Canadian Society for Exercise Physiology (CSEP) CSEP Certified Personal Trainer® (CSEP-CPT) Certification & Study Guide 3rd Edition Copyright © 2019 Canadian Society for Exercise Physiology. All rights reserved. Except for use in a review, the reproduction or utilization of this work in any form by any electronic, mechanical, or other means, now known or hereafter invented, including xerography, photocopying, and recording, and in any information storage and retrieval system, is forbidden without the written permission of the publisher. Canadian Society for Exercise Physiology 101 – 495 Richmond Rd | Ottawa ON K2A 4B1 | Canada 1.877.651.3755 | info@csep.ca | csep.ca | ISBN: 978-1-896900-44-5_E Printed in Canada @CSEPdotCA TABLE OF CONTENTS NAVIGATING THE GUIDE INFORMATION BEFORE YOU BEGIN Background on the Canadian Society for Exercise Physiology (CSEP) Introduction to the CSEP Professional Standards Program® About CSEP Certifications and Specializations CSEP-CPT Scope of Practice CSEP-CPT Core Competencies CSEP-PSP® Code of Conduct: PURSUING CERTIFICATION Application Requirements and Process to Become a CSEP-CPT Certification and Membership Process CSEP-CPT Theory and Practical Exam Logistics CSEP Membership STUDY MATERIALS 30 Core Competency Examples in the CSEP-PATH® Practical Exam Preparation Practice Theory Exam Questions Answer Key for Practice Theory Exam Questions ACKNOWLEDGEMENTS The Canadian Society for Exercise Physiology (CSEP) gratefully acknowledges the many experts, past and present, who voluntarily assisted in the creation of the CSEP Certified Personal Trainer® (CSEP-CPT): Certification and Study Guide. CSEP would like to recognize the CSEP-CPT Subcommittee volunteers who contributed to previous and current editions of the Certification and Study Guide. CSEP-CPT SUBCOMMITTEE 2018-2019: Kate Andrews, M.Sc., CSEP-CEP - Northern Alberta Institute of Technology, Edmonton, AB Greg duManior, PhD, CSEP-CEP - University of British Columbia - Okanagan Campus, Kelowna, BC Jacqueline Hay, M.Sc., CSEP-CEP - University of Manitoba and Children’s Hospital Research Institute of Manitoba, Winnipeg, MB Krista Howarth, PhD, CSEP-CEP - McMaster University, Hamilton, ON Jessica Power Cyr, M.Sc., CSEP-CEP - Calgary, AB Travis Saunders, PhD, CSEP-CEP - University of Prince Edward Island, Charlottetown, PEI PREVIOUS CONTRIBUTORS: Kristal Anderson, PhD, CSEP-CEP - Camosun College, Victoria, BC Jennifer Copeland, PhD, CSEP-CEP - University of Lethbridge, Lethbridge, AB Lisa Cotie, PhD - Post Doctoral Fellow, CSEP-CEP - University of Ottawa Heart Institute, Ottawa, ON Randy Dreger, PhD, CSEP-CEP - Northern Alberta Institute of Technology, Edmonton, AB Kirstin Lane, PhD, CSEP-CEP - University of Victoria, Victoria, BC Stacey Reading, PhD, CSEP-CEP - The University of Auckland, Auckland, New Zealand Michael Williams-Bell, PhD, CSEP-CEP - Durham College, Oshawa, ON CSEP STAFF ACKNOWLEDGMENTS Thank you to the hardworking team at the CSEP National Office for their contributions. To contact a member of the CSEP Team please e-mail memberships@csep.ca or visit www.csep.ca for more information. NAVIGATING THE GUIDE Congratulations on taking a step forward in preparing for the certification process and becoming a CSEP certified member. This guide is filled with valuable content designed to assist candidates in understanding the steps toward certification, how to successfully prepare for the required exams, and what happens upon completion of this process. The guide is divided into various topics that align with specific areas related to certification. INFO BEFORE YOU BEGIN BACKGROUND ON CSEP: This section provides an introduction on the Canadian Society for Exercise Physiology (CSEP), the Gold Standard in exercise science and personal training. INTRODUCTION TO THE CSEP PROFESSIONAL STANDARDS PROGRAM® (CSEP-PSP®): This section provides an overview of the CSEP Professional Standards Program®; the program which oversees the certification process and ensures CSEP maintains the Gold Standard in exercise science and personal training. BACKGROUND ON CSEP CERTIFICATIONS: Refer to this section for descriptions of current CSEP certifications, eligibility requirements, and how to consider what path is best for your career goals. CSEP CERTIFIED PERSONAL TRAINER® (CSEP-CPT) CERTIFICATION CSEP-CPT SCOPE OF PRACTICE: Once a candidate successfully completes the certification process and becomes a certified member with CSEP, they are expected to work within their Scope of Practice. The CSEP-CPT Scope of Practice specifically defines the actions and activities that a CSEP-CPT is qualified and insured to perform. CSEP-CPT CORE COMPETENCIES: This section defines the specific core competencies a CSEP-CPT Candidate is expected to demonstrate (along with detailed descriptions and subcompetencies) in order to be successful in the certification process. When applications are submitted, CSEP reviews the candidate’s post-secondary studies to ensure it meets the prerequistes for certification. CODE OF CONDUCT: The Code of Conduct for all CSEP-CPTs is clearly outlined and should be reviewed prior to pursuing certification, and referred to once certified. ONCE YOU’VE DECIDED TO PURSUE CERTIFICATION APPLICATION REQUIREMENTS AND PROCESS: This section focuses on the specific eligibility requirements to become an approved candidate including academic expectations and CPR-C and First Aid certifications. Information on the required resource for CSEP-CPT Candidates, the CSEP Physical Activity Training for Health® (CSEP-PATH®) Resource Manual, is outlined as well. STEPS TOWARD CERTIFICATION: This section focuses on the steps that a candidate will follow, once eligible to challenge the Theory and Practical Exams. A “5-Steps to Becoming CSEP Certified” outline is included in this section. It describes the required steps, timelines, specific things to consider, and what to do upon successful completion of the exams. CSEP-CPT THEORY EXAM AND PRACTICAL EXAM LOGISTICS: This section describes the process for scheduling the exams and what to expect in each exam situation. Each candidate is responsible for following the specific instructions provided throughout the assessment process, and should be confident with the steps and requirements involved. This section should be referred to when scheduling and completing both the CSEP-CPT Theory Exam and the CSEP-CPT Practical Exam. While we hope all candidates are successful during their exams, this section provides details related to a failed exam attempt and options available to the candidate. CSEP MEMBERSHIP: Upon successful completion of the required exams, candidates must ensure they have submitted all supporting documents, and register to become CSEP certified members. There are many benefits to membership which are outlined in this section. STUDY MATERIALS CORE COMPETENCIES CHART: This chart may be helpful in reviewing notes from your post-secondary education, and where to find information in the CSEP-PATH® Resource Manual. It helps guide candidates toward resources aligned with the core competencies for the CSEP-CPT certification. PRACTICAL EXAM PREPARATION: This section outlines the expectations and areas of assessment during a CSEP-CPT Practical Exam. When preparing for a Practical Exam, it is recommended that candidates participate in a Practical Skills Review Session as another way to master the content. PRACTICE THEORY EXAM QUESTIONS: This section provides candidates with practice multiple-choice exam questions. These questions should not be used as your only tool toward preparing for certification. It is important to keep in mind that these are not actual questions from the exam, but rather a sample of how questions are phrased, how answers are listed, and some of the areas of content that should be included in your study plan. ANSWER KEY FOR PRACTICE THEORY EXAM QUESTIONS: This section provides the answers to the practice multiple-choice exam questions. There is an explanation provided for each question to help understand the content. INFORMATION BEFORE YOU BEGIN IN THIS SECTION: Background on the Canadian Society for Exercise Physiology (CSEP) Background on the CSEP Professional Standards Program® About CSEP Certifications and Specializations CSEP-CPT Scope of Practice CSEP-CPT Core Competencies Code of Conduct BACKGROUND ON THE CANADIAN SOCIETY FOR EXERCISE PHYSIOLOGY (CSEP) The Canadian Society for Exercise Physiology (CSEP) is the Gold Standard in exercise science and personal training in Canada. CSEP is the resource for translating advances in exercise science research into the promotion of fitness, performance, and health outcomes for Canadians. CSEP sets the highest standards for qualified exercise professionals through evidence-informed practice and certification. CSEP is a non-profit voluntary organization composed of professionals interested and involved in the scientific study of exercise physiology, exercise biochemistry, fitness, and health. CSEP (then known as the Canadian Association of Sport Sciences), was founded at the Pan American Games, in Winnipeg, Manitoba in 1967; the result of four years of cooperative efforts by the Canadian Medical Association and the Canadian Association for Health, Physical Education, Recreation and Dance. CSEP’s 6000 members have extensive educational training and are the most highly-qualified exercise science researchers and fitness practitioners in Canada. The CSEP brand, The Gold Standard in Exercise Science and Personal Training, identifies CSEP as the scientific authority and the source of expertise in physical activity, health, and fitness. OUR COMMITMENT: CSEP is committed to upholding the highest standards in all of our activities. We provide a forum for our members to conduct innovative research and practice their trade. We protect the safety of Canadians by ensuring that they are properly informed and receive training advice from qualified exercise professionals. We strive to lead in exercise science knowledge development, transfer, and application. CSEP Certified Personal Trainers® and CSEP Clinical Exercise Physiologists™ provide clients evidence-informed and customized programs which meet their specialized needs and requirements. CSEP members provide services and information that are supported by extensive education, training, and evidenceinformed research. We value our members and their clients, and demonstrate this in every interaction. INTRODUCTION TO THE CSEP PROFESSIONAL STANDARDS PROGRAM® The CSEP Professional Standards Program® (CSEP-PSP®) sets the highest standards for qualified exercise professionals through certification and evidence-informed practice. Certifications are at the core of the CSEP-PSP®. The CSEP-PSP® is led by the CSEP Professional Standards Program® Committee and two Subcommittees: the CSEP-CPT Technical Subcommittee and the CSEP-CEP Technical Subcommittee. These committees are composed of CSEP members who are experienced in the field of exercise physiology and personal training. The CSEP National Office staff support the program. The CSEP Professional Standards Program® establishes clear and evidence-informed certification expectations of health and fitness professionals and establishes nation-wide standards in this largely self-regulated industry. CSEP Professional Standards Program’s® certifications, policies, and education initiatives are developed with the most recent, up-to-date, evidence-informed research. HISTORY OF THE PROGRAM: Previously known as the CSEP Health and Fitness Program (HFP) and originally the Fitness Appraisal Certification & Accreditation (FACA) Program, this flagship program has had an important role in improving the health outcomes of Canadians for over 35 years. In 1983 the Fitness Appraisal Certification and Accreditation (FACA) Program was developed at a national level, following years of discussion to address the need for safe and reliable physical fitness appraisals and training in Canada. This highly-regarded program continues to set the highest standards for qualified exercise professionals across Canada through certification and evidence-informed practice. ABOUT CSEP CERTIFICATIONS AND SPECIALIZATIONS CSEP offers certified membership for individuals who have a postsecondary education in exercise science or related field, and meet a required standard of knowledge. CSEP certifications are evidenceinformed. All of the assessments and standards that certified members use are validated in research to best help clients. CSEP-CPT APPLICATION REQUIREMENTS: Applicants must show that they have completed, at minimum 60 credits, the equivalent of 2-years of full-time study, at the post-secondary level in specific core competency areas related to the exercise sciences. CSEP CERTIFIED PERSONAL TRAINER® (CSEP-CPT): A CSEP-CPT works with individuals to meet their healthy lifestyle goals using an evidence-informed approach acquired through post-secondary education. A CSEP-CPT administers the CSEP-PATH® to apparently healthy populations, or those with one stable medical condition, and develops and implements a tailored physical activity, fitness, and lifestyle plan. Where can a CSEP-CPT Work? As a CSEP-CPT, your certification will stand out among all other fitness certifications in Canada for its foundations in evidenceinformed research and development. Among the over 4000 CSEP-CPTs currently certified, members have found employment in the areas of: Private and Publicly funded Gyms and Fitness Facilities Municipal Recreation Centres University/College Fitness Facilities Fitness establishments across Canada Private Clinics A CSEP-CPT’s clientele may include: Apparently healthy individuals Individuals with a stable health condition who are able to exercise independently Individuals of all ages CSEP CLINICAL EXERCISE PHYSIOLOGIST™ (CSEP-CEP): A CSEP-CEP works with individuals from diverse populations to meet their healthy lifestyle, goals by applying advanced education, skills, and experience. A CSEP-CEP performs assessments, prescribes conditioning exercise, as well as exercise supervision, counselling and healthy lifestyle education in apparently healthy individuals and/or populations with medical conditions, functional limitations or disabilities associated with musculoskeletal, cardiopulmonary, metabolic, neuromuscular, and aging conditions. CSEP-CEP APPLICATION REQUIREMENTS: Applicants must show that they have graduated (or be near graduation) from an appropriate university program, with successful completion of at least 120 credits at the postsecondary level. CSEP-CEP Applicants must also provide documentation confirming that they have completed 100 hours of practical experience through a co-op, work and/or volunteer experience. Health-related fitness (healthy and chronic condition populations) and/or Volunteer experience in health-related fitness (healthy and chronic condition populations) An additional 150 hours of practical experience is strongly recommended. The CSEP-CEP Applicant must show that they meet all of the core competencies for the CSEP-CEP certification through coursework or a combination of coursework and practical experience. Where can a CSEP-CEP Work? A CSEP-CEP certification is widely recognized across Canada. The field of work may include; health promotion, fitness development, instructing in colleges and universities, clinical rehabilitation, and sport and athletic programs. CSEP-CEPs may also work in hospitals, clinics, rehabilitation centres, and fitness centres. A CSEP-CEP’s clientele may include: Apparently healthy individuals Individuals and/or populations with medical conditions, functional limitations or disabilities associated with musculoskeletal, cardiopulmonary, metabolic, neuromuscular, and aging conditions Clients with chronic disease and injury CSEP SPECIALIZATIONS Offered as an advanced complement to the CSEP-CPT and CSEPCEP certifications, CSEP specializations provide members with the necessary in-depth knowledge to work with unique populations through cutting-edge, evidence-informed learning modules and assessments. At the time of this publication, the following specializations are available and/or under development: CSEP High Performance Specialization™ CSEP Pregnancy and Exercise Specialization CSEP Depression and Exercise Specialization CSEP HIGH PERFORMANCE SPECIALIZATION™: The first of its kind in Canada, the CSEP High Performance Specialization™, focuses on performance and occupational testing and training for qualified exercise professionals working with elite athletes, emergency services personel, armed forces, and high performance clients. All CSEP certified members in good standing are eligible to pursue the CSEP High Performance Specialization™, with qualified candidates required to successfully challenge a theory exam. Upon successful completion of the exam for the CSEP High Performance Specialization™ the member’s current Scope of Practice is enhanced: For the CSEP-CPT Previous restrictions on maximal aerobic and anaerobic assessment protocols or exercise program development are lifted. Previous restrictions on muscular strength assessment protocols or program design that exceed 90% 1-RM are lifted. To learn more about the CSEP High Performance Specialization™ visit www.csep.ca/high-performance. CSEP-CPT SCOPE OF PRACTICE The Scope of Practice (SOP) defines the actions and activities that CSEP-CPTs are qualified and insured to perform. It provides a concise description, in broad, non-exclusive terms, of the activities and areas of professional practice. The statements contained within the SOP describe, in general, what each professional does and how they implement their acquired skills. A Scope of Practice does not list specific tasks or procedures, as these can become outdated as practice evolves in response to changes in knowledge. When professionals work outside their Scope of Practice, they not only expose themselves to legal risk, they also may risk the safety of their clients. Legal claims may arise when a CSEP-CPT fails to refer a client to a CSEP-CEP, physician, or other appropriate healthcare provider when warranted, or causes injury to a client due to working beyond their Scope of Practice. CSEP CERTIFIED PERSONAL TRAINER® SCOPE OF PRACTICE (EFFECTIVE NOVEMBER 1, 2018): The CSEP Certified Personal Trainer® (CSEP-CPT) is a professional with at minimum, the equivalent of 2-years of full-time study (or 60 credits) at the postsecondary level in a related field to exercise sciences from an accredited post-secondary institution. A CSEP-CPT