Dr. Karim Khan, Professor of Sports Medicine, Editor of the British Journal of Sports Medicin

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2 11Although evidence for exercise as a major public health preventive approach and a potent medical therapy is widely recognized, the challenge is to get the right information to the right patient at the right time. The Exercise Works! training handbook is an impressive and practical tool. It distills comprehensive research and recommendations into an easily accessible format that will be of interest to healthcare professionals and the general public alike. Thanks Ann, for creating a much-needed resource for patients and practitioners As Health Care Professionals we Dr. Karim Khan, Professor of Sports Medicine, Editor of the British Journal of Sports Medicin can do the best for every patient, every time. As a GP, I know that often means asking about the amount of exercise/physical activity our patients are doing, and offer sensible solutions. What has been needed is a resource suitable for a range of health professionals, explaining the benefits of exercise for specific conditions, and what exercise will help our patients most. I use this excellent resource frequently in my practice 11 Andrew Murray, GP, Sports and Exercise Medicine Doctor; Author of Running Beyond Limits, Speaker for GET ACTIVE TODAY

3 BACKGROUND A TWO DAY COURSE Course Format Interactive master classes on disease specific training programs, combined with practical exercise sessions in the format of: "learn, practice, implement and apply". A two day course or bespoke to organisational need (contact course organiser for details). Objective This course will enable you to give quality exercise and advice, safely and competently for a variety of diseases and health conditions. Participants Up to 30 physicians and/or allied health professionals. Learn, Practice, Implement and Apply MASTER CLASS... Environment Training Materials Teaching classes, with indoor/outdoor facilities, and space for coffee breaks/lunch. Training is in small groups, with the use of role players and real patients. Social media platform for course participants. Interactive, with clinical skills and problem solving orientation Adults' case-studies: Parkinson's disease, Type 2 diabetes, osteoporosis, cancer, rheumatoid arthritis. Children and adolescent case-studies: asthma and cystic fibrosis. Use of in-door and out-door training (depending on the weather). Emphasis on cost-effective approaches (comparative medical analyses). All written materials, including the handbook, will be in English. Presentations and practical classes will be conducted in English. Assessment Accreditation Written, open-book assessment, and Multiple Choice Questionnaire (MCQ), with 90% pass rate requirement. Participants will be able to use the electronic assessment format. By local and national medical and health organisations (pending approval) CME points By national awarding bodies (awaiting approval) 3/10

4 BACKGROUND A TWO DAY COURSE Facilities Sponsors Full Price To be confirmed. Support approval of ethical sponsors (Pending). GB 400 per participant. (Prices valid ). This is a non refundable fee. This includes course fee, hand book and other written materials, coffee breaks & buffet lunch. All additional non-course requirements (e.g. travel expenses) to be met by individual participants. Registration Please complete the course registration form. Pre-course materials Visit the following video links on YouTube: 23 ½ hours... Prescription to wellness /10

5 DAY MORNING SESSION 09:00-13:00 Introduction, overview and learning outcomes 09:00-09:40 Overview of the evidence for exercise medicine. Overview of non communicable diseases pandemic and links to inactivity and disease specific exercise. 09:40-10:00 No exercuses approach to exercise medicine. 10:00-10:20 Coffee break 10:20-10:40 Role play simulation (1 doctor, 1 "patient") 10:40-11:00 Exercise training sample (Zumba ) 11:00-11:15 Coffee break Key International and National Exercise Recommendations 11:15-11:25 Safe and Effective Advice to be given to all patients. 11:25-11:40 Exercise recommendations for: Early Years (Under 5s) - For Infants Who are Not Yet Walking Early Years (Under 5s) - For Children Who are Capable of Walking Children and Young People (5 18 Years) Adults (19 64 years) Older Adults (65+ years) 11:40-12:00 Exercise training sample (Circuit training) 12:00-12:30 A paradigm shift in consultations and evolution of exercise prescription for every patient! Simple and Safe Exercises for ALL Patients (overview) How to Start Exercising Walk to Health! Endurance or Stamina exercises Strength exercise Value of stretch and balance exercises for patients 5/10

