Professionalization of Exercise Physiologyonline    


        ISSN 1099-5862   Vol 7 No 5  May 2004 
 

 

 
 
Editor-in-Chief:   Tommy Boone, PhD, MPH, MA, FASEP, EPC
 
 
Effective Communication: The Foundation of Professionalism
Elizabeth Abbey
Board Certified Exercise Physiologists
Graduate Student
The College of St. Scholastica
Duluth, MN 55811
“The most basic of all human needs is the need to understand and be understood.  The best way the best way to understand people is to listen to them.”  -Ralph Nichols 
Communication is the key.  Any employer in the process of hiring will tell you that good communication skills are probably the most sought after qualities in a candidate.  Sure, everyone wants bright employees, but what good is intelligence if it isn’t effectively expressed in a meaningful way?  If we are to gain any respect and recognition as professionals, we must become better communicators.

The scope of practice for exercise physiology is incredibly broad and, in many ways, misunderstood.  When I decided to pursue a master’s degree in exercise physiology, every person that I informed of my plans asked some form of the question, “What exactly is an exercise physiologist?”  At the time, I wasn’t even completely sure of the answer to that question.  I thought that exercise physiologists only existed as researchers and/or coaches.  To me, a degree in exercise physiology seemed like the science equivalent of a history or philosophy degree; the only jobs that seem to exist are in academia.  After a week of graduate school, that notion was quickly dispelled.  I learned that exercise physiologists do so much more! 

We not only do research and coach athletic teams, we also work in clinics providing professional judgments and advice on health and fitness, preventative, rehabilitative, and educational services.  Our specialized knowledge on the physiology of exercise can be applied to a diverse client base.  We help professional athletes maximize their physiological potentials, and we develop exercise programs for diabetics as a means of treating their disease. 

Upon entering a master’s program in exercise physiology my goal was and, still is, to pursue a doctorate degree and eventually teach and coach at the collegiate level.  However, as I said, at that time, I was not aware of the vast opportunities available to exercise physiologists.  I did not realize that exercise physiology was an emerging profession.  I did not see a need to distinguish between sports science and exercise physiology. 

Over the course of my master’s program, I have come to realize that exercise physiology is in a critical stage of professional development.  Exercise physiologists have the specialized knowledge to create a niche in exercise prescription and disease prevention.  The statistics on obesity and the rise of type 2 diabetes in America are staggering.  More than ever, we are a country in need of the expertise that exercise physiologists have to offer. 

If we could narrow our focus on one thing that would solidify our credibility and establish ourselves as a profession, it would be to properly communicate what we do and who we are to the public.  Communication is at the foundation of our profession.  Each of the fourteen ASEP goals and objectives encourages communication to some extent:  communication with the public and with the
scientific community, and with one another.  For example, consider goal #2 which states that ASEP strives to “promote and encourage the exchange of ideas and information regarding all phases of exercise physiology.”  And, #8:  “To be a dynamic and action-oriented clearinghouse for questions regarding the exercise physiology profession.”  As well as #9:  “To increase visibility and enhance the image of the exercise physiology profession” [1].  Just looking at these three points, it is obvious that communication is essential to what we do as exercise physiologists. 

So, what does effective communication look like?  Communication can be simply defined as the “exchange and flow of information and ideas from one person to another” [2].  For communication to take place there must be a sender who transmits an idea to a receiver.  Effective communication occurs when the receiver understands exactly the idea that the sender transmitted.  We can ensure that a message has been properly received by feedback.  Communication is a two-way street.  All parties must be involved for complete information exchange to take place.  In many cases, communication gets blocked by physical and psychological barriers.  Culture, noise, stress, personal bias, and self-absorption are all examples of barriers that inhibit effective communication [2]. 

To communicate properly, we must first eliminate those obstacles that are blocking our message.  For example, professional pride can be a major road-block to effective communication.  We can become so entrenched in our chosen field and expectations for it, that we ignore the input of others.  Passion is a basic ingredient of leadership.  In their book Learning to Lead, Bennis and Goldsmith explain that, when properly communicated “passion gives hope and inspiration to others” [3].  Passion can infuse an organization with energy, but a leader must make sure that it does not cloud his/her ability to communicate.  I have met many individuals who are passionate about their chosen professions, but are unable to communicate their passions to others. 

