PEPonline
Professionalization
of Exercise Physiologyonline

An international electronic
journal for exercise physiologists
ISSN 1099-5862

Vol 3 No 3 February 2000

 

The Grassroots Leadership in Exercise Physiology
Tommy Boone, PhD, MPH, FASEP, EPC
Professor and Chair
Director, Exercise Physiology Laboratories
Department of Exercise Physiolgoy
College of St. Scholastica
Duluth, MN 55811


This article is about exercise physiology leadership, written for exercise physiologists.  Most of the material in the ASEP pages is written specifically for the exercise physiologist, and a good bit of it has come out of my own experiences as co-founder of ASEP.  If I have learned anything in the past 6 years, it is that there are few rules for starting an organization.  I hope this article will be read and interpreted as a general guide for others who might have an interest in the exercise physiologist’s right to his/her own professional organization.

I live in Duluth, MN, a city and state that are cold throughout the year and especially during November through May.  Snow is generally on the ground for 6 months out of the year.  I have come to understand the weather somewhat, although nobody really gets all that comfortable with it (regardless of what they might say otherwise).  In the time I lived in Minnesota, we have had the coldest winter, the warmest year, the winter of the least snow, and so on (record after record).  Regardless, I like the extremes in the weather and consider the snow, the cold, and the storms as challenges.

So, what is the point of this article?  It is about challenges!  It is a sense of history, and about organizing exercise physiologists to take responsibility for themselves.  It is not about research, however important.  It is not for those who already understand the need for unity to solve the problems that face us.  This is an article for exercise physiologists who believe they have a right to their own professional organization.  It is about dignity, determination, and the desire to professionalize exercise physiology.  It is for those exercise physiologists that this article is written.  Those who believe deeply that the problems faced by the non-Ph.D. exercise physiologist will be (can be) solved by exercise physiologists working together.

This is not the first time I’ve written on this subject, and it will not be the last.  I am committed for life.  I have tried and lived the other way, and I have realized the lack of meaning in the process.  If there were other words to use, I would state them.  I would do whatever to help those in contemplation to understand what I now know, what I now believe is true, and my experiences on both sides of the issue.  So, I hope that you will read this article in light of my experiences and will come to terms with your thoughts and ideas regarding ASEP.  It is my pleasure and privilege to have the opportunity to work with so many excellent, professional exercise physiologists within ASEP.  I would like to thank them all for believing the challenge and for working to make a difference.

In 1993-94, just after arriving in Duluth, my wife and I drove to the “Twin Cities” (that is what we refer to as St. Paul/Minneapolis) to attend the AACPVR meeting.  With full of hope and expectations, we went to meeting after meeting looking for answers.  Even today, I am startled to remember one gathering in particular.  A lot of exercise physiologists were in attendance, many worked in cardiac rehabilitation.  They were like poor people politely asking and requesting for help.  In short, those who represented AACPVR said, “No, we are not going to ‘create’ or assume responsibility for ‘starting’ a certification program for “clinical exercise physiologists.”  I believe that I now understand why, given that a few of the founders of AACPVR were then (and still are) loyal to ACSM.  They didn’t want a competing certification to get underway, especially since the sports medicine organization (through its exercise physiology membership) had declared itself as “the” certifying body of ‘exercise specialist’ or others who worked in cardiac rehabilitation.  What a waste!  What selfishness that has resulted in considerable downstream problems for non-Ph.D. exercise physiologists! 

Those of us who stand outside of the circle of sports medicine; those of us who gave up certain professional growth and recognition according to the sports medicine way have pushed forward regardless; those of us who are considered as outsiders, who are even considered unprofessional for our beliefs know that black is not white and white is not black.  Sports medicine is not exercise physiology, and exercise physiology is not sports medicine.  Exercise physiologists must come to terms with this point if they are to survive.

It is learning how to stand on your own merit that is important.  Other professionals understand this point all too well.  Why is it that we are so slow to grasp this point?  Unpopular as it might sound, existing outside the framework of sports medicine is the only way we will be able to professionalize exercise physiology.  It is our one hope to make a difference in the future of our students.  Exercise physiology is first a career option for those who choose it and, secondly, a research opportunity for the research minded.  Hence, it is logical to define and develop the foundation that supports financial survival versus publishing in different journals. 

ASEP is the genuine change agent to learn how to take our differences and make them into a unified strength.  But, the process isn’t easy.  It requires work, a lot of work in fact. I began the process some 6 years ago and most still have not heard of the ASEP goals and objectives much less the work that has gone into it.  At times I feel like a warrior in the struggle against the continued exploitation of exercise physiologists by sports medicine.  I have learned how to fight, how to survive, and how to make my dreams come true.  But, I have also learned that the war can’t be won by one person or by several dedicated fighters.  Power to act, to stand with strength, to feel good about the work, and to be able to let loose of the emotions when the day is over requires strength that is only good when blended with the strength of others.  Seldom can one or two people swing a nation from one direction to another.

