PEPonline
Professionalization of Exercise Physiologyonline

An international electronic
journal for exercise physiologists
ISSN 1099-5862

Vol 5 No 9 September 2002

 



Professionalism Requires Unmasking Our Thinking
Tommy Boone, PhD, MPH, MA, FASEP, EPC
Professor and Chair
Director, Exercise Physiology Laboratories
Department of Exercise Physiology
The College of St. Scholastica
Duluth, MN 55811


“Every intersection in the road of life is an opportunity to make a decision, and at some point to listen.”  -- Duke Ellington 
FREQUENTLY, when we fail to do the right thing, we give power to someone else.  We know this is true.  Remember, when you were in high school and you decided not to go to soccer practice.  What happened?  Very likely, you found yourself watching someone else play in your place.  Life is full of little curves like that, and we don’t have to think very hard to remember them.  This may also be the reason we tend not to talk about the “everyday” problems of life, especially if we have failed to stand our ground.  Personal feelings about sports, school, and work are all common responsibilities that require “doing the right thing”. 

When we struggle and, perhaps, even with a sense of embarrassment from our failure to control and even determine our breaks, personally and/or professionally, we are imprisoned by our own limitations.  And, yet the most dominating idea is that other people don’t have actual power over us.  We give it to them when we fail to unmask our reasons for not doing the right thing.  Similarly, disagreement with the ASEP spirit is the right of every exercise physiologist.  There isn’t anything unusual about people with different ideas.  However, I thoroughly and enthusiastically believe in certain demonstrated and effective principles which, when practiced, produce a direct improvement in the kind of life members of emerging professions are permitted. 

If you read this article thoughtfully, carefully absorbing my concerns, and if you will sincerely make an effort to understand the purpose of ASEP, you can expect to experience a feeling of hope.  By acknowledging the work of the Board of Directors [1] and other hard-working committee members, you can become a change-agent on behalf of all concerned exercise physiologists.  Your work can help create the circumstances to assume control over obstacles and redefine your relations with other professionals.  It is no little matter before us, but it is achievable.  We can act and do as we believe is right or we can deliver ourselves straight into the hands of others.  Right thinking is a committed choice.  In this spirit, may it help move us toward the places that we need to develop exercise physiology into a profession.

“It is only with the heart that one can see rightly; what is essential is invisible to the eye.”  -- Antoine De Saint-Exupery
Unmasking our thinking (i.e., chipping away at our traditional thinking) begins with believing in who we are.  Are we fitness experts?  Personal trainers?  Exercise technicians?  The problem is a complex one because no one has ever taken the time prior to the founding of ASEP to define “what is exercise physiology” and “what is an exercise physiologist”?  The definitions may appear as an easy understanding by reasonable thinkers.  But with just a little discussion with colleagues, a sense of confusion exists.  The resulting problem is that if you are not part of “something” – then, it is hard to believe in yourself.  Having faith in your academic studies is not an easy task when humbled by remarks in the public sector.  Ultimately, the lack of faith may lead to a sense of inferiority and inadequacy that promotes self-doubt. 

Because of the importance of a college degree, it is a sad state of affairs to realize that a number of our colleagues are hampered in carrying out their dreams.  They are down right miserable by the lack of steps that should have been taken decades ago to develop the professional foundation of exercise physiology.  In fact, it is appalling to realize that other healthcare professions have made major steps towards professionalism whereas the thinking about exercise physiology remains in yesterday’s physical education (now, exercise science).  But, with proper professional steps taken, as has been recently the case with ASEP, history doesn’t have to keep repeating itself.  Tomorrow is another day, and I am encouraged by the display of confidence by members of ASEP.

Exercise physiologists my age and older played a part in making exercise physiology what it is (or isn’t) today.  We are among others of all ages who can restore it to what it should be in the public sector.  But, first, we must stop the masquerade of exercise science and dozens of other academic titles as exercise physiology.  Second, I should add that to know “what is exercise physiology” requires a discernment that is distinctively ASEP and not unfortunately consistent with the definitions found in most exercise physiology textbooks. 