Effective communication is almost more about listening than speaking.  A listener must not only attend to the words of the speaker, but his/her feelings as well [2].  Rarely do effective listeners make enemies, in fact, quite the contrary is true.  One of the best qualities that we can develop is the ability to listen.  Listening does not equal agreement, but it does acknowledge that the listener values the thoughts and input of the speaker.  Imagine how much more smoothly organizations would run if everyone took the time to really listen to one another! 

How does all of this apply to exercise physiologists?  Where do we even start?  First, we must be able to openly communicate with one another - exercise physiologist to exercise physiologist.  This step must take place before communication with other professions and the public.  Boone addresses this issue by stating that “the connection between people or members of an occupation, discipline, or an emerging profession is not possible without the opportunity to imagine the possibilities and to speak “openly” about feelings, work, and the perception of work, and experiences that result from it” [4].  How open are we with one another?  Openness does not mean agreement, but I do believe that it involves understanding. 

Given the number of exercise physiologists in the world, there are an equal number of beliefs about the direction that the profession should take.  It would be impossible to reconcile every difference of opinion, but it is not unreasonable to expect a universal understanding.  Exercise physiologists need to listen to each other, identify common goals, and develop a plan for achieving those goals.

Only after we communicate with one another can we pursue the next step - communicating with other professions.  I was recently in a multidisciplinary health sciences leadership course that involved collaboration with physical therapy, occupational therapy, health information management, and nursing students.  Many of these individuals were unaware of what exercise physiologists do.  How can we expect the public to understand our role if the other health professions are in the dark?  We have allies in these professions if we are willing to take the time to build some bridges.  Working closely with other professionals is a guaranteed way to properly advertise exercise physiology.

The final step is communicating our profession to the public.  I look forward to the day when I will no longer have to explain to people what exercise physiologists do.  I want our profession to be universally understood just as physical therapy and nursing are understood by the public.  Until that day, however, I will have a lot of talking and "listening" to do.  The best thing we can do as exercise physiologists is to educate people about our qualifications and the services that we provide.  The public needs to be aware of what sets us apart from other health professions. 

For example, you go to a physical therapist after the damage is done.  As exercise physiologists, our niche is in prevention.  The public doesn’t know this, though!  When a diabetic wants to lose weight and become more physically active, he/she doesn’t look up an exercise physiologist in the yellow pages.  He/she goes to a health club and looks to a personal trainer, who has nowhere near the educational experience of an exercise physiologist.  This needs to change.

So, whose job is it to spread the good news about exercise physiology?  The responsibility lies on all of us.  From the bachelor prepared exercise physiologist to the PhD, we must all do our part in promoting the profession.  College students specifically are a great place to start; light a fire under them, and their excitement is contagious.  Student involvement should begin with the founding of student ASEP chapters at all ASEP accredited institutions, as well as attendance at the National ASEP Conference.  By helping students to identify with and grab hold of the profession from the beginning of their undergraduate careers, they will begin to make a difference even before they enter the work force. 

The key to this success is ownership and forward thinking.  Over and over again I have heard about the dwindling job opportunities for exercise physiologists.  We can sit around and talk about the poor state that exercise physiology is in and complain about the lack of respect that we receive, or we can look ahead and try to change things.  I’m not one to make excuses about how our profession has failed in the past or has missed opportunities.  Thankfully, we live in the present. 

As a graduate student, I know that my experience and resources are limited.  The best way that I know how to support my profession is by telling people about exercise physiology.  This means communicating with exercise physiologists, my peers in the other health sciences, and the public.  Granted, we have a long way to go professionally to be as universally accepted as nurses and physical therapists, but we are moving forward.  Accreditation and licensure are steps in the right direction.  Exercise physiology is an emerging profession, and I’m excited to see how it will grow in the next 10, 30, and 50+ years.  Yes, I am confident that ASEP will continue to grow stronger.  The speed of this growth, however, depends on how well we are able to communicate with the public, our peers in the other health sciences, and with one another. 
 

References
1.  American Society of Exercise Physiologists (2004).  Goals and Objectives.  [Online].  http://www.asep.org/goals.htm.
2.  Clark, D. (1997).  Leadership- Communication.  [Online].  http://www.nwlink.com/~donclark/leader/leadcom.html.
3.  Bennis, W. and Goldsmith, J. (2003).  Learning to Lead.  New York:  Basic Books.
4.  Boone, T. (2001).  Creating Our Own Future:  The Value of Communication.  Professionalization of Exercise Physiology Online.  Vol. 4, No. 9.  [Online]. http://www.asep.org/asep/asep/Communication.html.
 
 
 
 

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