Unit rationale, description and aim

Chronic and complex conditions, including cancer, represent a substantial proportion of the clinical population seen by accredited exercise physiologists. At this level, students are expected to demonstrate advanced understanding of pathophysiology, symptomatology and comorbidities, critically evaluate interprofessional models of care and treatment options, and apply evidence-based assessment and exercise interventions with autonomy and professional judgement. These capabilities support informed clinical decision-making and effective, person-centred management.  

This unit examines advanced medical and scientific knowledge of complex metabolic and endocrine conditions, cancer, and other chronic and complex health conditions for which exercise is an evidence-based intervention. Key areas of focus include the aetiology, incidence, epidemiology and pathophysiology of relevant conditions, along with the adaptive processes that inform interprofessional therapeutic management. 

Students will engage with current evidence and guidelines for exercise testing and prescription, including considerations relating to chronic and complex conditions. They will learn methodological approaches to clinical assessment and apply principles of evidence-based exercise prescription alongside conventional management strategies. 

The aim of the unit is to develop students’ ability to apply advanced knowledge within clinical reasoning to optimise evidence-based, exercise physiology-specific and collaborative, person-centred care for chronic and complex health conditions.  

2027 10

Campus offering

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  • Semester 2Multi-mode
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  • Semester 2Multi-mode
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  • Semester 2Multi-mode
  • Term Mode
  • Semester 2Multi-mode

Prerequisites

Nil

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Apply advanced coherent knowledge of anatomy, phys...

Learning Outcome 01

Apply advanced coherent knowledge of anatomy, physiology, pathology and evidence-based clinical assessment and exercise interventions relevant to chronic and complex conditions
Relevant Graduate Capabilities: GC1, GC2, GC7, GC8, GC11

Integrate critical thinking and advanced clinical ...

Learning Outcome 02

Integrate critical thinking and advanced clinical reasoning to inform clinical findings, and design and justify evidence-based, person-centred exercise interventions aligned with the goals of individuals with, or at risk of, chronic and complex conditions
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC11, GC12

Evaluate clinical assessment and exercise testing ...

Learning Outcome 03

Evaluate clinical assessment and exercise testing data to support risk stratification and evidence-based exercise prescription for individuals with, or at risk of, chronic and complex conditions
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC11, GC12

Adapt interprofessional communication and advanced...

Learning Outcome 04

Adapt interprofessional communication and advanced clinical reasoning to support evidence-based, person-centred and holistic clinical management for individuals with, or at risk of, chronic and complex conditions
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC11, GC12

Content

Topics will include: 

Module 1: Clinical assessment and exercise for chronic and complex conditions: 

  • Effective communication in chronic disease management.
  • Complex endocrine and metabolic conditions.
  • Obesity.
  • Diabetes.
  • Women’s health and pregnancy.


Module 2: Clinical assessment and exercise for cancer: 

  • Exercise oncology.
  • Common cancers, i.e. breast, prostate and colorectal.
  • Less common and rare cancers.
  • Palliative cancers.

 

Each module comprises content including:  

  • Fundamental anatomy, physiology, pathology and clinical features relevant to chronic and complex health conditions. 
  • Key factors in the development, progression and management of chronic and complex conditions, including diagnostic methods and interpretation of clinical findings. 
  • Interprofessional roles and collaborative approaches in the care of individuals with chronic and complex conditions. 
  • Evidence based principles underpinning exercise as a therapeutic intervention, including assessment, prescription, monitoring and adaptation.
  • Strategies to deliver safe, effective, person-centred and culturally responsive exercise care, informed by current evidence and emerging research. 

Assessment strategy and rationale

Assessment tasks in this unit are designed to reflect authentic clinical practice and follow an “assessment for learning” approach that reinforces the application of advanced knowledge, clinical reasoning and professional competencies. 

Assessment Task 1 consists of two end of module theory examinations assessing advanced knowledge of anatomy, physiology, pathology, assessment and exercise interventions across both modules.  

Assessment Task 2 involves a presentation of a complex case study incorporating chronic and complex conditions. Students explain pathophysiology, appraise evidence and guidelines, evaluate assessment and exercise testing findings for risk stratification and clinical decisions, and design and justify a safe, person-centred intervention. 

Assessment Task 3 is a practical examination requiring students to adapt interprofessional communication skills and apply advanced clinical reasoning to support evidence-based, person-centred and holistic clinical management.  

Generative AI must not be used in assessments unless explicitly permitted in the assessment instructions. 

To pass the unit, students must demonstrate achievement of all learning outcomes and obtain an minimum overall mark of 50%.

Overview of assessments

To pass the unit, students must demonstrate achievement of all learning outcomes and obtain an minimum overall mark of 50%.

Assessment Task 1 Two End of Module Theory exam...

Assessment Task 1 Two End of Module Theory examinations

Enables students to apply advanced knowledge of anatomy, physiology, pathology, assessment, and exercise interventions related to chronic and complex conditions. 

Weighting

20%

(2x 10%)

Learning Outcomes LO1
Graduate Capabilities GC1, GC2, GC7, GC8, GC11

Assessment Task 2 Case presentation  Enabl...

