Candidate Profile

College graduates with and without health-related degrees, experienced fitness professionals working with older adults or individuals with chronic conditions.

Work Setting

Commercial health clubs, community/public health settings, hospitals/rehabilitative, research-based university/clinical, corporate fitness centers

Scope Of Practice(abridged)

Utilizes a basic understanding of cancer diagnoses, surgeries, treatments, symptoms and side effects to assess, develop exercise programs and train clients who are in any of the various stages of cancer diagnosis and/or treatment.

Performs appropriate fitness assessments and makes exercise recommendations for clients who have been cleared by their physician for independent physical activity.

Recommended Competencies

Knowledge of and ability to discuss cancer diagnoses, surgeries, treatments, and side effects with the cancer survivor and his/her family and health care providers

Knowledge of and ability to discuss how exercise may improve quality of life following a cancer diagnosis, and potentially improve prognosis

Knowledge and ability to describe cancer specific benefits and risks of exercise training before, during and after cancer treatment

Knowledge, skill and ability to select an appropriate exercise program and/or modify the exercise program based on time since diagnosis and cancer-specific surgeries, treatments, side effects, and other non-cancer related morbidities

Understanding of the potential impact of cancer therapy, especially surgery and chemotherapy, in putting cancer patients at increased risk of injury and other complications, such as lymphedema, from exercise

Knowledge to evaluate adverse responses to exercise training and how to appropriately modify exercise program and/or when to seek clinical consultation, especially for the client who is currently receiving treatment.



Exercise Prescription and Programming 22%
Health Appraisal, Fitness and Clinical Exercise Testing 15%
Exercise Physiology and Related Exercise Science 10%
Clinical and Medical Considerations 12%
Physiology, Diagnosis, and Treatment 12%
Safety, Injury Prevention, and Emergency Procedures 9%
Human Behavior and Counseling 8%
Nutrition and Weight Management 7%
Program Administration, Quality Assurance and Outcomes Assessment 5%

American College of Sports Medicine

and The American Cancer Society