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Cancer Exercise Specialist  Advanced Qualification

Certificate developed for health & fitness professionals seeking to attain a higher level of mastery & work with cancer patients during & after cancer surgery & treatment as well as into survivorship.

Cancer Exercise Specialist®  Advanced Qualification

It takes a special person, both empathetic and compassionate, to work with cancer patients. One must have a deep understanding of exercise oncology and how to safely and effectively create an exercise program with proper modifications and progressions. The Cancer Exercise Specialist® (CES) program will give you the tools and confidence that you need to work safely and effectively with cancer patients and survivors at all stages of the recovery journey.

Who is it best suited for?

This CES program was developed for health and fitness professionals seeking to gain a complete understanding of the entire cancer process from diagnosis and treatment to reconstruction and survivorship. This program was designed to help and encourage fitness professionals to attain a higher level of mastery and work with cancer patients during and after cancer surgery and treatment and into survivorship. 

If you are an experienced fitness professional who is currently working with Cancer Patients/Survivors, the Cancer Exercises Specialist certification will provide you with

  • Specific guidelines on how to train and prescribe exercises for Cancer Patients

  • A fundamental understanding of Cancer Types and their respective treatment options

  • Insights into a Cancer Patient’s mindset, struggles, and emotions

  • Access a library of resources compiled by Andrea Leonard, Cancer Survivor and founder of CETI

  • Continuing Education Points (CPE) at ACE, ACSM, NASM, NSCA, PTA Global, Yoga Alliance (non-contract hrs)

Source: TEDx

Course Curriculum


Get an in-depth look at the most common surgical procedures for 26 of the most common cancer types, as well as pediatrics. Experience a video-based session, as well as a comprehensive manual, on the subject matter. Gain a deeper insight into acute and chronic side-effects and contraindications of surgical procedures, cancer staging, genetics, and the human biome/immune system. Experience a video-introduction and welcome from Dr. Jay Harness and a video by Dr. La Gary Carter on “Exercise as Medicine” as well as a comprehensive manual and practice test on the subject matter.

  • Cancer Staging

  • Genetics

  • The Immune System and human biome

  • Surgical Incisions

  • Acute and Chronic Side-effects

  • Contraindications


Learn about risk factors for breast cancer, recommended surgeries, treatment, and reconstruction as well as side effects / complications, and lymphedema prevention and management. Experience video-based sessions by Denise Stewart, OT, on scar tissue awareness, Upper and lower extremity lymph drainage exercise programming by Andrea Leonard, and Cancer and Comorbidities by Dr. Dan Mikeska, as well as a comprehensive manual and practice test on the subject matter.

  • Types of Breast Cancer

  • Risk Factors

  • Breast Surgery and Reconstruction

  • Cancer Treatment

  • Neurological Complications

  • Lymphedema



Learn how to conduct a postural assessment, goniometric measurements, and several other testing methods and understand the balance of agonists and antagonists in order to sequentially determine individualized programming based on range of motion limitations, correcting postural deviations, and acute and chronic side-effects. Learn how to use manual stretching techniques to help with muscle imbalances and range of motion limitations and strengthen the core while working on proprioception and balance with the BOSU® Balance Trainer. Experience video-based sessions on assessment protocol with Andrea Leonard, as well as a comprehensive manual and practice test on the subject matter.

  • Posture, Pain and Muscle Imbalance

  • Conducting a Comprehensive Assessment

  • Correcting Muscle Imbalances and Exercise Programming

  • Cardiorespiratory Fitness and Exercise Intensity

  • Common Side-effects, Complications, and Recommendations

  • How to Use a Goniometer/Correcting Range of Motion Limitations and Exercise Programming

  • Core and Balance Exercises

  • Manual Stretching Techniques



Gain critical knowledge about how a properly prescribed and executed exercise program can help cancer patients and survivors to combat fatigue, decrease depression and pain, and how diet can play a critical role in treatment as well as long-term survivorship. Included in this section is “Conquering Cancer with Nutrition,” by Dr. Glenn B. Gero. Experience an in-depth, video discussion between Andrea Leonard – President and Founder of the Cancer Exercise Training Institute and Dr. Tami De La Melena, as well as a comprehensive manual and practice test on the subject matter.

  • Benefits of Exercise

  • Cancer Related Pain

  • Mental and Physical Fatigue

  • Survivorship

  • Psychology of Fitness

  • Cancer Treatment and Weight management

  • Alcohol and Cancer Risk

  • Conquering Cancer with Nutrition

  • Taking Control of Your Emotions

  • Working with Medical Community

  • Forms


Following your video-based sessions and power point presentations, there will be a 125-question exam. Home-study participants will have 180 days to complete the coursework in its entirety.


Continuing Education Points (CEP)

The Cancer Exercise Specialist Advanced Certification allows you to gain Continuing Education Points with the following certification bodies:


  • The American Council on Exercise (ACE) 1.7

  • The American College of Sports Medicine (ACSM) 20.0

  • Aerobics and Fitness Association of America (AFAA) 15.0

  • The Certified Professional Trainers Network (CPTN) 14.0

  • National Academy of Sports Medicine (NASM) 1.9

  • National Strength and Conditioning Association (NSCA) 1.7

  • PTA Global 1.9

  • Yoga Alliance 22 (non contract hours)

Assessment Method

To become a Cancer Exercise Specialist® you will complete 4 modules. Each of the module requires reading a handbook, watching the accompanying videos, and passing a 125-question exam with a score of 80% or better. Upon completion, you will be recognized as a Cancer Exercise Specialist® by the Cancer Exercise Training Institute.


For CETI course registration