Professionalization of Exercise Physiologyonline                     


ISSN 1099-5862   Vol 6 No 5  May 2003 
 


 
 











    Editor-in-Chief
    Tommy Boone, PhD, MPH, MA, FASEP, EPC
 

 
Introduction to Professional Ethics
Tommy Boone
Professor and Chair
Director, Exercise Physiology Laboratories
Department of Exercise Physiology
The College of St. Scholastica
Duluth, MN

In this article I examine the professional code of ethics that is binding to the members of professional organizations.  How members think and relate to others is strongly influenced by ethics.  The American Society of Exercise Physiologists (ASEP) has its own ethics document.  Its Board of Directors is concerned with right and wrong and how exercise physiologists make decisions.  Members may not realize it, but they are expected to know the ASEP Code of Ethics.  As you read this article, I hope you will discover that a code of ethics can neither guarantee ethical behavior nor resolve all ethical issues and disputes [1].  Instead, the purpose of a code of ethics is to encourage accountability through sound ethical conduct.  Ethics codes help to guide professionals to protect themselves from unethical behavior and to safeguard the welfare of clients [2].

It is important that you have an ethical sense of what may be considered a conflict between ideas and standards expressed in a code.  Remember, the ASEP Code of Ethics is the first-ever exercise physiology standard (what you should do) of practice [3].  Now, exercise physiologists can define whether their practice is reasonable or unreasonable, responsible or irresponsible, and ethical or unethical.  This is a tremendous benefit to the evolving profession of exercise physiology and its members.  You may not have thought about it, but in cases of conflict between ethics and professional responsibility, the ASEP ethics code (ASEP, 2003) helps to resolve conflicts to ensure professional accountability.  The code is written to help determine right from wrong.  It has a direct relationship to developing professionalism [4].

Accepted as an original component of the first ASEP Charter [5], the ethics code for exercise physiologists has not undergone revisions from its first conception.  As such, it may be necessary in the future to revise the code. But, for now, the code does an excellent job as guidelines for defining the ASEP practice of exercise physiology to protect the public from unethical thinking.  The newly formed “Ethics Committee” is responsible for overseeing the code, concerns that arise that may require new thinkingabout the code, the education and conduct of members, and processes complaints against individual members.  Also, when necessary, the Ethics Committee works with the “Professional Practice and Discipline Committee” to handle complaints against individual “Exercise Physiologist Certified” (EPC) members (6). 

“Regarding the EPC member, the committee launches an investigation and deliberates on the case according to the following step (6): 

1. The ASEP Board of Certification, by a majority vote, shall appoint five persons who are Certified Exercise Physiologists to the "Professional Practice and Discipline Committee". 
2. When the Board of Directors receives allegations that raise the issue of "Revocation of Certification”, the Board of Directors shall transmit such allegations to the Chair of the Professional Practice and Discipline Committee. 
3. If the Committee determines that no good cause exists to question eligibility or compliance with the Standards of Professional Practice, no further action shall be taken. 
4. If the Committee determines, by majority vote, that good cause does exist, it shall direct the transmittal to the applicant or certificant by certified mail or tracked courier, return receipt requested, of a letter containing a statement of the factual allegations constituting the alleged violation and the disciplinary standard allegedly violated.  The letter shall also include the following recitation of rights and procedures (6): 
A. The applicant or certificant shall have 30 days in which to respond to the allegations, provide comments regarding appropriate sanctions, and request an oral hearing if he or she disputes the allegations. 
B. Sanctions may be imposed if the allegations are determined to be true by the Committee, or if the applicant or certificant fails to submit a timely response. 
C. The applicant or certificant will be deemed to consent to the imposition of sanctions by the Committee if he or she does not dispute the truthfulness of the allegations. 
D. The applicant or certificant must appear in person if he or she requests a hearing. 
E. The applicant or certificant may be represented by counsel at the hearing, may present evidence on his or her behalf, and may examine or cross-examine any witness under oath." 
"If an applicant or certificant disputes the allegations and requests a hearing, the Chair of the Professional Practice and Discipline Committee shall schedule a hearing before the Committee.  The opening statements by the applicant or certificant, any testimony, and closing remarks shall be taped.  The hearing and related matters shall be determined by majority vote.  The applicant or certificant may appeal the decision by the Committee regarding the imposition of sanctions.  An appeal must be filed within 30 days of the applicant’s or certificant's receipt of the decision through the submission of a written appeals statement to the Committee." 

