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Editorial
ASEPs Role in the
Development and Implementation of State Licensure
Matt Wattles, MS
State regulation of the
exercise physiology profession (licensure) is one of the main goals of
ASEP. Licensure will accomplish many things: it will help protect
public safety by regulating who can practice; it will legitimize the
exercise physiology profession and define us a true profession; it will
increase EP career opportunities; and it will also increase EP salaries
by increasing demand for licensed professionals.
Everything is now in place to implement state licensure. It is now up
to EPs in the individual states to begin the process.
ASEP has modeled EP licensure around many successful health care
professions and have spent the last 8 years building the profession.
First, ASEP is the national governing body of exercise physiologists
with a sole purpose of promoting and develop the profession. ASEP has
developed Standards of Professional Practice which include a Code of
Professional Ethics and Scope of Practice. ASEP has implemented a
successful accreditation program and an EPC Board Certified Exam in
which only degreed EPs are eligible to sit for this exam.
EPs should begin by working directly with their state organizations and
contacting their state legislatures to discuss the need of EP
licensure. ASEP can assist individual states with a licensure plan and
support the states with every step of the process. ASEP has developed
an extensive case for licensure that lists the reasons why licensure
necessary for our profession and the necessary documentation for
licensure. This includes a Case for Licensure & Licensure Bill. The
case is constructed around a federal report entitled, A Proposal for
Credentialing Health Manpower. This report recommends six criteria
state legislators should use to determine if a licensing bill is worthy
of proceeding through the legislative process. ASEPs licensure document
was written so we can easily implement it into any state.
ASEP can assist in ascertaining what states are ready for licensure.
ASEP can assist by developing licensure criteria guidelines which may
include accredited academic programs within the state, by offering the
EPC in the state at least twice and by helping the association increase
the membership number of EPs in that state. ASEP can assist by
beginning a networking campaign in states to develop relationships with
legislatures who can author bills. ASEP can assist with developing
state marketing campaigns through expanded training public relations in
individual states through ASEP sponsored speakers at state EP
conferences and colleges and universities, ASEP news releases and
editorials to media outlets and through development initiatives to
address consumer education programs.
The hard work has been completed and now it is up to the individual
states to step up to the plate and implement the licensure plans. If
you have any questions or would like to help with licensure in your
state, contact Matt Wattles mwattles@asep.org
or Aliisa Criffield aliisaCriffield@asep.org.
Ask the Professor: Your Inside Scoop on
Tough Questions
Note: Ask the Professor
is intended for informational purposes only. It is not to be taken as
healthcare advice. Please do not submit questions of a personal nature
(e.g. fitness programs, nutrition advice solicitation, etc.) Thanks.
Q.) I leaned in a
biochemistry class that fasting and caffeine are good for fat burning.
Is this true?
A.) You're
asking a big question so brace yourself for some underlying
biochemistry and physiology. There are some caveats here so let's keep
it academic and illustrative rather than practical/ personal. From a
biological perspective, fasting for a few hours does result in much
lower insulin concentrations in the blood. This facilitates fat
oxidation because insulin, as a necessary storage hormone, indirectly degrades
the secondary messenger "cyclic AMP" within adipocytes (fat cells).
Cyclic AMP is a signal to "break things down" within a cell such as
glycogen (stored carbohydrate in muscle tissue) and yes,
triacylglycerols (stored fat in muscle and fat issue) so in weight loss
situations, lower insulin concentrations can be helpful. That is, we
don't always want cAMP being degraded. This is not to say insulin is
"bad" by any means; we need it to preserve protein balance/ maintain
muscle mass and other critical bodily functions. We just don't need it
in excess. And of course, when done for long periods, fasting slows
metabolic rate, seriously undermining fat loss efforts.
