CSEP-CEP Scope of Practice
The CSEP-CEP Scope of Practice defines the actions and activities that CSEP Clinical Exercise Physiologists™ are qualified and insured to perform under their defined certification.
As a CSEP-CEP, your certification will be widely recognized across Canada and the world; your field of work may include: health promotion, fitness development, colleges and universities, clinical rehabilitation, and sport and athletic programs. You may also work in hospitals, clinics, rehabilitation centres, and fitness centres.
A CSEP-CEP performs assessments, prescribes conditioning exercise, as well as exercise supervision, counseling 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.
The CSEP-CEP will:
Conduct pre-participation screening, administer various health and fitness assessments, prescribe and supervise exercise programs, and provide coaching and healthy lifestyle education to general populations, and those with chronic health conditions, functional limitations or disabilities across the lifespan.
Conduct pre-participation screening using evidence-informed tools that will support recommendations for individual client-tailored physical activity and exercise programs within the CSEP-CEP’s individual knowledge competency.
Accept referrals from licensed healthcare professionals who are trained and licensed to diagnose and treat acute and chronic medical conditions. The CSEP-CEP may clear clients with one chronic health condition to work with a CSEP-CPT. Further medical clearance should be sought if the health condition is unstable.
Use evidence-informed behavior change models to facilitate physical activity and exercise participation, and lifestyle modification.
Interpret the results of comprehensive fitness assessment protocols to determine health and physical function.
Monitor the influence of commonly used medications on the response to sub-maximal and maximal exercise during assessments and/or training sessions.
Use the outcomes from objective health and fitness assessments to design and implement safe and effective physical activity and exercise prescriptions for both healthy and unhealthy populations.
Make general, evidence-informed, dietary recommendations if within the CSEP-CEP’s individual knowledge competency, recognizing when to refer to a registered dietitian for more specialized counselling.
Measure and monitor heart rate, electric activity of the heart (using ECG) and blood pressure (by auscultation unless hearing impaired) at rest, during exercise and post-exercise. These measures can be used to identify, but not diagnose, irregularities during rest, sub-maximal, and maximal exercise.
Conduct group physical activity or exercise sessions with appropriately screened participants. Sessions can include any one or combination of aerobic, resistance, balance, or flexibility exercises within the CSEP-CEP’s individual knowledge competency. Additional training and certification must be sought to ensure that the CSEP-CEP has expert competence for different exercise modalities where necessary.
A CSEP-CEP is NOT sanctioned by CSEP to:
Diagnose pathology based on any assessment or observation.