ACSM Certified Clinical Exercise Physiologist® (ACSM-CEP) Practice Exam

ACSM Certified Clinical Exercise Physiologist® (ACSM-CEP)

About ACSM Certified Clinical Exercise Physiologist (ACSM-CEP)

ACSM Certified Clinical Exercise Physiologist certification has the most rigorous educational and practical experience standards in the health and fitness industry. ACSM-CEPs utilize prescribed exercise, and basic health behavior interventions and promote physical activity for individuals with chronic diseases or conditions; examples include, but are not limited to, individuals with cardiovascular, pulmonary, metabolic, orthopedic, musculoskeletal, neuromuscular, neoplastic, immunologic and hematologic diseases. This provides primary and secondary prevention strategies designed to improve, maintain or attenuate declines in fitness and health in populations ranging from children to older adults.

Prerequisite for the exam

This is designed for allied health professionals with a minimum of a bachelor’s degree in exercise science or equivalent and 1,200 hours of clinical hands-on experience or a master’s degree in clinical exercise physiology and 600 hours of hands-on clinical experience.

Course structure

The ACSM Certified Clinical Exercise Physiologist® (ACSM-CEP) exam covers the following updated topics - 

Domain 1 - Understanding Patient Assessment (20%)

• Learn to assess a patient’s medical record for information related to their visit.
• Learn to interview patient regarding medical history for their visit and reconcile medications.
• Learn to obtain and assess resting biometric data (e.g., height, weight, ECG, arterial oxygen saturation, blood glucose, body composition, spirometry).
• Learn to determine a sufficient level of monitoring/supervision based on a preparticipation health screening.
• Learn to assess patient goals, needs, and objectives based on health and exercise history, motivation level, and physical activity readiness.

Domain 2 - Understanding Exercise Testing (19%)

• Learn to select, administer and interpret submaximal aerobic exercise tests (e.g., treadmill, step test, 6-minute walk).
• Learn to select, administer and interpret tests to assess musculoskeletal fitness, mobility and balance.
• Learn to select, prepare and administer maximal, symptom-limited exercise tests.
• Learn to evaluate and report results from a symptom-limited maximal exercise test to medical providers and in the medical record as required.
• Learn to identify relative and absolute contraindications for test termination and report to medical personnel as needed.

Domain 3 - Understanding Exercise Prescription (23%)

• Learn to develop individualized exercise prescriptions to support patient needs and goals for various exercise environments (e.g., home/community-based, facility-based, virtual).
• Learn to communicate the exercise prescription, including the use of exercise equipment, and the importance of promptly reporting any adverse reactions or symptoms.
• Learn to explain and confirm patient understanding of exercise intensity and measures to assess exercise intensity (e.g., target heart rate, RPE, signs/symptoms, talk test).
• Learn to evaluate and modify the exercise prescription based on the patient’s compliance, signs/symptoms, and physiologic response to the exercise program, as needed.

Domain 4 - Understanding Exercise Training and Leadership (23%)

• Learn to discuss and explain exercise training plans, patient and clinician expectations, and goals. 
• Learn to identify, adapt and instruct in cardiorespiratory fitness, muscular strength and endurance, flexibility, coordination and agility exercise modes.
• Learn to as indicated, provide patient monitoring (e.g., pulse oximetry, biometric data) and supervision during exercise.
• Learn to evaluate the patient’s contraindications to exercise training and associated risks/benefits and modify the exercise/activity program accordingly. 
• Learn to evaluate, document and report patient’s clinical status and response to exercise training in the medical records. 
• Learn to discuss clinical status and response to exercise training with patients and adapt and/or modify the exercise program, as indicated.

Domain 5 - Understanding Education and Behavior Change (10%)

• Learn to continually evaluate patients using observation, interaction, and industry-accepted tools, to identify those who may benefit from counseling or other mental health services using industry-accepted screening tools.
• Learn to assess patient’s understanding of their disease and/or disability and conduct education to teach the role of lifestyle in the prevention, management, and treatment of the disease.
• Learn to apply health behavior change techniques (e.g., Motivational Interviewing, Cognitive Behavioral Therapy [CBT], Health Coaching) based upon assessment of readiness to change according to the Transtheoretical Model (TTM).
• Learn to promote adherence to healthy behaviors through a patient-centered approach 

Domain 6 - Understanding Legal and Professional Responsibilities (5%)

• Learn to evaluate the exercise environment and perform regular inspections of any emergency equipment and practice emergency procedures (e.g., crash cart, activation of emergency procedures) per industry and regulatory standards and facility guidelines.
• Learn to follow industry-accepted scopes of practice, ethical, legal (e.g., data privacy, informed consent), and business standards.

Exam Pattern 

• Exam Name: ACSM Certified Clinical Exercise Physiologist® 
• Exam Code: ACSM-CEP
• Total Questions: 115 Questions
• Time Duration: 210 minutes

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