Become a CETI Cancer Exercise Specialist®: learn to create safe and effective exercise programming for improving health and vitality

Millions are diagnosed with cancer and chronic health issues every year

As a health and fitness professional, you can fill an immense need by helping those at high risk with preventative exercise and by improving health during and after medical treatment
100 million at high risk for chronic disease in the USA
32 million cancer survivors worldwide
Learn about 27 cancer types
Get business and branding coaching  to get new clients and medical referrals
#1 Oncology Exercise Educator in the world


As a health and fitness professional you have an unprecedented opportunity to help millions who need guidance with exercise and create a niche market for yourself.
Become the local expert, plus learn how to virtually train those with compromised immune systems who cannot go to a clinic or health club. Expand your reach around the world.

Exercise and physical activity is one of the best tools to boost health, improve life expectancy and reduce treatment side effects.

– There is a reason for the creation of the term “Exercise is Medicine” –



Improve overall health and reduce cancer risk factors


Help patients throughout treatment and reduce severity of side effects


Minimize chance of recurrence

Mitigate acute and chronic side effects of treatment


Speed recovery from surgery 

Increase life expectancy and enhance quality of life


A safe, customized and effective exercise program helps clients experience…


Depression, Anxiety, Pain, Injury, Fatigue, Disease Recurrence


Coping, Strength, Energy, Endurance, Mobility, Sleep Quality, Ease in Activities of Daily Living, Functional Movement, Range of Motion, Posture, Balance

Cancer patients, survivors, and those with chronic health risks are less active than the general population

They all want and need help when it comes to exercise
But there is a severe lack of health & fitness professionals who have the expertise required to support cancer patients and older adults with chronic conditions
This is because working with chronic conditions, cancer patients & survivors requires a much more knowledgeable and customized approach

If you’ve ever considered working with the cancer and aging population, perhaps you’ve wondered:

What credentials do I need to work with special needs clients?
What are the liabilities?
What are the recommendations and guidelines for working with cancer survivors and those with chronic conditions?
How can I customize those guidelines to work for each client?
What are the risks I need to be aware of?
How do I conduct an effective assessment before we begin?
What do I need to know about each type of cancer or condition?
How will current treatments affect my recommendations?
What is appropriate at different stages of the cancer and chronic disease journey?
How can I help my clients build healthy habits & exercise behaviors that stick?
Don’t take unnecessary risks with cancer patients/survivors and clients with chronic conditions. Let us provide you with the most current and evidence-based education to create safe and effective action plans.

You will get the tools, confidence and support of the global leader in oncology exercise education

(From prevention, to treatment and recovery, and long-term survivorship)

Andrea Leonard

Founder and President of the Cancer Exercise Training Institute
“Andrea knew that her calling in life was to help make a difference in the lives of cancer patients worldwide.” – E.G. Beres

Andrea is a 40 year cancer survivor, has authored 20 books on the subject of cancer and exercise and is a sought after speaker, author and educator for cancer exercise training around the world.

Andrea received her MS in Functional Nutrition from the Rocky Mountain University of Health Professionals, was the PFP/Club Industry 2019 Personal Trainer of the Year and has 32 years worth of career certifications from NASM, ACSM, ACE and the Cooper Institute. She is a subject matter expert for the Medical Wellness Association, chairperson for the Medical Fitness Foundation Education Advisory Board, and advisory board member for the MedFit Network.

The Cancer Exercise Training Institute is considered the gold-standard of education in oncology exercise and has trained more individuals than any other organization in the world.



CETI is the global leader in oncology exercise training over the past 20 years, training over 18,000 professionals in 55 countries.

How CETI Courses Work

We provide online courses developed specifically for health & fitness professionals who want to work with cancer and high risk populations.
Comprehensive books, video training, quizzes and exams. Online, virtual and live course options.
Email/ phone support with optional one-on-one sessions and business support.
Regularl updates with peer-reviewed and evidence-based information.

As a Cancer Exercise Specialist® you will possess practical hands-on skills needed to guide clients, patients and survivors through treatment, recovery and long term survivorship – you will become the next step in the health care continuum.

Upon completion you’ll receive an Advanced Qualification certificate that can be renewed every 2 years with the latest training materials.


