SCOPE OF PRACTICE STATEMENT
MEDFIT EDUCATION FOUNDATION
A fitness professional who has specifically completed the online course titled, Medical Fitness Specialist, or has completed a fitness specialist course focused on a specific chronic disease or medical condition, and through MedFit Classroom, is considered a Medical Fitness Specialist. Through completion of course(s) focusing on a specific condition, the Medical Fitness Specialist has received advanced education and training in that respective medical condition and is qualified to work with clients who have been diagnosed with that respective medical condition. Medical conditions may include, but are not limited to: Alzheimer’s disease, arthritis, cancer, diabetes, heart disease, hypertension, lung disease, multiple sclerosis, neuromuscular disorders, obesity, orthopedic disease, Parkinson’s disease, mental illness, and type 2 diabetes.
Medical Fitness Specialist courses on MedFit Classroom are considered advanced, continuing education, and do not supplant a general comprehensive fitness certification. Individuals completing a Medical Fitness Specialist course on MedFit Classroom are eligible to earn a Certificate of Specialization once they are able to provide evidence of either a current, general fitness certification, or relevant degree in the field, as well as proof of professional liability insurance.
Medical Fitness Specialists shall first and foremost adhere to the scope of practice as defined by their primary fitness certification, shall also follow all local, regional, state, and/or national regulations (e.g., those defined by their accredited certification organizations, national licensing boards, State licensing and/or registration requirements, primary industry trade organizations, etc.), and shall adhere to the procedures and actions applicable to their credentials.
Medical Fitness Specialists shall not diagnose injury, chronic disease, or any other medical condition, nor provide treatment beyond the scope of their training, and shall refer clients with such needs to properly licensed medical and/or allied healthcare professionals. Medical Fitness Specialists are trained to recognize the signs and symptoms suspicious of a disease process in order to understand when an exercise program should be modified or stopped for the client to seek further evaluation and/or diagnosis.
Clients may be referred to a Medical Fitness Specialist by a licensed healthcare professional (i.e., medical doctor, chiropractic physician, physiotherapist, etc.), to participate in a structured physical exercise program, and/or to begin behavioral change programs (e.g., dietary or mental health). This may also include clients who seek a referral for a specific health or fitness goal, and have taken it upon their own merit to begin an exercise and/or behavior change program.
To ensure coordination of care, Medical Fitness Specialists are trained to competently communicate in written, verbal, and/or HIPAA-secure electronic formats with other allied health professionals or healthcare professionals. Medical Fitness Specialists’ communication with, and education of, their client about medical fitness, and/or about a client’s diagnosed medical condition(s), should stay within the scope of their own specific Medical Fitness Specialist course credentials (i.e., specific to the condition in which the Medical Fitness Specialist was trained).
Medical Fitness Specialists are trained to recognize when it is appropriate to refer their client to a licensed healthcare professional, as well as how and to whom their client needs to be referred. For example, Medical Fitness Specialists should refer their client for the following scenarios: (1.) A current client who demonstrates symptoms and signs of an undiagnosed condition or is experiencing an exacerbation or worsening of a current medical condition; Or, (2.) a prospective or current client who would be placed at risk if physical exercise or behavioral change programs were started or continued.
Medical Fitness Specialists are also trained to take a thorough health history, monitor their client through accurate record-keeping and, once again, to work within the scope of their respective education and training. They understand how to create progressive exercise programs for respective medical conditions, monitor and assess the success of a program, make modifications when necessary, and monitor for circumstances that demand the cessation of the program, and/or referral to an appropriate healthcare professional.
Ultimately, the primary goal of a Medical Fitness Specialist is to responsibly guide a client through a medical fitness program that creates improvements in overall health and wellness, consistent with the goals of both the client and their healthcare team.
- Introduction to Module 1: Understanding Substance Abuse Disorders
- Lesson 1 (M1L1): Introduction to Substance Use Disorders
- Lesson 2 (M1L2): The Process of Addiction
- Lesson 3 (M1L3): Diagnosis of Substance Use Disorder and Mental Health Co-Morbidities
- Lesson 4 (M1L4): Treatment for Substance Use Disorders
- Lesson 5 (M1L5): Activity – Attend an Alcoholics Anonymous Meeting
- Introduction to Module 2: Alcohol
- Lesson 6 (M2L1): How Does Alcohol Addiction Begin?
- Lesson 7 (M2L2): The Pathophysiology of Alcohol Use Disorder
- Lesson 8 (M2L3): Short and Long-Term Effects of Chronic Alcohol Use
- Lesson 9 (M2L4): Nutrition Considerations
- Lesson 10 (M2L5): Training Considerations for Clients with Alcohol Use Disorder
- Lesson 11 (M2L6): Assessment and Program Design for Clients with Alcohol Use Disorder
- Lesson 12 (M2L7): Activity – Conduct an Assessment and Create a Program
- Introduction to Module 3: Opiates
- Lesson 13 (M3L1): How Does Opiate Addiction Begin?
- Lesson 14 (M3L2): The Pathophysiology of Opiate Use Disorder
- Lesson 15 (M3L3): Short and Long-Term Effects of Chronic Opiate Abuse
- Lesson 16 (M3L4): Nutrition Considerations
- Lesson 17 (M3L5): Training Considerations for Clients with Opiate Addiction
- Lesson 18 (M3L6): Assessment and Program Design for Chronic Opiate Users in Recovery
- Lesson 19 (M3L7): Activity – Attend a Narcotics Anonymous (NA) Meeting
- Introduction to Module 4: Stimulants
- Lesson 20 (M4L1): How Does Stimulant Addiction Begin?
- Lesson 21 (M4L2): The Pathophysiology of Stimulant Addiction
- Lesson 22 (M4L3): Short and Long-Term Effects of Chronic Illegal Stimulant Abuse
- Lesson 23 (M4L4): Nutrition Considerations
- Lesson 24 (M4L5): Training Considerations, Assessment and Program Design for Clients in Recovery from Chronic Stimulant Abuse
- Lesson 25 (M4L6): Activity – Review and Create S.M.A.R.T. Goals Appropriate for This Population
- Introduction to Module 5: The Mind Body Connection
- Lesson 26 (M5L1): The Practice of Yoga
- Lesson 27 (M5L2): Meditation in Practice
- Lesson 28 (M5L3): Building Rapport
- Lesson 29 (M5L4): Considerations for Yoga/Meditation Practice in the Recovery Population
- Lesson 30 (M5L5): Activity – Listen to a Regular and a Modified Meditation
- Introduction to Module 6: Group Fitness for the Recovery Population
- Lesson 31 (M6L1): Benefits of Group Fitness in the Recovery Population
- Lesson 32 (M6L2): Class Design in the Drug Rehabilitation Facility Setting
- Lesson 33 (M6L3): Music Selection
- Lesson 34 (M6L4): Coaching Skills and Enhancing Class Motivation
- Lesson 35 (M6L5): Activity – Design a Sample Group Fitness Class for an In-Patient Drug Rehabilitation Facility
- Introduction to Module 7: Relapse Prevention
- Lesson 36 (M7L1): Factors That Lead to Relapse
- Lesson 37 (M7L2): The 12-Steps and Relapse Prevention
- Lesson 38 (M7L3): The Role of Exercise in Relapse Prevention
- Lesson 39 (M7L4): Other Addictive Behaviors
- Lesson 40 (M7L5): Activity – Find and List Activities in Your Community Appropriate for Sober Living