PEPonline
Professionalization
of Exercise Physiologyonline

An international electronic
journal for exercise physiologists
ISSN 1099-5862

Vol 4 No 9 September 2001

 

Exercise Physiology Signs of Maturity
Tommy Boone, PhD, MPH, FASEP, EPC
Professor and Chair 
Department of Exercise Physiolgoy
College of St. Scholastica
Duluth, MN 55811


“Perhaps the greatest sign of maturity is to reach the point in life when we embrace ourselves – strengths and weaknesses alike – and acknowledge that we are all that we have; that we have a right to a happy and productive life and the power to change ourselves and our environment within realistic limitation.  In short, we are, each of us, entitled to be who we are and become what we choose.” – Buscaglia, 1991, p. 7 (1)
Learning to be who we are and feeling good about ourselves is not easy.  We are threatened by language from colleagues who confound our perceptions and beliefs.  Yet, we try, and try as we may, often times, more than we would like to admit, our feelings mirror beliefs no longer valid.  Even when we hear ourselves saying we are okay and have the right to a happy and productive professional life, our environment causes us to come up short of expressing our real hopes and emotions.    

The problem is a perplexing one.  It has been analyzed and talked about before.  It is a function of our relatively passive state of mind, individually and collectively.  We are not acting responsibly towards ourselves.  However, we have within our power to change not only who we are, but what we collectively stand for.  One way to do so is to learn how to think and to feel right about ourselves.  For example, imagine the power in behaving as worthwhile professionals.  That is, having a sense of accomplishment and value about what we do translate into increased communication and relationship with other each other.  

As a matter of fact, we must learn to take hold of our influence on our emerging profession.  Our very job depends on it.  The key to doing so, that is, to committing ourselves to an attitude and sense of positive well being is a condition of the mind.  Seldom have exercise physiologists encouraged other exercise physiologists to take careful note and disclosure of personal values, concerns, and goals that center directly on the professional development of exercise physiology.  Some would even consider it an invasion of privacy.  In fact, on some level, to think outside of the sports medicine model is to risk damage to one’s reputation.   

Taking the initiative is not easy, and so many of us (college professors, in particular) remain quiet.  We continue to invest our energies into peripherally related issues of exercise physiology.   What gets left behind is the notion that we are responsible for what happens to our students.  And, of course, no one wants to risk ridicule, criticism, and disagreement with colleagues on behalf of the American Society of Exercise Physiologists (ASEP).  Clearly, the organization is different, if not, unpopular for those who depend on other organizations for their guidance and development.  However, we risk something far more important if we do not take the initiative to express our values and principles.  Silence takes from our personal and collective growth and autonomy.  Silence keeps us from pursuing the necessary changes that must be made to update our undergraduate academic programs.  It is important to make our concerns known because the values of another organization should not be imposed on the student who is interested in exercise physiology.  

Who “owns” this problem?  Who believes that “the end justifies the means?”  Pulling the plug on the sports medicine myth is an act of love for exercise physiology.  The decision to act or to choose exercise physiology and not sports medicine and exercise science is personal.  It is based on our values and our certainty that we have the right to our own professional organization and agenda.  An understanding of these values is often the pivotal decision-maker in answering the first question.  We own the problem.  The facts are clear that we are responsible for dealing with the ethical issues underlying the extraordinary lack of professional development throughout our academic programs of study.  And, as to the second question, ASEP is justified because of the concern both for the lack of change and development in the “exercise physiology” curricula and the possible liability and legal implications of continuing with less than a professional academic foundation   

One sign of our maturity is the initiative taken by ASEP Board of Directors in adopting a “Code of Ethics” for exercise physiologists.  Here again, there is evidence of decades of silence that has diminished our own autonomy as a person and as a professional.  Even now, exercise physiologists who belong to other organizations do so without a professional code of conduct to help in clarifying exercise physiology issues or in offering moral support.  This fact is hard to believe, but it is true and very unfortunate since it serves the authority of others and encourages their influence over us.  Unfortunate also because the leaders and decision-makers in exercise physiology have chosen not to address the specificity of professional development that a code would outline. 