works with apparently healthy individuals or those with a stable health condition who are able to exercise independently. The CSEP-CPT: Conducts pre-participation health screening assessments on all clients using evidence-informed tools, and gathers information about physical activity and lifestyle behaviours. Administers various fitness assessments on clients including submaximal aerobic fitness, musculoskeletal fitness (muscular strength, endurance, power, flexibility, and balance), and anthropometry. Gathers and applies information about the physical activity, fitness, and lifestyle of a client or group of clients to design, implement, and monitor client-tailored submaximal exercise programs for healthier living. Recognizes their own area of expertise and refers clients who fall outside that expertise to a CSEP Clinical Exercise Physiologist™(CSEP-CEP), physician, or other appropriate healthcare provider. A CSEP-CPT is NOT sanctioned by CSEP to: Use an ECG for any purpose. Utilize any assessment protocols or design exercise programs that require maximal aerobic or anaerobic effort*. Assess muscular strength using maximal 1RM assessment protocols or design programs based on resistance loads exceeding 90% of the predicted 1RM. Administer fitness assessments, or design, implement, and monitor client-tailored exercise prescription strategies for populations with unstable medical conditions or more than one medical condition, or that the CSEP-CPT feels ill-equipped to address. * If the CSEP-CPT has successfully completed the CSEP High Performance Specialization™, they may use maximal assessment protocols (including maximal 1-RM) and design programs that require maximal aerobic or anaerobic effort for apparently healthy clients. CSEP-CPT SCOPE OF PRACTICE: The following table outlines details within the Scope of Practice, and how it applies to your future role as a CSEP Certified Personal Trainer®. Scope of Practice for the CSEP-CPT What does this mean to the CSEP-CPT? The CSEP Certified Personal Trainer® (CSEPCPT) is a professional who has completed two years of University/College coursework. In order to register with CSEP as a CSEP Certified Personal Trainer®, you must provide evidence (in the way of official transcripts) of having completed at least two years of study in a kinesiology/exercise science/physical education program. Coursework should specifically address the following CSEP-CPT core competencies: A CSEP-CPT works with apparently healthy Apparently healthy: Apparently healthy individuals are generally considered to be an individual who has not been diagnosed with any health conditions, and does not 1. Human Anatomy, Human Physiology, and Exercise Physiology 2. Theory and Methods of Behaviour Modification 3. Theory and Methods of HealthRelated Physical Activity and Fitness Assessment 4. Theory and Methods of HealthRelated Exercise Prescription and Program Design 5. Safety and Emergency Procedures 6. Documentation, Administration and Professionalism individuals or those with a stable health condition who are able to exercise independently. have any overt signs and symptoms suggesting the development of any health conditions. A CSEP-CPT works with apparently healthy individuals or those with a stable health condition who are able to exercise independently. Stable health condition: A stable health condition is generally considered to be an individual who has been diagnosed with a health condition such as cardiovascular disease, diabetes, or cancer, but meets the following criteria: For example, if using the Get Active Questionnaire, an apparently healthy individual would have all ‘no’ answers on page 1 and a signed, and dated declaration on page 2. Client is being medically managed Client is asymptomatic Client is not experiencing difficulty controlling the condition with medication (if prescribed), and The benefits of physical activity for the client clearly outweigh any risks NOTE: This is a general example of what it means to have a stable health condition. Each health condition is different. For example, if using the Get Active Questionnaire, then a stable health condition could be a ‘yes’ answer to questions 1 A-F, on page 1, and a signed, and dated declaration on page 2. The Get Active Questionnaire Reference Document will provide further support in determining a client with a stable health condition. Depending on the condition, a completed Physician Physical Activity Clearance Form may be required. A CSEP-CPT works with apparently healthy individuals or those with a stable health condition who are able to exercise independently. Exercise independently: Exercising independently is generally considered to mean that a client can be mobile on their own without any assistance from another person (i.e. client can stand from a seated position without assistance). The CSEP-CPT conducts preparticipation health screening assessments using evidenceinformed tools and gathers information about physical activity and lifestyle behaviours. A CSEP-CPT conducts pre-participation health screening assessments and gathers information about a client’s physical activity and lifestyle behaviours using the tools and strategies outlined in the CSEP-PATH® Resource Manual. The CSEP-CPT administers various fitness assessments on A CSEP-CPT conducts submaximal aerobic fitness, musculoskeletal fitness, and body composition assessment of apparently healthy clients and those with one stable clients including submaximal aerobic fitness, musculoskeletal fitness (muscular strength, endurance, power, and flexibility), and body composition assessment. health condition, using the assessment protocols outlined in the CSEP-PATH® Resource Manual. The CSEP-CPT gathers and applies information about the physical activity, fitness, and lifestyle of a client or group of clients to design, implement, and monitor clienttailored submaximal exercise programs for healthier living. A CSEP-CPT designs, implements, and monitors client-tailored exercise programs for clients using the tools and strategies outlined in the CSEP-PATH®. The CSEP-CPT recognizes their own area of expertise and refers clients who A CSEP-CPT works within their areas of knowledge and training in relationship to the Scope of Practice (SOP) in a reasonable and prudent manner. When professionals work outside of their Scope, they not only fall outside that expertise to a CSEP Clinical Exercise Physiologist™, physician, or other appropriate healthcare provider. expose themselves to legal risk, but also may risk the safety of their clients. Legal claims may arise because a CSEP-CPT has failed to refer a client to a CSEP-CEP, physician, or other appropriate healthcare provider when warranted or causes injury due to working beyond their SOP. CSEP-CPT CORE COMPETENCIES CORE COMPETENCIES AND SUB-COMPETENCIES Each CSEP certification defines clear core competencies Candidates are expected to demonstrate in order to be successful with the Theory and Practical Exams and be ready for entry to practice. CSEP-CPT Candidates will apply the knowledge and skills from their post-secondary education to address these specific core competencies, which are further defined by a series of specific subcompetencies. Review each CSEP-CPT Core Competency and each itemized point to determine whether you already possess the knowledge indicated or you require further study or review before challenging the exams. 1. Basic Human Anatomy, Human Physiology, and Exercise Physiology 1.1 Explain and identify typical values for: cardiac output, stroke volume, systolic, and diastolic blood pressure for men and women at rest and during exercise. 1.2 Identify and explain normal and abnormal cardiorespiratory responses to submaximal exercise. 1.3 Describe the responses of the cardiorespiratory system to acute and chronic exercise. 1.4 Differentiate between the anaerobic alactic, anaerobic lactic, and aerobic energy systems. Identify the characteristics of each system and how these characteristics apply to exercise programming. 1.5 Identify and explain the most valid and direct measure of maximal aerobic power (VO2max). 1.6 Identify and explain the difference between absolute and relative oxygen consumption (VO2). 1.7 Explain the relationship between exercise workload, oxygen uptake, and heart rate including factors that may influence these relationships. 1.8 Explain METS and estimate the energy costs of physical activity in metabolic equivalents (METS/Kcal/KJ) using established energy expenditure tables. 1.9 Explain the purpose and physiological responses to warm-up, active recovery, and passive recovery after aerobic or resistance exercise. 1.10 Identify normal versus abnormal physiological responses during the post-exercise recovery period. 1.11 Explain the dose-response relationships between physical activity, health, and fitness. 1.12 Define muscular strength, endurance, power, and flexibility. 1.13 Explain the principles of force production and levers as they apply to human movement. 1.14 Explain force production relative to muscle length, position of muscle attachment, and velocity of contraction. 1.15 Identify and describe the action of major muscle groups. 1.16 Explain age and gender differences in muscular and cardiovascular systems. 1.17 Describe the principles of overload, specificity, reversibility, and individuality as they apply to training adaptations. 1.18 Define sedentary behaviour. 1.19 Explain the physiological responses to sedentary behaviour. 2. Theory and Methods of Behaviour Modification 2.1 Describe positive health behaviours. 2.2 Identify and suggest improvements for lifestyle behaviours and physical activity participation using the Physical Activity and Sedentary Behaviour Questionnaire (PASB-Q). 2.3 Identify and describe factors affecting participation in physical activity. Describe the concepts of self-esteem, self-efficacy, confidence, competence, and body image. 2.4 Describe various theories and models related to health behaviour change (i.e. Social Cognitive Theory, Self Determination Theory, Transtheoretical Model, Theory of Planned Behaviour, and Health Action Process Approach). 2.5 Identify sources of self-efficacy (i.e. mastery experiences, etc.). 2.6 Demonstrate understanding of the factors influencing effective communication by displaying good interpersonal and verbal/non-verbal communication skills. 2.7 Demonstrate the client-centred approach to personal training. 2.8 Identify individual differences and apply appropriate instructional techniques. 2.9 Demonstrate motivational interviewing skills such as openended questioning, active-listening, eliciting change talk, managing resistances, and guiding clients to explore change. 2.10 Demonstrate selection and use of appropriate instructional tools. 2.11 Explain and discuss the importance of: empathy, reinforcement and incentives, and authenticity as they relate to personal training. 2.12 Demonstrate the ability to assess readiness for change and determine the needs, wants, lifestyle, abilities and limitations of the client. 2.13 Describe and apply appropriate strategies (which may include using the processes of change) designed to increase motivation, overcome barriers, and encourage compliance for the clients. 2.14 Identify and explain the cognitive processes involved at each stage of behavioural change. 2.15 Demonstrate the ability to apply the stages of behavioural change and other intervention techniques to effectively accommodate the needs, wants, lifestyle, abilities, and limitations of each client in program design and planning. 2.16 Explain the importance of S.M.A.R.T. (Specific, Measurable, Attainable, Relevant, Timed) goals and how they empower a client to take action. 2.17 Demonstrate proficiency in utilizing applicable tools within the CSEP-PATH® Resource Manual given a particular stage of change. 2.18 Explain and provide specific examples of how extrinsic and intrinsic factors may motivate and facilitate change to healthy behaviours in different individuals. 2.19 Establish the client’s stage of motivational readiness for becoming more physically active using the appropriate instructional techniques and counselling styles. 2.20 Demonstrate the ability to apply a variety of exercise motivation and adherence strategies, including: short- and longterm goal setting, methods of providing feedback, and the provision of effective incentives. 2.21 Explain the goal setting process and work together with the client to help them write clear concise goals that they are confident in. 3. Theory and Methods of Health-Related Physical Fitness Assessments The CSEP-CPT must exhibit a comprehensive knowledge of the assessment protocols, pre-and post-test procedures, test termination criteria, and measurement sensitivities outlined in the CSEP-PATH®. 3.1 Identify and explain the importance of informed consent and pre-assessment health screening (i.e. Get Active Questionnaire, PARmed-X for Pregnancy). 3.2 Explain the difference between clients that are apparently healthy versus those with a stable health condition. 3.3 Provide examples of a client that is able to exercise independently. 3.4 Recognize symptoms that may indicate a negative change in health status in clients with a stable chronic condition. 3.5 Demonstrate the ability to correctly assess resting heart rate and resting blood pressure, and identify the prescreening requirements for safe participation. 3.6 Identify who is qualified to address the client’s needs (e.g. CSEPCEPs for conditioning exercises after rehabilitation of an injury). 3.7 Recognize when to refer clients to persons with more advanced expertise (e.g. physician, CSEP-CEP, psychologist, etc.) for evaluation and/or clearance. 3.8 Identify the steps to take when referring a client to another exercise or allied healthcare professional. 3.9 Develop a network of credible exercise and medical/healthcare practitioners to use as referrals. 3.10 Demonstrate the ability to administer correctly and explain the purpose and scoring of the Stages of Change Questionnaire, Abilities for Active Living Questionnaire (AAL-Q) and PASB-Q. 3.11 Evaluate anthropometry (i.e. height, weight, waist circumference) according to the guidelines of the CSEP-PATH®. 3.12 Identify and explain the strengths and weaknesses of reporting percent body fat versus the techniques used in the CSEP-PATH®. 3.13 Explain the theory behind various methods of estimating body composition such as DXA, underwater weighing, air plethysmography, and bioelectrical impedance for the determination of percentage of body fat as well as the strengths and weaknesses of each method. 3.14 Evaluate aerobic fitness via submaximal exercise assessment protocols (e.g. mCAFT, the Rockport One Mile Walk, the YMCA cycle ergometer and/or the Ebbeling treadmill protocols) according to the guidelines of the CSEP-PATH®. 3.15 Explain the theory, limitations, and assumptions underlying submaximal assessments of cardiovascular fitness (such as the mCAFT, the Rockport One Mile Walk, the YMCA cycle ergometer and/or the Ebbeling treadmill protocols). 3.16 Explain how to use submaximal exercise responses to estimate relative VO2max during the mCAFT, the Rockport One Mile Walk, the YMCA cycle ergometer and/or the Ebbeling treadmill protocols. 3.17 Demonstrate the ability to collect accurate exercise heart rate measures and demonstrate appropriate action should an abnormal heart rate response occur. 3.18 Demonstrate the ability to administer all portions of the postexercise recovery protocol and demonstrate appropriate action should an abnormal response occur. 3.19 Identify test termination criteria for all aerobic submaximal protocols used in CSEP-PATH®. 3.20 Demonstrate the appropriate use of the Rating of Perceived Exertion (RPE) scale. 3.21 Demonstrate the ability to evaluate muscular strength, muscular power, muscular endurance, and balance according to the guidelines of the CSEP-PATH®. 3.22 Identify and explain the strengths and weaknesses of assessments of muscular strength, endurance, and power with particular focus on protocols used in the CSEP-PATH®. 3.23 Demonstrate the ability to evaluate flexibility according to the guidelines of the CSEP-PATH®. 3.24 Identify and explain the strengths and weaknesses of flexibility assessments including functional range of motion protocols (e.g. Sit and Reach Test). 3.25 Describe the validity and reliability of the protocols outlined in CSEP-PATH®. 3.26 Explain the measurement sensitivity of all measures outlined in CSEP-PATH®. 3.27 Identify and discuss sources of measurement error as it relates to reliability, validity, and objectivity and why it is important to minimize these sources of error. 4. Physical Activity/Exercise Prescription and Program Design 4.1 Demonstrate the ability to design programs that consider client data including: a. Goals and expectations. b. Current lifestyle demands that may present barriers to physical activity (e.g. family and work responsibilities, hectic schedule, extensive travel, access to facilities or equipment). c. Current physical activity and sedentary behaviour patterns. d. Current level of fitness, strengths and weakness (i.e. as informed by a formal fitness assessment if one has been conducted). Where a client elects to forego a formal fitness assessment, the CSEP-CPT will need to base training program recommendations on observations and client feedback. 4.2 Apply the principles and techniques of client-centered exercise prescription (e.g. monitoring adaptations or progressions). 4.3 Design appropriate submaximal exercise programs incorporating the principles of progressive overload, specificity, reversibility, and individuality. 4.4 Describe the difference between exercise prescription designed for health, fitness, and/or performance (sport and occupational). 4.5 Demonstrate the ability to adjust work intensity on a variety of fitness equipment during an exercise training session. 4.6 Explain the importance of an effective warm-up and cool-down. 4.7 Prescribe submaximal aerobic exercise programs according to strategies outlined in the CSEP-PATH®, incorporating: a. b. c. d. e. f. Goals and expectations. Frequency and time. Intensity using appropriate monitoring tools. Structure. Type of activity. Progressions. 4.8 Prescribe submaximal aerobic exercise intensities that are consistent with current guidelines as advocated by the Canadian Society for Exercise Physiology (CSEP), and other organizations publishing appropriate evidence-informed guidelines. 