Medical Records and the Medical Exercise Specialist - MET 101 Tip 9


In the "MET 101 Ebook Tip 9," the focus is on the critical aspect of accessing a client's medical records to create an effective and personalized exercise program. This step is essential for medical exercise trainers and fitness professionals who aim to tailor their exercise regimens based on the specific medical condition and the functional limitations of their clients. The process of and importance of obtaining medical records, including x-rays, blood tests, and operative reports, can significantly influence the design of an exercise program. Make sure to only request the records you need and nothing more.

Key takeaways from the video include:

  1. Obtaining Medical Records: It's crucial to have access to a client's medical records for an effective exercise program, though this may require a written release form signed by the client.
  2. Specific Notation and Consent: Emphasizes the need for clear notation on the release form and obtaining specific client consent, respecting their comfort...
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Defining the Scope of Medical Exercise Training: MET 101 - Tip 5


Key Insights from MET101 - Tip 5: 

In "MET101 - Tip 5," Dr. Mike delves into the nuances of medical exercise training (MET), distinguishing it from physical therapy. This video is a crucial resource for professionals in the medical exercise field, offering clarity on the role and scope of medical exercise training.

Medical Exercise vs. Physical Therapy: Dr. Mike emphasizes that medical exercise training is not medical care, and it is distinct from and should not be confused with physical therapy. MET focuses on managing the residual functional deficits associated with chronic conditions and does not involve medical treatment or terms like "patient" or "therapy."

Understanding the Stages of Care: Physical therapy is crucial in the acute, subacute, and chronic stages to reduce inflammation and restore function. In contrast, medical exercise training is more focused primarily on managing chronic conditions, due to the reduction in licensed therapy services due to...

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Reason 4 - Why Do We Need Medical Exercise Program Directors?!


Celebrating 25 Years of Medical Exercise Program Directors

In 1994, the Medical Exercise Training Institute (METI) introduced the groundbreaking concept of the Medical Exercise Specialist. Fast forward to 2023, and the landscape of fitness and healthcare has transformed dramatically. Medical Exercise Training (MET) isn't just a fleeting trend; it's a crucial, growing field in health and wellness management.


Why Medical Exercise Training is More Than Just Fitness

Medical exercise training has carved out its niche, distinct from traditional personal training. It's a field that demands precision, a deeper understanding of medical conditions, and a comprehensive approach to exercise as a functional restorative tool. MET isn't just about physical fitness; it's about contributing to the health and wellness of individuals with specific medical needs.


The Role of the Medical Exercise Program Director (MEPD)

Navigating the complexities of MET requires a specialized skill...

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7 Steps to Building Your MET Practice


There are 7 steps necessary to build a medical exercise training or post-rehab practice in any setting. We have put these 7 steps into an eBook. Just click the image below. 




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8 MET Communication Guidelines


Medical Exercise Specialists now must communicate with physicians, therapists, and insurance carriers. There are 8 MET communication guidelines every MedXPRO must follow. These MET communication guidelines include:


  1. Communicate accurately and timely
  2. Summarize the client in the first paragraph
  3. Give the reader a clear and concise view
  4. Communication is a courtesy
  5. Use appropriate terminology
  6. Allows you to highlight your skills
  7. Communication is a prime marketing tactic
  8. Written communication is the standard


With insurance reimbursement looming for MET services, effective communication is a must. The MET Documentation & Communication workshop will review and explain MET communication guidelines and systems. MET DOC-COM begins Saturday, February 4th at 10am ET. Register now at

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Managing the Rheumatoid and Lyme Disease Client...MES Masters


Hello Medical Exercise Specialists. We just completed our second MES Masters session. In this session, Wendy Larkin, MES-A of San Francisco, CA presents a client diagnosed with rheumatoid arthritis and Lyme Disease. Dr. Jones serves as the moderator and discusses the key points of anatomy/pathology, the assessment procedures, and exercise modifications for this client. Thanks to Wendy for a great case study presentation!


The MES Masters is designed for medical exercise professionals to share and build their knowledge and skills in managing the most challenging medical exercise clients. The Masters is the next step in growing your MET skills after completion of your MES certification. Join the MES Masters and gain access to our live and recorded case study presentations. Go to to register.


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Medical Exercise Specialist Masters Training Series is Here!!


CALLING ALL MEDICAL EXERCISE PROFESSIONALS!! I know you're seeing more medical exercise training (MET) clients and receiving more referrals from medical professionals. All is well with your medical exercise training practice and you’re looking forward to building referral relationships in 2023. But many of your new MET clients are far more challenging than you expected. Let’s be honest, you aren’t fully prepared to manage and train some of these clients?

That's why we established the Medical Exercise Specialist Master's Training Series! The MES Master's Training Series starts January 5th, 2023. The Masters is designed to help you learn to better manage these complicated and challenging MET clients. The Masters will use a series of “medical exercise case studies”. The case studies are presented by medical exercise professionals (MedXPROs) and medical professionals from around the world. The MedXPRO will share their most challenging clients'...

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Advanced Medical Exercise Specialist Virtual Workshop - Day 2

The Advanced MES Virtual workshop starts in 4 days - October 20 - 23, 2022. Day 2 of the AMES will go deep into a number of areas. These areas require a much greater understanding for a medical exercise professional than a personal trainer.


Histology or the science of tissue healing and maintenance is now am important component for all medical exercise professionals. Also, a new and growing area for MedXPROs is neurology. Managing post rehab stroke, MS and Parkinson's clients, to name a few conditions, will continue to grow over the next 20 years.
Arthrokinematics, the science of joint movement is a must to understand for all MedXPROs working with total joint replacements and arthritis. And finally, "if you can train must document it and communicate what you did". Documentation/communication are the future of medical exercise training.
Histology, neurology, arthrokinematics, documentation and communication are next level MET skills and knowledge needed...

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Advanced Medical Exercise Specialist Virtual Workshop - Day 1

The Advanced MES Virtual workshop starts in a few days - October 20 - 23, 2022. The first day of the AMES will go deep into a number of areas. These areas require a much greater understanding for a medical exercise professional than a personal trainer.

As a medical exercise professional taking a medical history is not as simple as having the client complete a PARQ. Taking and understanding vital signs is a must to determine if the client is appropriate for exercise that day and possibly beyond. FOMs or functional outcome measures are essential in determining if the client is progressing and are understood by both medical and fitness professionals as indicators of client progress. Both manual muscle testing and goniometry are both necessary to communicate to medical professionals the status and progress of the client. These are all skills and knowledge every medical exercise professional must possess to build a strong practice.

None of this is designed to take the place of...

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MET Assessment of the Hip


The MET Assessment Series continues Sunday, September 18th @ 10am ET with the hip. Learn to perform a medical exercise assessment of the hip using goniometric techniques, muscle testing and some special testing procedures. This workshop is not designed to diagnose nor treat any condition. You will learn to thoroughly assess the MET client to determine if he or she is appropriate for MET and develop an effective exercise program. Go to for registration and details.

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