Conversely, cAMP can
indeed be preserved by "methylxanthines" in coffee and tea (as
they interfere with a cAMP "destroyer" called phosphodiesterase). So
why aren't heavy coffee/ tea drinkers all extremely lean? Because much
of the fat that is broken down and mobilized circulates throughout the
bloodstream of a sedentary person and eventually gets "re-esterified"
(rebuilt) into stored fat. It doesn't get taken up by contracting
skeletal muscle and "burned" on its trip through the blood. So,
mobilizing the fatty acids from adipose tissue is not enough. Moderate
intensity exercise (muscle contractions to take up the circulating
fatty acids) is necessary. It should also be noted that exercise
itself, particularly after fasting for a couple of hours, stimulates
cAMP naturally by way of hormones such as epinephrine (adrenalin). This
is a better long term approach to fat loss because excessive
coffee/ caffeine intake can lead to higher cortisol concentrations over
time, which ironically could worsen central body fat gain according
to relatively new research. Not to mention cardiac arrhythmias (skipped
beats), sleeplessness, anxiety and the other classic side effects of
excess caffeine.
Lastly, the intensity
of the exercise bout affects whether fat or carbohydrate is used as a
fuel source. This is the well-known "crossover effect". Intense
exercise is too rapid/ demanding to allow for fat oxidation.
Carbohydrate (glycogen) must be used. Hence, fasting or drinking a cup
of coffee prior to intense exercise is not as helpful. There is a
school of thought that moderate, non-panting exercise in a
mostly-fasted state can be done frequently and effectively for body
composition improvements. A cup of coffee or green tea would be helpful
in such a situation biochemically although there is no research to my
knowledge directly investigating the all-important end-result of better
fat loss over time. And there is an opposing and equally valid school
of thought that more intense exercise also leads to leanness over time
- as well as cardiovascular benefits. The choice becomes situation (and
client/patient) specific. But again, this Ask the Professor
response was meant to illustrate biochemistry, not provide advice.
Why ASEP?
ASEP offers a downloadable PowerPoint presentation you
should see: "Why Join ASEP?" (just click the link!)
ASEP
Contact Information
Please use this web page (click above) and new email address: contact@asep.org
ASEP is a member of
the Health Profession Network
Check out the HPN Links!
And keep in mind: For
more information on professional scope of practice, professional
standards and code of ethics for exercise physiologists, accreditation
of academic programs, board certification examination, and other
important tasks already completed by ASEP in establishing a profession,
visit: www.asep.org
ADVERTISEMENTS
for more see the ASEP web pages and publications www.asep.org
DIRECTOR EXERCISE
PHYSIOLOGY
Coler-Goldwater Specialty Hospital and Nursing Facility seeks a
Director of Exercise Physiology interested in working in a leading
rehabilitation center to play a vital role in the successful
rehabilitation of our cardiac and general rehabilitation patients.
Hands-on responsibilities include patient evaluations, exercise stress
testing, risk factor management and exercise training. Working closely
with our Cardiology, Immunology and Neurology Departments to perform
complex cardiopulmonary stress testing, pulmonary stress testing,
spirometry and bronchospasm evaluations, also opens the door to
research and education endeavors which our institution finds important
to remain in the forefront of rehabilitation services.
The successful candidate must have a Masters Degree in Exercise
Physiology or closely related field, strong analytical skills and a
minimum of one year of clinical experience in a hospital or cardiac
rehabilitation setting. BLS or ACLS certification is preferred.
Located on beautiful Roosevelt Island in New York City, the facility is
easily accessible from the five boroughs by subway, bus or car and
provides free parking. We offer competitive salaries and an excellent
benefits package including an on-site health club. For immediate
consideration, please send your resume to:
Human Resources Department
Coler-Goldwater Specialty Hospital and Nursing Facility
One Main Street
Roosevelt Island, NY 10044
Fax: (212) 318-4464
E-mail: Orlando.Acosta@nychhc.org.
Equal Opportunity Employer M/F
Yavapai Regional
Medical Center
We currently have two
Exercise Physiologist positions available in our Preventive Medicine
department. Preventive Medicine is a high functioning team of
professionals dedicated to reducing chronic disease or the progression
of disease. The department provides cardiac rehabilitation, pulmonary
rehabilitation, adult fitness, diabetes education, employee health and
wellness services, and other community minded health related programs.
Staff includes registered nurses, exercise physiologists, respiratory
therapists, dietitians, and a medical director all dedicated to
providing high quality services in state of the art facilities.
