CES Curriculum

CES Handbooks Cancer Exercise Training InstituteCancer 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.

How do I earn the CES qualification?

To become a Cancer Exercise Specialist® you will complete four modules. Each of the modules requires reading a handbook, watching the accompanying video, and passing a 25-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.

In order to help you grow your business and make it easy for cancer patients and survivors to find you, upon completion of the exams you will be added to the International Cancer Exercise Specialist® Directory for the length that your specialist designation remains current. Additionally, you will receive a one-year membership to the Medical Fitness Network that includes a listing on their directory as well.

To maintain your Specialist designation, you will be required to requalify every two years. This ensures that all Cancer Exercise Specialists®  maintain a high level of proficiency within the ever-changing field of cancer treatments and procedures. Continuing education for the CEU credits will only be accepted from the Cancer Exercise Training Institute. In lieu of CEUs, however, participants may choose to receive the latest version of the CES Handbook and re-test for their renewal.



Get an in-depth look at the most common surgical procedures for 25 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.

  • Surgical Incisions
  • Acute and Chronic Side-effects
  • Contraindications

Gain a deeper insight into the most common surgical procedures for breast cancer, acute and chronic side-effects of cancer treatment, how to identify neurological complications, and how to prevent, identify, and manage upper and lower extremity lymphedema. Experience a video-based session, as well as a comprehensive manual, 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 and understand the balance of agonists and antagonists in order to sequentially determine individualized programming based on range of motion limitations, correcting postural deviations, acute and chronic side-effects, and lymphedema prevention and management. Experience a video-based session, as well as a comprehensive manual, on the subject matter.


  • Posture, Pain and Muscle Imbalance
  • Conducting a Comprehensive Assessment
  • Correcting Muscle Imbalances and Exercise Programming
  • Cardiorespiratory Fitness and Exercise Intensity
  • Hoe 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. Experience an in-depth, video discussion between Andrea Leonard – President and Founder of the Cancer Exercise Training Institute and Dr. Tami De La Melena – Portland, Oregon breast surgeon, as well as a comprehensive manual, 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
  • Working with Medical Community

Experience four video-based sessions, a four-part comprehensive manual on the subject matter, and four 25-question exams. Home-study participants will have 180 days to complete the coursework in its entirety.

Live workshop attendees will participate in a two-day comprehensive training that includes lecture, hands-on assessment training, exercise prescription, and case-studies. There will be four 25-question exams to be completed online within 90 days of the workshop.

CETI’s coursework is intended for ALL fitness professionals; yoga, Pilates, Barre, ZUMBA, and group exercise instructors as well as personal trainers and exercise physiologists. You will learn how to modify and adapt your protocol to meet the needs of cancer patients during and after treatment.