Having said this, I still believe in the power of one or two or three committed individuals.  I have always believed in the power of positive thinking, critical reflection, and what is right from what is wrong.  It is has enabled me to push forward a bit further out on the limb even though I know it may break from beneath me.  At times, I would like to have someone close to me to discuss these feelings but there isn’t anyone.  This makes the challenges even more intense.   When I do take time to rethink what I have done, and why I had to, I do understand the ‘importance’ and the ‘why’ of sharing the burden of creating an organization on top of everything else.  Except for a few brief moments of doubt from time to time, I have never forgotten the reason for my original commitment.  That is, undergraduates and master-prepared students from good academic programs (especially degree-offering programs in exercise physiology) deserve the title, exercise physiologist.  The freedom to call oneself an exercise physiologist, given that the person has an undergraduate degree in exercise physiology, or a strong academic concentration in the core courses of exercise physiology, is not to say that one person is better than another person, but to acknowledge with respect the academic journey itself.  It is drawing attention to the fact that, in some instances, undergraduate programs have evolved to a level of academic credibility that is on the order of some master programs.  Not to acknowledge the reality of these programs and the students’ right to the title is wrong.  It is as simple as that, and it really isn’t necessary to entertain other ideological points of view.

This is undoubtedly one of the hardest lessons for many Ph.D. exercise physiologists to accept.  I have heard time after time, “I worked for ‘my’ Ph.D. degree, and I’m an exercise physiologist.  Anyone without the degree and who is not publishing research is not an exercise physiologist.”  Many of these comments are simply ideas and thoughts given to them by their Ph.D. professors, who got the same message from their Ph.D. professor.  At one point in time, it was a reasonable interpretation because the undergraduate programs were so mixed in subject matter that no one really knew what was what.  That is no longer the case today.  Oh yes, there are still programs that identify themselves as graduating exercise physiologists when in fact they are graduates of a completely different degree.  The department chair and the faculty do not explain the differences between what they offer and what the students think they are getting because it might make a difference in the number of  academic majors! 

The reality is simple, however.  That which is untrue and misleading will eventually drop to the wayside.  Only those programs that actually teach the subject matter specific to exercise physiology will survive the test of time and credibility.  It requires only a little foresight to understand the legal and moral implications when the educational setting is purposely misleading, and above all, the understanding as well that if not corrected, then the process will work against itself.  Hence, it is understandable that among reasonable men and women that poorly organized programs of study will be reorganized, if not by necessity, by a commitment to the students’ best interest.  Yes, this will require a great deal of work.  It will nonetheless take place once the reality is realized and accepted by both the department chair/director, faculty, and the institutional administration.

Perhaps this is why I am so moved by the members of ASEP, I, an exercise physiology teacher for more than 30 years,  a person who believes in the possible, and who has published and understands the importance of research to exercise physiology, not only have friends among sports medicine, but understand that we, exercise physiologists, generally do the right thing.  Whatever is right is usually the path taken by most thinking persons and, so it is with exercise physiologists who are good people.  We learn from each other as we share our concerns and beliefs about what we do and/or hope to do.  Also, we must appreciate at a gut level that those who are not reaping the benefit of their hard work, however excluded and/or exploited, will in the end win by their own sensible and true actions.  Their collective power will win over the hearts of others, and demand the change that is but a dream today.

Interestingly, for many years, I did not think this way.  I, too, was under the power of sports medicine.  Truth is, I just didn't  know any difference, which is the same problem we continue to face within the exercise physiology community.  Some have listened to the ASEP message while others continue to resist.  The latter is not moved by the sincerity, dedication, and well-meaning of the ASEP members.  They just do not get the big picture and yet there really isn’t a mystery.  ASEP members belong to the Society just like any other person might belong to sports medicine.  There are committees and other types of work that must be done, and their understanding and dedication set the stage for effective changes, just as you might imagine with any other organization.  So, what is the difference?  The short answer is: It is all about professionalism.  The decision to belong to ASEP is based to a great extent on what ASEP can do for the exercise physiologist, which is no different from expectations about a different organization. 

What can ASEP produce that another organization can’t?  This is the question.  Why? Because it defines the community of membership and why it functions.  In some ways, this is the essence of ASEP.  Its purpose is everything to the future of the exercise physiologist.   For example, take professionalism!  Name one organization that is developing exercise physiology professionalism (except of course, ASEP).  What about national certification of exercise physiologists?  ASEP is the only organization dedicated to certifying exercise physiologists based on specific academic core coursework.  Most other certifications can be obtained through the Internet or some dedicated study, but without a specific academic preparation (concentration) or degree.  Similarly, what about accreditation?  ASEP is the only known community of exercise physiologists who have tackled the problem and who have a proposal ready for implementation. 

