Journal article

Exercise Professionals with Advanced Clinical Training Should be Afforded Greater Responsibility in Pre-Participation Exercise Screening: A New Collaborative Model between Exercise Professionals and Physicians

Andrew J Maiorana, Andrew D Williams, Christopher D Askew, Itamar Levinger, Jeff Coombes, Bill Vicenzino, Kade Davison, Neil A Smart, Steve E Selig



Regular exercise improves health but can also induce adverse responses. Although such episodes are rare, many guidelines for pre-participation exercise screening have historically had a low threshold for recommending medical clearance prior to the commencement of exercise, placing the responsibility for decision making about exercise participation on physicians. The 'clearance to exercise' model still occurs widely in practice, but creates cost burdens and barriers to the uptake of exercise. Moreover, many physicians are not provided the training, nor time in a standard consultation, to be able to effectively perform this role. We present a model for pre-participation exercise screening and ..

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University of Melbourne Researchers


Awarded by National Heart Foundation of Australia

Funding Acknowledgements

Associate Prof. Levinger was supported by a Future Leader Fellowship (ID 100040) from the National Heart Foundation of Australia. The authors would like to thank Associate Professor Julien Freitag, Professor Andre La Gerche, and Dr. Sharon Stay for providing medical expertise in the development of this paper.