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For 32 years, I’ve watched the fitness industry package hope into certifications. A weekend course, an online test, or a shiny new title promises to transform a personal trainer into a professional capable of managing clients with medical conditions. The illusion is powerful. Fitness professionals invest thousands chasing letters after their names, believing the more acronyms they collect, the more competent they become.

Please, do not think I or the Medical Exercise Training Institute is exempt from this situation. Our Medical Exercise Specialist certification has been in existence 32 years, and we’ve certified thousands of fitness professionals. So, I am complicit in this perpetuation of certification of competence. We are also guilty. 

But here’s the truth most don’t want to hear: certifications give the allure of competence, not the reality of it.

Competence in medical exercise training doesn’t come from passing an exam. It comes from consistent, structured practice. It comes fr...

MET 101 Tip #42: Be Transparent—Publish Your Rates and Communicate with Confidence - Clients Don't Like Secrets!!

In Tip #42 of the MET 101 series, Dr. Mike emphasizes a vital business principle for MedExPROs: be upfront about your pricing. Far too many professionals hide their rates or hesitate to discuss them. But if you're offering high-value, outcome-driven medical exercise services, there's no reason to keep your pricing under wraps.

Dr. Mike urges every MedExPRO and ME facility to publish their service fees openly. Sharing your pricing on your website or brochures communicates professionalism, confidence, and transparency. Practitioners like Rich Ga in Victoria and Jason Hodge in Houston already lead by example—publishing fees for assessments, sessions, and programs with great success.

Physicians don’t need a printed fee sheet, but when speaking with them, you must be able to clearly explain what you charge and whether your services are reimbursable. When a doctor asks, “Does ...

Closing the Gap After Therapy -  A Step-by-Step Guide for MedExPROs

For decades, physicians have relied on physical therapy, surgery, or medication as the “next step” after injury or illness. But when those interventions end, many patients are left with lingering deficits—trouble climbing stairs, stiffness in their shoulders, difficulty with daily tasks. They’re discharged from therapy, but not restored to full function.

This is the gap that Medical Exercise Training fills. And it’s where you—the Medical Exercise Professional (MedExPRO)—become essential.

Your job is NOT to treat or diagnose, but to provide safe, progressive exercise programming that helps clients regain full function after therapy. But here’s the challenge: most physicians have never worked with a MedExPRO. They don’t know you exist—yet.

That means it’s up to you to make the introduction. And yes, that can feel intimidating. Many MedExPROs hesitate because they worry:

• What if the doctor brushes me off?
• What if ...

Master Your Practice: Why Systems Are Your MedExPRO Superpower

For Medical Exercise Professionals (MedExPROs), success isn’t built on anatomy knowledge alone or even on your ability to design creative workouts. Those are important skills, but they’re not what truly drives long-term success. What separates sustainable, trusted, and referral-ready practices from those that struggle is one thing: well-defined systems.

If you want to elevate your practice, attract steady referrals, and earn recognition from medical professionals, then building and implementing robust systems is your next essential step.

What Exactly Is a "System"?

A system is your repeatable, documented, step-by-step process for delivering services. It covers every stage of the client journey—from first contact through long-term follow-up.

Think of it as your practice roadmap. A complete system defines:

• How you assess clients
• How you identify functional deficits
• How you set goals
• How you design and progress exer...

| 🎯 Only 12 Seats | 🚨 Final Workshop of 2025

⏱️ Stop Guessing. Start Bridging the Gap Between Healthcare & Fitness.

The Medical Exercise Specialist Workshop gives you the skills, systems, and credibility to manage medical clients, attract physician referrals, and grow a sustainable practice.

The Challenges Every MedExPRO Feels

If you’ve been in the fitness or rehab field for any length of time, you’ve probably felt these frustrations:

❌ You’re confident training healthy clients… but nervous with complex cases. When a client walks in with diabetes, osteoarthritis, or post-surgery clearance, do you find yourself second-guessing your program design?
⚠️ You’ve taken certifications… but still don’t have referrals. Too many MedExPROs think another certification will open doors — but doctors don’t care about your wall of certificates. They care about results, documentation, and professionalism.
😖 You want physician referrals… but don’t know what to say. Do you stumble when you try to e...

“How to Land Your First 3 Medical Referrals”
One conversation with the right doctor can change your practice.

But how do you follow up without sounding pushy?

The MES App gives you Referral Follow-Up Templates so you can strengthen relationships with doctors while proving your professionalism.

📑 Example inside the App:
“Dear Dr. Patel, after 6 sessions, Ms. Daniels’ balance and stair-climbing have significantly improved. Attached is her progress note…”

👉 Build trust. Win referrals. Grow your practice.
Start today: www.MedicalExerciseSpecialistApp.com
🔥 Founder’s Offer ends August 23.

It's Here.....The Medical Exercise Specialist App

Your 24/7 Business Coach, Referral Engine, and Practice Builder
Only $19.99/month through August 23rd

Stop Struggling Alone. Start Building a Real Practice.

You became a Medical Exercise Professional (MedExPRO) because you wanted to help people with medical conditions regain their lives. But let’s be honest…

• You’re overwhelmed trying to figure out how to get referrals from doctors and therapists.
• You’re unsure what to say when you finally get in front of a physician.
• You’re constantly reinventing the wheel with program design, documentation, and progress tracking.
• You know your practice could grow, but you don’t have the systems, templates, or strategies to get there.
• You feel stuck—trained, certified, but not confident you can turn this into a full-time, profitable business.

Sound familiar? You’re not alone.

That’s why we created the MES App—to put 31 years of proven Medical Exercise Training experience in your pocket, av...

How James Built a 6-Figure Medical Exercise Practice with the MES App

Medical Exercise Professionals (MedExPROs) everywhere share the same frustration:

• You’ve invested in certification and advanced training.
• You know how to design safe, effective programs for clients with medical conditions.
• You believe in the value of what you do.

But when it comes to turning that knowledge into a steady stream of referrals and a profitable practice, you’re left asking… “How do I actually make this work?”

That’s where the story of James comes in—and how the MES App became the game-changer that took him from struggling trainer to six-figure MedExPRO.

James’ Struggle: The MedExPRO Reality

When James first completed his certification, he had the skills but not the systems.

He was working long hours, trying to:

• Convince doctors to refer him clients (without knowing what to say).
• Design programs for complex clients (reinventing the wheel every time).
• Keep his notes and documentation organ
...

In Tip #41 of the MET 101 Tips eBook series, Dr. Mike tackles one of the most frequently asked—and crucial—questions for MedExPROs: “What should I charge for my medical exercise (ME) services?” His answer is rooted in experience, professionalism, and long-term sustainability for your practice.

Dr. Mike’s formula is simple but strategic:

• Find your local personal training rates—both for assessments and sessions.
• Charge 25% to 50% more for ME training sessions.
• Charge at least 50% more for your ME assessments than a standard personal training assessment.

Why the higher price tag? Because as a MedExPRO, you're delivering more than a workout. You’re investing in advanced education, communicating with medical professionals, and designing programs based on functional outcomes—not just fat loss or fitness trends. Your services are a vital extension of the healthcare system, and that added value must be reflected in your pricing.

Dr. Mike also makes a critical distinction between a sc...