PEPonline
Professionalization
of Exercise Physiologyonline

An international electronic
journal for exercise physiologists
ISSN 1099-5862

Vol 3 No 5 May 2000

 

The Idea of Power and Professionalism
Tommy Boone, PhD, MPH, FASEP
Professor and Chair
Director, Exercise Physiology Laboratories
Department of Exercise Physiology
College of St. Scholastica, Duluth, MN


“The way I see it, if you want the rainbow, you gotta put up with the rain.” – Dolly Parton


THERE ARE MANY QUESTIONS about power tactics that have come to my attention in recent months.   Two questions that bear directly on recent ASEP events are  “Who is in control of our profession?”  and for  “What reason is a strategy necessary to persuade other exercise physiologists or organizations to take ASEP seriously?”   Who is in control is an interesting question because it suggests that there is a power figure(s)  in control.  It may be that the assumption is untrue.  Organizations are not necessarily organizations of power.  The two may not correlate, and yet they generally do to some degree.  It is usually fair to say that organizations do have power and, therefore, the affiliation with another organization is considered a good thing. 

The second question is even more complex because the “control” or the “power” within an organization is often the person or board members with the ability to persuade or to force the members in the organization to meet certain of their needs.  However, it may not be a person or board per se but the power of position or the assumption of a specific view of authority.  Before confronting the power of an organization, it may be necessary to decide if the effort to change the organization or to influence the organization towards meeting certain needs is the right strategy to use.  It may be just as important to avoid the organization or, perhaps, with some politeness simply discount the fact that the organization exists. 

Why is it a logical consideration to dismiss an organization or, where contact is made, not pressure the power structure of the organization to meet certain needs?  The answer may be in the fact that those who are assumed to be in power must act in accordance with the position of the organization.  They are, therefore, even when asked politely, likely to consider a phone call or a letter from another organization an act of pressure.  In short, the organization that is requested to do “whatever” is generally unwilling to give in or to agree that the request is fair or reasonable. 

So, what is the answer?  What should be done to bring about a more certain and more effective communication between two organizations?  Does the organization that is requesting something from the other organization stop the request?  Or, does the organization increase the pressure on the power structure of the organization that isn’t willing to engage in communication?  If the pressure is increased, is there a likelihood of a break through in communication?  Or, will the pressure simply lead to more negative feelings and/or increased polarization between the two organizations?

Obviously, this brief essay is about ASEP and ACSM.  While the ASEP Board Members have communicated directly with the power structure of ACSM on at least two occasions, the letters and phone calls have resulted in no serious communication.  The impression that ASEP Board Members get is that ACSM is unwilling to recognize that ASEP exists.  So, again, what is the answer?  Perhaps, it is little more than the decision-makers of ACSM and not the members of ACSM.  If so, why is it that the authority is reluctant to recognize ASEP?  There is no reason why both organizations can’t benefit from a positive relationship on behalf of all exercise physiologists. 

Instead of progress in this area, there is a division in thinking and thus camps of views regarding what to do.  Unfortunately, it is too obvious the exercise of traditional power tactics that include the following: (1) I don’t have the authority to make changes without the Board’s approval; (2) While sympathetic, my job is to keep the organization as it has been for decades; (3) Your requests are unfounded because this organization is the organization for exercise physiologists, not your organization; (4) Your requests are unreasonable, unprofessional, and irresponsible; (5) I wish that I could help but there is very little I can do; and (6) Its against regulation. 

No doubt all of us have heard these responses in one way or another at our jobs.  Those in power are convinced of their need to exercise these tactics.  In the end, it is generally more than obvious that the need to exercise power is a waste of time.  It abuses professional relationships, and sets the stage for punitive action.  To avoid a confrontation between two individuals or two organizations, and thus to avoid the request from backfiring, the request should be legitimate.  If, for example, the representatives of one organization should request from the representatives of another organization that their goals and objectives should be the same, then the request will end up in the trash. Every organization has the right to their own direction and philosophy.  On the other hand, if an organization should appeal to another to be recognized as an organization of exercise physiologists (which has already been acknowledged by exercise physiologists as members), then the appeal should not backfire on the organization and the members should not be made to feel as though they have done something wrong or unprofessional.

The question is “Why has ACSM refused to acknowledge the vision, goals, and objectives of ASEP?”  Since this is exactly the situation between the two organizations, is it possible that the power structures felt and reacted as though they were being threatened?  If so, while the ASEP Board has no reason to back down or to feel that the request for recognition is inappropriate, we publicly state that to “threatened” isn’t even remotely a possibility on our behalf.  Consequently, the pressure not to work with ASEP must be more of a miscommunication and, if so, the question is, “What can be done to resolve the negative feelings?” 

Answering the last question isn’t an easy task.  It might be better to simply consider an alternative approach.  For example, it might be good to communicate with other key figures of the organization who have positive relationships with some of the members of the power structure.  That person is then in position to influence the power structure, assuming of course h/she agrees with the basic beliefs of both organizations.  Or, that person may help set the stage to negotiate certain specific concessions to bring the two organizations closer together. 

