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Exercise Physiologist
Exercise Physiologist (Staten Island) For
residential & community based prgms, plan, coord. & implmt the
dvlpmt of exercise & fitness prgms for individuals w/autism &
dvlpmt'l disabilities. Establish cardiovascular health & wellness
prgms. Perform health related fitness tests. Resp. for meeting exercise
& physical activity reqmts prescribed for each individual.
Bachelors in Physical Education & Masters in Health Sci. w/a
specialization in Work (Exercise) Physiology. M-F, 9-5. Resume to: Ms.
Barrafato, HR Director, On Your Mark Inc, 645 Forest Ave, Staten
Island, NY 10301.
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Exercise Physiologist, Cardiac Rehabilitation, Part Time, Days/Flex, 40 Hours Biweekly
As the premier healthcare facility in Bucks
County, PA, and its most comprehensive, we offer more as a healthcare
provider and as an employer. Expect to be challenged to new levels at
our exceptional facilities, including the county's only
state-accredited Trauma Center, an impressive Heart Center, a regional
Cancer Center, a major orthopedics program and exceptional women's
services. But also expect to find greater satisfaction with our
friendly environment, great benefits and inspirational setting on a
beautiful 53-acre campus.
Bucks County's premier medical facility
can offer you a competitive compensation package, including competitive
salaries with increased rates. Full benefits after 1st month of hire,
including pension plan, 403B, free parking, tuition reimbursement and
on-site childcare.
Responsible for providing monitored exercise
therapy and patient education for the Comprehensive Cardiac
Rehabilitation program, both inpatient and outpatient.
Our successful candidate must meet the following qualifications: · Bachelor's degree & ACSM certification as Exercise Physiologist/Exercise Specialist required · Experience a must · Master's degree & ACLS would be assets
EOE, M/F/D/V
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Thank you for perusing our opinions, facts and opportunities in this edition of the ASEP-Newsletter.
Sincerely, Lonnie Lowery American Society of Exercise Physiologists |
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