4.9 Demonstrate to clients the procedures required for the accurate assessment of Heart Rate and Ratings of Perceived Exertion at rest, and during physical activity/exercise. 4.10 Understand the benefits of healthy eating and a physically active lifestyle as outlined in Canada’s Food Guide, Canadian Physical Activity Guidelines, and Canadian 24-Hour Movement Guidelines. 4.11 Prescribe safe, effective weight management programs that promote long-term maintenance of healthy body composition through lifestyle and healthy eating habits. 4.12 Prescribe a submaximal resistance exercise program according to the strategies outlined in the CSEP-PATH®, incorporating: a. b. c. d. e. Goals and expectations. Frequency. Load, repetitions, sets, work-to-rest ratios. Method of progression and volume of exercise. Equipment choice. f. Order of exercises (large to small muscle groups). 4.13 Demonstrate proper resistance training technique. 4.14 Prescribe resistance exercise intensities that are consistent with current guidelines as advocated as advocated by the Canadian Society for Exercise Physiology (CSEP), and other organizations publishing appropriate evidence-informed guidelines. 4.15 Prescribe flexibility exercises that are consistent with current guidelines as advocated by the Canadian Society for Exercise Physiology (CSEP), and other organizations publishing appropriate evidence-informed guidelines. 4.16 Select appropriate exercises (stretching and/or resistance) that target designated muscle groups to improve range of motion and work appropriate muscle pairs. 4.17 Demonstrate the ability to predict one-repetition maximum (1RM) to determine appropriate resistance exercise intensities according to the protocols listed in the CSEP-PATH®. 4.18 Explain the strengths and weaknesses of doing a predictive 1RM versus actual 1-RM measurement. 4.19 Explain the relevance and purpose of the program and modifications as they relate to the client. 4.20 Provide appropriate and detailed verbal instructions, physical demonstration, precautions, and safety considerations, and feedback to clients. 4.21 Select appropriate exercise equipment or techniques which suit identified objectives. 4.22 Correctly monitor and modify exercise techniques or prescription as required. 4.23 Describe the expected physiological responses (for all fitness components) to a prescribed program. 4.24 Educate clients about appropriate self-monitoring techniques so that they have the ability to decide whether to modify or terminate a physical activity/exercise session. 4.25 Choose an appropriate tool to record a client’s response to physical activity/exercise (e.g. training log, heart rate, sets-reps, blood pressure, work load) and adjust the program accordingly. 5. Safety and Emergency Procedures 5.1 Demonstrate the ability to monitor a client during exercise and identify normal and abnormal responses to exercise. 5.2 Recognize and properly respond to the following signs and symptoms indicating an adverse event: asthmatic attack, angina, myocardial infarction, hypoglycemia, hyperglycemia, stroke, etc. 5.3 Describe appropriate safety precautions (as outlined in the CSEP-PATH®) for clients with a stable chronic condition such as a musculoskeletal disorder, cancer, cardiovascular disease, insulin or non-insulin dependent diabetes mellitus, mental health, or asthma. 5.4 Demonstrate appropriate spotting techniques as required. 5.5 Provide technical corrections that help guide the client to improve skill and physical safety. 5.6 Avoid or minimize excessive joint stress produced by a physical activity/exercise (e.g. inappropriate equipment use, inappropriate biomechanics, and repetitive participation in the same activity). 5.7 Identify the benefits versus risks for clients performing moderate to vigorous intensity aerobic exercise. 5.8 Identify and explain the importance of facility and equipment safety standards. 5.9 Describe the elements of an Emergency Action Plan. 6. Documentation, Administration, and Professionalism 6.1 Explain the CSEP-PSP® Code of Conduct with particular focus on client and professional relationships, competence, confidentiality, marketing and promotion, and record keeping. 6.2 Provide advice to clients based on sound, current, and evidence-informed information, using ethical and professional conduct. 6.3 Understand the following legal concepts: nature of injury related to physical activity, liability exposure, negligence, standard of care, and risk management strategies. 6.4 Follow appropriate professional and ethical business practises when promoting services or dealing with colleagues and clients. 6.5 Plan for ongoing professional development opportunities that present the most recent scientific findings in the exercise sciences. CSEP-PSP® CODE OF CONDUCT: CSEP certified members (CSEP-CPTs and CSEP-CEPs) shall recognize that professional ethics are founded upon integrity, competence, devotion to service, and to the advancement of human welfare. This concept shall guide their conduct at all times. In this way, each professional’s actions will enhance the dignity and status of the profession. Members, through their practice, are charged with extending public understanding of the profession and should serve in public affairs when their professional knowledge may be of benefit to the public. Members will build their reputation on the basis of merit of the service performed or offered, and shall not compete unfairly with others or compete primarily on the basis of fees, without due consideration for other factors. Members will maintain a special obligation to demonstrate understanding, professionalism, and technical expertise to apprentice members under their supervision. CODE OF CONDUCT CSEP-CPTs and CSEP-CEPs shall: 1. Have proper regard in all their work for the safety and welfare of all persons. 2. Undertake only work they are competent to perform by virtue of their training experience and shall express opinions on matters relating to their Scope of Practice only on the basis of 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. adequate knowledge and honest conviction. Sign and/or seal only programs, reports or documents that they have prepared or that they have directly supervised and controlled throughout their preparation. Accord all individuals a reasonable level of respect, understanding, and compassion in their professional practice. Serve their clients or employers as faithful agents or trustees, always acting independently, with fairness and justice to all parties. Not engage in activities or accept remuneration for services rendered that may create a conflict of interest with their clients or employers, without the knowledge and consent of their clients and employers. Not disclose confidential information without the written consent of their clients or employer. Present clearly to their clients or employers the consequences to be expected if their professional judgment is overruled by other authorities in matters pertaining to work for which they are professionally responsible. Not offer, nor accept, covert payment for the purpose of securing work. Represent their qualifications and competence, or advertise professional services offered, only through factual representation without exaggeration. Conduct themselves towards other members, employees and all others with fairness and in good faith. Advise the certifying body of any practice by a member of the Society that they believe to be contrary to this Code of Conduct. PURSUING CERTIFICATION IN THIS SECTION: Application Requirements and Process Process Toward Certification and Membership CSEP-CPT Theory Exam and Practical Exam Logistics APPLICATION REQUIREMENTS AND PROCESS TO BECOME A CSEP-CPT Helpful Terminology: The following terms will be used throughout this section of the guide. It may help bring clarity to key steps in the application and approval process. Application – Available in an online format for anyone interested in challenging the CSEP-CPT certification exams. The application must be completed to determine eligibility to challenge the exams. Applicant – Someone who has submitted an application to become a CSEP-CPT. This term is used when an application is under review i.e. not yet approved. Eligibility – Once an application has been submitted, CSEP reviews the submitted material to determine if an applicant is eligible to become a CSEP-CPT Candidate and pursue CSEP certification. Required Supporting Documents – As CSEP is the Gold Standard in certifying Personal Trainers and Exercise Physiologists we require verification and evidence of qualifications and experience through supporting documentation. Course Transcripts are an example of required supporting documents. Candidate – Someone whose application has been approved and is therefore eligible to challenge the exams. All Applicants must complete and submit, with all supporting documents, a CSEP-CPT Application Form online. No individual will be eligible for the certification process, or to challenge the CSEPCPT Theory and Practical Exams, prior to submitting an application and being approved by CSEP. All applications are reviewed by the CSEP National Office. Once all documentation is received, reviews take approximately 2-3 weeks to be completed. *Incomplete applications will not be reviewed Should you have any questions about the certification application and examination process, contact CSEP via email: memberships@csep.ca. ACADEMIC REQUIREMENTS All CSEP certifications have specific academic requirements. CSEPCPT Applicants must show they have completed, at minimum, the equivalent of two years of full-time study (or 60 credits) at the postsecondary level, in a related field. Applicants must show they have completed this requirement through any one of the following: 1. Graduation from an appropriate two-year College Diploma program; 2. Through university or college coursework toward graduation in an appropriate program; or 3. From a combination of completed CEGEP DEC in the PreUniversity Science Stream and courses in an appropriate Bachelor Degree*. Note: The academic requirements need to be met through courses from an accredited college or university program in human kinetics, kinesiology, physical education, or exercise sciences. *In the case of Applicants using their CEGEP DEC courses, they must show that at least one year of the full-time study (or 30 credits) comes from the university system. APPLICATION PROCEDURE The CSEP-CPT Applicant completes their application online. Applicants must complete their application in one sitting and should be prepared with all information and supporting documentation. The following information is requested on the application form: Personal Contact Information The name of the school(s) attended, program name/specialization and year of graduation or expected graduation Electronic copy of official or unofficial transcripts Payment of Application Fee Complete the application, attach supporting documents, and submit. CSEP will review your submission and contact you if there are any additional questions. It takes two to three weeks to review and approve applications once all required documentation is submitted. CSEP-CPT CORE COMPETENCIES There are specific Core Competencies a CSEP-CPT Candidate is expected to demonstrate in order to be successful in the certification process. While CSEP reviews the program completed during post-secondary education, it is the responsibility of the Applicant/Candidate to ensure they have the knowledge and skills necessary as outlined in the Core Competencies. The six core competency areas must be covered through course work. These shouldn’t be confused as course titles. 1. Human Anatomy, Human Physiology, and Exercise Physiology May be integrated (in part) within courses dealing with the understanding of the structure and function of the human body including a basic understanding of the human body’s response to exercise. For example, some common course titles may include: Introduction to Human Anatomy, Human Physiology II, Physiology of Exercise, Structural Anatomy 2. Theory and Methods of Behaviour Modification May be integrated (in part) within courses dealing with health behaviour change, physical activity behaviour modification theories and models, interpersonal communication, motivational interviewing, health counselling, health and fitness promotion and the determinants of physical activity and sedentary behaviour. For example, some common course titles may include: Psychology of Sport and Physical Activity, Sport Psychology, Health Behaviour and Promotion, Exercise Counselling, Applied Motivational Interviewing, Health Promotion 3. Theory and Methods of Health-Related Physical Activity & Physical Fitness Assessment May be integrated (in part) within courses dealing with: fitness assessments, personal training, physical activity/exercise prescription, training techniques, and methods of training. For example, some common course titles may include: Fitness Assessment and Evaluation, Active Health, Introduction to Fitness Assessment 4. Theory and Methods of Health-Related Exercise Prescription and Program Design May be integrated (in part) within courses dealing with: personal training, physical activity/exercise prescription, training techniques, and methods of training. Optimal program design includes appropriate demonstration, client observation, and exercise modification. For example, some common course titles may include: Exercise Design and Prescription, Personal Training, Effective Fitness Program Design, Applied Exercise Professional Strategies 5. Safety and Emergency Procedures May be integrated (in part) within courses dealing with: emergency response procedures, injury assessment, and treatment. For example, some common course titles may include: Athletic Injuries, Sport Injuries and Exercise Safety, Prevention and Injury Care, Prevention and Care of Athletic Injuries 6. Documentation, Administration and Professionalism May be integrated (in part) within courses dealing with material related to marketing, administration, program documentation and professionalism. For example, some common course titles may include: Healthcare Ethics for Kinesiologists, Marketing and Entrepreneurship in Fitness, Healthcare Administration, Adult Fitness & Exercise Management CSEP Recommended Course Maps: To assist applicants in determining which courses satisfy the CSEPCPT Core Competencies required for certification, CSEP, in conjunction with a number of institutions, has developed CSEP Recommended Course Maps (CSEP RCMs). Each CSEP RCM aligns academic courses offered by a postsecondary institution with the core competencies required for certification. Not having all the courses listed in a specific CSEP RCM does not exclude you from pursuing the CSEP-CPT certification. Should you review the CSEP-CPT Core Competencies and feel that your courses address the knowledge and skills outlined in the Core Competencies then you are encouraged to apply. View the CSEP RCM for your institution at www.csep.ca/rcm CPR-LEVEL C AND EMERGENCY FIRST AID CPR Level C While it is not necessary to have a CPR-C certification during the application process, it is MANDATORY to complete this requirement before registering as a CSEP Certified Personal Trainer®. CSEP-CPTs are required to renew their CPR-C annually, regardless of the expiry date on the CPR-C certificate. CSEP certified members receive Professional Liability Insurance as a membership benefit, and as such, annual CPR-C renewal is mandatory. CPR courses must be delivered entirely in person and include a practical component; therefore, online CPR courses will not be accepted. CSEP will only accept CPR certification issued by an organization that adheres to the International Liaison Committee on Resuscitation (ILCOR) standards. Most national organizations adhere to the ILCOR Standards (e.g., Canadian Red Cross, Heart and Stroke Foundation of Canada, St John Ambulance). If are you unsure if the host organization offering a CPR-C Certification adheres to ILCOR standards, visit www.ilcor.org. Emergency First Aid While it is not necessary to have completed an Emergency First Aid Course during the application process, it is MANDATORY to complete this requirement before registering as a CSEP Certified Personal Trainer®. CSEP-CPTs must show evidence of having completed an Emergency First Aid Course. First Aid courses that are taken at a higher level of certification (Standard, HCP) are also accepted. The First Aid course may have been offered as part of your academic path, or from a community-based organization. Often these courses are combined with a CPR-C program. A First Aid Course is typically valid for three years, depending on the certifying organization. It is recommended that your Emergency First Aid Course was completed in the last three years. REQUIRED RESOURCE - CSEP-PATH® RESOURCE MANUAL The CSEP Physical Activity Training for Health® (CSEP-PATH®) Resource Manual offers a comprehensive, evidence-informed foundation for the training and work of qualified exercise professionals. The CSEP-PATH® is a required resource for all CSEP-CPT Candidates. This manual is an essential resource for preparing for the Theory Exam and the Practical Exam. The CSEP-PATH® Resource Manual includes a comprehensive set of evidence-informed physical activity, fitness, and lifestyle assessment protocols. Each CSEP-PATH® Resource Manual comes with a postcard (example shown below) containing a unique registration code that MUST be entered in order to schedule a CSEP-CPT Theory Exam attempt. The CSEP-PATH® Resource Manual is available for purchase from the CSEP online store at www.csep.ca/CSEP-PATH CERTIFICATION AND MEMBERSHIP PROCESS Once an application has been submitted and the individual is approved to challenge the exams, they are considered a CSEP-CPT Candidate. Upon approval to challenge the exams, it is recommended that a CSEP-CPT Candidate completes the certification process within one year. Upon approval Candidates must begin the process, ie. attempt one exam, within 12 months of approval to remain an active Candidate. If there is no activity on a file, it may be closed and the individual required to reapply. A CSEP-CPT Candidate may complete either their Practical Exam or Theory Exam first. Once the first exam is successfully completed, a candidate has 6-months to take their second exam and register with CSEP as a CSEP certified member. CSEP-CPT Certification Timelines Candidates have six months from the successful completion of the first CSEP-CPT exam (Theory or Practical Exam), to successfully complete the second CSEP-CPT exam (Theory or Practical), and register as a CSEP certified member. CSEP-CPT Candidate successfully completes Practical Exam or Theory Exam CSEP-CPT Candidate successfully completes Practical Exam or Theory Exam Candidate registers with CSEP to become a CSEP Certified Personal Trainer® This journey must be completed within 6 months Example: Taylor passes the CSEP-CPT Theory Exam on June 5. Taylor must now successfully pass CSEP-CPT Practical Exam AND register with CSEP by December 5. CSEP-CPT THEORY AND PRACTICAL EXAM LOGISTICS The CSEP-CPT exams are designed for candidates to demonstrate a level of knowledge and practical skills that will enable them to provide safe, appropriate, client-centred, and effective personal fitness assessment and training sessions with clients. THEORY EXAM LOGISTICS The CSEP-CPT candidate will demonstrate appropriate theoretical knowledge of all core competency areas by achieving a minimum score of 70% on a 2-hour examination consisting of 60 multiplechoice questions (including a case study). 