"An Appeals Committee of three Certified Exercise Physiologists from the Board of Certification is formed by the Committee to render a decision, using majority vote, on the record without oral hearing, although written briefing may be submitted.  The decisions of the Professional Practice and Discipline Committee and the Appeals Committee shall be rendered in writing to the Chair of the Board of Certification.  A decision either by the Committee or the Appeals Committee shall contain factual findings, conclusions of law, and any sanctions applied.  It shall be transmitted to the applicant or certificant by certified mail or tracked courier, return receipt requested.  Sanctions for violations of any ASEP Standard may include one or more of the following: (a) denial or suspension of eligibility; (b) revocation; (c) non-renewal; (d) censure; (e) reprimand; (f) suspension; (g) special training; or (h) other corrective actions.  If the Committee believes that there is an immediate and irreparable injury to the health of the public, the Committee can, under the "Emergency Procedure", suspend certification for up to 60 days pending full hearing." 

"The individual applicant or certificant authorizes the ASEP Board of Certification and its agents to communicate any information relating to the certification to employers, other applicants and certificants, educational programs, and others by means of newsletter or otherwise.  The individual releases, discharges, and exonerates the members of the ASEP Board of Certification and the members of the ASEP Board of Directors, agents, and any person furnishing documents, records, and other information relating to the individual's eligibility, certification, or recertification from any and all liability of any nature and kind, arising out of the furnishing or inspection of such documents, records, or other information, and any investigation, evaluation, and communication regarding the individual's eligibility, certification, or recertification, made by the ASEP Board of Certification.” 

While the ideal standard of conduct is subject to interpretation by the ASEP organization, there is an obvious right and proper conduct that is consistent with the professional development of exercise physiology.  For instance, doing research on sports supplements might be viewed as questionable by some exercise physiologists, but it would not be considered unethical unless the exercise physiologists failed to follow the rules of accepted (right) research conduct.  Doing anything that fails to encourage athletes, adults, cardiac patients, and clients in general to grow and develop without dependence on misinformation is questionable, if not unethical.  Exercise physiologists have a responsibility to avoid doing harm, especially refraining from sharing information that is not well researched or, perhaps, biased. 

The primary responsibility of exercise physiologists is to promote the welfare of the public through the application of their specialized body of knowledge.  This means providing just, fair, and relevant information and service to each client, regardless of cultural background, sex, disability, race, sexual orientation, ethnicity, age, socioeconomic status, or religion.  Traditional academic exercise physiologists might not understand exactly the seriousness of this point.  For example, how can exercise physiologists do what is in the best interests of athletes when they encourage sports supplements?  How can exercise physiologists determine whether their research will not lead to increased use of illegal drugs in athletics?  The possibility of unintentional negative consequences may be the case, but the exercise physiologists’ involvement in harming athletes cannot be evidence of a trusting and professional relationship.  Truthfulness is absolutely necessary in the practice of exercise physiology.

In summary, the following steps may prove helpful in thinking through ethical problems.  First, be sure that the conflict is an ethical dilemma.  The way to do this is to examine the situation against the ASEP Code of professional conduct. Second, analyze and identify the important issues of a given situation.  Determine the influence, if any, the situation or dilemma, if left uncorrected, may have on the welfare of the public.  Third, consider the ethical dilemma of not seeking professional consultation.  For example, it is essential that the certified exercise physiologist does not violate the ethical code of the ASEP organization.  Where information or circumstances need clarification, seek consultation from the ASEP organization to brainstorm the right course of action. 
 

References
1. Corey, G., Corey, M.S. & Callanan, P. (2003).  Issues and Ethics in the Helping Professions. Pacific Grove, CA: Brooks/Cole.
2. Herlihy, B. & Corey, G. (Eds, 1996). ACA Ethical Standards Casebook. 5th edition. Alexander, VA: American Counseling Association.
3. American Society of Exercise Physiologists. (2003). Code of Ethics. [Online].  http://www.asep.org/asep/asep/ethics.htm
4. Kasar, J. & Clark, E.N. (2000). Developing Professional Behaviors. Thorofare, NJ: SLACK Incorporated.
5. American Society of Exercise Physiologists. (2003). ASEP Charter. [Online]. http://www.asep.org/asep/asep/execbod.htm
6. American Society of Exercise Physiologists. (2003). Standards of Professional Practice: Ethics Committee. [Online]. http://www.css.edu/ASEP/StandardsofProfessionalPractice.html
 

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