A look at the current status of accreditation, certification and licensure.
There is much talk about certification, accreditation and licensure in the fitness industry today. Whatever might be said about this trio of topics, a couple of points can be underscored: they inspire passionate discussion among industry leaders and other professionals alike; and the terms themselves and their word cousins can be very confusing. So confusing, in fact, that this article contains its own glossary to ensure that readers can navigate through and clearly understand the differences.
Where do you stand on these topics? Do you know whether your certifying agency is accredited by a recognized source? How important is that? You will find guidance on these questions and many others in this, IDEA’s most current and in-depth research on the subject to date. >>
In 2002, the International Health, Racquet & Sportsclub Association (IHRSA) began working with fitness industry leadership on an initiative to “promote safety for consumers working with personal trainers in health clubs.” So states the opening paragraph of IHRSA’s April 2008 accreditation announcement to its members.
From that initial plan came the recommendation by IHRSA that, as of January 1, 2006, “member clubs hire personal trainers holding at least one current certification from a certifying organization/agency that has begun third-party accreditation of its certification procedures and protocols from an independent, experienced, and nationally recognized accrediting body” (see the sidebar “Defining the Terms Surrounding Certification”). Since that recommendation, a lot has changed for personal trainers and consumers in the industry.
Today, trainers have the security of knowing their certification is a respected document no matter where they go, and consumers have the reassurance of knowing more about the qualifications of their trainers. Most health clubs now require their trainers to hold a certification, and give preference to those that are awarded by accrediting organizations. What’s more, a majority of certifying agencies now follow IHRSA’s recommendation by becoming accredited through an accrediting body that meets the IHRSA standards of being “recognized by the Council for Higher Education Accreditation and/or the U.S. Department of Education for the purposes of providing independent, third-party accreditation.”
Some organizations were out in front of that recommendation and already had accredited certifications in place. For example, the National Commission for Certifying Agencies (NCCA) accredited the National Strength and Conditioning Association (NSCA) in 1993 for its Certified Strength and Conditioning Specialist (CSCS®) program and in 1996 for its Certified Personal Trainer (NSCA-CPT®) program, making it the first organization to offer an accredited personal trainer certification, according to Mark Roozen, director of certification for NSCA, headquartered in Colorado Springs, Colorado. The first agency to offer an accredited Group Fitness Instructor certification was the American Council on Exercise (ACE), in 2003. In that same year ACE received accreditation for its Personal Trainer and Lifestyle & Weight Management Consultant certification programs. With more than 40,000 ACE-certified fitness professionals working in 107 countries, and about 36,000 NSCA trainers (25,000 CSCS and 11,000 CPT) in 59 countries, that is quite an impact on the professionalism and reputation of the industry, especially taking into account that those are just two of the accredited certifying agencies.
According to Joe Moore, president and chief executive officer (CEO) of Boston-based IHRSA, “the industry should regulate itself rather than have outside forces who know little of our industry do it.” The recommendation for third-party accreditation came from IHRSA as a result of several factors—adverse publicity regarding sites where trainers could get “certified” by doing almost nothing; a desire to protect clients and health clubs; quality assurance; and a belief that the industry should govern itself.
“As an advocacy organization, it is important to us that trainers be qualified,” states Moore. “We want to support policies that help our member businesses grow and alert our members when the government tries to do things that might hurt their businesses. We have a public policy division that tracks proposals and mobilizes our members to act.”
For example, IHRSA mobilized its members and spoke out against an October 2008 attempt by the New Jersey Senate to require licensing for personal trainers on the grounds that the bill ignored the great majority of the personal training industry that has embraced accreditation; nominated a single certifying body over an entire market of accredited certifying bodies; established requirements that would increase costs for trainers and consumers; established arbitrary education requirements; and required unworkable and expensive oversight. (For more information, see the sidebar “U.S. Legislation” in this article and “Personal Trainer Licensing Debate” in the Making News column.)
For trainers trying to decide which organization they should be certified by, there are a variety of choices, with some significant differences. There are certain factors to weigh that can narrow the options. First, several organizations meet IHRSA’s standards for accrediting bodies. The National Organization for Competency Assurance/National Commission for Certifying Agencies (NOCA/NCCA) is probably the most familiar to trainers, as it has awarded accreditation to many of the certifying agencies (see the sidebar “Certifying Agencies Accredited by NCCA”). Although the two acronyms are usually written together, there is a difference between the two: NOCA is a membership organization that sets quality standards for credentialing bodies, with a focus on certification, licensure and human resource development, while NCCA is responsible for accrediting programs and organizations. IHRSA recognizes several other accrediting bodies, including the Distance Education Training Council (DETC), the American National Standards Institute (ANSI) and others recognized by the Council for Higher Education Accreditation (CHEA) and the U.S. Department of Education.