70 % 2 HOURS 60 MULTIPLE CHOICE QUESTIONS The CSEP-CPT Theory Exam is administered at Computer-Based Testing Centres in-person or through an online proctoring system. PearsonVUE hosts CSEP Certification Theory Exams in testing centres throughout Canada. Pearson VUE has more than 100 test centre locations across Canada and CSEP-CPT Candidates are able to test year round, on-demand at a nearby PearsonVUE test centre, or by choosing online proctoring. Upon approval to challenge the Theory Exam, CSEP-CPT Candidates will be emailed a Letter of Approval that contains all the information required to purchase the Theory Exam. After purchasing your Theory Exam attempt you will be provided instructions on how to book your exam at a local PearsonVUE Testing Centre or through online proctoring. When scheduling your Theory Exam you will need to use the unique registration code found in your CSEP-PATH® Resource Manual. After scheduling a time to challenge the CSEP-CPT Theory Exam at a PearsonVUE testing centre the CSEP-CPT Candidate arrives at the appropriate location and is expected to: Arrive at the test centre 30 minutes prior to their scheduled appointment time to allow adequate time to complete the necessary sign-in procedures. Provide two forms of identification. The names on these identification documents must exactly match the name on the examination authorization. 1. One Primary ID: Valid, non-expired government issued displaying a photo and a signature (e.g. driver’s license) 2. One Secondary ID: Valid, non-expired displaying signature (e.g. credit card) CSEP-CPT Candidates will not be allowed to bring the following items into the testing room during the Theory Exams (this list may not be exhaustive): Pen and Paper (these will be provided by the test centre as needed for the candidates) Cell phones or any electronic devices Calculator (a calculator is integrated into the exam for candidate use) Bags, purses, books, wallets, etc. Individual lockers will be provided at the testing centres for candidates to securely store their personal belongings and items not allowed in the testing room for the duration of their scheduled exam. For those wishing to schedule an online exam, details related to online proctoring for CSEP-CPT Theory Exams will be found at www.csep.ca/pearsonvue Note: Theory Exams cannot be scheduled or changed with less than 24 hours notice. Plan your schedule and deadlines accordingly. It may take a few days to find an available time. PRACTICAL EXAM LOGISTICS CSEP offers scheduled Practical Exams across Canada. These exams are administered by CSEP Instructor-Examiners (CSEP IEs). To view scheduling options, visit the CSEP website, www.csep.ca/exams, for dates, locations, and times. Please plan ahead and organize your schedule. CSEP-CPT candidates are encouraged to participate in a Practical Skills Review session prior to challenging a Practical Exam. A Practical Skills Review session offers candidates an opportunity to prepare to challenge the exams. These are hosted by CSEP IEs, and are often scheduled one to two days prior to a CSEP-CPT Practical Exam. To view scheduling options, visit www.csep.ca/workshops for dates, locations, and times. The CSEP-CPT candidate will demonstrate appropriate practical skills and knowledge in an applied setting. This examination will be conducted by a CSEP IE and assessed on a Pass/Fail basis (i.e. Acceptable/Unacceptable practises). The Practical Exam evaluates the candidate’s ability to: Conduct the appropriate pre-participation health screening assessments according to the CSEP-PATH® Administer the CSEP-PATH® lifestyle appraisal and fitness assessment protocols Conduct client monitoring in the areas of resistance training and flexibility, and demonstrate and modify exercises as appropriate Coach appropriately using the tools and strategies outlined in the CSEP-PATH® Candidates are allowed to bring the following to the Practical Exams: Pen or Pencil Clipboard Calculator Any tables/charts they need/want, including the CSEP-PATH® Toolkit The CSEP Instructor-Examiner will provide the following at the examination site: CSEP-PATH® Toolkit Stopwatch Blood pressure cuff/Stethoscope Waist Circumference tape measure Standing height and scale Treadmill/cycle/steps Heart Rate monitor and watch Rating of Perceived Exertion Chart Hand grip dynamometer Mats/Barbells/Weight Machines/Home Exercise Equipment/Bands/Balls Table and chairs ACCOMMODATIONS FOR CANDIDATES DURING EXAMS The Canadian Society for Exercise Physiology is committed to the equitable treatment of people with disabilities. CSEP certified members are expected to provide services to people with and without disabilities, within their own Scope of Practice. While all CSEP certified members and candidates are expected to satisfy the CSEP-CPT requirements for certification, CSEP and CSEP Instructor-Examiners are expected to provide reasonable accommodation to meet the needs of CSEP-CPT Candidates with a disability. Reasonable accommodation is the use of originality and flexibility in adjusting to particular needs; it is not to be interpreted as the lowering of certification standards. All certification standards must be met. Reasonable accommodations may include such things as special seating, wheelchair accessible tables, adjustments to lighting or ventilation, use of a computer, tape recorder or FM system, and extended time for tests or exams. This statement recognizes the responsibility of the person with a disability to identify their specific needs for which accommodation is requested. It also recognizes the role of CSEP and their exam delivery partners (PearsonVUE and CSEP-IEs) to preserve, as much as possible, the confidentiality and privacy of individuals’ affairs. Finally, it recognizes the joint effort to create and support an environment where people with disabilities will have equitable opportunities to participate in the programs of CSEP. CSEP-CPT Certification Timelines Candidates have six-months between the successful completion of the first CSEP-CPT exam (Theory or Practical Exam), to successfully complete the second CSEP-CPT exam (Theory or Practical), and register as a certified member. Candidate successfully completes Practical or Theory Exam Candidate successfully completes Practical or Theory Exam Candidate registers with CSEP to become a certified member This journey must be completed within 6 months Example: Louise passes the CSEP-CPT Theory Exam on June 5. Louise must now successfully pass CSEP-CPT Practical Exam and register with CSEP by December 5. REQUESTS FOR ACCOMMODATION CSEP-CPT Candidates with a disability may request reasonable accommodations to enable them to fully participate in all CSEP programs. The individual may be required to provide professional reports which contain specific recommended accommodations that are necessary for the completion of the CSEP-CPT Practical or Theory Exams. All accommodation requests must be submitted prior to scheduling of either the CSEP-CPT Theory or Practical Exam. If submitted after scheduling the candidate will be required to cancel their scheduled exam and reschedule it after the accommodations needs have been approved, arranged, and added to their file. The CSEP Accommodations Form can be requested by emailing memberships@csep.ca. FAILED EXAM ATTEMPTS A candidate is allowed a maximum of two attempts at each of the CSEP-CPT Theory and Practical Exams. An individual who is not successful after their second exam attempt of either exam will need to apply for a third attempt, regardless of where they are in the six month certification period. The application for a third exam attempt should include a rationale for why an extension should be granted and outline a study and skills development plan that the individual will undertake to improve their knowledge and skills prior to their third attempt. A template will be provided to them by the CSEP Professional Standards Program®. If the application for a third attempt is approved, the individual will be given an additional six-months in which to successfully complete the exam and register with CSEP. The six-month extension period will begin on the date the extension was granted. Any successful exam grade that was achieved prior to the six-month extension period will remain valid. FAILED THIRD ATTEMPT If a candidate is granted a third attempt, and they fail the third attempt, there is a 6-month waiting period before any further action may occur. After the six-month waiting period, a candidate may restart their certification journey. Any previous exams results are no longer valid. While the candidate does not need to submit a new application, they are starting the certification journey from the beginning. Scenarios for failed third attempt Example: Candidate Puneet NOVEMBER 1 Puneet successfully passes their Practical Exam. Their six month certification timeline has started and they must successfully complete the Theory Exam and register with CSEP by May 1. JANUARY 5 & MARCH 10 Puneet is unsuccessful after two attempts at the Theory Exam. They submit a request for a third attempt. APRIL 1 Request for a third attempt is approved. There is a one month study preparation waiting period before they can make their third attempt. The six-month extension period will start May 1 and they will not be able to take the third exam attempt until May 1. Now they must complete the Theory Exam and register by November 1. Their Practical Exam result remains valid. MAY 1 Puneet’s original 6 month certification window has now passed. Their 6 month extension starts and they can now attempt the Theory Exam again. JULY 15 After additional study, Puneet successfully completes their Theory Exam and registers with CSEP as a CSEP-CPT. Example: Candidate Lee NOVEMBER 1 Lee successfully completed their Practical Exam. The 6 month certification period has started and they must successfully complete their Theory Exam and register with CSEP by May 1. JANUARY 5 & APRIL 20 Lee makes two unsuccessful attempts at the Theory Exam. APRIL 30 Lee submits an application for a third attempt. MAY 5 Application is approved and the six-month extension period starts. Now, they must complete the Theory Exam and register by November 5. AUGUST 10 After additional study, Lee attempts the Theory Exam for a third time and is unsuccessful. Lee must now complete a 6-month waiting period. The waiting period ends February 5. FEBRUARY 5 Lee can submit a special application to re-open their file. If approved, they must start the exam process again and successfully pass both exams. They have two more attempts at each exam. CSEP MEMBERSHIP REGISTER AS A CSEP-CPT Once a CSEP-CPT Candidate has passed both their Theory and Practical Exams, the final step is to register as a CSEP Certified Personal Trainer® (CSEP-CPT). This involves providing the required documents and paying the annual membership fee. Some required documents include: Up-to-date CPR/AED Certification (completed within the last year). Proof of completion of an Emergency First Aid Course (this is valid from any date). Official transcripts showing proof of course completion, if this has not already been submitted. MEMBER BENEFITS CSEP is the only organization in Canada that connects exercise science researchers with qualified exercise professionals. The CSEP Theory and Practical Exams are developed and delivered by nationally known experts in the field, who are also CSEP certified members. Once a candidate becomes a CSEP Certified Personal Trainer®, CSEP offers numerous quality and evidence-informed professional development opportunities to assist in maintaining skills and proficiency in their field. CSEP-CPTs are required to continue their professional development and earn Professional Development Credits (PDCs) to maintain their certification. CSEP continues to ensure the certifications reflect the highest standards, industry trends, and best practices while continually considering member input. Benefits include: Insurance: Professional Liability and Commercial Liability Insurance included with membership fee (learn more at www.csep.ca/insurance). Opportunity to purchase additional professional insurance products (i.e. kinesiology extension, additional insured for training in specific locations). Discounts: Discounts on professional development and conference registration fees. Discount on web-based advertising on www.csep.ca and Communiqué. Receive discounted subscription rate on Applied Physiology, Nutrition, and Metabolism (APNM), CSEP’s official journal. Special member rates for Home and Auto Insurance, and Extended Health Insurance. Advocacy: Voting privileges - eligible to vote and hold elected roles within CSEP. May nominate others to stand for election. Quality Content: Receive monthly member e-newsletter Communiqué. Access to “member-only” content on the CSEP Portal. Career Building Opportunities: Public profile added to the CSEP Online Member Directory and access to the CSEP online community. Career postings shared on CSEP’s website and in newsletter. Professional Development and continuous learning opportunities. Networking and access to future clients. Increased visibility and leverage from being certified with CSEP, the Gold Standard in Exercise Science and Personal Training. MAINTAIN YOUR CSEP-CPT MEMBERSHIP CSEP-CPTs must renew annually by March 31 to maintain their membership. CSEP certified membership includes Professional Liability Insurance for CSEP-CPTs, which is designed to support your Scope of Practice. STUDY MATERIALS IN THIS SECTION: Core Competencies Chart Practical Exam Preparation Practice Theory Exam Questions Answer Key for Practice Theory Exam Questions CORE COMPETENCY EXAMPLES IN THE CSEP-PATH® This chart is designed to provide assistance in reviewing the core competencies prior to challenging the CSEP-CPT Theory and Practical Exams. This chart is a tool for you to use in your study planning. Please note: Approved Candidates are expected to have gained this knowledge and skills through their post-secondary education. This table is meant to serve as a refresher and a guide to locate valuable content in the CSEP-PATH® Resource Manual. In addition to referring to this chart, re-visit your course textbooks, class notes, and other materials utilized during your post-secondary education. CORE COMPETENCY 1: HUMAN ANATOMY, HUMAN PHYSIOLOGY, AND EXERCISE PHYSIOLOGY Knowledge and Skills Statement Knowledge of typical values for cardiac measurements including cardiac output, stroke volume, systolic and diastolic blood pressure Explanation/Examples (Sub-competencies noted in brackets) Examples of typical values at work and at rest for males (1.1) Examples of typical values at work and at rest for females (1.1) Where to find in the CSEPPATH® Resource Manual Basic Anatomy and Physiology Section Knowledge and Skills Statement Knowledge of cardiorespiratory responses to exercise Knowledge of the body’s three basic energy systems including the characteristics and differences of each system Explanation/Examples (Sub-competencies noted in brackets) Identify and explain normal and abnormal responses to submaximal exercise (1.2) Describe the responses of the cardiorespiratory system to acute and chronic exercise (1.3) Differentiate between the anaerobic alactic, anaerobic lactic and aerobic energy systems (1.4) Identify the characteristics of each system and how these characteristics apply to exercise programming (1.4) Where to find in the CSEPPATH® Resource Manual Basic Anatomy and Physiology Section: Body Responses to physical activity CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle Basic Anatomy and Physiology Section: Energy Systems & Energy System Characteristics Table Knowledge and Skills Statement Knowledge of oxygen consumption and how it relates to exercise Skill in estimating the energy costs of physical activity in metabolic equivalents Explanation/Examples (Sub-competencies noted in brackets) Identify and explain the most valid and direct measure of maximal aerobic power (VO2max) (1.5) Identify and explain the difference between absolute and relative oxygen consumption (VO2) (1.6) Explain the relationship between exercise workload, oxygen uptake, and heart rate including identifying factors that may influence these relationships (1.7) Explain METS (1.8) Estimate METS (METS/Kcal/KJ) using established energy expenditure tables (1.8) Where to find in the CSEPPATH® Resource Manual Basic Anatomy and Physiology Section: Heart Rate, Stroke Volume and Blood Pressure Responses to Aerobic Activity Training for Health and Performance Section Lifestyle Behaviours & Health Section: Physical Activity, Fitness, and Health Knowledge and Skills Statement Knowledge of physiological responses to warm-up, and post exercise recovery Explanation/Examples (Sub-competencies noted in brackets) Identify and define the terms: warm-up, active recovery, and passive recovery (1.9) Explain the purpose and physiological responses to warmup, active recovery, and passive recovery (1.9) Identify normal vs. abnormal physiological responses during post-exercise recovery period (1.10) Where to find in the CSEPPATH® Resource Manual CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle - Aerobic Fitness Test Termination and In Case of Emergency Training for Health and Performance Section Knowledge and Skills Statement Knowledge of physiological basis of the components of health-related fitness Knowledge of the