Chapter 9 · Adam McCubbin
Staying Within Scope of Practice
July 03, 2018
Yeah, what I call it is it's above your pay grade, right? And you see this all the time. You see coaches that they're not happy just teaching exercise. Now they want to be a psychologist, and they want to be a functional medicine doctor, and they want to perform open-heart surgery. And now they can cure your fucking asthma and all this other stuff. And it's like, bro, like you've got enough shit on your plate to teach people how to exercise correctly. Right. So in like it's kind of in my world where I'm not only a trainer, but I'm also a nutritionist, like I'm a sports nutritionist. So it's like, oh, yeah, I get people that they're working with other coaches and they come to me and I'm like, oh, well, this is why you're injured all the time and why you have no energy. And this is why, you know, you're not doing well in your sport because you're not fucking eating. You know, you're eating like a physique athlete instead of eating like a like a real like a field athlete or whatever. So the trainers have to understand you've got to stay in your scope of knowledge. Right. so it would be it would be crazy if if my client came to me and said yeah um i've got plaquing in my heart you think you could run a stent i'm like oh yeah sure cool we can we can do that let me book you in you know on thursday and uh we're gonna run a stent or maybe we'll just do some fucking open heart surgery cool awesome like that that sounds so incredibly ludicrous but that is the the the thinking behind a lot of coaches in our industry is they like well i can do it all i don need to send you to a proctologist I just put my finger up your ass and I see what going on with your prostate Cool It like fuck man Come on Yeah. Well, I think that happens a lot because if you go to a course on the weekend and they might be talking about certain things like cholesterol and then the trainers or the coaches might have taken it out of context and they think that you know that they're they've got the solution because they know that if you take this supplement here you could potentially reduce the the cholesterol but it's you know there's there's a bigger picture and obviously um coaches need to i guess understand that no and that's you're absolutely right you know what we need to have probably we need to create a course that teaches context like okay guys so we're gonna have a two day seminar on how to understand context and understand like i'm gonna show you some lab values i'm gonna explain to you what's going on but you have to keep it in context of what you can actually say and not say to your client and when you need to refer out right so because what happens is, and this is why I don't teach labs. I don't teach organic acids. I don't teach bloods. I don't teach any of this stuff because trainers can't be responsible to take the information for what it is. So when we actually teach you a lab value, like let's say glucose, right? Fasted glucose or hemoglobin A1C or fructosamine or whatever. I'm going to teach you this number and this is why it's relevant and this is how you actually use the information. So then the coach goes home and he goes to his client and he goes, hey, you're fasting blood sugars 5.8. I was at this seminar on the weekend and they said that at 5.8, you're going to get diabetes and you should take blah, blah, blah and blah and your doctor's a fucking moron. And then I'm over here slapping myself in the face going, oh, that's not what I taught you. Like, no, please stop. And this is why we don't talk a lot about bloods or a lot about medicine when we talk to coaches because they can't be responsible with the information. Yeah, yeah. And I think I've heard you talk about it before is I guess the context of certain things and people might read somewhere that diet soda or diet soft drink is bad and certain junk foods should be eliminated from diets altogether. but obviously this can lead to behaviors from the clients which we spoke about before is like that sort of binging cycle where you'll abstain for a long period of time and then after your six or 12 weeks, they go crazy on the foods that you've taken away. I guess how do you approach that in the real world scenario like as a coach but also as teaching your students?