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Cancer Exercise Specialist® Advanced Qualification

Earn up to 20 CECS

Become a cancer exercise specialist and learn to help
clients that have been touched by cancer, thrive into survivorship.

What is a Cancer Exercise Specialist® (CES)?

A Cancer Exercise Specialist® (CES) is a professional qualified to assess, design, and implement individual and group exercise programs for individuals diagnosed with cancer.  A CES is skilled in:

  • Evaluating health behaviors and risk factors
  • Conducting comprehensive fitness assessments
  • Writing appropriate exercise recommendations
  • Motivating individuals to modify negative health habits and maintain positive lifestyle behaviors for health promotion.

A CES will have a complete understanding of the entire cancer process from diagnosis to treatment, recovery, prevention of lymphedema, and contraindications.

Learn to help improve the patient’s ability to cope with the mental and physical stress following cancer diagnosis and treatment.


How does a Cancer Exercise Specialist® Advanced Qualification online course differ from
other available cancer exercise training programs?

  • CETI’s comprehensive programming covers 26 types of cancer, as well as pediatrics, with special emphasis on breast cancer and breast reconstruction.
  • ONLY online course that emphasizes INDIVIDUALIZED programming. No two cancer patients are the same and their exercise program should be as individual as they are.
  • Invaluable training and experience in assessment protocol, including goniometry to measure joint ROM, postural assessments and girth measurements to monitor for lymphedema.

Take your online learning to next level with these additional benefits.

  • Have a question?  Get an answer. Contact your instructors by email, phone or blog.
  • Professional development and continuing education as well as a resource library for CETI Cancer Exercise Specialists.
  • Private Facebook group for interaction with other specialists, news, case studies, & updates
  • Want Clients? Receive a complimentary 2-year listing on our International Cancer Exercise Specialist® Directory-bringing clients to you.

Andrea Leonard is the Founder and President of the Cancer Exercise Training Institute

“Andrea knew that her calling in life was to help make a difference in the lives of cancer patients worldwide.” – E.G. Beres

A Personal Journey

At the age of eighteen, Andrea was diagnosed with thyroid cancer and underwent a complete thyroidectomy and radioactive iodine treatment. Following her surgery, Andrea was challenged with a new, sluggish metabolism, and weight gain. It was through her own personal struggles to regain her previous energy level and physique that Andrea decided to become a personal trainer.

Andrea was the PFP/Club Industry 2019 Personal Trainer of the Year. Since 1992 Andrea has been certified as a Corrective Exercise Specialist and Performance Enhancement Specialist by the National Academy of Sports Medicine (NASM), as a Personal Trainer by The American College of Sports Medicine (ACSM), the National Academy of Sports Medicine (NASM), and the American Council on Exercise (ACE), as a Special Populations Expert by The Cooper Institute.

Andrea is a 36 year cancer survivor and has/had 23 first-degree relatives diagnosed with cancer. In 2015, she lost her father, Morton, to complications of bladder cancer and prostate cancer, and myelodysplastic syndrome. Her mother is currently fighting stage 4 metastatic breast cancer after a 23-year remission.

Andrea has written 15 books on the subject of cancer and exercise and is a sought after speaker and author.

The Cancer Exercise Training Institute is considered the gold-standard of education in oncology exercise and has trained more individuals than any other organization in the world.

Approved By:

2.0 CECs

14 CECs

4.0 CECs

22 CECs

1.9 CECs

2.0 CECs

1.7 CECs



Getting Started

  • Welcome! (13:10)
  • About the Instructor
  • Tips for Studying and Passing the Exam

Module 1

  • Module 1 Handbook
  • Dr. LaGaryCarter - Exercise is Medicine (5:19)
  • Andrea Leonard - Cancer Surgeries (89:35)
  • Andrea Leonard - Breast Cancer Surgery and Reconstruction (18:47)
  • Practice Quiz

Module 2

  • Module 2 Handbook
  • Denise Stewart, OT - Exercise Trainers Scar Awareness (34:32)
  • Dr. Dan Mikeska- Cancer and Co-mobiditiesPart I (8:04)
  • Dr. Dan Mikeska- Cancer and Co-mobiditiesPart II (11:18)
  • Andrea Leonard - Upper Extremity Lymph Drainage (7:59)
  • Practice Quiz