anatomy, physiology and function of the muscular system Explanation/Examples (Sub-competencies noted in brackets) Explain the doseresponse relationship between physical activity, health and fitness (1.11) Define muscular strength, endurance, power, and flexibility (1.12) Describe the principles of overload, specificity, reversibility, and individuality as they apply to training adaptations (1.17) Identify and describe the action of major muscles groups (e.g., trapezius, pectoralis major, latissimus dorsi, deltoids, biceps, triceps, rectus abdominis, internal and external obliques, erector spinae, gluteus maximus, hip flexors, quadriceps, hamstrings, hip abductors, hip adductors, anterior tibialis, soleus, Where to find in the CSEPPATH® Resource Manual Basic Anatomy & Physiology Section: Skeletal Muscle Function CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle Training for Health and Performance Section: Training for Health & Fitness Training Principles Basic Anatomy and Physiology Section: Muscular System & Skeletal System Section (download full size posters in the eToolkit at www.csep.ca/CSEP-PATH) Training for Health and Performance Section: Joint Action Muscle Chart Knowledge and Skills Statement Explanation/Examples (Sub-competencies noted in brackets) gastrocnemius) (1.15) Identify major bones (e.g., clavicle, scapula, sternum, humerus, carpals, ulna, radius, femur, tibia, fibula, tarsals.) Identify the primary action and joint range of motion for each major muscle group (1.15) Explain the difference between types of muscle contractions (isotonic, isometric, and isokinetic) Explain the principles of force production and levers as they apply to human movement. (1.13) Explain force production relative to muscle length, position of the muscle attachment and velocity of the contraction (1.14) Explain age and gender differences in the muscular system (1.16) Where to find in the CSEPPATH® Resource Manual Knowledge and Skills Statement Knowledge of the physiological effects of sedentary behaviour Explanation/Examples (Sub-competencies noted in brackets) Define sedentary behaviour (1.18) Explain the physiological response to sedentary behaviour (1.19) Where to find in the CSEPPATH® Resource Manual Lifestyle Behaviours & Health Section: Physical Activity, Fitness, and Health and Sedentary Behaviour CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle Training for Health & Performance Section: Training for Health & Fitness - Physical Activity Prescription for Reducing Sedentary Behaviour CSEP-PATH® Toolkit Additional Resource: Sedentary Behaviour Research Network (www.sedentarybehaviour.org) CORE COMPETENCY 2: THEORY AND METHODS OF BEHAVIOUR MODIFICATION Knowledge and Skills Statement Explanation/Examples (Sub-competencies noted in brackets) Where to find in the CSEPPATH® Resource Manual Knowledge and Skills Statement Knowledge of positive health and lifestyle behaviours Explanation/Examples (Sub-competencies noted in brackets) Describe positive health behaviours (2.1) Administer correctly and explain the purpose and scoring of the Stage of Change Questionnaire, AAL-Q and PASB-Q. (3.10) Identify and suggest improvements for lifestyle behaviours and physical activity participation using the PASBQuestionnaire (2.2) Where to find in the CSEPPATH® Resource Manual Lifestyle Behaviours & Health Section: Physical Activity, Fitness and Health CSEPPATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle CSEPPATH® Toolkit Knowledge and Skills Statement Skill in understanding motivation and factor affecting physical activity participation Explanation/Examples (Sub-competencies noted in brackets) Identify and describe factors affecting participation in physical activity (2.3) Describe the concepts of self-esteem, self-efficacy, confidence, competence, and body image (2.3) Describe various theories and models related to health behaviour changes (i.e., Social Cognitive Theory, Self Determination Theory, Transtheoretical Model, Theory of Planned Behaviour, and Health Action Process Approach) (2.4) Identify sources of self-efficacy (i.e. mastery experiences, etc.) (2.5) Where to find in the CSEPPATH® Resource Manual Lifestyle Behaviours & Health Section: Physical Activity, Fitness, and Health Behaviour Change Section Knowledge and Skills Statement Skill in basic coaching, instructional techniques, and communication skills Explanation/Examples (Sub-competencies noted in brackets) Identify factors influencing effective communication (i.e. interpersonal, verbal and non-verbal communication skills) (2.6) Demonstrate client-centred approach to personal training (2.7) Identify individual differences and apply appropriate instructional techniques (2.8) Demonstrate motivational interviewing skills including open-ended questioning, active listening, eliciting change talk, managing resistances and guiding clients to explore change (2.9) Demonstrate selection and use of appropriate instructional tools (2.10) Explain and discuss the importance of: empathy, reinforcement and incentives, and authenticity as they relate to personal training (2.11) Where to find in the CSEPPATH® Resource Manual Behaviour Change Section CSEPPATH® Section: ASK: Get to Know the Client CSEPPATH® Section: ADVISE: Evaluate, Report & Discussion CSEPPATH® Toolkit Knowledge and Skills Statement Skill in applying theories of behavioural change including the Stages and Processes of Change Explanation/Examples (Sub-competencies noted in brackets) Demonstrate the ability to assess readiness for change and determine the needs, wants, lifestyle, abilities, and limitations of the client (2.12) Describe and apply appropriate strategies (which may include using the processes of change) designed to increase motivation, overcome barriers, and encourage compliance for clients (2.13) Identify and explain the cognitive processes involved at each stage of behavioural change (2.14) Demonstrate the ability to apply the stages of behavioural change and other intervention techniques to effectively accommodate the needs, wants, lifestyle abilities, and limitations of each client in program design and planning. (2.15) Explain the importance of S.M.A.R.T. (Specific, Measurable, Attainable, Relevant, Timed) goals and how they empower a client to take action (2.16) Demonstrate proficiency in utilizing applicable tools within the CSEP-PATH® manual given a particular stage of change. (2.17) Where to find in the CSEPPATH® Resource Manual Behaviour Change Section CSEPPATH® Section: ASK: Get to Know the Client CSEPPATH® Section: ADVISE: Evaluate, Report & Discussion CSEPPATH® Section: AGREE: Devise an Action Plan CSEPPATH® Toolkit Knowledge and Skills Statement Skill in the application of Exercise Motivation and Adherence Strategies Explanation/Examples (Sub-competencies noted in brackets) Explain and provide specific examples of how extrinsic and intrinsic factors may motivate and facilitate change to healthy behaviours in different individuals. (2.18) Establish the client’s stage of motivational readiness for becoming more physically active using the appropriate instructional techniques and counselling styles. (2.19) Demonstrate the ability to apply a variety of exercise motivation and adherence strategies including: short-term and longterm goal setting, methods of providing feedback, and the provision of effective incentives. (2.20) Explain the goal-setting process and work together with your client to help them write clear, concise goals that they are confident in. (2.21) Where to find in the CSEPPATH® Resource Manual Behaviour Change Section CSEPPATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle CSEPPATH® Section: ADVISE: Evaluate, Report & Discussion CSEPPATH® Section: AGREE: Devise an Action Plan CORE COMPETENCY 3: THEORY AND METHODS OF HEALTH-RELATED PHYSICAL ACTIVITY AND FITNESS ASSESSMENT Knowledge and Skills Statement Skill in conducting PreParticipation Health Screening Assessments Explanation/Examples (Subcompetencies noted in brackets) Identify and explain the importance of informed consent and pre-assessment health screening (i.e. Get Active Questionnaire, PARmed-X for Pregnancy) (3.1) Demonstrate the ability to administer correctly and explain the purpose and scoring of the Stage of Change questionnaire, AAL-Q and PASB-Q. (3.10) Explain the difference between clients that are apparently healthy versus those with a stable health condition (3.2) Provide examples of a client that is able to exercise independently (3.3) Recognize signs and symptoms that may indicate a negative change in health status in clients with a stable chronic condition (3.4) Demonstrate the ability to correctly assess resting heart rate and resting blood pressure and identify the prescreening requirements for safe participation (3.5) Where to find in the CSEPPATH® Resource Manual CSEP-PATH® Section: ASK: Get to Know the Client CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle) Training for Health and Performance Section Knowledge of the CSEP-CPT Scope of Practice and when to refer to another exercise or allied healthcare professional Identify who is qualified to address the client’s needs (e.g. CSEP-CEPs for conditioning exercises after rehabilitation of an injury). (3.6) Recognize when to refer clients to persons with more advanced expertise (e.g., physician, CSEP-CEP, psychologist, etc.) for evaluation and/or clearance. (3.7) Identify the steps to take when referring a client to another exercise or allied healthcare professional (3.8) Develop a network of credible exercise and medical/health practitioners to use as referrals. (3.9) CSEP-PATH® Section: ASK: Get to Know the Client CSEP-PATH® Section: ADVISE: Evaluate, Report & Discussion Professional Concepts Section Skill in conducting anthropometry and body composition assessments Evaluate anthropometry (i.e. height, weight, waist circumference) according to the guidelines of the CSEP-PATH® (3.11) Identify and explain the strengths and weaknesses of reporting percent body fat versus the techniques used in the CSEP-PATH® (3.12) Explain the theory behind the various methods of estimating body composition such as DXA, underwater weighing, air plethysmography, and bioelectrical impedance for the determination of percentage of body fat as well as the strengths and weaknesses of each method. (3.13) CSEP-PATH® Section: ASSSESS: Physical Activity, Fitness & Lifestyle Skill in administering submaximal aerobic exercise assessments Evaluate aerobic fitness via submaximal exercise assessment protocols (e.g. mCAFT, the Rockport One Mile Walk, the YMCA cycle ergometer, and/or the Ebbeling treadmill protocols) according to the guidelines of the CSEP-PATH® (3.14) Explain the theory, limitations and assumptions underlying submaximal assessments of cardiovascular fitness (e.g., mCAFT, the Rockport One Mile Walk, the YMCA cycle ergometer, and/or the Ebbeling treadmill protocols) (3.15) Explain how to use submaximal exercise responses to estimate relative VO2max during the mCAFT, the Rockport One Mile Walk, the YMCA cycle ergometer, and/or the Ebbeling treadmill protocols (3.16) Demonstrate the ability to collect accurate exercise heart rate measures and demonstrate appropriate action should an abnormal heart rate response occur (3.17) Demonstrate the ability to administer all components of the post-exercise recovery protocol and demonstrate appropriate action should an abnormal response occur (3.18) Identify test termination criteria for all aerobic submaximal protocols used in CSEP-PATH® (3.19) Basic Anatomy and Physiology Section CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle Demonstrate the appropriate use of the Rating of Perceived Exertion (RPE) scale (3.20) Skill in administering muscular strength, power and muscular endurance assessment protocols Skill in administering flexibility assessment protocol Demonstrate the ability to evaluate muscular strength, muscular power, muscular endurance, and balance according to the guidelines of the CSEP-PATH® (3.21) Identify and explain the strengths and weaknesses of muscular strength, endurance, and power with particular focus on protocols used in the CSEPPATH® (3.22) Demonstrate the ability to evaluate flexibility according to the guidelines of the CSEP-PATH® (3.23) Identify and explain the strengths and weaknesses of flexibility assessments including functional range of motion protocols (e.g., Sit and Reach Test) (3.24) CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle Knowledge of fitness assessment theory and application Describe the validity and reliability of the protocols outlined in the CSEPPATH® (3.25) Explain the measurement sensitivity of all measures outlined in the CSEPPATH® (3.26) Identify and discuss sources of measurement error as it relates to reliability, validity, and objectivity and why it is important to minimize these sources of error. (3.27) Refer to course notes on reliability, sensitivity, validity, and objectivity. CORE COMPETENCY 4: THEORY AND METHODS OF HEALTH-RELATED EXERCISE PRESCRIPTION AND PROGRAM DESIGN Knowledge and Skills Statement Skill in program design, training options, and basic training progressions Explanation/Examples (Subcompetencies noted in brackets) Demonstrate the ability to design programs that consider client data including: Goals and expectations Current lifestyle demands that may present barriers to physical activity (e.g. family and work responsibilities, hectic schedule, extensive travel, access to facilities, or Where to find in the CSEP-PATH® Resource Manual CSEP-PATH® Section: ASK: Get to Know the Client CSEP-PATH® Toolkit CSEP-PATH® Section: ASSESS: Physical Activity, Fitness & Lifestyle Training for Health and Performance Section Other Resources: Knowledge and Skills Statement Explanation/Examples (Subcompetencies noted in brackets) equipment) Current physical activity and sedentary patterns Current level of fitness, strengths, weakness (i.e., as formed by a formal fitness assessment if one has been conducted). Where a client elects for forgo a formal fitness assessment, the CSEP-CPT will need to base training program recommendations on observations and client feedback (4.1) Apply the principles and techniques of client-centered exercise prescription (e.g., monitoring adaptions or progressions) (4.2) Design appropriate submaximal exercise programs incorporating the principles of progressive overload, specificity, reversibility and individuality. (4.3) Describe the difference between exercise prescription designed for health, fitness and/or performance (sport or occupation) (4.4) Demonstrate the ability to adjust work intensity on a variety of exercise equipment during an exercise training session (4.5) Canada’s Guide: Where toFood find in the ® foodCSEP-PATH Resource guide.canada.ca/en Manual CSEP Guidelines: www.csep.ca/guidelines Knowledge and Skills Statement Explanation/Examples (Subcompetencies noted in brackets) Explain the importance of an effective warm-up and cooldown (4.6) Demonstrate to clients the procedures required for accurate assessment of heart rate and ratings of perceived exertion at rest and during physical activity/exercise (4.9) Describe the benefits of healthy eating and a physically active lifestyle as outlined in Canada’s Food Guide and Canadian Physical Activity Guidelines. (4.10) Prescribe safe, effective weight management programs that promote long term maintenance of health body composition through lifestyle and healthy eating habits. (4.11) Prescribe flexibility exercises that are consistent with current guidelines as advocated by the Canadian Society for Exercise Physiology (CSEP), and other organizations publishing appropriate evidence-based guidelines (4.15) Where to find in the CSEP-PATH® Resource Manual Knowledge and Skills Statement Skill in designing a submaximal aerobic exercise program Skill in designing a submaximal resistance exercise program Explanation/Examples (Subcompetencies noted in brackets) Prescribe submaximal aerobic exercise programs according to the strategies outlined in the CSEP-PATH® incorporating: Goals and expectations Frequency and time Intensity using appropriate monitoring tools Structure Type of activity Progressions (4.7) Prescribe submaximal aerobic exercise intensities that are consistent with current guidelines advocated by the Canadian Society for Exercise Physiology (CSEP), and other organizations publishing appropriate evidence-based guidelines. (4.8) Prescribe a submaximal resistance exercise program according to the strategies outlined in the CSEP-PATH®, incorporating: Goals and Expectations Frequency Load, repetitions, sets, work-to-rest ratios Method of progression and volume of exercise Where to find in the CSEP-PATH® Resource Manual Training for Health and Performance Section Training for Health and Performance Section Knowledge and Skills Statement Explanation/Examples (Subcompetencies noted in brackets) Where to find in the CSEP-PATH® Resource Manual Equipment choice Order of exercises (large to small muscle groups) (4.12) Demonstrate proper resistance training technique (4.13) Prescribe resistance exercise intensities that are consistent with current guidelines as advocated by the Canadian Society for Exercise Physiology (CSEP), and other organizations publishing appropriate evidenceinformed guidelines. (4.14) Demonstrate the ability to predict one-repetition maximum (1RM) to determine appropriate resistance exercise intensities according to the protocols listed in the CSEP-PATH®. (4.17) Explain the strengths and weaknesses of doing a predictive 1-RM versus actual 1-RM measurement. (4.18) Skill in Client Program Demonstration and Monitoring Explain the relevance and purpose of the program and modifications as they relate to the client (4.19) Provide appropriate and detailed verbal instructions, physical demonstrations, precautions and safety Training for Health and Performance Section Basic Anatomy and Physiology Section CSEP-PATH® Section: ADVISE: Evaluate, Report & Discussion Knowledge and Skills Statement Explanation/Examples (Subcompetencies noted in brackets) considerations, and feedback to clients (4.20) Select appropriate exercise equipment or techniques which suit identified objectives (4.21) Correctly monitor and modify exercise techniques or prescription as required (4.22) Describe the expected physiological responses (for all fitness components) to a prescribed program (4.23) Educate clients about appropriate self-monitoring techniques so that they have the ability to decide whether to modify or terminate a physical