An estimated 90 organizations offer a variety of fitness- related certifications. ACE chose to become NCCA-accredited as a way to highlight the excellence, rigor and value of the ACE certification. As one of 10 NCCA-accredited fitness certification agencies, ACE feels that the accreditation makes it easier for aspiring fitness professionals and consumers alike to make an informed choice about certification, while clearly distinguishing between qualified and unqualified fitness professionals.
“By earning an NCCA-accredited certification, fitness professionals demonstrate that they are qualified to take a legitimate place on the healthcare continuum. This is critical for developing an appropriate level of professional recognition within the field. This awareness continues to positively impact reputation and compensation levels,” says Scott Goudeseune, president and CEO of San Diego–based ACE. Since the accreditation went into effect, Goudeseune has seen the benefits of that recognition for ACE, while noting that the ACE exam was already so comprehensive that all ACE professionals were not required to resit for certification following the accreditation. “We have seen an increase in professionals holding nonaccredited credentials coming to ACE to earn a credential that holds the NCCA seal. They are seeking to keep or earn a job that requires the credential. In addition, ACE has seen an increase in the number of colleges offering the ACE University/College Curriculum, including Stanford University and the College of William and Mary.”
The American College of Sports Medicine (ACSM) is another NCCA-accredited certifying body; the very first to certify health fitness professionals, it has four accredited programs—Personal Trainer, Health Fitness Specialist, Clinical Exercise Specialist and Registered Clinical Exercise Physiologist. According to Richard Cotton, MA, national director of certification for ACSM in Indianapolis, Indiana, “We chose NCCA because we feel it’s the only true, across-the-board accreditation process.”
Laura Fast, MBA, credentialing certifications director at the Cooper Institute in Dallas, which is also accredited by NCCA, mentions other benefits. “With accredited examination programs, certified personal trainers now have a better understanding of the level of responsibility they have in their profession, which (has) resulted in higher levels of trainer quality. The Cooper Institute has gained a better understanding of our role in the industry, too. Through changes in our certification renewal program, we are working to empower certificants to take charge and responsibility for planning and achieving their career potential.” Fast sees accreditation as a first step in providing the public with something on which to base decisions. “As the industry grows, I’m sure that additional ways will be identified to help the public understand the value, importance and quality of certified personal trainers.”
Also following the IHRSA-recommended path toward accreditation is the Aerobics and Fitness Association of America (AFAA). Based in Sherman Oaks, California, AFAA has submitted an application to the DETC. According to Linda Pfeffer, RN, president of AFAA, “We chose to seek accreditation from an organization that is approved by the U.S. Department of Education and CHEA,” which is consistent with AFAA’s requirement that its certified trainers must pass both written and practical examinations.
While holding a strong commitment to certification, most of the remaining certifying bodies have not opted to pursue accreditation, as it does not align or may not be relevant to their mission. For example, Jazzercise offers a personal training track called Personal Touch, which is a class format under the Jazzercise umbrella. Before becoming a franchisee, every instructor is trained and certified in a manner that is specific to Jazzercise’s mission and goals. The case is similar for a number of specialized brands (e.g., STOTT Pilates®, Drums Alive™ and Turbo Kick® programs, etc). Both certifications and certificates are offered for these types of programs.
One organization that does not offer courses, classes or continuing education is the National Board of Fitness Examiners (NBFE). What it does offer is a “single, nationally standardized written and practical examination for personal fitness trainers” with an eye toward placing those who pass the exam on a national registry. Sal Arria, DC, president of the NBFE, explains its interest and role in having a standardized test. “The NBFE recognizes that third-party accreditation is one way to determine if a certification organization meets a standard stipulated by that accrediting body. This does not supersede the need for a summative examination based on standards derived from the fitness industry.” But where does the NBFE fit into the puzzle then?
This is where the issue of licensing may come in, and the NBFE is planning for that possibility. “While the NBFE has not taken any formal position to advocate state licensure or regulation of any fitness professionals,” states Arria, “the Board Examinations of the NBFE are properly positioned to be used in such proposals.” The NBFE website further elucidates that “if a state licensing program adopts the National Boards as its licensing exam, then a fitness professional who takes and passes the National Boards will have satisfied that state’s requirement to take and pass a licensing examination.” In other words, if a nationally recognized industry standard were in place, according to the NBFE, then personal trainers would be able to practice in multiple states or move from one state to another without needing to retest.