Module 3

  • CES Module Three Handbook
  • Andrea Leonard - Exercise Programming for Breast Cancer Part I (10:33)
  • Andrea Leonard - Exercise Programming for Breast Cancer Part II (9:18)
  • Andrea Leonard - Exercise Programming for Breast Cancer Survivors Part III (7:21)
  • Andrea Leonard - Assessment Protocol Part II (8:22)
  • Andrea Leonard - Assessment Protocol Part III (9:25)
  • Practice Quiz

Module 4

  • Module Four Handbook
  • Interview with Dr. De La Melena Part One (10:40)
  • Interview with Dr. De la Melena Part Two (11:35)
  • Module Four Synopsis with Andrea Leonard (16:25)
  • Dr. Jay Harness - Emotional Reconstruction (8:27)
  • Practice Quiz
  • Final Exam for Cancer Exercise Specialist Advanced Qualification (125 question)

Next Steps

  • Getting Your Certificate of Advanced Qualification
  • Getting CEU Credits
  • Renewals


  • Forms
  • Business-builder Mastermind Workshops
  • Customized Exercise Programming Support
  • CES Business Coaching

"I took the ASCM cancer trainer certification last fall. Yours was WAY more practical, and actually helped me to pass my ASCM! In fact, other fitness managers from ... Corp. have been referred to me, asking which certification they should have their Trainers take... Your program actually teaches a Trainer how to work with cancer clients. ACSM is simply a test of knowledge. Thanks for your efforts. I am one Trainer who cares, and so do my clients. They think I am the one and only expert on cancer and exercise, thanks to you!"

Marjie Zimmerman
Virtua Health, Voorhees New Jersey

"I am a huge fan of this training course. As the YMCA strives to better serve our members and certainly this population, this opportunity has been one that we are proud to offer to ensure that our staff are very well trained and knowledgeable…"

Sha Foland
Senior Director of Health & Wellness
El Camino YMCA (YMCA of Silicon Valley)

"Thank you so much for the recent two day training…loved your energy and appreciated your knowledge. You kept the workshop interesting and fun and the audience involved! The workbook was well written and easy to follow. We will shortly be unveiling a full fledged regional cancer wellness program at Sanford; your training helped us greatly with that programming. We look forward to a future return visit from you!.."

Laurie Knutson
Sanford Cancer Center Hematology & Oncology

"…Your course has been invaluable to me. I am currently working with a client that about five years ago had a bilateral TRAM. Her surgeon basically told her she could not do any type of exercise. She is making strides now and is not as fearful about doing the exercise protocol that I learned from your course."

Benita Conway
Personal Trainer

"…As a speech therapist I was really taking this class for my own knowledge regarding lymphedema and exercise; as I see head and neck cancer patients…Your class was very informative and I learned a lot… I really think it helped a lot of nurses and trainers realize that exercise is so important for cancer patients both possibly prior to, during chemo radiation (at least for our head and neck patients)…"

Linda Tyler

"As a naturopathic doctor, I employ a variety of natural therapies such as…While these therapies can be quite restorative and effective in stabilizing victims of cancer, my practice will now take on a new perspective now that I’ve completed your program. You have elevated the role of exercise and cancer survival to a level that nobody else has, and your ability to communicate this message is superb… Every trainer, physical and occupational therapist should be armed with this critical information…"

Glenn B. Gero
Naturopathic Doctor

"…I just wanted to thank you for allowing me to be a part of what you are doing in the cancer world. I have, to-date, received 21 referrals and can't believe the impact we can have on someone’s life…After 24 years in the fitness industry, I once again feel as I am making a difference in my clients lives. It's so empowering to work with people that do NOT take everyday for granted and are motivated to improve every aspect of their remaining time. As selfish as this may sound, I feel that I am getting as much if not more out of this than my clients."

Robert Reed III
Certified Personal Trainer

"I have been using my certification for the last couple years and I have met and worked with probably 75-100 cancer survivors! Not a day goes by that one of them doesn't thank me for what I am doing!"

Jeri Lau
Certified Personal Trainer

"Just a note to let you know how much more effective my program is since your workshop…Three new clients, men, (prostate, liver, kidney cancer) were so thankful that there is finally an exercise protocol which is realistic, hopeful and rewarding…You have truly given my winners a special gift."

Pauli Kosclskey
Personal Trainer

"Your workshop was among the best I've ever taken. The materials were pertinent and intelligible. The presentation flowed beautifully and it was all so very interesting…The workshop was professionally managed and of a quality standard other presenters should emulate...I felt a profound sense of purpose after taking your workshop and loved how it made me more committed to my profession."

