CERTIFICATION PREP

Decision-Training for Exercise Physiology Certifications

Three certifications. One methodology. We don't replicate textbooks — we train the clinical decisions candidates are expected to make from those textbooks.

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All prices in USD. One-time payment. Lifetime access including all future updates.
EARLY ACCESS
ACSM

Exercise Physiologist
ACSM-EP®

Master the screening, testing, prescription, and counseling decisions across all 4 exam domains. 60 branching Engrams, 375 mock exam questions, 5 case studies, and 38 guided lessons.

Included: 60 Engrams · 38 Lessons · 5 Case Studies · 54 QDD Items · 3 Mock Exams (375 Q) · Diagnostic Pre-Test · 5 Reference Sheets
Rolling out 2026: 12 Advanced Masterclasses
$299$99
Early Access — Lifetime access. All future content included.
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COMING 2027
ACSM

Clinical Exercise Physiologist
ACSM-CEP®

Clinical decision-training for hospital and rehabilitation settings. Advanced ECG, pharmacology, cardiac rehab, and exercise prescription across cardiovascular, pulmonary, metabolic, and neuromuscular populations.

All 6 CEP exam domains · Advanced clinical assessment · Complex exercise prescription · Program leadership
TBD
Pricing announced at launch
Join the Waitlist →
COMING 2027
CSEP — CANADA

Clinical Exercise Physiologist
CSEP-CEP™

Decision-training for the Canadian certification. All CSEP-CEP core competencies with Canadian protocols, guidelines, and assessment frameworks — from healthy populations to chronic conditions.

All CSEP-CEP core competencies · CSEP-PATH protocols · Canadian PA Guidelines · Get Active Questionnaire
TBD
Pricing announced at launch
Join the Waitlist →

ACSM-EP® — Full Curriculum

Five courses. Four exam domains. One integrated preparation system.

I · Assessment II · Prescription III · Counseling IV · Legal & Pro V · Integration
DOMAIN I

Health & Fitness Assessment

33% of the ACSM-EP Exam

Master the screening, testing, and interpretation decisions that form the foundation of exercise physiology practice. From pre-participation clearance through cardiorespiratory, musculoskeletal, and body composition assessment.

20
Decision Engrams
19
Guided Lessons
8
Sections
Guided Lessons — Foundations
L36Preparticipation Screening Algorithm & CVD Risk Factors
L01Oxygen Transport & Delivery Fundamentals
L02VO₂ Kinetics: From Rest to Steady State
L03Ventilatory Control & Gas Exchange Basics
L04Lactate Physiology & Threshold Concepts
L05Cardiac Output, Stroke Volume & HR Responses
L06METs, Energy Systems & Substrate Utilization
L07Submaximal Testing: Principles & Assumptions
L08HR & BP Physiology for Testing
L09RPE: Physiology & Practical Application
L10ECG Basics for the Exercise Physiologist
L11Sensitivity, Specificity & Predictive Value
L12Field Walking Tests: Protocols & Norms
L13Muscle Fiber Types & Adaptations
L14Strength vs Endurance vs Power: Concepts
L15DOMS, Recovery & Adaptation
L16Flexibility & ROM: Physiological Basis
L17Biomechanical Principles for Exercise
L37Body Composition: Methods, Techniques & Norms
Decision Engrams — 4 modules (SCORM 01–04)
#01
Preparticipation Screening & Clearance Logic
FLOW
#02
Red Flags at Rest vs During Exercise
ENG-B
#03
Medication Effects on Testing Interpretation
SPOT
#04
Risk Stratification Application
ENG-I
#05
VO₂max Testing Interpretation
ENG-I
#06
Submaximal Testing Interpretation
ENG-B
#07
Ventilatory Thresholds & Exercise Prescription
ENG-I
#08
Blood Pressure Response to Exercise
SPOT
#09
Abnormal Heart Rate Responses
ENG-B
#10
Test Termination Criteria
FLOW
#11
ECG Abnormalities: Interpret vs Refer
ENG-B
#12
Gas Exchange Anomalies
ENG-B
#13
Diagnostic Value of Exercise Testing
ENG-I
#14
Exercise Test Protocol Selection
SPOT
#15
Strength Testing: 1RM vs Estimates
COMP
#16
Muscular Endurance Test Interpretation
ENG-B
#17
Flexibility Assessment Interpretation
ENG-B
#18
Balance & Neuromotor Test Interpretation
ENG-B
#19
Body Composition Method Selection
COMP
#20
Body Fat Distribution & Health Risk
ENG-B
Recommended starting point

No prerequisites. The foundational lessons build the physiology knowledge needed for the Engrams.