The ASEP definition of Exercise Physiology is:

"… the identification of physiological mechanisms underlying physical activity, the comprehensive delivery of treatment services concerned with the analysis, improvement, and maintenance of health and fitness, rehabilitation of heart disease and other chronic diseases and/or disabilities, and the professional guidance and counsel of athletes and others interested in athletics, sports training, and human adaptability to acute and chronic exercise.” [2]
Now, compare the ASEP definition to the following textbook definitions of Exercise Physiology: 
  • “…a basic and an applied science that describes, explains, and uses the  body’s response to exercise and adaptation to exercise training to maximize human physical potential.” [3]
    •  “…is an aspect of kinesiology and sports medicine that involves the study of how the body – from a functional standpoint – responds, adjusts, and adapts to exercise and training.” [4]
    It is also important to note that the authors do not present exercise physiology from an exercise physiologist’s point of view.  Take, for example, the following introductory comments from their text:  “…it is necessary for physical educators, therapists, coaches, trainers, fitness instructors, and kinesiologists to recognize the vital part science plays in the successful conduct of physical education, athletics rehabilitation, and activity programs. Toward this objective, all such exercise professionals must have a solid understanding of basic exercise physiology.” 

    In other words, it appears that the authors are saying that the science of exercise physiology is essential knowledge for everyone but the exercise physiologist!  Taken a step further, one could conclude that if the authors believe that exercise physiology provides the physiological basis of physical education, fitness, athletic and rehab programs, and not the “actual academic foundation for exercise physiology as an emerging profession, then there must not be any exercise physiologists! 

    Therefore, anyone who is a physiologist, a kinesiologist, a physical educator, or a medical doctor who teaches the subject matter “exercise physiology” can call themselves an “exercise physiologist”.  Well, what does your common sense tell you about this line of thinking?

    • “…is a branch of physiology that deals with the functioning of the body during exercise. [5]
    • “…is the study of how our bodies’ structures and functions are altered when we are exposed to acute and chronic bouts of exercise.” [6]
    It is logical that the textbook authors should embrace the professional organization of exercise physiologists (ASEP) by updating the definition in their books.  In time, it is a sure fact that they will for a variety of reasons.  Until then, perhaps, it is equally a concern to all emerging professionals in the field that the college teachers take the time in their classes to explain “who is an exercise physiologist” and why the textbooks lag behind.  The ASEP definition is:  “Exercise Physiologist" means a person who has an academic degree in exercise physiology, who is certified by ASEP to practice exercise physiology (as an EPC), or who has a doctorate degree with an academic degree or emphasis in exercise physiology from an accredited college or university.” [2]

    ASEP marks the turning point in the appreciation of what a “professional title” means.  Amazingly and remarkably, under the view of the established exercise physiologists [7], the lack of understanding the importance of title amounts to repression to keep undergraduate programs decades behind other academic majors.  There is another side to this issue, too.  We don’t have to think too far back to identify the beginning.  In fact, it is relatively easy to point out that with the advancement of exercise physiology at the doctorate level, “exercise physiology” per se caught on.  Those with the doctorate degree called themselves “exercise physiologists”.   Interestingly, there are times when an education brings out the worst in people.  Since it was inevitable that everyone else would be denied access to the title, the investment in their education seems rather flat to many students. 