Breast Cancer Recovery BOSU® Specialist


Pilates Mat Certificate


Cancer Exercise Specialist® – Yoga


Cancer Exercise Specialist® – Pilates

Here's what you will learn in the Cancer Exercise Specialist Advanced Qualification


Course introductions from Dr. Harness and Dr. Mikeska with a review of the curriculum and successful study methods.


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.
  • What is cancer?
  • Cancer causes
  • Genetics
  • 5 stages of grief
  • What to say to someone who has been diagnosed with cancer
  • The role of a CES in palliative care
  • Being a caregiver
  • The Immune System and human biome
  • Surgery types for 27 cancers – 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
  • Axillary web syndrome
  • Cancer Treatment – acute and chronic side-effects
  • Neurological complications
  • Lymphedema – prevention, identification, and management
  • Mindful breathing


Learn how to conduct a postural assessment, goniometric measurements, and several other testing methods. Determine individualized programming based on range of motion limitations, postural deviations, and acute and chronic side-effects. Use manual stretching techniques to help with muscle imbalances and range of motion limitations. Techniques for core strengthening, proprioception and balance. Video sessions on assessment protocol. Comprehensive manual and practice test for 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. Includes “Conquering Cancer with Nutrition,” by Dr. Glenn B. Gero. Video discussion with Dr. Tami De La Melena. Comprehensive manual and practice test.

  • 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
  • Business coaching (LIVE virtual sessions)


Forms to help you build your business, creating your CETI CES listing, customized exercise programming services, support groups and more. Individual business coaching and branding is provided in the LIVE virtual training sessions.

“This is a pioneering concept by Andrea and CETI. The whole concept of taking health and fitness professionals and giving them additional training to become legitimate specialists in the care and treatment of cancer patients is a unique and valuable program. I’ve gone through the modules and they are outstanding. In my world of breast cancer, people with this level of cancer exercise training are really needed.”

-Dr. Jay Harness

Learn to Provide Virtual Client Sessions

Learn how to virtually train those with compromised immune systems who cannot go to a clinic or health club. Help them in the comfort of their own homes. Expand your reach around the world!

Here is what is also included with your enrollment

PDF Handbooks
Business Tools
Directory Listing
Private FB Group

Get instant access now to our top course for health, fitness and medical professionals: the Cancer Exercise Specialist Advanced Qualification


Contact us for discounted group rates or try our monthly payment plan

Add Printed Handbooks

Learn about 27 cancer types, so you can assess, guide, and support your clients to better health and longer, more robust life!


“Thank you CETI Andrea for this outstanding advance certification. I am delighted to announce that I have successfully passed the examination and obtained certification as a Cancer Exercise Specialist with CETI. I hold a Master’s degree in exercise physiology, along with certifications in ACSM-EP, CPT, FMS, and USAW-L1.

Now, as a Cancer Exercise Specialist at Ultra SV Wellness & Performance Center in Colorado Springs, we are proud to offer personalized exercise training programs that include neurocognitive exercise training focusing on memory, reaction time, concentration, eye-hand coordination, and more, all within a supportive, fun and enjoyable private wellness center.”

– Samuel Oketunmbi

“As a survivor myself, I understand what it is like to have everything stripped down and begin the process of having to re-find yourself. My passion is to help patients restore the best in themselves and find their new NORMAL.”

– Cindy Lupica

“I recently completed the Cancer Exercise Specialist course. I would highly recommend this course to anyone who is interested in learning how to serve cancer patients/survivors. The information and knowledge, along with the guidance and support you will receive is invaluable. I can honestly say since completing this course, I feel well prepared and excited to start empowering those who have been affected by cancer. Thank you Andrea and the team at CETI.”
– Maurice Crocker, CPT, CES, Showtime Physique Personal Training and Fitness Studio


4 online training modules with over 40 videos
Video lectures from 6 top professionals in oncology and exercise
Printable handbooks and training materials
Over 500 pages of materials
Quizzes for each module to assist your learning
Detailed case studies to help you assess clients
Cancer Exercise Specialist Advanced Qualification
Certificate upon passing the final exam
CETI team for questions and support
Private Facebook group to interact with fellow specialists
Access to exclusive programs to help you grow your business
“Cancer strips you of everything: hair, body, self-esteem, self confidence, finances, family… as a Cancer Exercise Specialist you have the unique opportunity to help people take control of their lives and bodies at a time where they feel they have no control.”
– Andrea Leonard –