Onboarding plan

Exercise Physiologist Onboarding Plan (30-60-90 Days)

A practical, printable plan to take a new exercise physiologist from first day to full productivity.

Updated By the Career Education Institute Curriculum Team
Exercise Physiologist onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

  • Confirm start date, schedule, pay and supervisor in writing
  • Verify required credentials: ACSM Certified Exercise Physiologist (ACSM-EP), ACSM Certified Clinical Exercise Physiologist (ACSM-CEP) (as applicable)
  • Prepare equipment and access: treadmills and cycle ergometers; ECG monitors; blood pressure equipment; metabolic carts
  • Assign a buddy or preceptor
  • Enroll the new hire in Exercise Physiologist training so foundations are covered before or during week one

Week one: orient and protect

  • Workplace tour, emergency procedures and incident reporting
  • Screen for contraindications
  • Know emergency procedures and AED use
  • Monitor vitals and symptoms
  • Work within physician orders
  • Shadow an experienced exercise physiologist through a full shift
  • Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

  • Supervised practice: write an exercise prescription
  • Supervised practice: monitor a cardiac rehab session
  • Supervised practice: run a graded exercise test
  • Training modules 4–7: duties, step-by-step tasks, tools and safety
  • 30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

  • Conduct fitness and stress tests: independently
  • Analyze patient health data: independently
  • Design exercise programs for medical conditions: independently
  • Monitor patients during exercise: independently
  • Competency sign-offs completed (see checklist below)
  • Training final knowledge check and certificate of completion
  • 60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

  • Meet productivity and quality targets for the role
  • Begin cross-training on a secondary task
  • Agree on a credential goal (for example, ACSM Certified Exercise Physiologist (ACSM-EP))
  • Discuss the career path: Exercise Specialist → Exercise Physiologist → Clinical Exercise Physiologist
  • 90-day review

Competency checklist

Skill or taskTrainedObservedSigned off
Write an Exercise Prescription
Monitor a Cardiac Rehab Session
Run a Graded Exercise Test
Exercise testing
ECG monitoring
Exercise prescription
Physiology

How to measure onboarding success

  • Rebooking and retention rates
  • Revenue or sessions per week
  • Client reviews and complaints
  • 90-day retention

How Exercise Physiologist training maps to this plan

  1. Introduction to the Exercise Physiologist Role
  2. A Day on the Job
  3. Essential Exercise Physiologist Vocabulary
  4. Core Duties and Responsibilities
  5. Common Tasks, Step by Step
  6. Tools, Equipment and Technology
  7. Safety, Compliance and Professional Standards
  8. Skills Employers Look For
  9. Launching Your Exercise Physiologist Career
  10. Final Knowledge Check
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