    While most readers might think that change is always ongoing among college teachers, they might be surprised by the lack of appreciation for the dynamic needs of their students.  In fact, several years ago, several doctorate-prepared exercise physiologists who suffered ostensibly at their major advisors’ hands emailed me out of great confusion that I had suggested that undergraduate students with an academic degree in exercise physiology could (and should) call themselves “exercise physiologists”.   It didn’t seem to matter to them that an undergraduate academic major in exercise physiology should yield the title -- exercise physiologist.  In short, they refused to recognize that a major in exercise physiology or that an academically prepared individual with a bachelor’s degree in exercise physiology could call him- or herself an exercise physiologist.  Yet, after some discussion, they could understand why a person who graduates with a nursing degree has the right to the title, nurse.  This malady arises out of innumerable mistakes, most notably thinking that research alone is sufficient to create professionals.

    Perhaps, in retrospect, it is not surprising that PhD exercise physiologists did not want to believe that someone could be an exercise physiologist without the doctorate degree.  But, of course, such thinking is outdated and obviously one-sided to non-PhD exercise physiologists who have not had the opportunity to achieve job and/or career autonomy.  And, yet these same doctorate-prepared individuals are willing to accept the idea its okay to spend thousands of dollars on one’s education to be recognized as an “exercise specialist”.  They also appear equally willing to raise the bar for a variety of certifications, many without much credibility, to sort of compensate for the deficient undergraduate programs along with their titles. 

    So, who cares whether a student graduates with a kinesiology degree and calls him- or herself an exercise physiologist?  Frankly, it appears that almost no one cares.  For that reason, there is a high rate of turnover and a serious problem with recent graduates who could considerably become vital members of the emerging profession of exercise physiology.  Here, the attitude of the old establishment may stay with us, but the problem itself can (and must be) corrected.  Feelings of not belonging and the sense of being inadequate may never completely disappear, but their expression can be transformed into a positive outlook.  The secret is really no secret at all.  All we need to do is believe in our ability to succeed; a state of mind that is different from the sense of security that the doctorate degree seems to foster.

    The blows of decades of insecurity tempered with fear (if we were to re-appraise our assets) have created utter despair and no hope of thinking differently.  This is a hard perspective but everything, including our extraordinary ability to start all over again, is consistent with the normal view of lifting ourselves from relative defeat to victory.  Here, victory is defined as having the same rights and respect as other healthcare practitioners.  To be victorious, however, we need to recognize the network of embedded beliefs.  This means that we can never be considered serious competitors in the healthcare field until we:  (a) recognize our history; (b) stop ignoring the political and social conditions that helped produce the chaos in the first place; and (c) plan for an array of flexible solutions that unify exercise physiologists. 

    Curiously enough, there is some evidence that a few members of the old establishment may have anticipated the lack of a professional platform.  But, by virtue of the prescriptive thinking at the time, nothing more came of it.  Their failure deprived exercise physiologists from the opportunity to gain the necessary insight early on to free themselves from the sports medicine myth [7]. 

    “When people are frustrated with repeated relationships, it’s as if they’re looking for milk in a hardware store.” – Elisabeth Kubler-Ross
    To prevent that happening again, ASEP is trying to teach exercise physiologists that they can make their own history, that they are responsible, that they need not default to others because it has always been that way.   It is not surprising that members of ASEP continue to believe that our destiny today lies in their own counsel.  They understand that putting their hearts into exercise physiology as a profession will cause their beliefs to become reality.  That this thinking is of practical value is illustrated in many examples throughout our existence.  And, yet there is a curious irony here that more exercise physiologists don’t understand this phenomenon of unmasking their thinking than those who do understand it. 

    To understand “unmasking” is to understand courage and, perhaps, this is the thinking that is unhesitatingly imperative if not the formula for success.  To take off the mask of yesterday to appear in true character of what we are requires “stepping out of line”.  That is, we need mavericks!  We need spunky, spirited professionals who are willing to move ahead with courage to develop exercise physiology into a profession.  ASEP members invite every exercise physiologist to call the National Office and learn how to help promote the professional development of exercise physiology.  Together, we can improve the work environment of our colleagues. 