It is hard to imagine that the PhD academic professor is willing to stay within the frame of mind that a discipline is good enough.  Settling for less than the true value of what should be a profession simply does not make sense.  Yet, one gets the impression that the professor believes it is safer to remain quiet.  Not having a code that outlines the values, concerns, and goals of professional work is incompatible with clear thinking.  Not taking the initiative to develop a statement to society that provides direction for ethical decisions and behavior ought to raise eyebrows.  Academic professors ought to be held accountable for the lack of a code outside of ASEP, particularly if they plan to not become ASEP members.  I suppose claiming ignorance of its value is better than the obvious lack of time taken to address ethical issues and, therefore, the lack of an initiative in collectively coming together to improve the image of exercise physiology in the public sector. 

Not only are they avoiding doing the “right thing” – they are also identifying themselves as something other than pure exercise physiologists.  The idea of “pro-sports medicine” or “pr-exercise science” or even “pro-kinesiology” is impregnated with philosophic and programmatic problems.  Time itself ought to have resulted in the right thinking about our professional development.  But, for many, the gestational decades of no distinction between exercise physiology and the dozens of other titles in the field have set the circumstances by which we have in effect abandoned our original rights.  Many of us are also uninformed and too infused with the notion of what is popular or what is common or even what is contemporary must be right.  As a result, it is interpreted as a tragedy of sorts to be pro-ASEP.  Tragedy or not, it is imperative that exercise physiologists of all ranks and positions should take their turn in supporting the pro-ASEP movement.  They must learn to be vocal in championing the exercise physiologist’s right to choose and promote the organization of choice.  The idea that some pro-sports medicine proponents view the ASEP leadership as having disgraced exercise physiology is extremists, anti-exercise physiology, and anti-professional.  The idea is stupid for obvious reasons

From the beginning, the relationship of ASEP and sports medicine could have been a win-win outcome.  The ASEP leadership tried to manage the conflict between the two organizations, but the use of power by specific sports medicine personalities set up a competition between the two by refusing the request of ASEP Board of Directors to affiliate.  With just a single breath of accommodation, the sports medicine officials could have easily put concerns aside and let ASEP evolve as an organization alongside sports medicine just as other organizations have done so.  But, that did not take place either for fear of being viewed as giving in – thus a lose-win situation.  What should have occurred was a collaboration whereby the needs, feelings, and desires of both parties are taken into account.  With just a little re-examination, this win-win solution could have resulted in a commitment to resolve the conflict between the two organizations with both benefiting in the long run.

Had the opportunity existed for the members of both organizations to listen and communicate with each other, the problem of placing blame and putting down the other would have been replaced with negotiation and workable solutions.  It does us no good to continue with our differences except to fight for the right to meet the expectations of our students, their families, and members of the public sector.  Part of that right is the ASEP development of new academic models and increased teacher responsibility for providing excellence.  Over time, the quest for professional stature, the implementation of ASEP academic accreditation standards, and the constant and relentless pursuit of quality will define the differences between the two organizations and the members that belong to each.  Hence, it is important for leaders of both organizations to demonstrate a willingness to give and receive feedback, to brainstorm possibilities, and to be creative and flexible in understanding abilities, resources, and policies.  

While it is still commonplace that anyone can say they are an exercise physiologist, there are signs of maturity suggesting that this is changing.  Just within this year, the Standards of Professional Practice have defined the exercise physiologist as either an individual with national certification from ASEP or who holds the doctorate degree.  While the Standards await final approval from the Board of Directors, it likely that the written document will be supported.  The Board will very likely consider that either is an acceptable credential that indicates a certain level of education has been obtained, thus signifying a certain level of excellence in performance.

The “Exercise Physiologist Certified” exam is a distinct sign of maturity.  It reflects a shift in thinking and practice towards new graduates.  Therefore, the question ought not be “Which organization I should join?” but rather “Why aren’t I a member of The Professional Organization of Exercise Physiologists – ASEP?”  Another sign of maturity is the willingness of ASEP members, particularly Dr. Dale Wagner, who helped draft the Undergraduate Accreditation Guidelines.  Other important signs of maturity are the dozens of PhD college teachers who are members of ASEP.  Their membership continues to change the image of exercise physiology as well as the social process required of professionalism.  They are helping students understand that exercise physiology is intellectual with practical applications and hands-on techniques; all motivated for the good of society.  