DOMAIN II

Exercise Prescription & Programming

40% of the ACSM-EP Exam

The largest exam domain. Prescribe exercise across the FITT framework, manage progression and regression, and adapt programs for special populations and clinical conditions including cardiovascular, pulmonary, metabolic, and musculoskeletal disease.

24
Decision Engrams
14
Guided Lessons
9
Sections
Guided Lessons — Foundations
L38FITT Framework & Program Design Principles
L18Energy Balance & Weight Management
L19Hydration & Thermoregulation
L20Common Medications & Exercise Effects
L21Beta-Blockers, Antihypertensives & Testing
L22Psychotropic Medications & Exercise Response
L23Pathophysiology of Common CV Conditions
L24Pathophysiology of Pulmonary Conditions
L25Pathophysiology of Metabolic Conditions
L26Basics of Neurologic Conditions & Exercise
L27Physiological Changes in Pregnancy & Exercise
L28Age-Related Physiological Changes
L29Sex Differences in Exercise Physiology
L30Transgender & Gender Diverse: Considerations
Decision Engrams — 5 modules (SCORM 05–08, 11)
#21
FITT Principle Decision Logic
FLOW
#22
Aerobic Intensity Prescription: Method Selection
COMP
#23
Resistance Training Prescription Decisions
ENG-I
#24
Concurrent Training Conflicts
SPOT
#25
Progression vs Regression Decisions
ENG-I
#26
RT Exercise Order & Selection
SPOT
#27
Flexibility Prescription Decisions
ENG-B
#28
Periodization & Program Design
COMP
#29
Neuromotor & Balance Prescription
ENG-B
#30
Integrated Program Design
FLOW
#31
Exercise Rx for Hypertension
ENG-B
#32
Exercise Rx for Type 2 Diabetes
ENG-I
#33
Exercise Rx for Obesity & Weight Management
COMP
#34
Exercise Rx for Older Adults
FLOW
#35
Exercise Rx for Pregnancy
ENG-B
#36
Exercise Rx for CAD & Cardiac Rehab
ENG-I
#37
Exercise Rx for Heart Failure
ENG-B
#38
Exercise Rx for COPD & Pulmonary Disease
ENG-B
#39
Exercise Rx for Arthritis
ENG-B
#40
Exercise Rx for Osteoporosis
COMP
#49
Treadmill Metabolic Equations: Walking vs Running
ENG-I
#50
Cycle & Arm Ergometry Calculations
ENG-I
#51
Intensity Prescription Methods: Reserve vs Max
COMP
#52
Energy Expenditure & Unit Conversions
ENG-I
Prerequisites

Course 1 (Health & Fitness Assessment) recommended. Many Engrams build on the testing and interpretation skills from Domain I.

DOMAIN III

Exercise Counseling & Behavioral Strategies

20% of the ACSM-EP Exam

The human side of exercise physiology. Behavior change models, motivational interviewing, adherence strategies, and the critical skill of knowing when to refer.

5
Decision Engrams
3
Guided Lessons
2
Sections
Guided Lessons — Foundations
L31Behavior Change Models Overview
L32Motivational Interviewing: Principles & Skills
L33Barriers to Adherence & Relapse Prevention
Decision Engrams — SCORM 09
#41
Stage of Change Assessment & Matched Intervention
SPOT
#42
Motivational Interviewing vs Directive Counseling
ENG-B
#43
Self-Efficacy Enhancement Strategies
ENG-I
#44
Relapse Prevention & Lapse Management
ENG-B
#45
Barriers to Adherence & Behavioral Problem-Solving
COMP
Prerequisites

None required. Can be taken in parallel with Courses 1–2. Some Engrams reference clinical conditions from Course 2.