    But, where are the mavericks?  Robert H. Schuller [8] says that, “Mavericks are essential to the survival of the herd.  A herd with no mavericks huddles together with backs to the wind, heads down, shoulders together, seeking to survive the storm.  More than one herd of cattle has frozen to death that way.  Where is the one who can break out of the group, put his head to the wind, and venture out to find shelter from the storm or discover new grazing ground.” 

    Do you dare to be a maverick?  Leadership is critical in helping with the transformation from the older, paralyzed thinking to the newer, 21st century breakthrough thinking [7].  The door is open, however.  We have our own professional organization.  It is no longer appropriate to function as if we don’t have the right to our own professional development; everything is possible.  Today, it is clear that exercise physiology is emerging as a profession.  It is still an occupation, but it is an evolving occupation that requires an undergraduate degree in exercise physiology.  The secret is to continue the hard work, especially the accreditation of undergraduate programs [accreditation]. 

    “The power to move the world is in your subconscious mind.”  -- William James
    In short, exercise physiologists need to practice what they teach.  For example, instead of just exercising and doing the physical thing, why not mentally condition ourselves for change by:  (a) shutting down the excuses and look at where we are with a rational mind; (b) preparing our minds to visualize a future of professional exercise physiologists; and (c) believing that what we visualize can be achieved.  The power for change is directly a function of our subconscious mind [9]. 

    When we step back from our beliefs and think rationally about the benefits that associate with professionalism, our minds can conceive and embrace the framework of new thinking.  That is, the mental picture of a “Board Certified Exercise Physiologist” can help influence how we think about ourselves, our attitude, and our behavior towards change.  The key to thinking outside of our traditional views (and to begin the change process) is to unmask our traditional thinking to allow for a new way of viewing exercise physiology.  Exercise physiologists can help to counterbalance and overcome their negative thinking by embracing positive affirmations. 

    For example, slightly altered from a commonly heard affirmation, “Day by day in every way exercise physiology is becoming a profession.”  Imagine the power in the repetition of the affirmation.  In ASEP terms, exercise physiologists are the healthcare practitioners of the 21st century.  Repeat the statement a dozen times each day to imprint the thought in the subconscious mind.  “Exercise physiologists are healthcare practitioners.”  When repeated over and over, we will not only come to believe it but we will also mentally condition ourselves to upcoming changes taking place in exercise physiology. 

    Dare to use positive affirmation statements such as “I can do it,” or “I believe I can make a difference,” or “Every day in every way, exercise physiology is getting better and better.”  The following list of sample affirmation statements can be used to prepare the mind for positive imagery and subconscious building:

    •  “I am happy and content with the ASEP influence on exercise physiology.”
    •  “I am filled with hope, support, and content with the ASEP leadership.”
    •  “The ASEP vision makes this a great day.”
    •  “I feel happy and am proud of the work of ASEP members.”
    To establish a mindset for a new exercise physiology, we must alter (unmask) our traditional views of exercise physiology.  This means removing the mental, if not, emotional barriers that limit our influence and recognition as a healthcare practitioner.  It is as Napoleon Hill [10] said, “Whatever the mind of man can conceive and believe it can achieve.”  Hence, a word of caution: when we fail to conceive that it’s O.K. to have our own professional organization or when we fail to believe it is possible to get ahead on our own efforts, then our minds are not prepared for success.  This is part of the inertia of thinking today or, if you will, the failure to collectively follow our natural instincts and appetites for professional development.  Others may have said it similarly, but Michael Korda [11] said it convincingly.  “To succeed…to convince yourself…, that what you want is O.K. – that you have a right to succeed…tell yourself:
    • It’s O.K. to want recognition as the leading professional organization of American scholars and practitioners in the study and application of exercise physiology to fitness, health promotion, rehabilitation, and sports training.
    • It’s O.K. to want unification of all exercise physiologists in the United States and worldwide to promote and support the study, practice, teaching, research, and development of the exercise physiology profession.
    • It’s O.K. that through proactive and creative leadership, the Society empowers its members to serve the public good by making an academically sound difference in the application of exercise physiology concepts and insights.
    It’s O.K. to want something different, and it’s O.K. to think of ASEP as the best way to succeed.  It really isn’t complicated.  Instead of waiting for others to lead us in the right direction, it is better to seize the opportunity.  Others don’t hold us back.  They have no control over our success.  Rather, it is our own fear of failure that is hard to overcome.  It is the fear that we might look foolish or down right stupid trying to do something different that holds us back.  All of us know this and, yet we continue to think we can accomplish great things without taking risks.  Beyond this, it isn’t too dazzling a story.  So, why not stop waiting for others to take the lead?  Take the initiative.  Get in tune with the reasons for the ASEP objectives:
    • Unify exercise physiologists to promote and support the professionalization of exercise physiology. 
    • Promote exchange of ideas and information regarding all phases of exercise physiology. 
    • Encourage the implementation of academic programs to meet the diverse interests and career opportunities in exercise physiology. 
    • Promote the exchange of scientific information between ASEP and organizations interested in health promotion, disease prevention, rehabilitation, sports fitness, and athletic training. 
    • Set the agenda, enhance, and increase visibility of the exercise physiology profession. 
    • Commit to quality and integrity in exercise physiology through adherence to a formalized code of professional responsibility. 
    Imagine what would happen if the academic exercise physiologists would take the time to daydream about the healthcare potential of exercise physiology.  Imagine the opportunities our students would have when the daydreaming is taken to its fullest point of fantasy.  Imagine exercise physiology as a profession and not as a specialist in fitness and strength development.  Imagine if more professors could walk away from their traditional thinking; unmasking is important to dreaming and succeeding.  Don’t be afraid to daydream, to hope, and to believe it is O.K. to argue for something that is right.  It is permissible to be yourself.  It is permissible to change, to want to change, and to grow as a professional.  In the words of St. Francis de Sales, “Do not lose courage in considering your own imperfections, but instantly set about remedying them.” 

    Do not lose courage!  Be patient but work hard at remedying the problem.  That is exactly the course of action of ASEP members.  I’m sure you remember the following verse from Hill’s book: [10]:

    If you think you are beaten, you are.
    If you think you dare not, you don’t.
    If you like to win, but you think you can’t, 
    It is almost certain you won’t.

    If you think you’ll lose, you’re lost,
    For out of the world we find,
    Success begins with a person’s will –
    It’s all in the state of mind.

    If you think you are outclassed, you are,
    You’ve got to think high to rise,
    You’ve got to be sure of yourself before
    You can ever win a prize.

    Life’s battles don’t always go
    To the Stronger or faster person,
    But sooner or later the person who wins
    Is the person who thinks he(she) can!

    The power of faith, that is, the power in believing that we can change the direction of exercise physiology is inspired by individuals who think they can!  This is an important understanding, especially since the power is invested in every exercise physiologist who dreams of something different.  That power is organized into an ASEP plan of action that is directed to a definite end through an extensive visualization process consistent with the ASEP vision.  John Zumerchick [12] may have said it best for anyone interested in high-precision golf and, yet his “three-step process” to increase 3-dimensional thinking bears directly on exercise physiology as well. 
    1.  Develop a visual picture of the desired outcome, from start to finish.  Visualize the accredited undergraduate academic program, the exercise physiology course work, the hands-on laboratory skills, graduation followed by sitting for the “Exercise Physiologist Certified” exam, and then professional work in the public sector as a healthcare practitioner. 

    2.  Never take your eyes off the target as a professional with respected credentials.  Concentrate on remembering everything that is important with nursing, physical therapy, occupational therapy, and other healthcare practitioners.  It is important to visual with confidence and conviction that exercise physiology is a healthcare profession with a multitude of other career opportunities as well.