This is not to say that another organization couldn’t have the same agenda.  The point is, however, that no other organization across several decades has even come close to tackling these issues.  The preparation, work, and dedication are simply major amounts of work, aside from the existing agenda of an existing organization.  Frankly, it would have been possible for many of the items of interest, as addressed by ASEP, to have been accomplished by a much better know organization and one that has been around for some time.  Like it or not, good or bad, that was not going to happen.  Again, the reasoning is simple.  If they, the other organizations that already exist, are not going to correct the problem, then it was time to do so by shared knowledge and experiences through a newly created organization.  Put bluntly, that is why ASEP exists.

Given the choice between ASEP and the other organizations, then, there isn’t any race to decide.  The only logical approach to professionalism is to “know other exercise physiologists” with similar interests and commitment.  The power is in coming together and in responding to the needs of the members.  This distinction is important because, as far as possible, this is the mandate of ASEP especially once several key contacts were developed.  They, in turn, were used to develop other contacts within the exercise physiology community.   Clearly, the ASEP organization is only as important as the ideas, the community sharing, the friendships, and the leadership tactics that are considered imperative to achieving results. 

It follows, then, that often the organization that is on top is the organization of committed membership.  This means that the potential power of an organization lies in its members and, as such, membership quality not quantity, defines the decision-making process.  This point is worth repeating, that is, quality membership, members who are willing to walk the distance is the strongest thing that an organization has going for itself.  Needless to say, therefore, ASEP is interested in leadership that flows from the grassroots up rather than down from the top. 

At this point, you may say “But, I don’t have time.”  If so, then, you may not realize what you are missing.  “I’m too busy” and “I already have the answer” are two obvious attitudes that frequently keep people from trying new things, from thinking differently, and from realizing their potential.  I believe it was Shakespeare who said “All the world’s a stage, and all the men and women merely players; They have their entrances and exits; and one man in his time has many parts.”  If you would like to crank your activity up in the ASEP organization, have you considered participating on a committee, looking for new members, doing market research for new ideas, or making a professional call to get another person interested?  Now you may ask yourself, “Is this idea any good?  Will it give me the return I want?  Do I have the resources to make it happen?”  Answers to these questions are often found in “the doing”.  Become an ASEP believer and take your ideas into battle.

I once said to a “believer” -- expect the unexpected and keep your mind open to possibilities.  He replied,  “possibilities” and I replied,  “Pay attention to different kinds of body gestures and comments, and don’t miss the obvious.”  The curious thing about the conversation is that many people often overlook the resources right in front of them.  Even a simple phone call to a colleague can have a big impact, especially when that person gets so immersed in the business of ASEP and professionalism that his/her actions cultivate new and creative possibilities.  It may be an idea that should be turned into reality.  But, what about the risks?  Downside?  Will it succeed?   Every new idea has its risks, but as I read somewhere once, “ships are not built to remain safe in port”.  Playing it safe isn’t smart.  Grant Heidrich said it best, “If you spend too much time warming up, you’ll miss the race.”

Putting an idea into action is difficult for all kinds of reasons, but leaders have learned to take responsibility for the idea and they do what it takes to implement it.  Their work is part of the change process that is inevitable when making an idea into reality.  As I have heard others say,  “That person has a fire in his belly.”  The fact is, as entrepreneurs have known for years, we make what we want for ourselves when we become dissatisfied with everything as it currently exists.  We develop skills that enable us to achieve our objective and, in so doing, we learn that there is no turning back.

There is no turning back bears repeating, especially when individuals who don’t understand take shots at your commitment to an idea, such as “It’s too contrary to the way we have always believed.”  It won’t work.  It isn’t possible without major players.”  “It’s a radical and foolish idea.”  “It is just like so-in-so, unprofessional.”  Such criticism is unfair and often a result of  the person feeling threatened by the idea of something different.  So, where possible, they shoot down the idea as half-baked and stupid without realizing what they are doing.  They are also concerned and understand the strength and emotion in the following expression, “Nothing in the world can take the place of persistence.  Talent will not; nothing is more common than unsuccessful men with talent.  Education will not; the world is full of educated derelicts.  Persistence and determination alone are omnipotent.” 

ASEP is looking for leaders at the grassroots level.  Leaders who understand that things can and will go wrong, but are driven to finding out why and then doggedly pressing on.  Leaders who are bold, have a plan, fire in their belly, understand the goals and objectives of  the ASEP organization, who can get started and who can follow through with action; those who are persistent and determined.  If you feel motivated and/or driven to make a difference, contact an ASEP Board Member and tell the person about your idea and its anticipated benefits to the profession.  If you are already a committee member, but feel that the process is moving too slow.  Let us know what your thoughts are and how we can influence change faster. 

Think about it.  ASEP exists for exercise physiologists, to unify their strengths, and to create the ongoing efforts necessary to realize professionalism.  With everyone involved, and with leadership talent developed from within, we are guaranteed success.



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