While no states had mandated licensure as of the end of 2008, legislation has been proposed in a number of places (see the sidebar “U.S. Legislation”). With this possibility in mind, AFAA “has chosen to utilize the NBFE’s extensive domain analysis in the development of AFAA’s current Personal Fitness Trainer Certification V3 course, thereby preparing trainers for both AFAA’s certification process and the NBFE exams.” What this means is that AFAA does not require its certified trainers to take the NBFE exam, but it does recommend it, as AFAA views the exam as a unifying step that will allow all trainers—including those certified by other organizations, those who are not certified and those with a 4-year degree—to be viewed as true “allied health professionals.” Then, according to Pfeffer, “the confusion will stop—and states may no longer see the need to license—when it becomes clear that the NBFE provides objective, industry-developed, nonpartisan testing and educational criteria.”
Is the rest of the world the same as the United States when it comes to accreditation, licensure, certification and registration? Yes and no. A desire for professionalism, recognition, education, standards and quality can be found everywhere, but the path to these goals differs from country to country. In Brussels, Belgium, the European Register of Exercise Professionals (EREPS) is an independent process for registering trainers working across Europe in a central European database. This includes 35 national registers from countries and states across Europe—e.g., REPs UK is part of EREPS.
EREPS director Cliff Collins says that “increasingly, registration by exercise professionals is viewed as a license to practice.” In order to qualify for registration, trainers must “demonstrate reasonably that they have the skills, knowledge and competencies required to meet the European Health & Fitness Association (EHFA) standards. Members must also have adequate liability insurance; EREPS has a specially designed policy that covers our registered trainers everywhere in the world except the U.S. To maintain their registration, members have to complete continuing professional development, and they have to abide by a code of ethics.” The EHFA accreditation process allows training organizations to apply for their programs to be mapped against the EHFA Standards and Competence Framework, not against each other.
Here is an example:
The EHFA has accredited the personal trainer program for the European Institute of Fitness (EIF). Once a trainer has successfully completed the EIF course, that trainer can become registered with EREPS and confidently apply for jobs throughout Europe and any other country that recognizes the EHFA and EREPS.
While no universal set of standards exists for fitness professionals, Collins says that the closest thing would be the standards put in place by the EHFA. Countries such as Canada, South Africa, the United Kingdom, Australia and New Zealand are part of an international partnership between registration bodies—the International Confederation of Registers of Exercise Professionals (ICREPS)—that follow the EHFA standards. Through this affiliation, personal trainers can work outside of their country of origin.
Ken Baldwin, director of QPEC (Quality Products, Education & Conditioning) in Brisbane, Australia, explains how certification and registration work in his country , which has a similar setup to other places. “Until July 2008, each state/province was responsible for the registration of all their own personal trainers. Now all registrations come under Fitness Australia, which is the national governing body that oversees everything. To remain current in your registration, you must obtain continuing education credits by undergoing further training at conferences and workshops. No training for trainers is done by Fitness Australia; it is all done by outside training organizations.”
In South Africa, there was no national body for overseeing registration of personal trainers when this article was in production, but an oversight body was expected to be in place by the end of 2008 or early 2009. “The goal is for all training organizations to obtain accreditation from a (government-approved) body,” states Franciska Venter, research and development specialist at Virgin Active in Cape Town. Venter has been involved in the process for the last 3 years as part of a committee focused on establishing the constitution and workings of the fitness regulation board. “Training must be to agreed standards, within a national framework wherever possible, as it’s no good if someone is trained in one province if their qualifications are not recognized in another. Also, it isn’t ideal for one employer to increase staff members’ skills if another employer doesn’t recognize them.”
As 2009 rolls on, what else is on the horizon regarding issues that are important to personal trainers? At the Cooper Institute, Fast shares that “a primary focus will be on helping certified personal trainers continue to grow in the field. Along with this is an exciting opportunity that will soon be available for organizations like the Cooper Institute that offer knowledge-based certificate programs in addition to accredited certification programs. NCCA is developing a standards-based process much like the certification accreditation process that will allow continuing education providers to demonstrate quality measures for their programs, and we look forward to that.”
Goudeseune is also looking ahead with optimism. “ACE will continue to work with the NCCA to maintain accreditation of [ACE] certification programs for the benefit of the public and the advancement of the fitness profession.” One important change at ACE for 2009 is its requirement, effective January 1, that “all new and renewing ACE-certified professionals in the U.S. and Canada must hold both a current CPR and AED card.”
At IHRSA, Moore says there is nothing unusual on the agenda, but “if something comes up, we will react [on behalf of all IHRSA members].”
At ACSM, Cotton believes that, owing to the economic situation and the cost to states, there probably won’t be much happening in 2009 regarding licensure. On a final, optimistic note, he comments that “the industry is more professional than it has ever been.” So it is, and so it shall continue to be!