ACSM-RCEP study plan
ACSM-RCEP · Give each week a clear focus.
8 weeks · About 7 hours per week
Clinical Exercise Physiology Knowledge and Skills
Map each of the four domains to its weighted percentage and rank your baseline confidence per domain on a 1-5 scale
Define and correctly use the core cardiorespiratory terms (VO2max, submaximal VO2, MET, ventilatory threshold, oxygen pulse, rate-pressure product) in your own written notes
Explain the acute and chronic cardiovascular, respiratory, and metabolic responses to aerobic exercise in healthy versus clinical populations
Interpret a sample resting 12-lead ECG rhythm strip by naming rate, rhythm, and axis without external references
Your checkpoint
A one-page domain-weighting and confidence map plus a 20-term glossary written in your own words
Clinical Exercise Physiology Knowledge and Skills
Differentiate absolute from relative contraindications to exercise testing and list which conditions require physician supervision
Describe the pathophysiology and exercise implications of CAD, heart failure, and hypertension
Compare the physiologic limits of exercise in COPD, asthma, and interstitial lung disease
Calculate and interpret MET levels, rate-pressure product, and estimated VO2 from workload for three practice scenarios
Your checkpoint
A comparison table of six clinical conditions with their key exercise limitations and testing cautions
Clinical Exercise Physiology Knowledge and Skills & Exercise Testing and Prescription for Clinical Populations
Explain the purpose, protocol selection, and end-point criteria for maximal versus submaximal exercise tests
Identify indications for stopping a test and the abnormal responses (ST changes, arrhythmia, exertional hypotension, desaturation) that require termination
Describe the components and interpretation logic of a cardiopulmonary exercise test, including VE/VCO2 slope, anaerobic threshold, and peak VO2
Outline pre-test screening steps including risk stratification and informed consent elements
Your checkpoint
A one-page test-termination and abnormal-response decision checklist
Exercise Testing and Prescription for Clinical Populations
Apply the FITT-VP framework to draft aerobic, resistance, and flexibility prescriptions for cardiac and pulmonary populations
Calculate target heart rate using heart rate reserve, percentage of max, and RPE-anchored methods, and note when each is preferred
Write a resistance-training progression for a deconditioned older adult with hypertension
Identify special considerations for prescribing exercise in diabetes, obesity, and peripheral artery disease
Your checkpoint
Three complete FITT-VP prescriptions for distinct clinical cases with rationale for each parameter
Exercise Testing and Prescription for Clinical Populations & Behavior Change and Health Education
Design a 12-week progressive program for a post-cardiac-rehab patient transitioning to independent exercise
Translate clinical exercise prescriptions into patient-readable instructions at a sixth-to-eighth grade reading level
Explain the transtheoretical model and match two interventions to each stage of change
Apply motivational interviewing techniques (open questions, reflective listening, summarizing) to a written patient dialogue
Your checkpoint
A patient-facing 12-week exercise plan plus a scripted motivational interviewing dialogue of at least 10 exchanges
Behavior Change and Health Education
Describe self-efficacy, health belief, and social cognitive theory constructs and apply each to an adherence problem
Identify common barriers to exercise adherence in clinical populations and match evidence-informed strategies to each
Outline the structure and teaching points of a group education session on exercise safety and self-monitoring
Practice giving feedback on a patient's exercise log in a way that supports autonomy and competence
Your checkpoint
A one-page adherence-strategy matrix linking six barriers to specific interventions and the theory behind each
Professional Practice and Risk Management
Identify the components of an emergency action plan for an exercise facility, including equipment, roles, and drills
Explain infection control, facility safety, and equipment maintenance standards relevant to clinical exercise settings
Describe scope of practice, professional boundaries, and referral obligations for the clinical exercise physiologist
Outline documentation, confidentiality, and informed-consent requirements in patient records
Your checkpoint
A draft emergency action plan for a hypothetical clinical exercise facility covering roles, equipment, and response sequence
Clinical Exercise Physiology Knowledge and Skills & Exercise Testing and Prescription for Clinical Populations & Behavior Change and Health Education & Professional Practice and Risk Management
Re-rank confidence across all four domains and close remaining gaps with targeted review
Complete timed practice sets weighted to the domain percentages and review every missed item to its underlying concept
Rehearse the highest-risk content: test termination criteria, contraindications, and emergency response
Consolidate all prior deliverables into a single indexed review packet for final recall
Your checkpoint
A timed full-length self-assessment with a written error log and a final indexed review packet
Milestones
Week 2: Score at least 80% on a self-written 25-question clinical physiology quiz and correctly classify 10 contraindication scenarios
Week 4: Produce three defensible FITT-VP prescriptions that a peer can follow without asking clarifying questions
Week 6: Demonstrate a 10-exchange motivational interviewing dialogue that a peer rates as mostly reflective and autonomy-supportive
Week 8: Achieve at least 75% on the timed self-assessment with every missed item traced to a concept in the review packet