    3.  Finish the visualization with playback each and every day.  Visualize the beginning as an undergraduate student, the ASEP professional credentials, the access to a job with respect that is financially rewarding.  The picturing may also include additional academic study and other professional connections that strengthen and stabilize your future as a successful profession.

    Belief is the force behind almost everything we do.  Belief enables us to achieve our goals.  Yet, it is the “belief” that can also be troubling when misplaced.  For example, Bristol [9] points out that:  “…many people will believe only what they like to believe or what fits into their own scheme of things, summarily rejecting anything to the contrary.”  Since it is true that we become what we believe then, logically, we must evaluate our beliefs and weigh them in accordance with our reality (or, more specifically, the reality of our students).  This is the unmasking so important in understanding that much of what we think we believe is shaped by the thoughts of others.  Often times, therefore, these thoughts keep us from changing and/or turning towards a high purpose.
    “Believe that you have it, and you have it.” – Old Latin Proverb
    Are you an exercise physiologist?  Or, are you a kinesiologist?  Perhaps, you are an exercise scientist?  Maybe, you are a physical educator?  What is an inescapable conclusion is that “thinking like a professional” is important and, in a nutshell, it encompasses looking important and believing that what we do is important.  But, the penalty for failure (to develop within the framework of a profession of people thinking as professionals) is that our students have become bogged down in a battle where there is no victory without unmasking our thinking. 

    The whole of other professional programs and the effort it has taken (and still is for some) to professionalize career opportunities is, in part, a function to keep others from infringement.  Here we have failed to guard against infringement.  This fundamental contradiction as so-called professionals, arising from what we think we are (mostly, academically speaking) versus actually what we really are in the eyes of the public sector (on behalf of our students), is at the root of our problems. 

    In order to go on, to hope, to believe that there is a better world for our students and for ourselves, we are obligated to feel the concern and the need for changing the direction of exercise physiology.  And, indeed, however challenging it is to create a profession of exercise physiologists, we are condemned by future thinkers and those who will look back upon us as less than responsible if we don’t struggle as long as necessary to get the job done. 

    “In science the important thing is to modify and change one’s ideas as science advances.”  -- Claude Bernard


    References
    1.  American Society of Exercise Physiologists. (2002). ASEP Board of Directors. [Online]. http://www.asep.org/asep/asep/execbod.htm
    2. American Society of Exercise Physiologists, (2002). ASEP Board of Certification Standards of Professional Practice. [Online]. http://www.asep.org/asep/asep/StandardsofProfessionalPractice.html
    3. Plowman, S.A. and Smith, D.L. (2003). Exercise Physiology for Health, Fitness, and Performance.  2nd edition, San Francisco, CA: Benjamin Cummings
    4. Foss, M.L. and Keteyian S.J. (1998). Fox’s Physiological Basis for Exercise and Sport. 6th edition, Boston, MA: WCB McGraw-Hill.
    5. Brooks, G.A., Fahey, T.D., White, T.P., and Baldwin, K.M. (2000). Exercise Physiology: Human Bioenergetics and Its Applications. 3rd edition, Mountain View, CA: Mayfield Publishing Company.
    6. Wilmore, J.H. and Costill, D.L. (1994). Physiology of Sport and Exercise. Champaign, IL: Human Kinetics.
    7. Boone, T. (2001). Professional Development of Exercise Physiology. Lewiston, NY: The Edwin Mellen Press.
    8. Schuller, R.H. (1983).  Tough Minded Faith for Tender Hearted People. New York, NY: Thomas Nelson Publishers.
    9. Bristol, C.M. (1948). The Magic of Believing. New York, NY: Cornerstone Library.
    10. Hill, N. (1966). Think and Grow Rich. North Hollywood, CA: Melvin Powers Wilshire Book Company.
    11. Korda, M. (1977). Success! New York, NY: Random House
    12. Zumerchik, J. (2002). Newton on the Tee: A Good Walk Through the Science of Golf. New York, NY: Simon & Schuster.


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