6 DAY MORNING SESSION 09:00-13:00 12:30-12:45 Contra-indications and precaution of exercise 8 absolute contra-indications to exercise prescriptions and physical activity Special precautions in specific diseases and environments Clinical red flags to exercise prescriptions 12:45-13:00 Assessment of Patients for Exercise Pre-participation Assessment Screening Procedures Exercise Assessment for Every Patient Stages of Change Model in Decision Making Compliance, Adherence and Concordance for Exercise Opportunities for monitoring compliance and clinical outcomes 13:00-14:00 Lunch break 6/10

7 DAY AFTERNOON SESSION 14:00-17:00 Exercise Advice diseases (NCDs) 14:00-14:30 Hypertension Presentation (prevalence, cost implications, evidence, recommendations, precautions and contra-indications for exercise), role play, patient story. 14:30-15:00 Obesity Presentation (prevalence, cost implications, evidence, recommendations, precautions and contra-indications for exercise), role play, patient story. 15:00-15:15 Exercise training sample (Yoga, Tai-Chi. Pilates) 15:15-15:30 Tea break 15:30-16:00 Peripheral Arterial Disease Presentation (prevalence, cost implications, evidence, recommendations, symptoms control, precautions and contra-indications for exercise), role play, patient story. 16:00-16:30 Type 2 Diabetes Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play, patient story. 16:30-17:00 Osteoporosis and falls Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play, patient story. 7/10

8 DAY MORNING SESSION 09:00-13:00 Exercise Advice for specific Chronic Disease Conditions 09:00-09:30 Osteoarthritis/Rheumatoid arthritis Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play, patient story. 09:30-10:00 Parkinson s disease Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play, patient story. 10:00-10:30 Nordic walking exercise sample 10:30-10:45 Coffee break 10:45-11:15 Asthma Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play (including asthma in children), patient story. (Brief discussions on cystic fibrosis patients). 11:15-11:45 Chronic Obstructive Pulmonary Disease (COPD) Presentation (prevalence, cost implications, evidence, recommendations, symptoms control, precautions and contra-indications for exercise), role play, patient story. 11:45-12:15 Cancer Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play, patient story. 12:15-13:00 Outdoor specific exercises 13:00-14:00 Lunch 8/10

9 DAY AFTERNOON SESSION 14:00-17:00 Exercise Advice for specific Chronic Disease Conditions 14:00-14:30 Pre-operation and post-operation exercise advice Presentation (prevalence, cost implications, evidence, recommendations, symptom control, precautions and contra-indications for exercise), role play, patient story. 14:30-14:40 Back pain Presentation (prevalence, cost implications, evidence, recommendations, symptoms control, precautions and contra-indications for exercise), role play, patient story. 14:40-14:50 Pregnancy Evidence, recommendations, symptom control, precautions and contra-indications for exercise.... Practitioners will have 30 days to complete the online assessments to receive accreditation and pass certificate. 14:50-15:00 Mental Health (Anxiety, Depression, Schizophrenia) Evidence, recommendations, symptoms control, precautions and contra-indications for exercise. 15:00-15:30 Indoor specific exercise training (gym and home exercises) 15:30-15:45 Tea break Practical sessions 15:45-16:45 Clinical assessments Small group discussions (6 people per group) on barriers to exercise in clinical practice, implementation and practical tips (instructors and role-players). 16:45-17:00 Summary Physical activity tools available for practitioners. Details of exam and certification. Participants' feedback on the course. 9/10

10 COURSE ORGANIZER CONTACT DETAILS COPYRIGHT Ann Gates As a Personal Trainer, Chronic disease Exercise Specialist, and INWA Nordic Walking Instructor Ann is passionate about ensuring that patients and the public receive quality exercise advice and support from health professionals at every opportunity. Exercise seen as a medicine enables patients to enjoy the benefits of exercise and lead happy, healthy fulfilling lives whatever their circumstances. Ann is a qualified Clinical Pharmacist and has worked constantly with patients in the following clinical areas: heart disease, diabetes, osteoporosis, older patients, elective surgery, theatres, safe effective medicines use, medication review, mental health, and COPD. At a strategic level working in PCTs, SHA and as a Director in a Mental Health Trust she is confident at delivering patient focussed care. Ann qualified as a Pharmacist in 1983, having studied Pharmacy at Nottingham University, England. She is a Member of the Royal Pharmaceutical Society of Great Britain. Contact Tel Website Ann Gates (+44) ann@exercise-works.org Copyright This document and its content is the copyright of Exercise Works! Exercise Works Limited All rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. 10/10