DOMAIN IV

Risk Management & Professional Responsibilities

7% of the ACSM-EP Exam

The smallest domain by weight — but the one where a single wrong answer can end a career. Scope of practice, risk management, emergency procedures, and the legal framework every EP must operate within.

3
Decision Engrams
2
Guided Lessons
2
Sections
Guided Lessons — Foundations
L34Emergency Action Plans: Components & Procedures
L35Legal Foundations for the EP
Decision Engrams — SCORM 10
#46
Scope of Practice & Professional Boundaries
COMP
#47
Risk Management & Legal Liability
ENG-B
#48
Emergency Procedures & Incident Management
ENG-I
Prerequisites

None required. Recommended early — scope of practice and emergency procedures apply across all domains.

TRANSVERSAL

Integration & Exam Prep

Cross-Domain Integration

Where everything comes together. A diagnostic pre-test to identify your gaps, integrated clinical scenarios that cross domain boundaries, case studies, rapid-fire drills, full-length mock exams, and advanced masterclasses.

4
Integrated Engrams
5
Case Studies
54
QDD Items
375
Mock Exam Qs
13
Sections
Diagnostic Pre-Test
DPT
40-Question Diagnostic Assessment — identify your strengths and priority focus areas across all 4 domains before you begin.
Diagnostic · 40 Questions · ~30 min
Integrated Clinical Scenarios — SCORM 12
#53
Screening to Prescription Pipeline
ENG-I
#54
Beta-Blocker & Assessment Validity
ENG-I
#55
Diabetes, Behavior & Exercise Integration
COMP
#56
The Complete EP Decision Sequence
FLOW
Integrated Case Studies — SCORM 13 & 14
CS01
The Cardiac Rehab Transition
Multi-decision case study
CS02
The Diabetic Runner
Multi-decision case study
CS03
The Deconditioned Older Adult
Multi-decision case study
CS04
The Anxious New Client
Multi-decision case study
CS05
Emergency in the Gym
Multi-decision case study
Quick Decision Drills — SCORM 15 & 16
QD01
Termination Criteria: Stop or Continue?
QDD Battery
QD02
Red Flags: Refer or Proceed?
QDD Battery
QD03
Medication Alert: What Changes?
QDD Battery
QD04
Intensity Check: Which Method?
QDD Battery
QD05
Scope of Practice: My Job or Refer?
QDD Battery
Full-Length Mock Exams
ME1
Full-Length Mock Exam 1
125 Questions · Timed · Domain Scoring
ME2
Full-Length Mock Exam 2
125 Questions · Timed · Domain Scoring
ME3
Full-Length Mock Exam 3
125 Questions · Timed · Domain Scoring
Advanced Masterclasses Rolling out 2026
M01
Metabolic Equations Mastery
Masterclass
M02
VO₂ Kinetics: Advanced Interpretation
Masterclass
M03
Load Progression Logic
Masterclass
M04
Concurrent Training Conflicts: Advanced
Masterclass
M05
Program Design Under Constraints
Masterclass
M06
Interpreting Noisy Physiological Data
Masterclass
M07
Clinical Myths & Traps
Masterclass
M08
Medication-Exercise Interactions: Complex Cases
Masterclass
M09
Multi-Morbidity Programming
Masterclass
M10
The Neurologic Client: Exercise as Medicine
Masterclass
M11
The ACSM Screening Algorithm: Deep Dive
Masterclass
M12
ECG Interpretation for the EP
Masterclass
Printable Reference Sheets Rolling out 2026
RS01
Medications & Exercise Effects Quick Reference
Reference Sheet
RS02
FITT Tables by Population & Condition
Reference Sheet
RS03
Test Termination Criteria & Red Flags
Reference Sheet
RS04
Metabolic Equations Cheat Sheet
Reference Sheet
RS05
CVD Risk Factors & Screening Thresholds
Reference Sheet
Prerequisites

Courses 1–4 recommended before starting integration materials. The Diagnostic Pre-Test can be taken first to guide your study plan.

60
Decision Engrams
38
Guided Lessons
5
Case Studies
54
QDD Items
375
Mock Exam Qs
12
Masterclasses SOON

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