Assessment Task 2 Case presentation

 Enables students to integrate and justify the application of course content to a complex, chronic case study, including the development of an exercise program.   

Weighting

30%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC11, GC12

Assessment Task 3 Practical examination   En...

Assessment Task 3 Practical examination 

Enables students to adapt interprofessional communication and apply advanced clinical reasoning to answer common client questions relating to the breadth of course content and conditions.   

Weighting

50%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC11, GC12

Learning and teaching strategy and rationale

This unit is delivered in a multi-mode format using learner centred online resources and face-to-face practical workshops. These learning experiences are purposefully designed to support active engagement, synthesis of complex knowledge, and application of contemporary evidence to the management of chronic and complex conditions.  

Students engage in synchronous and asynchronous activities that encourage deep exploration of clinical assessment frameworks, interpretation of complex findings, and development of advanced exercise prescription skills. Dialogue, peer learning, and collaborative problem-solving are embedded throughout to strengthen interprofessional communication and promote person-centred, holistic practice. 

Face-to-face workshops across the semester provide structured opportunities to integrate theoretical knowledge with applied clinical skills. Case-based and problem-based learning activities drive higher order thinking and enable students to evaluate data, appraise evidence, and generate informed clinical decisions.  

This learning approach complements concurrent units within the course and supports integration of clinical reasoning, assessment, and intervention planning essential for exercise physiology practice. It is designed to meet course learning outcomes and accreditation expectations for Exercise and Sport Science Australia (ESSA). This strategy links consistent online preparation with supervised, feedback rich skill development and clinical decision making in practical sessions, encouraging responsibility for learning aligned with ACU’s mission and values. 

Representative texts and references

Representative texts and references

Bishop, D. J., Beck, B., Biddle, S. J., Denay, K. L., Ferri, A., Gibala, M. J., Headley, S., Jones, A. M., Jung, M., & Lee, M. J.-C. (2024). Physical activity and exercise intensity terminology: A joint American College of Sports Medicine (ACSM) expert statement and Exercise and Sport Science Australia (ESSA) consensus statement. Journal of Science and Medicine in Sport.

Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from international multidisciplinary roundtable. Medicine and Science in Sports and Exercise, 51(11), 2375–2390.

Coombes, J. S., Burton, N. W., & Beckman, E. M. (2019). ESSA’s student manual for exercise prescription, delivery and adherence (eBook). Elsevier Health Sciences.

Durstine, J. L., Painter, P. L., American College of Sports Medicine, & Moore, G. E. (2016). ACSM’s exercise management for persons with chronic diseases and disabilities (J. L. Durstine, P. L. Painter, & G. E. Moore, Eds.; 4th ed.). Human Kinetics.

Ehrman, J. K., Gordon, P. M., Visich, P. S., & Keteyian, S. J. (Eds.). (2022). Clinical exercise physiology: Exercise management for chronic diseases and special populations. Human Kinetics.

Exercise & Sports Science Australia. (2024). Best practice guide: Communication. Exercise & Sports Science Australia.

Hayes, S. C., Newton, R. U., Spence, R. R., & Galvão, D. A. (2019). The Exercise and Sports Science Australia position statement: Exercise medicine in cancer management. Journal of Science and Medicine in Sport, 22(11), 1175–1199.

Hayes, S. C., Spence, R. R., Galvão, D. A., & Newton, R. U. (2009). Australian Association for Exercise and Sports Science position stand: Optimising cancer outcomes through exercise. Journal of Science and Medicine in Sport, 12, 428–434.

Hordern, M. D., Dunstan, D. W., Prins, J. B., Baker, M. K., Fiatarone Singh, M. A., & Coombes, J. S. (2012). Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sports Science Australia. Journal of Science and Medicine in Sport, 15(1), 25–31.

Keating, S. E., Sabag, A., Hallsworth, K., Hickman, I. J., Macdonald, G. A., Stine, J. G., George, J., & Johnson, N. A. (2023). Exercise in the management of metabolic-associated fatty liver disease (MAFLD) in adults: A position statement from Exercise and Sport Science Australia. Sports Medicine, 53(12), 2347–2371.

Knowles, M. (2015). New perspectives on andragogy. In E. Holton & R. Swanson (Eds.), The adult learner: The definitive classic in adult education and human resource development (8th ed., pp. 169–187). Routledge.

Kolb, A., & Kolb, D. (2018). Eight important things to know about the experiential learning cycle. Australian Educational Leader, 40(3), 8–14.

Johnson, N. A., Sultana, R. N., Brown, W. J., Bauman, A. E., & Gill, T. (2021). Physical activity in the management of obesity in adults: A position statement from Exercise and Sport Science Australia. Journal of Science and Medicine in Sport, 24(12), 1245–1254.

Ozemek, C., Bonikowske, A., Christle, J., & Gallo, P. (2025). ACSM’s guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.

Smart, N. A., Williams, A. D., Levinger, I., Selig, S., Howden, E., Coombes, J. S., & Fassett, R. G. (2013). Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic kidney disease. Journal of Science and Medicine in Sport, 16(5), 406–411.

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