activity/exercise session (4.24) Choose an appropriate tool to record a client’s response to physical activity/exercise (e.g. training log, heart rate, sets-reps, blood pressure, work load) and adjust the program accordingly. (4.25) Training forfind Clients with Where to in the ® Chronic Conditions CSEP-PATH Resource Section Manual CSEP-PATH® Toolkit CORE COMPETENCY 5: SAFETY AND EMERGENCY PROCEDURES Knowledge and Skills Statement Skill in ensuring client safety and injury prevention Explanation/Examples (Sub-competencies noted in brackets) Demonstrate the ability to monitor a client during exercise and identify normal and abnormal responses to exercise (5.1) Recognize and properly respond to signs and symptoms indicating the following adverse events: asthmatic attack, angina, myocardial infarction, hypoglycemia, hyperglycemia, stroke, etc. (5.2) Describe appropriate safety precautions (as outlined in the CSEP-PATH®) for clients with a stable chronic condition such as a musculoskeletal disorder, cancer, cardiovascular disease, insulin or non-insulin dependent diabetes mellitus, mental health, or asthma (5.3) Demonstrate appropriate spotting technique as required (5.4) Provide technical corrections that help guide the client to improve skill and physical safety (5.5) Avoid or minimize excessive joint stress produced by a physical activity/exercise (e.g. inappropriate equipment use, inappropriate biomechanics, and repetitive participation in the same activity) (5.6) Identify the benefits versus risks for clients performing moderate to vigorous intensity aerobic exercise (5.7) Where to find in the CSEPPATH® Resource Manual Basic Anatomy and Physiology Section Training for Health & Performance Section Training for Clients with Chronic Conditions Section Knowledge of Emergency Procedures Identify and explain the importance of facility and equipment safety standards (5.8) Describe the elements of an Emergency Action Plan (5.9) CORE COMPETENCY 6: DOCUMENTATION, ADMINISTRATION AND PROFESSIONALISM Knowledge and Skills Statement Knowledge of the CSEP code of conduct and its implications for CSEP Certified Personal Trainers® Explanation/Examples (Subcompetencies noted in brackets) Explain the CSEP Code of Conduct with particular focus on client and professional relationships, competence, confidentiality, marketing and promotion, and record keeping (6.1) Provide advice to clients based on sound, current, and evidencebased information using ethical and professional conduct (6.2) Where to find in the CSEPPATH® Resource Manual Professional Concepts Section: Professional Standards & Credentials Section Knowledge and Skills Statement Knowledge of basic legal considerations Knowledge of business practices Explanation/Examples (Subcompetencies noted in brackets) Explain the following legal concepts: nature of injury related to physical activity, liability exposure, negligence, standard of care, and risk management strategies (6.3) Follow appropriate professional and ethical business practices when promoting services or dealing with colleagues and clients (6.4) Plan for ongoing professional development opportunities that present the most recent scientific findings in the exercise sciences (6.5) Where to find in the CSEPPATH® Resource Manual Professional Concepts Section: Basic Legal & Ethical Considerations Professional Concepts Section: Professional Reputation & Marketing PRACTICAL EXAM PREPARATION The Practical Exam is administered by a CSEP Instructor-Examiner (CSEP IE). Schedule your exam well in advance, and ensure you are prepared to demonstrate your knowledge and skills in assessing a client and prescribing exercise. When your Practical Exam date and time is confirmed, plan to arrive early. Candidates will be given a scenario with detailed background information on the “client”. They will be given a few minutes to review the scenario before the assessment begins. As Candidates are preparing to demonstrate their practical skills and knowledge with this “client”, they are encouraged to demonstrate these techniques: Explain what you are doing and why throughout the entire process. Talk with your client throughout the process, and work to establish rapport. Demonstrate Motivational Interviewing skills at any time throughout the process. Sample scenario: You will be given a handout, explaining background details on a mock client. Candidates will be given some time to review the client details before starting the Practical Exam. The scenario will describe the required assessments to demonstrate your knowledge, skills, and abilities. Before you begin, confirm that your client is ready and able to complete an assessment today. You can expect the following background details: age sex some background on their goals, and/or health concerns a completed Get Active Questionnaire. Sample Scenario: The client is a 57-year-old female with lower back pain, and goals to maintain weight. Their Get Active Questionnaire indicates no specific health concerns at this time. Candidates will be asked to demonstrate a selection of the following skills: Pre-Screening: Get Active Questionnaire, Blood Pressure, Heart Rate. Anthropometry: Weight/Height and Waist Circumference. Aerobic Assessment: Any of the Aerobic Assessments in the CSEP-PATH®. Musculoskeletal (MSK) Assessments: Any of the MSK Protocols in the CSEPPATH®. Once the candidate has completed all of the required assessments, the CSEP Instructor-Examiner (CSEP IE) will provide candidates with a handout of specific results for the given scenario. Candidates will provide the results of the assessment to the client ensuring to demonstrate the following skills: Ability to effectively communicate and build rapport while providing the interpretation of results: Review the summary of the findings using language the client will comprehend, Demonstrate the ability to ask open-ended questions, and Demonstrate the ability to practice active listening. Demonstrate, Explain/Cue, and Justify a Strength and Stretch. Provide appropriate feedback as client executes movement. Following the Practical Exam, the CSEP IE will provide the results of the exam. In the event the candidate is unsuccessful, CSEP will explain the process for an additional attempt if specific stations or a complete re-exam is required. TIP: Before you begin, ALWAYS introduce yourself to the client and welcome them to the session. TIP: Be sure to ask permission, “Is it okay if I touch your wrist for heart rate?”. Explain what you are doing, and why. Why is this test the appropriate choice for this client? Explain the importance of the particular assessment being used. Ask open-ended questions to get to know your client during passive recovery. TIP: Make eye contact when explaining and use accessible language (remember, the client will not have the same depth of language as you with respect to assessments). Pause after an open-ended question and demonstrate listening skills (e.g. nodding, eye contact, etc.) Choose positive supportive language (e.g. room for improvement, it sounds like this is important to you). PRACTICAL EXAM PREPARATION CHECKLIST Check once complete General Tips Review all of the assessments found in the CSEP-PATH®: List them and ensure you have confidence in implementing each of the assessments. Review the tools in the CSEP-PATH® Toolkit, including the Get Active Questionnaire, and the Health Benefit Rating Charts. If possible, observe a CSEP-CPT in practice, take notes, ask questions. Subscribe to the CSEP Certified Personal Trainer® (CSEP-CPT) Certification Exam Study Modules to expand your knowledge in preparing for the Practical Exam. (Available for purchase in CSEP’s online learning platform www.csep.ca/onlinelearning) Subscribe to CSEP’s Get Active Questionnaire Online Learning Module to review how to effectively use the tool for preassessment. Available for free on CSEP’s website. Attend a Practical Skills Review Session. Look for available sessions on CSEP’s website. Recruit a friend and practice all of the assessments found in the CSEP-PATH®. TIPS FOR THE DAY OF EXAM Check once complete General Tips Arrive early. If the CSEP Instructor-Examiner has provided specifics on what to bring and how to prepare, be sure to follow their recommendations. Remember to follow the instructions of your CSEP InstructorExaminer throughout the exam. Before you begin, confirm that your client is ready and able to complete an assessment today. Remember to ALWAYS introduce yourself to the client, and welcome them to the session. Remember, treat this as an actual session with a new client you are meeting for the first time (even if you know this person from class or from preparing for the exam together). Make eye contact when explaining and use accessible language (remember, the client will not have the same depth of language as you with respect to assessments). Remember to explain what you are doing, and why. Explain the importance of the particular assessment being used. Ask open-ended questions to get to know your client during passive recovery. Pause after an open-ended question and demonstrate listening skills (nodding, eye contact, etc.) Choose positive supportive language (i.e. room for improvement, it sounds like this is important to you) PRACTICE THEORY EXAM QUESTIONS The following questions are designed to help candidates practice their knowledge. These questions should not be the only tool you use toward preparing for certification. It is important to keep in mind, these are not actual questions from the exam, but rather a sample of how questions are phrased, how answers are listed, and some of the areas of content that should be included in study plans. In the next section, the answers have been provided with information on how to obtain more information. 1. The ‘Alternatives for Action’ tool: a. b. c. d. Asks clients to identify short-term and long-term goals Is designed to help pre-contemplative and contemplative stage clients Asks clients to set small obtainable goals Involves all of the above 2. Adherence may be enhanced for a client in the early part of the Action stage of change if the qualified exercise professional: a. Increases the awareness of the health benefits for the client b. Supports the client to avoid relapse c. Adds variety to the client’s program d. Sets a target date to start 3. One source of error when taking blood pressure is: a. b. c. d. The cuff is too wide The arm is supported at heart level The rate of deflation is equal to 2 mmHg per second The stethoscope is positioned over the brachial artery 4. When using the %HRR formula it would be best to: a. Have a very accurate reading of resting heart rate b. Change the values for younger and very old clients c. Calculate max HR using a percentage of the client’s resting heart rate reserve d. None of the above are correct 5. Using an elliptical trainer, it is estimated that an individual will expend approximately 8 Kcal/min while exercising. If an individual weighs 83 kg and exercises for 25 minutes 3 times a week using the elliptical trainer, how long would you approximate it to take for this individual to lose 2.3kg? (note: assume to that no adjustment was made to the diet) a. b. c. d. 34 weeks 19 weeks 29 weeks 26 weeks 6. To help you determine your client’s cardiovascular fitness you need to convert 3.6 L/min to a relative reading. The client’s weight is 61 kg and she is 26 years old. What is the correct answer? a. b. c. d. 41 ml · kg-1 · min-1 59 ml · kg-1 · min-1 64 ml · kg-1 · min-1 32 ml · kg-1 · min-1 7. Performing a bicep curl, a client stands erect and holds the barbell at waist level with a shoulder width underhand grip. Keeping elbows away from hips, he curls the barbell to his chin, pauses briefly, and then slowly lowers to the starting position. An essential correction that needs to be pointed out is the following: a. b. c. d. The barbell should initially be held at chest level Elbows should be kept as close to the hips as possible Hands should be wider apart than shoulder width An overhand grip should be used 8. A previously sedentary male client is interested in starting an aerobic training program. Which of the following exercise intensities would be the most appropriate for this client during the initial stage of his program? a. b. c. d. 20-30% of heart rate reserve for 20-30 minutes 40-50% of heart rate reserve for 20-30 minutes 75-84% of heart rate reserve for 45-50 minutes 65-75% of heart rate reserve for 50-60 minutes 9. What would FITT look like in the Improvement stage for the individual identified in the previous question? a. b. c. d. 2 times per week for 45-60 minutes at 75-85% of heart rate reserve 3 times per week for 15 minutes for at 50-60% max heart rate 3 times per week for 25-30 minutes at 60-70% of heart rate reserve 6 times per week for 15 minutes at 70-80% of heart rate reserve 10. Perfect Sit-Ups primarily work the: a. b. c. d. Iliopsoas Erector spinae Rectus abdominus Biceps femoris 11. The first step to handling price objections is to: a. b. c. d. Have confidence and value your service Lower your price Avoid the discussion Invite comparisons among different personal fitness trainers 12. Aerobic Fitness Assessment results from the Rockport One Mile Walk Test Jill (female, 33 years old, 72.7 kg) completed the Rockport One Mile Walk Test in 11 min 20 sec. Her final post-exercise HR and BP were 160 bpm and 126/80 mmHg, respectively. What is Jill’s predicted VO2max based on the results of the Rockport One Mile Walk Test? Rockport One Mile Walk Test Formula: Estimated VO2max (ml · kg-1 · min-1) = 132.853 - (0.16918 x weight in kgs) - (0.3877 x age in years) + (6.315 for males only) - (3.2649 x time) - 0.1565 x HR) a. b. c. d. e. 41.7 ml · kg-1 · min-1 45.7 ml · kg-1 · min-1 52.0 ml · kg-1 · min-1 36.5 ml · kg-1 · min-1 17.9 ml · kg-1 · min-1 13. Sue is a 23-year-old female and recently had her body mass, standing height, and waist circumference assessed. Answer the following questions based on her results: Weight: 61.3 kg Height: 170.5 cm Waist Circumference: 81.0 cm a. b. c. d. e. Sue’s BMI is: 27.9 kg · m2 24.7 kg · m2 21.1 kg · m2 None of the above 14. Given Sue’s BMI and waist circumference and the BMI-WC Scoring for Adults 20-65 years below, what is her health risk? BMI BMI Category BMI Risk WC for Men WC for Women BMI-WC Risk (cm) (cm) <18.5 Underweight Increased - - - 18.524.9 Normal weight Least ≥90 ≥80 High 25.029.9 Overweight Increased ≥100 ≥90 Very High 3034.9 Obese Class I High ≥110 ≥105 Extremely High 35.039.9 Obese Class II Very High ≥125 ≥115 Extremely High ≥40 Obese Class III Extremely High ≥125 ≥125 Extremely High a. b. c. d. e. Least High Increased Very high None of the above 15. Health behaviour change refers to: a. People learning through experience b. A person who is not ready to change their behaviour, but decides to meet with an exercise professional c. Replacing health compromising habits with health enhancing habits d. Changing health habits through external motivation 16. “I’m going to start with my certified personal training next week at the local fitness club” is a statement that would reflect which stage of change? a. b. c. d. Preparation Action Pre-contemplation Maintenance 17. Successful experience will boost self-efficacy is an example of: a. b. c. d. Recovery self-efficacy External motivation Vicarious experience Mastery experience 18. All of the following below are examples of why motivational interviewing is helpful EXCEPT: a. b. c. d. Enhances self-efficacy by observing a peer being successful Helps client discover his or her own intentions and reason for changing Strengthens their commitment to change Enhances confidence for taking action 19. “So, you see no benefit in trying out a new group fitness class” is what type of reflection tactic? a. b. c. d. Content Amplified negative Action Double-sided 20. Using a readiness ruler is a tactic for what...? a. b. c. d. Eliciting “change talk” Increasing external motivation Assists with double-sided reflections Enhancing active listening 21. Which of the following statements with regards to sedentary behaviours is FALSE? a. Children and youth should limit screen time to less than 2 hours per day b. Sedentary behaviour is identical to physical inactivity c. Any waking activity with an energy expenditure < 1.5 METS while in a sitting, inclining, or lying posture refers to sedentary behaviour d. Sedentary behaviour increases the risk of type 2 diabetes, coronary heart disease, and pre-mature mortality e. Breaking up sedentary behaviour decreases the negative impact on health 22. Jumping jacks are performed in the ___________ plane of movement. a. b. c. d. e. Sagittal Vertical Frontal Transverse Oblique 23. The primary fuels for aerobic activity are__________. a. b. c. d. e. Carbohydrates and fats Protein and carbohydrates Fats and protein ATP and CP ATP and carbohydrates 24. Which of the following acute responses to aerobic activity is ABNORMAL? a. An increase in heart rate with an increase in exercise intensity b. Both systolic and diastolic pressure increases c. An increase in stroke volume with activity intensity until ~ 50% of maximal oxygen uptake d. Systolic blood pressure increases and diastolic pressure decreases or remains unchanged e. Less fit individuals will have higher heart rate for any given activity compared to more fit individuals 25. A 39-year-old individual visits your establishment and wants to start a training program. As a qualified exercise professional, what is the most appropriate initial course of action? a. Start them on an exercise program to determine how well they respond b. Have them report to a physician for a medical check-up c. Administer the Get Active Questionnaire and informed consent documents d. Determine their present activity level before prescribing an exercise program 26. When taking resting heart rate: a. b. c. d. Take it for a count of 10 seconds Take it again after a 5-minute rest if it is initially greater than 99 bpm Use a heart rate monitor If it is too high the client cannot do the aerobic portion of the appraisal but can do the remaining portions 27. What is the purpose of the Physical Activity and Sedentary Behaviour Questionnaire (PASB-Q)? a. To estimate the client’s physical activity and sedentary behaviour for a typical week b. To estimate the client’s muscle strengthening activity for a typical week c. To estimate the client’s aerobic physical activity for a typical day d. To estimate the client’s physical activity and sedentary behaviour for a typical day 28. Which of the following statements is true about BMI? a. BMI indicates the amount of fat on the body. b. BMI may classify trained athletes as overweight because of increased muscularity. c. BMI is the ratio of height divided by body weight. d. BMI provides a more robust estimate of health benefit or risk than any other body composition measure. 