Ingrid Tarjan
Tier 4 Trainer at
Equinox and Yoga Instructor

"…felt that your workshop was the best we’ve been to in the last ten years. I’ve been in the health club industry my entire adult life and I’ve attended a lot of workshops and seminars. I was highly impressed and I look forward to using this knowledge. I know that it will make an impact on the community…"

Kimberly Helpenstel
Personal Trainer/Group Exercise Instructor

"I just wanted to let you know how impressed I was with this amazing work you are doing. I learned more in those two days than I can remember retaining from all the personal training/aerobic conventions I’ve ever gone to in the 17 yrs. of doing this. I’m not the best of students without a lot of repetition, and your method of presenting the material helped me to cement the information…"

Marti Murphey
Club Owner/Personal Trainer

"… The workshop was so well presented, informative and at an easy-to-understand level. I would recommend it to any Personal Trainer as a continuing education for their certification…"

Barbara Pantino
Stott Pilates Instructor

"Thanks again for an incredible and inspiring two days! I am not known to sit still, much less inside, for an entire weekend, but you made it easy. As a five year breast cancer survivor myself, I know the power that exercise has in the healing process from cancer surgeries and chemotherapy…. Through this workshop, you have given me the knowledge and tools to truly help other survivors get through their ordeal a little easier. Whatever we as trainers can do to help motivate those survivors will be key in their recovery. Thanks again for driving my passion in exercise and cancer survivors!"

Amy Culp
Certified Personal Trainer & Survivor

"… I have one member in particular that just went through reconstruction that is doing so much better now because of some of the basic stretches taught in your program. I truly believe that every fitness professional should take this class because besides helping those with or recovering from some form of cancer, I have helped many more. Anyone can benefit from what I learned, and the first person I helped was myself."

Kati Coburn
Fitness Manager

"I recommend the Cancer Exercise Training Institute for the Cancer Exercise Specialist Advanced Qualification. The training is top notch for any healthcare and fitness professional pursuing further education in exercise for cancer patients. The Cancer Exercise Specialist Advanced Qualification prepares professionals to recommend exercise programs that help patients manage and even overcome side-effects of cancer treatment/surgery through exercise and movement."

Marcia Jones
Integrative Medicine
Avera Prairie Center

"I just wanted to thank you for such an interesting, useful course. I am currently teaching yoga to oncology patients and I’ve already incorporated some of your suggestions for improving ROM..."

Dodie Georgiades
Certified Personal Trainer

"…It was a breath of fresh air to go to a workshop that was as advertised. Your program was better than I expected and I look forward to reaching out to this market…"

Michael Stagaard

"...this certification is much more practical than the ACSM certification. ACSM is very prestigious as we all know - BUT it is a lot of book knowledge - not so much book knowledge and practical application. I speak to support groups here where I work, my mom was currently diagnosed with breast cancer, and I have also trained several cancer survivors. So thank you for having such a comprehensive training/educational process and tools..."

Ginnie L. Emmott
Exercise Specialist, CES
Folsom Fitness & Rehab Center, Methodist Dallas Medical Center

"...Thank you for the best training I have ever been to relating to the fitness industry. Amazing information; I am very excited to implement the program and your execution of the information was perfect. Thank you, thank you, thank you! ..."

Kristie Agan
Regional Program Director
Central Coast YMCA

"I had the pleasure of attending one of Andrea's cancer exercise specialist workshops, and it was the best workshop I have attended. She was full of knowledge and she had a great structure for learning the information. She single-handedly made me a better personal trainer in one weekend, while preparing me to have the ability and knowledge to help Cancer patients. Truly enjoyed the workshop and it's worth every penny."

Robert Andreasen
CES Specialist

How long do I have access to the course?
How does lifetime access sound? After enrolling, you have unlimited access to this course for as long as you like - across any and alldevices you own.

When does the course start and finish?
You have 180 days from date of purchase to complete the course. 

Does this certification require renewals
In an attempt toensure ongoing competency and to maintain a high standard for qualified professionals, CES qualifications must be renewed every two years. You will be given a two-month grace period after your qualification expires, in which to take the examination. You can purchase the re-qualification at www.thecancerspecialist.com under the professionals tab

What is the refund/cancellation policy?
We want you to be happy with the course! However, if the timing doesn't work, or you are not satisfied with your purchase, you have 14 days to request a refund if you have not moved beyond the Module 1 PDF. After 14 days, or once you access the Module 1 PDF there are no refunds.