Chapter 1: Role and Scope of Practice for the Personal Trainer


What you will learn:

  • ACE Certified Fitness Trainer Certification as a services profession.
  • Understand the ACE PT scope of practice.
  • Learn the professional responsibilities and ethics.
  1. Introduction brief

    1. 150 min of physical activity /week for all
      1. aerobic and muscle strengthening
      2. children to the elderly, with and without disabilities
      3. the body is meant to move and exercise
    2. 2008 US Guidelines
      1. fitness is a part of medicine
      2. fitness professionals are a part of the Allied Healthcare Continuum
      3. Drs. recommend exercise but don’t show you how. You need a personal trainer
    3. Personal Trainers role is changing from helping only fitness enthusiasts to other groups.
      1. overweight adults and children
      2. sedentary and athletic clients
      3. helping fight the obesity epidemic
  2. Allied Healthcare Continuum: health professionals that help identify, prevent, and treat diseases and disorders

    1. Physicians are on top of the pyramid
    2. Physical therapists and Occupational Therapists
      1. treat clients with therapeutic exercises for rehabilitation
    3. Athletic Trainers
      1. teach athletes exercises to prevent injury and treat them
    4. Registered Dieticians
      1. teach proper nutrition through recipes, meal plans, food preparation methods and special diets.
  3. ACE Personal Trainer Certification

    1. Passing the ACE exam means you have met or exceeded the minimum competency to work as a personal trainer with clients.
    2. Scope of Practice
      1. a legal range of services that professional provide within certain guidelines and parameters
    3. Scope for ACE Certified Personal Trainers
      1. Develop and implement exercise programs
      2. Conduct health history interviews
      3. Administer appropriate fitness assessment
      4. Assist in setting and achieving goals
      5. Teach correct exercise methods
      6. Empower clients to workout with support and motivation
      7. Design exercise programs for the individuals and groups
      8. Educating clients about fitness
      9. Protect client confidentiality (HIPAA)
      10. Act professionally.
      11. Stay within the scope of practice
      12. Be prepared for emergencies
      13. Help clients bring about positive body composition changes to adopt healthy habits.
        1. Direct them to
        2. For dietary guidelines, refer to a Registered Dietician
      14. Should not contradict other healthcare professional’s recommendations
        1. Client’s health and Drs. advice should be considered before starting the program
    4. Knowledge skills and abilities of the ACE Certified Personal Trainer
      1. ACE Role Revisions:
        1. Every 5 years, the outline of tasks, skills and knowledge required by CPTs, are updated (ACE Appendix B)
      2. Preparation and Testing
        1. Develop and enhance rapport
        2. Download ACE Certification Candidate Handbook
          1. Multiple choice
          2. Client scenarios
          3. Questions: recall knowledge
          4. Questions: applied knowledge
    5. Professional responsibility and ethics
      1. Certifications protect public from harm
        1. ACE Code of Ethics (Appendix A)
          1. As a CPT you need to uphold this code
      2. ACE professional practices and disciplinary procedures
        1. ACE may revoke or take actions
          1. unauthorized possession of certification
          2. physical or mental impairment
          3. substance abuse
          4. felony or misdemeanor
      3. Certification period and renewal
        1. certification is valid for 2 years
        2. renewal: complete 20 education credits
        3. maintain CPR and AED certifications
          1. Cardiopulmonary resuscitation
          2. automated external defibrillation
      4. Client privacy
        1. Follow HIPAA guidelines
          1. Health Insurance Portability and Accountability Act
            1. Always maintain client privacy and confidentiality
      5. Referrals
        1. Know your boundaries and stay within its scope
        2. refer clients to other health professionals if services are outside the scope of a CFT.
        3. receiving referrals from health professionals
          1. if asked, provide regular updates on client health and progress
            1. document all client progress
      6. Safety
        1. Client risk-management
          1. conduct a health history assessment
          2. find limitations or contraindications
          3. determine intensity
        2. Carry professional liability insurance
      7. Supplements
        1. Supplements aren’t FDA approved
        2. CFT cannot provide supplement recommendations
        3. discourage against use of supplements
          1. If client still insists, refer to an RD or Physician
      8. Ramifications of offering services outside of scope
        1. risk of legal prosecution
  4. Accreditation of Allied Healthcare Credentials through National Commission for Certifying Agencies (NCCA)

    1. NCCA has accredited the certification programs for most professional within the allied healthcare continuum
  5. Career Development
    1. Advanced Knowledge of personal training
    2. Specializations: work on becoming an expert in fitness by specializing
      1. Athletic Trainer
      2. Group instructor

Go on to : Chapter 2: Principles of Adherence and Motivation

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