29. During the aerobic fitness assessment, the CSEP-CPT should attempt to: a. b. c. d. Take blood pressure at 1 and 3 minutes after exercise Stop a test if heart rate increases with an increasing workload Stop a test if blood pressure increases with an increasing workload Use a maximal test instead of a submaximal test 30. What is a major component of the treadmill walking test? a. The client completes four 4 minute walking stages b. The treadmill grade remains constant while the speed increases c. The target heart rate during the final exercise workload is 50-70% of HRmax d. The client’s heart rates in the last 2 minutes of exercise must be ≤ 5bpm apart 31. Which of the following is true when monitoring a client during the cycle ergometer test? a. The first workload is set at 450 kgm/min (1.5 kp) b. The test is terminated when the client’s heart rate reaches 85% of the age-predicted maximum heart rate c. The pedalling cadence is maintained at 80 rpm throughout the test d. If the client’s resting heart rate is above 100 bpm they would start at an intensity of 300 kgm/min (1.0 kp) 32. What is the rationale for including grip strength as a musculoskeletal fitness assessment test? a. b. c. d. Grip strength is a measure of eccentric strength Grip strength is an indicator of upper body strength only Grip strength is predictive of functional limitations later in life Grip strength is a measure of isotonic strength 33. Which of the following would be representative of advanced exercise selection when training for performance-related fitness? a. Selections of exercises that stress the primary movers, antagonists, synergists or stabilizers to achieve the movement b. Selection of exercises that develop strength in both the agonists and antagonists involved to develop appropriate muscle balance c. Selection of a variety of exercises that that incorporate core and joint stabilizers and work all muscles for optimal balance and injury prevention d. Selection of exercise that involve primary and core musculature in ways that are similar to how they are used in the sport or task, such as unilaterally, unbalanced, in multiple degrees of freedom and using a variety of loading implements 34. Health-related physical fitness is: a. The portion of physical fitness which is directed toward the prevention of, or rehabilitation from, disease as well as the development of a high level of functional capacity for the necessary and discretionary tasks of life b. The portion of physical fitness directed toward optimizing athletic performance c. Physical training for a specific task such as recreational sport or physically demanding job d. Agility, speed, power, motor skills 35. In order for overload to bring about positive changes to a client’s fitness, an exercise overload must be applied: a. b. c. d. Above their habitual level as a stimulating load At their habitual level as a retaining load Below their habitual level as a stimulating load Above their habitual level as a retaining load 36. During a predictive 1-RM testing session, a client was able to move a 75-kg load 8 times during the bench press movement. Please determine their 1-RM in this movement: a. b. c. d. 60 kg 94 kg 100 kg 60 kg 37. Which of the following is NOT a recommended method of assessing the intensity of a dynamic resistance training workout? a. b. c. d. Percentage of heart rate reserve (%HRR) Percentage of maximal repetition (%1RM) A fixed repetition maximum (e.g., 8RM, 10RM) RPE 38. While measuring your client’s HR during the mCAFT test, you notice your client becoming pale and they start to complain of dizziness. What do you do? a. b. c. d. e. Lie client down in supine position and elevate legs on step Call 911 Monitor BP and HR Have them stop the mCAFT and proceed to active recovery A&C 39. A client complains of chest pains during an exercise session with you. You instruct them to stop exercising and then they faint. Which of the following actions would be included in your response? a. b. c. d. e. Apply a cold compress to their head and try to revive them Call 911 and monitor their vital signs until help arrives Call their emergency contact person B&C All of the above 40. When working with a client who has stable Type II diabetes, which of the following is NOT a safety consideration you would need to keep in mind compared to a client free from chronic disease? a. Their shoes are properly fitting and not tied too tight b. The temperature of the room is too hot c. You have candies or juice readily available during the exercise session d. You try to have the client exercise at the same time of day for each session e. All of the above are safety considerations for a client who has diabetes 41. You have a new client who has never exercised before and they have elevated blood pressure, but are still within the Scope of Practice of a CSEP-CPT. They are worried that exercise might cause a heart attack. Which of the following would be most appropriate to say about the benefits of exercise vs. risks to alleviate their fears? a. Research shows that exercise can reduce your blood pressure and that the risk of an adverse event is not elevated if your blood pressure is below 160/90 b. It is normal to feel intimidated with a new activity, but there isn’t any risk associated with exercise and it will help reduce your risk of a heart attack c. Exercise will not only reduce your blood pressure and increase your life expectancy, but if you start with higher intensities, you can reduce the risk of a cardiac event even more quickly d. There is nothing to fear, exercise is like a magic pill that helps reduce the risk of most chronic diseases without any side effects 42. A parent is concerned that their 13-year-old child is starting to do a resistance training program with their friends after school. They ask you for advice on resistance training for kids. Which of the following is correct advice to give the parent? a. Resistance training is not recommended for adolescents because it may affect their growth, so it is better to wait until they are over age 16. b. Resistance training is actually good for your child because it can help to strengthen their bones and improve their muscle strength and power. c. Resistance exercise is good for kids, but should not be done more than once per week at this age and only at low intensity. d. Resistance exercise is recommended 2-3 times per week and should focus on proper form instead of load lifted. e. B & D. 43. Children’s physiological responses to acute exercise differ from those of adults. Which of the following have a higher/greater response in children compared to adults? a. b. c. d. Absolute oxygen uptake Heart Rate Stroke Volume Cardiac Output 44. Which of the following does not contribute to the typical age-related decrease in VO2 max? a. b. c. d. blood pressure with aging max HR with aging muscle mass with aging stroke volume with aging 45. CSEP Certified Personal Trainers® are encouraged to use what type of notes when working with clients? a. b. c. d. SMART SOAP SWIFT SPOT 46. The CSEP-PSP® Code of Conduct shall guide the conduct of a CSEP-CPT: a. b. c. d. When working with children and youth Unless it conflicts with the Code of Conduct at their local facility At all times All of the above 47. A CSEP-CPT may work in: a. A private or public fitness facility b. Their own home c. Outdoors d. A & C e. All of the above 48. CSEP-CPTs may disclose personal information about a client when: a. b. c. d. It is in the best interest of the client It is requested by the client’s healthcare provider They have the client’s written consent to share the information CSEP-CPTS should never disclose personal information about a client 49. During pre-participation screening, a client tells their trainer that they have chest pain during exercise. Their trainer has them complete a cycle ergometer test, during which the client suffers a cardiac event. This is an example of: a. b. c. d. An inherent risk of physical activity Ordinary negligence Limited negligence Gross negligence 50. A CSEP-CPT may have access to sensitive or personal medical information about their clients. This information should be: a. b. c. d. Shared easily from trainer to trainer without concern Safeguarded in accordance with privacy laws Saved to a portable flash drive for easy retrieval Shredded immediately after reading and reviewing with the client ANSWER KEY FOR PRACTICE THEORY EXAM QUESTIONS 1. The ‘Alternatives for Action’ tool b. Is designed to help pre-contemplative and contemplative stage clients The answer is B: In the CSEP-PATH® Manual review the CSEP-PATH® section, ASSIST: Assist clients in considering the potential benefits and downsides of increasing physical activity as well as identifying specific coping strategies. 2. Adherence may be enhanced for a client in the early part of the Action stage of change if the CSEP-CPT: b. Supports the client to avoid relapse The answer is B: In the CSEP-PATH® section of the CSEP-PATH® Manual: Anticipating issues and exploring potential coping strategies in the action phase will assist with exercise adherence. The Relapse Planning tool will assist the exercise professional and client in preventing relapse. 3. One source of error when taking Blood Pressure is: a. The cuff is too wide The answer is A: In the CSEP-PATH® section of the CSEP-PATH® Manual: Proper cuff size is important for accurate readings. The inflatable part of the blood pressure cuff should cover about 80% of the circumference of the upper arm, and the cuff should cover two-thirds of the distance between the elbow and shoulder. When taking a blood pressure having the arm supported at heart level, using a rate of deflation equal to 2 mmHG per second and positioning the stethoscope over the brachial artery are correct steps. 4. When using the %HRR formula it would be best to: a. Have a very accurate reading of resting heart rate The answer is A: In the CSEP-PATH® Resource Manual, review the aerobic training variables content in the training for health and performance section. The Karvonen formula uses the heart rate reserve to calculate training zones based on both maximum AND resting heart rate (Heart Rate reserve (HRR)= [(HRmax-HRrest) x intensity]+HRrest) 5. Using an elliptical trainer, it is estimated that an individual will expend approximately 8 Kcal/min while exercising. If an individual weighs 83 kg and exercises for 25 minutes 3 times a week using the elliptical trainer, how long would you approximate it to take for this individual to lose 2.3 kg? (note: assume to that no adjustment was made to the diet) c. 29 weeks The answer is C: 2.3 kg is equivalent to 5.07 lbs. To lose a pound you must burn 3500 Kcal (to lose 5 lbs you must burn 17,745 Kcal) This individual is exercising 75 minutes a week and burning 8 Kcal per minute for a weekly total of 600 Kcal. 17,745÷600=29.58 weeks 6. To help you determine your client’s cardiovascular fitness you need to convert 3.6 L/min to a relative reading. The client’s weight is 61 kg and she is 26 years old. What is the correct answer? b. 59m · kg-1 · min-1 The answer is B: 3.6 l · min-1 =3600 ml · min-1 3600 ml · min-1 ÷ 61 kg = 59 ml · kg-1 · min-1 7. Performing a bicep curl, a client stands erect and holds the barbell at waist level with a shoulder width underhand grip. Keeping elbows away from hips, he curls the barbell to his chine, pauses briefly and then slowly lowers to the starting position. An essential correction that needs to be pointed out is the following: b. Elbows should be kept as close to the hips as possible The answer is B: Refer to the Training for Health & Performance Section of the CSEP PATH® Resource Manual. In the section An Illustrated Selection of Resistance Exercises, in the trainer cue it outlines that upper arms should remain stationary and tight to the sides. 8. A previously sedentary male client is interested in starting an aerobic training program. Which of the following exercise intensities would be the most appropriate for this client during the initial stage of his program? b. 40-50% of heart rate reserve for the 20-30 minutes The answer is B: The recommended intensity for previously sedentary people is 40-50% HRR for the first 2 weeks. Review the Physical Activity Prescription for Reducing Sedentary Behaviour portion of the Training for Health & Performance section of the CSEP-PATH® manual. 9. What would FITT look like in the improvement stage for the individual identified in the previous question? c. 3 times per week for 25-30 minutes at 60-70% of heart rate reserve The answer is C: 3 times per week for 25-30 minutes at 60-70% of heart rate reserve is what is recommended for the improvement stage. Review the Physical Activity Prescription for Reducing Sedentary Behaviour portion of the Training for Health & Performance section of the CSEP-PATH® Resource Manual. 10. Perfect Sit-Ups primarily work the: c. Rectus abdominus The answer is C: Rectus abdominus. Refer to the Training for Health & Performance Section of the CSEP-PATH® Resource Manual. In the section An Illustrated Selection of Resistance Exercises, the Perfect Sit-Up lists the targeted muscles as Rectus abdominus 11. The first step to handling price objections is to: a. Have confidence and value your service The answer is A: In the CSEP-PATH® Professional Concepts section under Price section: Generally speaking, the pricing of services offered by offered by qualified exercise professionals will largely be set by local market conditions. The degree to which one’s service offering is unique or differentiated from competitors, will dictate the opportunity to charge a premium for those services. 12. Aerobic Fitness Assessment results from the Rockport One Mile Walk Test Jill (female, 33-years-old, 72.7 kgs) completed the Rockport One Mile Walk Rest in 11 min 20 sec. Her final post-exercise HR and BP were 160 bpm and 126/80 mmHg, respectively. What is Jill’s predicted VO2max based on the results of the Rockport One Mile Walk Test? Rockport 1 Mile Walk Test Formula: Estimated VO2max (ml · kg-1 · min-1) = 132.853 - (0.16918 x weight in kgs) (0.3877 x age in years) + (6.315 for males only) - (3.2649 x time) 0.1565 x HR) b. 45.7 mL · kg-1 · min-1 The answer is B: Review the Aerobic Fitness Assessments in the CSEPPATH® Section * convert Jill’s time into minutes: (20 seconds= 20/60+ =.33 minutes Therefore walk time is 11.33 minutes * calculate to three decimal places Estimated VO2max (ml · kg-1 · min-1) = 132.853 - (0.16918 x weight in kgs) - (0.3877 x age in years) - (3.2649 x time) - 0.1565 x HR) Estimated VO2max (ml · kg-1 · min-1) = 132.853 - (0.16918 x 72.7) (0.3877 x 33) - (3.2649 x 11.33) - (0.1565 x 160) = 45.7 ml · kg-1 · min-1 13. Sue is a 23-year-old and recently had her body mass, standing height, and waist circumference assessed. Answer the following questions based on her results: Weight: 61.3 kg Height: 170.5 cm Waist Circumference: 81.0 cm Sue’s BMI is: d. 21.1 kg · m2 The answer is D: Review the ASSESS: Physical Activity, Fitness, and Lifestyle in the CSEP-PATH® Section BMI= weight (kg)/height (m2) BMI= 61.3/1.7052 BMI=61.3/2.907 BMI=21.087 14. Given Sue’s BMI and waist circumference from question #13 and the BMIWC Scoring for Adults 20-65 years below, what is her health risk? b. High The answer is B: Review the ASSESS: Physical Activity, Fitness, and Lifestyle in the CSEP-PATH® Section. 15. Health behaviour change refers to: c. Replacing health compromising habits with health enhancing habits The answer is C: In the CSEP-PATH® Resource Manual, review the introductory content on Sedentary Behaviour: Making a change from a sedentary or inactive lifestyle to a regularly active lifestyle. 16. “I’m going to start my personal training program next week at the local fitness club” is a statement that would reflect which stage of change? a. Preparation The answer is A: In the CSEP-PATH® Resource Manual, review the information on Behaviour Change: When a client is going to make a change in the near future (next week), they would be in the preparation phase. No immediate plans, but thinking about starting to exercise would still be considered as the pre-contemplation stage of change. 17. Successful experience will boost self-efficacy is an example of: d. Mastery experience The answer is D: In the CSEP-PATH® Resource Manual, review the information on Behaviour Change. When clients are successful at a task, they gain self-efficacy (the belief in their abilities). The more self-efficacy, the more the client will be willing to try an activity again. 18. All of the following below are examples of why motivational interviewing is helpful EXCEPT: a. Enhances self-efficacy by observing a peer being successful The answer is A: In the CSEP-PATH® Resource Manual, review the information on Behaviour Change and the CSEP-PATH® Process. Enhances self-efficacy by observing a peer being successful is an example of mastery experience, but not an example based on motivational interviewing techniques. 19. “So, you see no benefit in trying out a new group fitness class” is what type of reflection tactic? b. Amplified negative The answer is B: In the CSEP-PATH® Resource Manual, review the information on Behaviour Change and the CSEP-PATH® Process: Amplified negative reflections help to draw out and exhaust the client’s negative perception for making a change. Often clients will hear the exercise professional reflect their own negativity and realize this may not actually be how they feel. 20. Using a readiness ruler is a tactic for what...? a. Eliciting “change talk” The answer is A: In the CSEP-PATH® Resource Manual, review the information on Behaviour Change: Using a readiness ruler (“on a scale of 1 to 10”) assists clients in working through ambivalence by exploring how the client sees their life with or without the behaviour change. 21. Which of the following statements with regards to sedentary behaviours is FALSE? b. Sedentary behaviour is identical to physical inactivity The answer is B: In the CSEP-PATH® Resource Manual, review the information on Sedentary Behaviour: Time spent in sedentary pursuits is now recognized as not simply the absence of physical activity, but rather a distinct set of behaviours with unique detrimental health effects independent of those associated with lack of physical activity. In other words, physical inactivity is not synonymous with sedentary behaviour. Even among those who are physically active, sedentary behaviour is associated with adverse health outcomes, including Type II diabetes, cardiovascular disease, and all-cause mortality. 