If the power structure can’t be convinced and, thus refuses to make concessions, then there are two considerations left for the organization that wishes to be recognized.  They are: (1) Simply drop the matter and go about the business of developing the organization as any professional group has the responsibility to do; and (2) Apply pressure to the organization that isn’t interested in making any concessions.  The first option has its advantages.  The second option is more consistent with the study and practice of power tactics.

Let us suppose that the second approach is seriously considered and, if so, what would be the “application of pressure”?  First, allow me to state what it isn’t likely to be, that is, members of ASEP are not going to march in Indianapolis or have mass meetings in the city.  Picketing is out, too.  The ASEP protest will instead take on a different but equally effective measure.  That power tactic is “determination, will power, and belief in the deliberate action to fulfill the rights of all exercise physiologists (regardless of their degree status).  It is natural, right, and makes economic sense to achieve the same rights of employability and respect for the non-PhD practitioner as is granted the academic professor.  It is about influencing the public sector to provide decent wages and working conditions that interlock the exercise physiologist with other healthcare professionals.

So, as you get closer to a serious reflection on the ideas in this brief article, it is important to consider the role of the exercise physiologist in the public sector.  Please remember the non-PhD exercise physiologist deserves the same respect and good pay as the doctorate prepared exercise physiologist.  So, don’t be too hard on those of us who believe in the transition that is taking place (even should some of our colleagues continue to look the other way).  Look for the positive side of what is happening, and all exercise physiologists will benefit in the long run. 

In closing, I’ve heard it said that “A person’s mind is like a parachute.  To work, it first has to be open.”  Where possible and appropriate, consider working on behalf of all exercise physiologists by meeting with, discussing, and where necessary, collectively bargain an agreement among the members of both organizations to rectify their differences so all exercise physiologists can say to the world, here we come ready or not!  Ready or not bears repeating because, if you think about it just for a moment, we really don't have a choice.  ASEP is our reality.  It is essential to effective interactions with the public sector, including the healthcare industry.  We must, therefore, continue to focus our attention on the basic components of professionalism.
 

 
"We write our own destiny...We become what we do." -- Madame Chiang Kai-Shek
 
There are many ways to be a professional.  As has been stated before in several PEPonline articles, exercise physiology meets the criteria, as cited by Becker (1970), including the fact that exercise physiology: (1) Is intellectual, that is, based on critical, relfective knowledge and not just routine activities; (2) Is organized internally, that is, it has its own professional organization; (3) Has elements of caring for the public sector; (4) Has its own Code of Ethics, scope of pracitce and, thus accountability; and (5) Has a strong research base.  Very likely, the most important criterion to meet the definition of being professional is the "control over their own profession".  Hence, it isn't something that should be taken lightly that the establishment of ASEP is probably the most significant step exercise physiologists have taken during the past several decades.

The earlier questions about power isn't in regards to who is more powerful, but that the power structure of an organization often controls its members.  The question, however, should be "What is right for exercise physiologists?" and not "What is right for the organization per se?"  While the founding of ASEP is absolutely critical to an emerging profession, it exists only so that the members can benefit from it.  The members of the organization are always more important than the abstractness of an organization.  This is clearly no difference than the people in a house are more important than the house.  So, it is in this context, that while ASEP is important, it is the shell or structure only.  The members should represent the power base of the organization, and it is that the members of any organization should define what is right the members and not what is right for the organization per se.

The question shouldn't be "Which organization should I join?"  because if there is only one professional organization by "name" that speaks to an individual's professional interests, then that organization should be the one.  It is only logical that an exercise physiologists would join an exercise physiology organization, isn't it?  This is especially true if that professional organization is responsible for credentialing the profession.  So, it is within the context of the members of the organization that they collectively define professionalism via specific documents such as certification, licensure, and academic accreditation.  Such thinking isn't knew!

In closing, it very likely in the not too distance future that in order for the exercise physiologist to work as a "professional exercise physiologist" in the United States, he/she will have to successfully complete the ASEP National Exercise Physiology Certified (EPC) examination.  After successful completion of the EPC exam, the academically prepared exercise physiologist may then use the title "Exercise Physiologist Certified" and the initials EPC after his/her name. 
 

 
You've got to be kidding! Right?
 
In all, it is hard to ignore the demonstrated need to get beyond the differences between the two organizations.  A fundamental question remains, nevertheless.  What hope is there for the emerging profession and the credentiability of its members should ASEP not be supported by exercise physiologists and should ASEP fail in its vision?  The idea of power at any level should not stand in the way of professionalism.  Together, we can create a relationship and setting in which "good feelings" exist; feelings of hope that foster positive thinking (such as "We can do it.").



Reference
Becker, H. (1970). Sociological Work: Method and Substance. Chicago, Adline.

Copyright ©1997-2000 American Society of Exercise Physiologists. All Rights Reserved.

ASEP Table of Contents

Questions/comments