You must have a Bachelor or Masters degree in exercise science and be
certified ACSM-RCEP or ACSM-Exercise Specialist. A minimum of three
years experience working as an exercise physiologist in the cardiac
rehab setting is also required. Yavapai Regional Medical Center offers:
* Attractive Salaries
* Relocation allowance
* 5% Retirement match
* Benefits begin 1st of the month following start date
* Much more
For more information or to apply, please visit: www.yrmc.org
or send your resume to:
Yavapai Regional Medical
Center
Human Resources Department
1003 Willow Creek Rd
Prescott, AZ 86301
Call toll-free:
(800) 976-9762
Fax: (928) 771-5755
E-mail: recruiter@yrmc.org.
We are an Equal Opportunity Employer.
www.yrmc.org
California State
Polytechnic University, Pomona
3801 West Temple Avenue
Pomona, CA 91768
Assistant Professor in Exercise Physiology,
Kinesiology & Health Promotion Department
Applications are invited for the position of Assistant Professor of
Exercise Physiology. Duties and Responsibilities: Teach undergraduate
and graduate courses in exercise physiology/laboratory and related
areas in exercise science, participate in academic advisement,
supervise masters theses and serve on thesis committees, engage in
research/scholarship and grant writing, and represent the discipline
through departmental, college, university, and community service.
Required Qualifications: Earned doctorate in kinesiology or exercise
science with an emphasis in exercise physiology (PhD required by July
1, 2006). Strong background in exercise physiology required. Additional
preparation in exercise metabolism, muscle physiology, exercise
biochemistry, and research methods/statistics desired. Evidence of
research and grant writing desired. ACSM certification desired. Strong
interpersonal and communication skills required. Date of Appointment:
Appointment begins Fall 2006. To be considered for the position, submit
(1) letter of application, (2) statement of teaching philosophy
including teaching within a multicultural environment, (3) completed
application form, (4) curriculum vitae, (5) official transcripts
showing all graduate course work, (6) a minimum of three recent letters
of reference, and (7) names and contact information for at least two
additional references. Materials must be postmarked by October 15,
2005. If a candidate is ABD, registrars verification is required if the
status is not indicated on the transcript. Inquiries may be directed to
Ms. Charlene Saunders (cmsaunders@csupomona.edu,
909-869-2768, or FAX 909-869-4797). Please request an application form
from and send application materials to:
The Search Committee
Department of Kinesiology and Health Promotion
California State Polytechnic University, Pomona
3801 West Temple Avenue
Pomona, California 91768
The University is an affirmative action/equal opportunity employer.
www.csupomona.edu/~academic/faculty/positions/index.htm
TUCSON MEDICAL CENTER
Attn: Kriss Stewart
5301 E. Grant Road
Tucson, AZ 85712
(800) 526-5353 ext. 42290
Kriss.Stewart@tmcaz.com
www.tmcaz.com
Job Title: Exercise Physiologist
Tucson Medical Center is a strong and growing community hospital that
takes pride in providing outstanding care with state-of-the-art
technology and training. Our success has always relied on the quality
of our staff. TMC has made a strong commitment to creating a work
environment that is both professionally and financially rewarding for
our employees.
Join a team that believes in you and can help you excel in your field.
We offer generous salaries, tuition reimbursement, great benefits and
more, all in a cosmopolitan city with an old town feel and more than
350 days of sunshine a year.
We are looking for an exceptional person to provide cardiac
rehabilitation care to assigned patients. Duties include administering
diagnostic testing procedures to determine extent of patient's
impairment and prognosis for improvement; creating an individual
treatment plan considering specific patient variables such as overall
medical condition, stamina, motivation, etc.; and monitoring and
progressing treatment level.
Minimum qualifications:
Bachelors degree. Two years related experience.
For more information or to apply online visit our website at www.tmcaz.com
Equal Opportunity Employer
Copyright
©1997-2005 American Society of Exercise Physiologists. All Rights
Reserved. All materials posted on this site are subject to
copyrights owned by the American Society of Exercise Physiologists
(ASEP). Any reproduction, retransmission, or republication (in whole or
in part) of any document or information found on this site is expressly
prohibited, unless otherwise agreed to by ASEP and expressly granted in
writing to consent to reproduce, retransmit, or republish the material.
All other rights reserved.