22. Jumping jacks are performed in the ___________ plane of movement. c. Frontal The answer is C: In the CSEP-PATH® Resource Manual, review Basic Anatomy and Physiology. 23. The primary fuels for aerobic activity are______. a. Carbohydrates and fats The answer is A: In the CSEP-PATH® Resource Manual, review the information on Basic Anatomy and Physiology (Energy Systems). Carbohydrates and fats are the primary fuels for aerobic activity. Carbohydrates are the primary source at the onset of exercise and during high intensity work. During prolonged exercise there is a shift in reliance on distal (to the muscle) fuel sources so that plasma-derived Free Fatty Acids (FFAs) and glucose are preferentially used over muscle glycogen and intramuscular triglycerides to sustain the exercise. 24. Which of the following acute responses to aerobic activity is ABNORMAL? b. Both systolic and diastolic pressure increases The answer is B: In the CSEP-PATH® Manual, review the information on Basic Anatomy and Physiology. Specifically review heart rate, stroke volume and blood pressure responses to aerobic activity. During physical activity, the systolic blood pressure increases from its normal resting value as the body attempts to force blood through the vigorously contracting muscles. In contrast, the diastolic pressure shows little change during aerobic physical activity but may elevate in resistance activity. Increases in blood pressure during any type of activity are greater if resting values are already high, and in such circumstances, may reach dangerous levels. 25. A 39-year old individual visits your establishment and wants to start a training program. As a qualified CSEP-CPT, what is the most appropriate initial course of action? c. Administer the Get Active Questionnaire and informed consent documents. The answer is C: In the CSEP-PATH® Manual review the CSEP-PATH® section, ASK: In a perfect scenario, a client would have received documentation prior to coming for an initial meeting. However, when they arrive, be sure to provide a Welcome Letter and package with key screening forms, and preparation instructions (i.e., for clients who plan to take part in the physically active components of a fitness assessment or training appointment). Review their responses to the Get Active Questionnaire questions and answer any additional questions they may have. 26. When taking resting heart rate: b. Take it again after a 5-minute rest if it is initially greater than 99 bpm The answer is B: In the CSEP-PATH® Resource Manual review the CSEPPATH® section, ASK: Ask the client to sit and rest, with the feet flat on the floor and arms on the chair rests for at least 5 minutes before taking the measurement. If the RHR is > 99 bpm after the second reading, do not proceed with the active portions of the assessment (i.e., aerobic fitness and musculoskeletal protocols). Instead, recommend that the client see their physician and provide them with the Physician Physical Activity Readiness Clearance Form. 27. What is the purpose of the Physical Activity and Sedentary Behaviour Questionnaire (PASB-Q)? a. To estimate the client’s physical activity and sedentary behaviour for a typical week The answer is A: In the CSEP-PATH® Manual review the CSEP-PATH® section, ASSESS: The PASB-Q will provide an approximation of clients’ physical activity and sedentary behaviour for a typical week. Consider including the PASB-Q in the pre-meeting information package and asking clients to track and log their physical activity and sedentary behaviour for one week, basing their PASB-Q answers on that record. Some clients may also be interested in tracking their physical activity more objectively by wearing a pedometer or fitness tracker to count their steps for one week. 28. Which of the following statements is true about BMI? b. BMI may classify trained athletes as overweight because of increased muscularity The answer is B: In the CSEP-PATH® Resoucre Manual review the CSEPPATH® section, ASSESS: BMI does not distinguish between fat mass and fat-free mass, and provides no information on the distribution of body fat. The correlation between BMI and body fatness can vary by gender and age (e.g., at the same BMI, women tend to have more body fat than men, and older people tend to have more body fat than younger individuals). As well, trained athletes may have higher BMI (i.e., in the overweight category) because of increased muscularity rather than body fatness. 29. During the aerobic fitness assessment, the CSEP-CPT should attempt to: a. Take blood pressure at 1 and 3 minutes after exercise The answer is A: In the CSEP-PATH® Manual review the CSEP-PATH® section, ASSESS: Upon completion of the aerobic fitness test, have the client continue to move at a light intensity/resistance for 3 minutes [e.g., walking slowly following the mCAFT, treadmill, or one mile walk; pedaling slowly on the cycle ergometer at little resistance (i.e., 25 W)]. Record the heart rate (HR) each minute of the active recovery. If the client does not feel sufficiently recovered by 3 minutes, complete another 2 minutes of very light recovery before sitting. Once the client is sitting, measure the client’s HR and blood pressure at 1 and 3 minutes. If at 3 minutes the client’s values have returned below the cutoffs, the client is ready to move on to the musculoskeletal fitness tests. 30. What is a major component of the treadmill walking test? d. The client’s heart rates in the last 2 minutes of exercise must be ≤5 bpm apart The answer is D: In the CSEP-PATH® Resource Manual review the CSEPPATH® section, ASSESS: During the Treadmill Walking Test, Ask the client to warm-up for 4 minutes at a 0% grade and a speed that brings the HR within the 50–70% range (about 3.4–4.0 mph). If the HR is not in this range within the first minute of walking, adjust the speed accordingly. At the end of the warm-up, increase the grade to 5% and have the client continue walking another 4 minutes. Record the HR during the final 15 seconds of each minute. The steady-state HR (SSHR) is reached when the HR does not vary by >5 bpm. If the HR differs by >5 bpm from 3:00–4:00 minutes, extend the walking by another minute. SSHR is taken as an average of the HRs from each of the last two minutes of the walking stage. 31. Which of the following is true when monitoring a client during the cycle ergometer test? b. The test is terminated when the client’s heart rate reaches 85% of the age-predicted maximum heart rate The answer is B: In the CSEP-PATH® Manual review the CSEP-PATH® section, ASSESS: Calculate the client’s 85% of predicted HRmax. Ask the client to begin pedaling at a rate of 50 rpm for 3 minutes. Record the HR during the final 15 seconds of each minute. The steady-state HR (SSHR) is the average of the HR taken during the 2nd and 3rd minute of each workload. If the HR differs by >5 bpm, then extend the workload period by 1 minute. The HR during the last minute of the 1st workload determines the load sequence for subsequent workload periods. Continue to increase the workload until the client’s SSHR is within 10 bpm of the 85% predicted HRmax. 32. What is the rationale for including grip strength as a musculoskeletal fitness assessment test? c. Grip strength is predictive of functional limitations later in life The answer is C: In the CSEP-PATH® Resource Manual review the CSEPPATH® section, ASSESS: Hand grip is a measure of isometric strength and is a widely used indicator of total body strength. It has been shown to be predictive of functional limitations and disability later in life. Good muscle strength in midlife may protect people from mobility limitations later in life. 33. Which of the following would be representative of advanced exercise selection when training for performance-related fitness? d. Selection of exercise that involve primary and core musculature in ways that are similar to how they are used in the sport or task, such as unilaterally, unbalanced, in multiple degrees of freedom and using a variety of loading implements The answer is D: In the CSEP-PATH® Manual review the Training for Health & Performance section: To design an effective training program for a sport or job activity, one must understand the particular demands involved and select exercises with the job activity or sport in mind. 34. Health-related physical fitness is: a. The portion of physical fitness which is directed toward the prevention of, or rehabilitation from, disease as well as the development of a high level of functional capacity for the necessary and discretionary tasks of life The answer is A: In the CSEP-PATH® Manual review the Training for Health & Performance section: Once the qualified exercise professional and client have made decisions about the types and volume (frequency, duration, intensity and structure) of physical activity to be pursued, some consideration should be given to a plan for progression. As outlined in the training principles, as an individual adheres to a well-designed program of aerobic activity, their aerobic power will adapt, requiring a progression in the overall volume of effort to achieve further improvement. This progression schedule can be shortened if the client continually adapts without any prevailing fatigue or injury concerns, or lengthened if the client is not adapting at the expected rate. 35. In order for overload to bring about positive changes to a client’s fitness, an exercise overload must be applied: a. Above their habitual level as a stimulating load The answer is A: In the CSEP-PATH® Resource Manual review the Training for Health & Performance section: Doing more than what one has been doing is the principle of overload. The body’s physiological capacity must be challenged beyond a certain threshold to stimulate adaptation so that it can better handle that demand the next time the challenge occurs. The trick here is to find the training zones for aerobic and musculoskeletal fitness that are sufficiently challenging to evoke physiological adaptation. 36. During a predictive 1-RM testing session, a client was able to move a 75 kg load 8 times during the bench press movement. Please determine their 1RM in this movement: b. 94 kg The answer is B: In the CSEP-PATH® Resource Manual review the Training for Health & Performance section: Ensure an adequate warm-up (5 minutes) before attempting a 1-RM test. Select a starting weight you believe the client can lift 10 times with no loss of form. Review the technique with the client to ensure each exercise is performed with correct form. If 10 repetitions were completed with ease, add more weight and repeat the process until 6–10 repetitions are completed where there is no loss of form and the client would not be able to perform another repetition. This process should not take more than 3 sets (excluding the warm-up set). If it does, try again 48 hours later. Calculate 1-RM using the formula: 1-RM = Weight (kg or lbs) ÷ [% 1-RM value from the table below ÷ 100] Reps Completed % 1RM 1 2 3 4 5 6 7 8 9 10 100 95 93 90 87 85 83 80 77 75 RM = 75 ÷ (80 ÷ 100) 37. Which of the following is NOT a recommended method of assessing the intensity of a dynamic resistance training workout? a. Percentage of heart rate reserve (%HRR) The answer is A: In the CSEP-PATH® Resource Manual review the Training for Health & Performance section: For resistance training, workload is the primary measure of intensity and has three components: the amount lifted in an exercise (% of predicted 1-RM); the number of repetitions completed for a particular exercise; and the length of time to complete all exercises in a set or total training session. So, one can increase workload by lifting heavier weights or increase the number of repetitions with the same weight. Finally, one may lift the same weight for the same number of repetitions, but decrease the rest time between sets. 38. While measuring your client’s HR during the mCAFT test, you notice your client becoming pale and they start to complain of dizziness. What do you do? e. A & C The answer is E: In the CSEP-PATH® Resource Manual review the CSEPPATH® section: If a client shows signs of physiological stress during an anaerobic fitness test, end the test and begin a cool-down. If during the cool-down stress is still evident, lie the client down in a supine position, and check the client’s HR and blood pressure. 39. A client complains of chest pains during an exercise session with you. You instruct them to stop exercising and then they faint. Which of the following actions would be included in your response? d. B & C The answer is D: In the CSEP-PATH® Resource Manual review the CSEPPATH® section: If a client experiences dizziness or loss of consciousness, provide emergency treatment, request emergency services, and advise the client’s emergency contact. 40. When working with a client who has stable Type II diabetes, which of the following is NOT a safety consideration you would need to keep in mind compared to a client free from chronic disease? e. All of the above are safety considerations for for a client who has diabetes. The answer is E: In the CSEP-PATH® Resouce Manual review the Training for Clients with Chronic Conditions section: These and other safety considerations for clients with diabetes are outlined in the Diabetes section under the header Safety Considerations. 41. You have a new client who has never exercised before and they have elevated blood pressure, but are still within the Scope of practice of a CSEP-CPT. They are worried that exercise might cause a heart attack. Which of the following would be most appropriate to say about the benefits of exercise vs risks to alleviate their fears? a. Research shows that exercise can reduce your blood pressure and that the risk of an adverse event is not elevated if your blood pressure is below 160/90 The answer is A: The blood pressure-lowering benefits of exercise for a blood pressure below 160/90 outweigh any risks of exercise. In the CSEPPATH® Resource Manual review the CSEP-PATH® section ASK and the Get Active Questionnaire – Reference Document in the CSEP-PATH® Toolkit section. 42. A parent is concerned that their 13-year-old child is starting to do a resistance training program with their friends after school. They ask you for advice on resistance training for kids. Which of the following is correct advice to give the parent? e. B & D The answer is E: In the CSEP-PATH® Resource Manual Training for Children & Youth section: review Resistance Training Appropriate for Children and Youth 43. Children’s physiological responses to acute exercise differ from those of adults. Which of the following have a higher/greater response in children compared to adults? b. heart rate The answer is B: In the CSEP-PATH® Resource Manual Training for Children & Youth section: review the Children’s Physiological Responses to Acute Exercise Differ from that of Adults box. 44. Which of the following does not contribute to the typical age-related decrease in VO2max? a. blood pressure with aging The answer is A: Blood pressure is generally higher with aging. Refer to the Biological Changes Associated with Aging and Cardiac Function and Aging portions of the CSEP-PATH® Resource Manual Training for Older Adults section. 45. CSEP Certified Personal Trainers® are encouraged to use what type of notes when working with clients? b. SOAP The answer is B: In the CSEP-PATH® Resource Manual review the Professional Concepts section. SOAP stands for Subjective, Objective, Assessment, Plan. 46. The CSEP-PSP® Code of Conduct shall guide the conduct of a CSEP-CPT: c. At all times The answer is C: In the CSEP-PATH® Resource Manual review the CSEPPSP® Code of Conduct located in the Professional Concepts section. The CSEP-PSP® Code of Conduct shall guide the conduct of CSEP-CPTs at all times. 47. A CSEP-CPT may work in: e. All of the above The answer is E: In the CSEP-PATH® Resource Manual review the Professional Concepts section. The profession is generally not restricted by venue, and professionals may work in private or community fitness facilities, in their own or clients’ homes, or outdoors. 48. CSEP-CPTs may disclose personal information about a client when: c. They have the client’s written consent to share the information The answer is C: In the CSEP-PATH® Resource Manual review the Professional Concepts section. Beyond sharing of information with professional colleagues (for which they will have the client’s expressed permission), exercise professionals are to safeguard confidential information relating to clients in accordance with privacy laws. 49. During pre-participation screening, a client tells their trainer that they have chest pain during exercise. Their trainer has them complete a cycle ergometer test, during which the client suffers a cardiac event. This is an example of: d. Gross negligence The answer is D: In the CSEP-PATH® Resource Manual review the Basic Legal Considerations portion of the Professional Concepts section. Gross negligence refers to deliberate or reckless conduct (e.g., where an exercise professional has prior knowledge of risk and does not take steps to correct it). The trainer had prior knowledge of elevated risk of cardiac event but did not take steps to prevent it. 50. A CSEP-CPT may have access to sensitive or personal medical information about their clients. This information should be: b. Safeguarded in accordance with privacy laws The answer is B: In the CSEP-PATH® Resource Manual review the Professional Concepts section. Clients may share sensitive and personal or medical information with CSEP-CPTs. When providing this information, clients will trust the qualified exercise professional will use it only to information their assessment and exercise prescription. Beyond the necessary sharing of information with professional colleagues (for which they have the client’s expressed permission), qualified exercise professionals are to safeguard confidential information related to clients in accordance with privacy laws. Canadian Society for Exercise Physiology 101 – 495 Richmond Rd | Ottawa ON K2A 4B1 | Canada 1.877.651.3755 | info@csep.ca | csep.ca | ISBN: 978-1-896900-44-5_E Printed in Canada @CSEPdotCA