We will see further refinement and application of exercise physiology with the maturity of all exercise physiologists and soon, then, articles like this one will not be necessary.  We will not need to spend our time debating sports medicine.  Instead, we will concentrate on the future.  Until then, what is the difference between the person who joins ASEP and the person who does not?  According to Thomas Kuhn (2), “He must…have the faith that the new paradigm will succeed….knowing only that the older paradigm has failed….”  Kuhn is saying that “faith” and “intuition” are the guides to embracing a new paradigm.  ASEP is the paradigm shift that has changed the rules of applied physiology.  Because sports medicine cannot be the organization of exercise physiologists, it is a mistake.  Things happen for a reason.  If we can learn to discern the “why” – then we will be able to shape our own future.  

Fortunately, the process has finally begun.  In just 4 years, through extraordinary effort by members of ASEP, exercise physiology is fundamentally changed forever.  The work and the lessons learn have not gone unnoticed.  The new “model” of how exercise physiology should be perceived, thought of, and valued is explicitly defined by ASEP in its Standards of Professional Practice.  Thus, the new paradigm has its own set of rules and regulations written for exercise physiologists by exercise physiologists.  The framework of understanding the emerging profession and explaining to students and others that success is possible at all academic levels is a new paradigm shift with new rules with significant changes in solving problems.

As expected, the new exercise physiology has put everyone else who embraces sports medicine and exercise science at great risk.  And, of course, those at significant risk are clearly the leaders of the old paradigm who stand to lose if they accept ASEP.  A decision at that level to change from the old to the new views can only be made on faith that they will succeed.  The new territory, the new exercise physiology, is always risky to one’s reputation and position.  Even after talking to members of ASEP, it takes courage to act.  But look at the advantage of joining the new paradigm.  Today, ASEP is pioneering what exercise physiology ought to be.  In time, it will influence the world to cause it to catch up with the pioneering attitude of American exercise physiologists.  

ASEP is showing its own signs of maturity, even at 4 years.  So far, its members and their actions have placed before the world a new look at what is possible, a new direction illuminated by credentials, and a mindfulness of our students that ought to be forever at the tip of our tongues.  Regarding the latter, if we do not learn to care, it is highly unlikely exercise physiology will advance with quality and “continuous improvement”.  The latter is called kaizen in Japanese (3).  It begins with the notion that all exercise physiologists can and should be inventive and, in essence, working everyday to improve the profession.  Doing so demonstrates a caring and a reflection on “What is exercise physiology and what can I do to make it better?” vs. “How can I stand to benefit?”  Words like enthusiasm for the profession, commitment to students, innovation and professionalism must replace promotion and position, tenure and security, and publication and recognition.

The quest for excellence, when guided by maturity, takes us outside of ourselves and beyond the “impossible”.  I have seen it.  I believe it, and it has changed forever my view of exercise physiology.  I believe it will change yours, too.  Now is the time link new possibilities, new horizons.  Think of the long-term implications.  For instances, our students could access jobs with the same pay and respect other professionals get.  The managers and healthcare workers will acknowledge exercise physiologists on the same equal footing as other healthcare employees.  Corporate fitness, wellness programs, rehabilitation centers, research institutes, stress testing laboratories, prevention programs; all will have job opportunities for our students.  The key is combining flexible thinking, hard work, and innovation with a purpose.  For me, these are exciting times with positive images and a vision truly like nothing we have ever seen before.



References
1. Buscaglia, L. (1991). Born for love. Thorofare, NJ: Slack, Inc., p. 7.
2. Kuhn, T. (1970). The structure of scientific revolutions. Chicago: University of Chicago Press.
3. Barker, J.A. (1992). Paradigms: The business of discovering the future. New York, NY: HarperCollins Publishers, Inc.


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